CPNRE MAIN EXAMINATION 2026 SET QUESTIONS AND
ANSWERS GRADED A+
✔✔Mr. Rao, 45 years old, has been admitted following an open cholecystectomy. He
has a nasogastric (NG) tube in place connected to suction and an IV.
On the third post-operative day,Mr. Rao's NG tube has been removed. His IV continues
to infuse at 75mL/h, and he is on clear fluids. Over the past 12 hours, his urinary output
has been 220mL. What should the PN do first?
1. Palpate the bladder
2. Ensure the physician is notified.
3. Observe for signs of fluid balance
4.Request an order for a diuretic - ✔✔3. Observe for signs of fluid balance : need to
make initial observation first; 220mL/12hr is too low should be at around 700ml/12hrs.
Palpation is the second step to assessment
Notify the physician ad request diuretic if all assessments point to fluid imbalance.
✔✔Mr. Goldwing, 68 years old, has Parkinson's disease. He has been admitted to an
acute care unit, accompanied by his wife.
Mr. Goldwing has been ordered an IV solution infusing at 125mL/hr. In a 24 hour period,
how many mL would he receive?
1. 1500mL
2. 2000mL
3. 2400mL
4. 3000mL - ✔✔4. 3000mL
125mL/1h = 3000mL/24h
✔✔Mr. Goldwing, 68 years old, has Parkinson's disease. He has been admitted to an
acute care unit, accompanied by his wife.
Laboratory results indicate that Mr. Goldwing's hemoglobin is 80g/dL. The physician
orders 2 units of packed cells. What should the PN do first?
1. Take his temperature, blood pressure, pulse and respiration rate.
2. Prime the blood administration set with D5W
3. Have the physician contacted to verify the order
4. Ensure that the emergency cart is in the room - ✔✔1. Take his temperature, blood
pressure, pulse and respiration rate
Baseline vitals are always necessary before a transfusion
D5W should NOT be used for blood transfusions; only normal saline
✔✔Mr. Goldwing, 68 years old, has Parkinson's disease. He has been admitted to an
acute care unit, accompanied by his wife.
Mr. Goldwig has tremors and is unsteady while walking. What should the PN do?
,1. Hold the client's hand while walking down the hallways
2. Give the client a walker when he is walking around the unit
3. Ask the client if he needs any assistance for walking
4. Ask the client's wife to assist him while walking - ✔✔3. Ask the client if he needs any
assistance for walking : promotes pt autonomy
Holding hand is a risk for falling
A walker encourages dependence
Asking wife to assist places undue stress on family
✔✔Joan is a 17 yr old, 155cm tall female, who normally weights 48kg. She lost 9kg in
the past 3 months and has ammenorrhea. Joan describes an intense fear ofgaining
weight and is preoccupied with food. She is admitted with a diagnosis of anorexia
nervosa and is confined to the unit.
Joan's lunch consists of a small bowl of soup, a dinner roll, a spinach salad and a pot of
tea. What should the practical nurse do to meet the responsibility of recording food
intake?
1. Be present to remove her dinner tray and note what was eaten.
2. Ask Joan to record her intake and provide her with an intake/output sheet
3. Remain with Joan while she eats and observe her intake
4. Continue with normal duties and periodically return to check - ✔✔3. Remain with
Joan while she eats and observe her intake : Provides most accurate data
✔✔Joan is a 17 yr old, 155cm tall female, who normally weights 48kg. She lost 9kg in
the past 3 months and has ammenorrhea. Joan describes an intense fear of gaining
weight and is preoccupied with food. She is admitted with a diagnosis of anorexia
nervosa and is confined to the unit.
Which clinical manifestation is Joan likely to exhibit?
1. Fever
2. Dry Skin
3. Coarse Hair
4. Hypertension - ✔✔2. Dry Skin : hypothyroid-like state manifested by dry skin
More likely to experience hypothermia; lanugo (baby-like fine hair) of the face,
extremities and trunk may occur, and hypotension.
✔✔Joan is a 17 yr old, 155cm tall female, who normally weights 48kg. She lost 9kg in
the past 3 months and has ammenorrhea. Joan describes an intense fear ofgaining
weight and is preoccupied with food. She is admitted with a diagnosis of anorexia
nervosa and is confined to the unit.
After 8 weeks, Joan has gained 5kg. She expresses concern about the weight gain and
observes that her "thighs seem huge." Which response would be most therapeutic for
the PN to make?
1. "It must seem like that to you. Let's stand side-by-side and look in the mirror.You'll
see your thighs aren't that big."
,2. "It must be frightening for you to have gained so much weight. Let's talk about that
with the psychologist."
3. "I hear your concerns. You are uncomfortable with how you see yourself and eating."
4. "You have gone through a great deal. Perhaps shopping for clothes that don't
emphasize your weight gain would help you feel better." - ✔✔3. "I hear your concerns.
You are uncomfortable with how you see yourself and eating." : most honest and
empathetic answer
Standing side-by-side is non therapeutic
Stating that she has gained weight is only re-affirming fears
Wearing clothing suggests she should hide herself and feel ashamed
✔✔Joan is a 17 yr old, 155cm tall female, who normally weights 48kg. She lost 9kg in
the past 3 months and has ammenorrhea. Joan describes an intense fear ofgaining
weight and is preoccupied with food. She is admitted with a diagnosis of anorexia
nervosa and is confined to the unit.
At the third weekly inter-professional conference, Joan states that her preoccupation
with food and exercise has greatly diminished. The PN has observed Joan discussing
recipes with other clients and lengthening her daily exercises. What should the PN do?
1. Confirm for Joan and her family that she appears to be making progress and that her
progress has been noted in her treatment plan
2. Discuss the observations with Joan's family, noting specific changes in Joan's
behavior from the previous planning conference
3. Encourage Joan to reflect on her behaviour and explore if she is less preoccupied
with food and weight gain
4. Introduce the n - ✔✔3. Encourage Joan to reflect on her behaviour and explore if she
is less preoccupied with food and weight gain : Most therapeutic response
Joans preoccupations are still significant
Discussing with her family is not beneficial for Joan
Group therapy will not address her specific issues
✔✔Mrs. Hart is 39 years old, married with two children aged 10 and 13. She is admitted
for mastectomy following a diagnosis of right breast cancer. She is fearful the cancer
has spread and is anxious about the future for herself and her family.
Which action would best help Mrs. Hart reduce anxiety on the day she is admitted for
her surgery?
1. Show her around the unit
2. Offer her a backrub
3. Listen to her concerns
4. Encourage her to write in a journal - ✔✔3. Listen to her concerns : emotional support
Familiarization with the unit reduces anxiety but emotional concerns are more important
A back rub is not appropriate
Journaling takes time and would not address immediate concerns
, ✔✔Mrs. Hart is 39 years old, married with two children aged 10 and 13. She is admitted
for mastectomy following a diagnosis of right breast cancer. She is fearful the cancer
has spread and is anxious about the future for herself and her family.
Which action is most important for the PN to perform on the morning of Mrs. Harts first
postoperative day?
1. Ask Mrs. Hart if she has been passing any flatus
2. Encourage Mrs. Hart to do deep breathing and coughing exercises every 4 hours
3. Assess Mrs. Hart's right mastectomy dressing for drainage
4. Teach Mrs. Hart how to do wall-walking exercises - ✔✔3. Assess Mrs. Hart's right
mastectomy dressing for drainage : hemorrhaging is postoperative risk and should be
assessed on the first postop day
First postoperative day is too soon to be passing flatus
Deep breathing exercises should be done more often than every 4 hours
Fist post-operative day is too soon to begin wall-walking exercises
✔✔Mrs. Hart is 39 years old, married with two children aged 10 and 13. She is admitted
for mastectomy following a diagnosis of right breast cancer. She is fearful the cancer
has spread and is anxious about the future for herself and her family.
On the second postoperative day, which action by the practical nurse would be most
appropriate when assisting Mrs. Hart with morning care?
1. Encourage Mrs. Hart to brush her hair using her hand on her affected side
2. Suggest to Mrs.Hart that she avoid looking at the incision until the drain is removed
3. Recommend to Mrs. Hart that she wear a hospital gown so as not to soil her clothing
4. Give Mrs. Hart perineal care to avoid strain on her affected arm and hand - ✔✔1.
Encourage Mrs. Hart to brush her hair using her hand on her affected side : exercises
the affected arm and promotes independence
Inappropriate to encourage self-image issues
Psychologically better for breast cancer pt's to wear normal clothing as soon as possible
Mrs. Hart should be independent and perform her own care
✔✔Mrs. Mayhew, 72 years old, has been admitted to hospital with chronic obstructive
pulmonary disease (COPD). She is accompanied by her daughter, Adrianna, who
indicates that her mother's condition has deteriorated.
When taking Mrs. Mayhew's vital signs, the practical nurse assesses her respiration at
24 breaths/min. Which action should the practical nurse take first?
1. Obtain further information prior to reporting the findings
2. Report the findings immediately to the nurse-in-charge
3. Inform the physician during the next visit
4. Document the respiration rate on the vital signs record - ✔✔1. Obtain further
information prior to reporting the findings : Full chest assessment should be done prior
to reporting and documenting
ANSWERS GRADED A+
✔✔Mr. Rao, 45 years old, has been admitted following an open cholecystectomy. He
has a nasogastric (NG) tube in place connected to suction and an IV.
On the third post-operative day,Mr. Rao's NG tube has been removed. His IV continues
to infuse at 75mL/h, and he is on clear fluids. Over the past 12 hours, his urinary output
has been 220mL. What should the PN do first?
1. Palpate the bladder
2. Ensure the physician is notified.
3. Observe for signs of fluid balance
4.Request an order for a diuretic - ✔✔3. Observe for signs of fluid balance : need to
make initial observation first; 220mL/12hr is too low should be at around 700ml/12hrs.
Palpation is the second step to assessment
Notify the physician ad request diuretic if all assessments point to fluid imbalance.
✔✔Mr. Goldwing, 68 years old, has Parkinson's disease. He has been admitted to an
acute care unit, accompanied by his wife.
Mr. Goldwing has been ordered an IV solution infusing at 125mL/hr. In a 24 hour period,
how many mL would he receive?
1. 1500mL
2. 2000mL
3. 2400mL
4. 3000mL - ✔✔4. 3000mL
125mL/1h = 3000mL/24h
✔✔Mr. Goldwing, 68 years old, has Parkinson's disease. He has been admitted to an
acute care unit, accompanied by his wife.
Laboratory results indicate that Mr. Goldwing's hemoglobin is 80g/dL. The physician
orders 2 units of packed cells. What should the PN do first?
1. Take his temperature, blood pressure, pulse and respiration rate.
2. Prime the blood administration set with D5W
3. Have the physician contacted to verify the order
4. Ensure that the emergency cart is in the room - ✔✔1. Take his temperature, blood
pressure, pulse and respiration rate
Baseline vitals are always necessary before a transfusion
D5W should NOT be used for blood transfusions; only normal saline
✔✔Mr. Goldwing, 68 years old, has Parkinson's disease. He has been admitted to an
acute care unit, accompanied by his wife.
Mr. Goldwig has tremors and is unsteady while walking. What should the PN do?
,1. Hold the client's hand while walking down the hallways
2. Give the client a walker when he is walking around the unit
3. Ask the client if he needs any assistance for walking
4. Ask the client's wife to assist him while walking - ✔✔3. Ask the client if he needs any
assistance for walking : promotes pt autonomy
Holding hand is a risk for falling
A walker encourages dependence
Asking wife to assist places undue stress on family
✔✔Joan is a 17 yr old, 155cm tall female, who normally weights 48kg. She lost 9kg in
the past 3 months and has ammenorrhea. Joan describes an intense fear ofgaining
weight and is preoccupied with food. She is admitted with a diagnosis of anorexia
nervosa and is confined to the unit.
Joan's lunch consists of a small bowl of soup, a dinner roll, a spinach salad and a pot of
tea. What should the practical nurse do to meet the responsibility of recording food
intake?
1. Be present to remove her dinner tray and note what was eaten.
2. Ask Joan to record her intake and provide her with an intake/output sheet
3. Remain with Joan while she eats and observe her intake
4. Continue with normal duties and periodically return to check - ✔✔3. Remain with
Joan while she eats and observe her intake : Provides most accurate data
✔✔Joan is a 17 yr old, 155cm tall female, who normally weights 48kg. She lost 9kg in
the past 3 months and has ammenorrhea. Joan describes an intense fear of gaining
weight and is preoccupied with food. She is admitted with a diagnosis of anorexia
nervosa and is confined to the unit.
Which clinical manifestation is Joan likely to exhibit?
1. Fever
2. Dry Skin
3. Coarse Hair
4. Hypertension - ✔✔2. Dry Skin : hypothyroid-like state manifested by dry skin
More likely to experience hypothermia; lanugo (baby-like fine hair) of the face,
extremities and trunk may occur, and hypotension.
✔✔Joan is a 17 yr old, 155cm tall female, who normally weights 48kg. She lost 9kg in
the past 3 months and has ammenorrhea. Joan describes an intense fear ofgaining
weight and is preoccupied with food. She is admitted with a diagnosis of anorexia
nervosa and is confined to the unit.
After 8 weeks, Joan has gained 5kg. She expresses concern about the weight gain and
observes that her "thighs seem huge." Which response would be most therapeutic for
the PN to make?
1. "It must seem like that to you. Let's stand side-by-side and look in the mirror.You'll
see your thighs aren't that big."
,2. "It must be frightening for you to have gained so much weight. Let's talk about that
with the psychologist."
3. "I hear your concerns. You are uncomfortable with how you see yourself and eating."
4. "You have gone through a great deal. Perhaps shopping for clothes that don't
emphasize your weight gain would help you feel better." - ✔✔3. "I hear your concerns.
You are uncomfortable with how you see yourself and eating." : most honest and
empathetic answer
Standing side-by-side is non therapeutic
Stating that she has gained weight is only re-affirming fears
Wearing clothing suggests she should hide herself and feel ashamed
✔✔Joan is a 17 yr old, 155cm tall female, who normally weights 48kg. She lost 9kg in
the past 3 months and has ammenorrhea. Joan describes an intense fear ofgaining
weight and is preoccupied with food. She is admitted with a diagnosis of anorexia
nervosa and is confined to the unit.
At the third weekly inter-professional conference, Joan states that her preoccupation
with food and exercise has greatly diminished. The PN has observed Joan discussing
recipes with other clients and lengthening her daily exercises. What should the PN do?
1. Confirm for Joan and her family that she appears to be making progress and that her
progress has been noted in her treatment plan
2. Discuss the observations with Joan's family, noting specific changes in Joan's
behavior from the previous planning conference
3. Encourage Joan to reflect on her behaviour and explore if she is less preoccupied
with food and weight gain
4. Introduce the n - ✔✔3. Encourage Joan to reflect on her behaviour and explore if she
is less preoccupied with food and weight gain : Most therapeutic response
Joans preoccupations are still significant
Discussing with her family is not beneficial for Joan
Group therapy will not address her specific issues
✔✔Mrs. Hart is 39 years old, married with two children aged 10 and 13. She is admitted
for mastectomy following a diagnosis of right breast cancer. She is fearful the cancer
has spread and is anxious about the future for herself and her family.
Which action would best help Mrs. Hart reduce anxiety on the day she is admitted for
her surgery?
1. Show her around the unit
2. Offer her a backrub
3. Listen to her concerns
4. Encourage her to write in a journal - ✔✔3. Listen to her concerns : emotional support
Familiarization with the unit reduces anxiety but emotional concerns are more important
A back rub is not appropriate
Journaling takes time and would not address immediate concerns
, ✔✔Mrs. Hart is 39 years old, married with two children aged 10 and 13. She is admitted
for mastectomy following a diagnosis of right breast cancer. She is fearful the cancer
has spread and is anxious about the future for herself and her family.
Which action is most important for the PN to perform on the morning of Mrs. Harts first
postoperative day?
1. Ask Mrs. Hart if she has been passing any flatus
2. Encourage Mrs. Hart to do deep breathing and coughing exercises every 4 hours
3. Assess Mrs. Hart's right mastectomy dressing for drainage
4. Teach Mrs. Hart how to do wall-walking exercises - ✔✔3. Assess Mrs. Hart's right
mastectomy dressing for drainage : hemorrhaging is postoperative risk and should be
assessed on the first postop day
First postoperative day is too soon to be passing flatus
Deep breathing exercises should be done more often than every 4 hours
Fist post-operative day is too soon to begin wall-walking exercises
✔✔Mrs. Hart is 39 years old, married with two children aged 10 and 13. She is admitted
for mastectomy following a diagnosis of right breast cancer. She is fearful the cancer
has spread and is anxious about the future for herself and her family.
On the second postoperative day, which action by the practical nurse would be most
appropriate when assisting Mrs. Hart with morning care?
1. Encourage Mrs. Hart to brush her hair using her hand on her affected side
2. Suggest to Mrs.Hart that she avoid looking at the incision until the drain is removed
3. Recommend to Mrs. Hart that she wear a hospital gown so as not to soil her clothing
4. Give Mrs. Hart perineal care to avoid strain on her affected arm and hand - ✔✔1.
Encourage Mrs. Hart to brush her hair using her hand on her affected side : exercises
the affected arm and promotes independence
Inappropriate to encourage self-image issues
Psychologically better for breast cancer pt's to wear normal clothing as soon as possible
Mrs. Hart should be independent and perform her own care
✔✔Mrs. Mayhew, 72 years old, has been admitted to hospital with chronic obstructive
pulmonary disease (COPD). She is accompanied by her daughter, Adrianna, who
indicates that her mother's condition has deteriorated.
When taking Mrs. Mayhew's vital signs, the practical nurse assesses her respiration at
24 breaths/min. Which action should the practical nurse take first?
1. Obtain further information prior to reporting the findings
2. Report the findings immediately to the nurse-in-charge
3. Inform the physician during the next visit
4. Document the respiration rate on the vital signs record - ✔✔1. Obtain further
information prior to reporting the findings : Full chest assessment should be done prior
to reporting and documenting
