CPNRE Test Questions and Correct Answers
Mr. Dunn, 74 years old, has Alzheimer's disease and is being cared for at home by his
daughter. He is withdrawn and paranoid and becomes upset when his daughter goes
out. The daughter displays manifestations of caregiver stress. Which statement by the
practical nurse would be most appropriate?
"This is stressful for you and you are doing very well with your father's care. How can I
help?"
161. Ms. Stanley, years old, has just been admitted to a long-term care facility. She
shouts, "Let me out of here! I want to go home!" Which response by the practical nurse
best demonstrates respect for Ms, Stanley?
"It must be hard for you to leave your home."
Ms. Smith, 83 years old, has a minor wound on her left leg. The practical nurse is
completing a dressing and observes that there is a small amount of purulent drainage.
What order should the practical nurse anticipate?
Apply wet-to-dry dressing twice daily and a non-adherent dressing (Jelonet).
Mr. Dahl is receiving an opioid an antihistamine is administered analgesic following his
surgery. On his second postoperative day, has poor coordination when he ambulates.
for his allergic rhinitis. Mr. Dahl currently reports dizziness and Which rationale best
explains Mr. Dahl's present manifestations?
Medications may interact by potentiating the effect of another.
Mr. Petersen, 81 years old, has congestive heart failure. The practical nurse enters the
room and finds him in an orthopneic position experiencing disorientation, dyspnea and
, hemoptysis. On auscultation of his chest, the practical nurse hears crackles from the
bases up to the scapulae posteriorly. How should the practical nurse respond initially?
Raise the head of the bed to high-Fowler's position and administer oxygen.
Mr. Rogers, 22 years old, weighs 110 kg and is 165 cm tall. He is to receive
intramuscular iron dextran (DexIron) daily. Which site would be most appropriate for
administering this medication?
Ventrogluteal
Mr. Browning, 60 years old, has gastroenteritis. Which action is most appropriate for
the practical nurse to take when updating Mr. Browning's intake and output record?
Measuring Mr. Browning's urinary output and liquid stool
Prior to administering blood, the practical nurse sees from the client's history that a
past blood transfusion caused a mild case of urticaria. What is the priority action?
Report this information to the physician.
Mr. Fletcher, 72 years old, iş admitted disease (COPD) with an acute respiratory
infection. To manage with a recent diagnosis of chronic obstructive pulmonary the
hypoxemia, he is being discharged on home oxygen via nasal cannula at 2L per minute.
What teaching should the practical nurse provide for Mr. Fletcher?
Use pursed-lip breathing exercises to improve oxygen utilization.
Mr. Chalifoux, 64 years old, is admitted into palliative care with end-stage cancer. He
requests a ceremony that involves lighting sweet grass and producing smoke. How can
the practical nurse best support the needs of the client?
Discuss the client's request with the nurse-in-charge.
Mr. Dunn, 74 years old, has Alzheimer's disease and is being cared for at home by his
daughter. He is withdrawn and paranoid and becomes upset when his daughter goes
out. The daughter displays manifestations of caregiver stress. Which statement by the
practical nurse would be most appropriate?
"This is stressful for you and you are doing very well with your father's care. How can I
help?"
161. Ms. Stanley, years old, has just been admitted to a long-term care facility. She
shouts, "Let me out of here! I want to go home!" Which response by the practical nurse
best demonstrates respect for Ms, Stanley?
"It must be hard for you to leave your home."
Ms. Smith, 83 years old, has a minor wound on her left leg. The practical nurse is
completing a dressing and observes that there is a small amount of purulent drainage.
What order should the practical nurse anticipate?
Apply wet-to-dry dressing twice daily and a non-adherent dressing (Jelonet).
Mr. Dahl is receiving an opioid an antihistamine is administered analgesic following his
surgery. On his second postoperative day, has poor coordination when he ambulates.
for his allergic rhinitis. Mr. Dahl currently reports dizziness and Which rationale best
explains Mr. Dahl's present manifestations?
Medications may interact by potentiating the effect of another.
Mr. Petersen, 81 years old, has congestive heart failure. The practical nurse enters the
room and finds him in an orthopneic position experiencing disorientation, dyspnea and
, hemoptysis. On auscultation of his chest, the practical nurse hears crackles from the
bases up to the scapulae posteriorly. How should the practical nurse respond initially?
Raise the head of the bed to high-Fowler's position and administer oxygen.
Mr. Rogers, 22 years old, weighs 110 kg and is 165 cm tall. He is to receive
intramuscular iron dextran (DexIron) daily. Which site would be most appropriate for
administering this medication?
Ventrogluteal
Mr. Browning, 60 years old, has gastroenteritis. Which action is most appropriate for
the practical nurse to take when updating Mr. Browning's intake and output record?
Measuring Mr. Browning's urinary output and liquid stool
Prior to administering blood, the practical nurse sees from the client's history that a
past blood transfusion caused a mild case of urticaria. What is the priority action?
Report this information to the physician.
Mr. Fletcher, 72 years old, iş admitted disease (COPD) with an acute respiratory
infection. To manage with a recent diagnosis of chronic obstructive pulmonary the
hypoxemia, he is being discharged on home oxygen via nasal cannula at 2L per minute.
What teaching should the practical nurse provide for Mr. Fletcher?
Use pursed-lip breathing exercises to improve oxygen utilization.
Mr. Chalifoux, 64 years old, is admitted into palliative care with end-stage cancer. He
requests a ceremony that involves lighting sweet grass and producing smoke. How can
the practical nurse best support the needs of the client?
Discuss the client's request with the nurse-in-charge.
