CPNRE Exam 1 Questions with Correct
Answers
1. A 32-year-old client has tested positive for the human immunodeficiency virus (HIV).
Recently, the client was diagnosed with gallbladder disease and has been admitted to
hospital for a cholecystectomy.
Which of the following indicates that the client is an active participant in his care?
1. The client reads the care plan thoroughly.
2. The client demonstrates an indifference to changes in his care.
3. The client asks questions about his care.
4. The client follows the directions of his family.
3. the client asks questions about his care
This demonstrates participation in the care plan by asking questions.
2. A 32-year-old client has tested positive for the human immunodeficiency virus (HIV).
Recently, the client was diagnosed with gallbladder disease and has been admitted to
hospital for a cholecystectomy.
The client was provided with preoperative teaching on deep breathing and coughing.
How should the practical nurse best evaluate the outcomes of the teaching?
1. Have the client explain deep breathing and coughing.
2. Have the client identify barriers to performing these exercises.
3. Ask the client to demonstrate deep breathing and coughing.
4. Demonstrate deep breathing and coughing to the client.
,3. Client action demonstrates learning. This provides an opportunity for the practical nurse to
evaluate client learning.
Client action demonstrates learning. This provides an opportunity for practical nurse to
evaluate client learning.
3. A 32-year-old client has tested positive for the human immunodeficiency virus (HIV).
Recently, the client was diagnosed with gallbladder disease and has been admitted to
hospital for a cholecystectomy.
What is the primary objective for the practical nurse using aseptic technique when
changing a postoperative dressing?
1. It allows the practical nurse to maintain a sterile field.
2. It helps to prevent the spread of HIV.
3. It reduces the risk of contamination and wound infection.
4. It promotes the repair of abdominal tissues.
3. It reduces the risk of contamination and wound infection
The primary objective of aseptic tecniqyue is to prevent microorganism from being
introduced to the surgical wound, therefore reducing the risk of contamination and infection.
4. Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure. His
treatment includes IV therapy of normal saline infusing at 100 mL per hour.
Since the initial assessment and his admission to the unit, Mr. Bell's abdominal girth
,has increased
by 14 cm. What order should the practical nurse anticipate first?
1. Decrease his IV therapy to keep the vein open.
2. Apply oxygen at 2 L per minute via nasal cannula.
3. Apply antiembolic stockings to his legs.
4. Decrease his caloric intake to 1,400 calories daily.
1. Decrease his IV therapy to keep the vein open.
Fluid accumulation can be increased by IV therapy.
5. Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure. His
treatment includes IV therapy of normal saline infusing at 100 mL per hour.
What manifestation associated with liver failure should the practical nurse report first?
1. Yellowing of sclerae
2. Decreased appetite
3. Increased respirations
4. Decreased consciousness
4. Decreased consciousness
Hepatic encephalopathy is a central nervous system manisfestation that often leads to coma
and death.
6. Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure. His
treatment includes IV therapy of normal saline infusing at 100 mL per hour.
, 1. Arrange for a meeting between the client, his family and a social worker.
2. Explore Mr. Bell's understanding of the pros and cons of a transplant.
3. Reinforce Mr. Bell's disinterest in meeting with the transplant coordinator.
4. Respect his right to refuse and accept the client's decision.
2. Explore Mr. Bell's disinterest in meeting with the transplant coordinator.
This would help the client make an informed decision.
7. Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure. His
treatment includes IV therapy of normal saline infusing at 100 mL per hour.
Mr. Bell has been transferred to a long-term care facility. As the team leader in the
facility, what should the practical nurse do first?
1. Refer Mr. Bell to a dietitian for a high-iron diet.
2. Delegate Mr. Bell's total care to an unregulated health worker.
3. Discuss with the team Mr. Bell's increased need for skin care.
4. Continue to educate Mr. Bell on the advantages of a liver transplant.
3. Discuss with the team Mr. Bell's increased need for skin care.
This uses the practical nurse's leadership skills within the interprofessional team.
8. Mrs. Tang, a healthy 28-year-old woman, is pregnant with her first child. She is
attending prenatal classes at the local public health office.
Answers
1. A 32-year-old client has tested positive for the human immunodeficiency virus (HIV).
Recently, the client was diagnosed with gallbladder disease and has been admitted to
hospital for a cholecystectomy.
Which of the following indicates that the client is an active participant in his care?
1. The client reads the care plan thoroughly.
2. The client demonstrates an indifference to changes in his care.
3. The client asks questions about his care.
4. The client follows the directions of his family.
3. the client asks questions about his care
This demonstrates participation in the care plan by asking questions.
2. A 32-year-old client has tested positive for the human immunodeficiency virus (HIV).
Recently, the client was diagnosed with gallbladder disease and has been admitted to
hospital for a cholecystectomy.
The client was provided with preoperative teaching on deep breathing and coughing.
How should the practical nurse best evaluate the outcomes of the teaching?
1. Have the client explain deep breathing and coughing.
2. Have the client identify barriers to performing these exercises.
3. Ask the client to demonstrate deep breathing and coughing.
4. Demonstrate deep breathing and coughing to the client.
,3. Client action demonstrates learning. This provides an opportunity for the practical nurse to
evaluate client learning.
Client action demonstrates learning. This provides an opportunity for practical nurse to
evaluate client learning.
3. A 32-year-old client has tested positive for the human immunodeficiency virus (HIV).
Recently, the client was diagnosed with gallbladder disease and has been admitted to
hospital for a cholecystectomy.
What is the primary objective for the practical nurse using aseptic technique when
changing a postoperative dressing?
1. It allows the practical nurse to maintain a sterile field.
2. It helps to prevent the spread of HIV.
3. It reduces the risk of contamination and wound infection.
4. It promotes the repair of abdominal tissues.
3. It reduces the risk of contamination and wound infection
The primary objective of aseptic tecniqyue is to prevent microorganism from being
introduced to the surgical wound, therefore reducing the risk of contamination and infection.
4. Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure. His
treatment includes IV therapy of normal saline infusing at 100 mL per hour.
Since the initial assessment and his admission to the unit, Mr. Bell's abdominal girth
,has increased
by 14 cm. What order should the practical nurse anticipate first?
1. Decrease his IV therapy to keep the vein open.
2. Apply oxygen at 2 L per minute via nasal cannula.
3. Apply antiembolic stockings to his legs.
4. Decrease his caloric intake to 1,400 calories daily.
1. Decrease his IV therapy to keep the vein open.
Fluid accumulation can be increased by IV therapy.
5. Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure. His
treatment includes IV therapy of normal saline infusing at 100 mL per hour.
What manifestation associated with liver failure should the practical nurse report first?
1. Yellowing of sclerae
2. Decreased appetite
3. Increased respirations
4. Decreased consciousness
4. Decreased consciousness
Hepatic encephalopathy is a central nervous system manisfestation that often leads to coma
and death.
6. Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure. His
treatment includes IV therapy of normal saline infusing at 100 mL per hour.
, 1. Arrange for a meeting between the client, his family and a social worker.
2. Explore Mr. Bell's understanding of the pros and cons of a transplant.
3. Reinforce Mr. Bell's disinterest in meeting with the transplant coordinator.
4. Respect his right to refuse and accept the client's decision.
2. Explore Mr. Bell's disinterest in meeting with the transplant coordinator.
This would help the client make an informed decision.
7. Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure. His
treatment includes IV therapy of normal saline infusing at 100 mL per hour.
Mr. Bell has been transferred to a long-term care facility. As the team leader in the
facility, what should the practical nurse do first?
1. Refer Mr. Bell to a dietitian for a high-iron diet.
2. Delegate Mr. Bell's total care to an unregulated health worker.
3. Discuss with the team Mr. Bell's increased need for skin care.
4. Continue to educate Mr. Bell on the advantages of a liver transplant.
3. Discuss with the team Mr. Bell's increased need for skin care.
This uses the practical nurse's leadership skills within the interprofessional team.
8. Mrs. Tang, a healthy 28-year-old woman, is pregnant with her first child. She is
attending prenatal classes at the local public health office.
