CPNRE Exam Practice Questions and Correct
Answers
Mrs. Rosenbloom, 73 years old, has become blind as a result of Type II non-insulin-
dependent diabetic retinopathy. How should the nurse best provide new dietary
information for Mrs. Rosenbloom prior to her hospital discharge?
a. Provide the new information in an audio recording which she could replay at home.
b. Provide print materials which her family could read to her.
c. Plan several teaching sessions so she will not be overwhelmed with information does
not address her condition of blindness
d. Suggest that she contact a meal delivery service.
a. Provide the new information in an audio recording which she could replay at home.
Accent the use of the other senses to enhance learning and teaching. Since, she is blind, audio
recordings will be a good resource to teach and reinforce. C looks good as well. Application
Mrs. MacDonald, 68 years old, has a total knee replacement. She reports pain, and feels
hot and sweaty. There is swelling and yellowish drainage from the incision. What is the
most likely cause of these symptoms?
a. Infection of surgical incision
b. Incisional hematoma
c. Septicemia
d. Neurovascular compromise
a. Infection of surgical incision
,The above behaviours in the scenario suggest possible infection of the incision Critical
Thinking
While monitoring a 65-year-old male client during a blood transfusion, the nurse
notices a flush solution of dextrose 5 %. What is most important for the nurse to note?
a. The client is being monitored for blood glucose reaction
b. Flush solution is incorrect
c. Vital signs are stable
d. Blood transfusion is proceeding well.
b. Flush solution is incorrect
Best Practice. The flush solution should be NS!! Knowledge and Application
The nurse enters the room in time to see a client pulling out his IV catheter. What
should the nurse do?
a. Instruct the client to apply a clean gauze over the site.
b. Have the client elevate his IV arm above the level of the heart
c. Put on gloves, and apply pressure to the site
d. Apply pressure to the site, and raise the client's arm
c. Put on gloves, and apply pressure to the site
Best Practice-follows universal precautions, and stops the bleeding at the site. Application
A 71-year-old female client, admitted with a personality disorder, refuses to leave her
room even for bathing. It has been 2 weeks since she last bathed. Staff are concerned
with her body odour. What should the nurse do?
,a. Inform her that the facility requires that all clients must bathe weekly
b. Offer to assist the client with a sponge bath in her room
c. Ask he family for permission to insist that the client bathe regularly
d. Allow the client to retain control over her own hygiene.
b. Offer to assist the client with a sponge bath in her room
Each facility has different regimes for bathing. Clients cannot be forced to bathe, however,
this refusal needs to be investigated and addressed. Since she has a personality disorder,
boundaries need to be enforced as well. Application
Mr. Tosoni, an 85-year-old widower, is receiving morphine sulfate because he is dying
from cancer. His daughter asks the nurse that her father be told that the medication is
liquid Tylenol because he would be upset to know he is on "that addictive stuff." What
is the nurse's best response to the daughter?
a. "You will need to tell him, as I am not going to mislead him?"
b. "Your father has a right to know what he is receiving."
c. "I can provide you with information on addiction and pain medication."
d. "You will need to sign a release form that allows me to do this."
b. “Your father has a right to know what he is receiving.”
Advocating for the client. It is the client’s right. We are first advocates for client, not the
family.
application
, Ms. Singh, a 75-year-old woman with renal failure, has gained 1 kg in 1 day. What
should the nurse do first?
a. Review her diet choices with her
b. Encourage her to wear anti-emboli stockings
c. Assess her intake and output record
d. Restrict her fluid intake
c. Assess her intake and output record
Weight gain, may be due to fluid retention, therefore, ASSESS first, then intervene.
Application
Mr. Graham, a 48-year-old Aboriginal elder, is dying from cancer. The eldest son asks
the nurse if a healing circle can be held at Mr. Graham's bedside. Which response by
the nurse demonstrates sensitivity to client diversity?
a. "Would you like me to call the Aboriginal support worker?"
b. "Can you tell me what is involved in a healing circle?"
c. "Would this ceremony affect other client's activities?"
d. "What day were you planning to have the healing circle?"
b. “Can you tell me what is involved in a healing circle?”
B-Explore and then determine. The healing circle may entail things that cannot be performed
at the bedside. Application
What should the nurse do to prepare a diuretic for administration through a
nasogastric feeding tube?
Answers
Mrs. Rosenbloom, 73 years old, has become blind as a result of Type II non-insulin-
dependent diabetic retinopathy. How should the nurse best provide new dietary
information for Mrs. Rosenbloom prior to her hospital discharge?
a. Provide the new information in an audio recording which she could replay at home.
b. Provide print materials which her family could read to her.
c. Plan several teaching sessions so she will not be overwhelmed with information does
not address her condition of blindness
d. Suggest that she contact a meal delivery service.
a. Provide the new information in an audio recording which she could replay at home.
Accent the use of the other senses to enhance learning and teaching. Since, she is blind, audio
recordings will be a good resource to teach and reinforce. C looks good as well. Application
Mrs. MacDonald, 68 years old, has a total knee replacement. She reports pain, and feels
hot and sweaty. There is swelling and yellowish drainage from the incision. What is the
most likely cause of these symptoms?
a. Infection of surgical incision
b. Incisional hematoma
c. Septicemia
d. Neurovascular compromise
a. Infection of surgical incision
,The above behaviours in the scenario suggest possible infection of the incision Critical
Thinking
While monitoring a 65-year-old male client during a blood transfusion, the nurse
notices a flush solution of dextrose 5 %. What is most important for the nurse to note?
a. The client is being monitored for blood glucose reaction
b. Flush solution is incorrect
c. Vital signs are stable
d. Blood transfusion is proceeding well.
b. Flush solution is incorrect
Best Practice. The flush solution should be NS!! Knowledge and Application
The nurse enters the room in time to see a client pulling out his IV catheter. What
should the nurse do?
a. Instruct the client to apply a clean gauze over the site.
b. Have the client elevate his IV arm above the level of the heart
c. Put on gloves, and apply pressure to the site
d. Apply pressure to the site, and raise the client's arm
c. Put on gloves, and apply pressure to the site
Best Practice-follows universal precautions, and stops the bleeding at the site. Application
A 71-year-old female client, admitted with a personality disorder, refuses to leave her
room even for bathing. It has been 2 weeks since she last bathed. Staff are concerned
with her body odour. What should the nurse do?
,a. Inform her that the facility requires that all clients must bathe weekly
b. Offer to assist the client with a sponge bath in her room
c. Ask he family for permission to insist that the client bathe regularly
d. Allow the client to retain control over her own hygiene.
b. Offer to assist the client with a sponge bath in her room
Each facility has different regimes for bathing. Clients cannot be forced to bathe, however,
this refusal needs to be investigated and addressed. Since she has a personality disorder,
boundaries need to be enforced as well. Application
Mr. Tosoni, an 85-year-old widower, is receiving morphine sulfate because he is dying
from cancer. His daughter asks the nurse that her father be told that the medication is
liquid Tylenol because he would be upset to know he is on "that addictive stuff." What
is the nurse's best response to the daughter?
a. "You will need to tell him, as I am not going to mislead him?"
b. "Your father has a right to know what he is receiving."
c. "I can provide you with information on addiction and pain medication."
d. "You will need to sign a release form that allows me to do this."
b. “Your father has a right to know what he is receiving.”
Advocating for the client. It is the client’s right. We are first advocates for client, not the
family.
application
, Ms. Singh, a 75-year-old woman with renal failure, has gained 1 kg in 1 day. What
should the nurse do first?
a. Review her diet choices with her
b. Encourage her to wear anti-emboli stockings
c. Assess her intake and output record
d. Restrict her fluid intake
c. Assess her intake and output record
Weight gain, may be due to fluid retention, therefore, ASSESS first, then intervene.
Application
Mr. Graham, a 48-year-old Aboriginal elder, is dying from cancer. The eldest son asks
the nurse if a healing circle can be held at Mr. Graham's bedside. Which response by
the nurse demonstrates sensitivity to client diversity?
a. "Would you like me to call the Aboriginal support worker?"
b. "Can you tell me what is involved in a healing circle?"
c. "Would this ceremony affect other client's activities?"
d. "What day were you planning to have the healing circle?"
b. “Can you tell me what is involved in a healing circle?”
B-Explore and then determine. The healing circle may entail things that cannot be performed
at the bedside. Application
What should the nurse do to prepare a diuretic for administration through a
nasogastric feeding tube?
