CPNRE |ACTUAL QUESTIONS AND VERIFIED
ANSWERS |LATEST 2026/2027 UPDATE|GRADED
A+
Question 1
A nurse calls the health care provider (HCP) regarding a new medication prescription. The
dosage prescribed is higher than the recommended dosage, however, the nurse is unable to
locate the HCP for an explanation. Which action should the nurse take if the medication is
due to be administered at this moment?
ANSWER
a. Contact the nursing supervisor
b. Administer the dose prescribed
c. Hold the medication until the HCP can be contacted
d. Administer the recommended dose until the HCP can be located
Rationale
If the physician writes a prescription that requires clarification, the nurse's responsibility is
to contact the HCP. If there is no resolution regarding the prescription because the HCP
cannot be located or because the prescription remains as it was written after talking with
the HCP, the nurse should contact the nurse manager or nursing supervisor for further
clarification as to what the next step should be. Prescriptions should not be given until the
practical nurse obtains clarification.
Question 2
A practical nurse has been reviewing research focusing on the benefits of hand washing in
preventing the spread of microorganisms. The last few days he has notices a number of
health care workers not washing their hands between client contact. He wants to initiate a
change in practice. Which of the following actions should he perform?
ANSWER
1
@THE STUDY VAULT
,a. Monitor to ensure that all staff consistently wash their hands between each client
contact
b. Have a discussion about hand washing with fellow nurses during the morning break
c. Report the lack of hand washing to the local Medical Officer of Health for a follow-up
with the health care workers
d. Develop a poster and pamphlet to be used at the sinks on each unit to promote hand
washing
Rationale
Using posters and pamphlets is a good method to promote awareness regarding the
importance of hand washing between client contacts. This was the result of the practical
nurse reading evidence-based literature of the benefits of hand washing and using the
research results to initiate changes in practice.
Question 3
A 37-year-old female has just been admitted to the neurology unit. She is recovering from a
brain injury and also has unstable bipolar disorder. When the practical nurse enters the
room to assess her, she says to the nurse 'If you come near me I'm going to attack you!'
What should be the primary action by the practical nurse?
ANSWER
a. Implement safety strategies to protect herself
b. Document and report the facts of the verbal abuse and threat to the nurse manager
c. Recognize that the behaviour is related to her diagnosis and not take the abuse
personally
d. Obtain support from nursing colleagues who are involved in her care
Rationale
Practical nurses should always first protect themselves from verbal abuse as it may lead to
physical abuse. The practical nurse should ensure all safeguards are in place for this client.
Then, she can address support, communication with colleagues, documentation and
methods to provide care.
2
@THE STUDY VAULT
,Question 4
Professional regulations and laws that govern nursing practice are in place for which of the
following reasons?
ANSWER
a. To ensure that nurses are in good moral standing
b. To protect the safety of the public
c. To ensure that enough new nurses are available
d. To limit the number of nurses in practice
Rationale
Provincial and territorial governing bodies, professional regulations, and laws are in place
to protect the public by ensuring that nurses are accountable for safe, competent, and
ethical nursing practice.
Question 5
A 45-year-old client admitted to a mental health unit has exhibited physical behaviours that
put him and others at risk. The practical nurse applies four-point restraints on the client
without consent nor obtaining orders from the physician. The nurse is at risk of being
accused of which of the following?
ANSWER
a. Battery
b. False imprisonment
c. Negligence
d. Malpractice
Rationale
3
@THE STUDY VAULT
, Battery is defined as "an intentional and wrongful physical contact with a person that
entails an injury or offensive touching. Performing a treatment without the client's
permission or without receiving informed consent might constitute both assault and
battery. Battery suits have been won based on the use of restraints when dealing with
confused clients.
Question 6
Which of the following behaviours would be considered to be a boundary violation of the
nurse-client relationship in a mental health setting?
ANSWER
a. Asking the client about his sexual history
b. Sharing cookies and milk with the client during a therapeutic session
c. Smiling and nodding at the client
d. Keeping a secret from the healthcare team as requested by the client
Rationale
Keeping a secret from the healthcare team is considered boundary crossing. It implies a
special relationship between the practical nurse and client. The nurse must inform the
client that all relevant information must be shared with other members of the healthcare
team.
Question 7
Based on CCPNR (Canadian Council for Practical Nurse Regulators) outline around ethical
decision making, which of the following step is next after gathering the factual information
relevant to the issue?
ANSWER
a. Clarify the challenge or problem
b. Describe the issue and identify the nature of the problem
4
@THE STUDY VAULT
ANSWERS |LATEST 2026/2027 UPDATE|GRADED
A+
Question 1
A nurse calls the health care provider (HCP) regarding a new medication prescription. The
dosage prescribed is higher than the recommended dosage, however, the nurse is unable to
locate the HCP for an explanation. Which action should the nurse take if the medication is
due to be administered at this moment?
ANSWER
a. Contact the nursing supervisor
b. Administer the dose prescribed
c. Hold the medication until the HCP can be contacted
d. Administer the recommended dose until the HCP can be located
Rationale
If the physician writes a prescription that requires clarification, the nurse's responsibility is
to contact the HCP. If there is no resolution regarding the prescription because the HCP
cannot be located or because the prescription remains as it was written after talking with
the HCP, the nurse should contact the nurse manager or nursing supervisor for further
clarification as to what the next step should be. Prescriptions should not be given until the
practical nurse obtains clarification.
Question 2
A practical nurse has been reviewing research focusing on the benefits of hand washing in
preventing the spread of microorganisms. The last few days he has notices a number of
health care workers not washing their hands between client contact. He wants to initiate a
change in practice. Which of the following actions should he perform?
ANSWER
1
@THE STUDY VAULT
,a. Monitor to ensure that all staff consistently wash their hands between each client
contact
b. Have a discussion about hand washing with fellow nurses during the morning break
c. Report the lack of hand washing to the local Medical Officer of Health for a follow-up
with the health care workers
d. Develop a poster and pamphlet to be used at the sinks on each unit to promote hand
washing
Rationale
Using posters and pamphlets is a good method to promote awareness regarding the
importance of hand washing between client contacts. This was the result of the practical
nurse reading evidence-based literature of the benefits of hand washing and using the
research results to initiate changes in practice.
Question 3
A 37-year-old female has just been admitted to the neurology unit. She is recovering from a
brain injury and also has unstable bipolar disorder. When the practical nurse enters the
room to assess her, she says to the nurse 'If you come near me I'm going to attack you!'
What should be the primary action by the practical nurse?
ANSWER
a. Implement safety strategies to protect herself
b. Document and report the facts of the verbal abuse and threat to the nurse manager
c. Recognize that the behaviour is related to her diagnosis and not take the abuse
personally
d. Obtain support from nursing colleagues who are involved in her care
Rationale
Practical nurses should always first protect themselves from verbal abuse as it may lead to
physical abuse. The practical nurse should ensure all safeguards are in place for this client.
Then, she can address support, communication with colleagues, documentation and
methods to provide care.
2
@THE STUDY VAULT
,Question 4
Professional regulations and laws that govern nursing practice are in place for which of the
following reasons?
ANSWER
a. To ensure that nurses are in good moral standing
b. To protect the safety of the public
c. To ensure that enough new nurses are available
d. To limit the number of nurses in practice
Rationale
Provincial and territorial governing bodies, professional regulations, and laws are in place
to protect the public by ensuring that nurses are accountable for safe, competent, and
ethical nursing practice.
Question 5
A 45-year-old client admitted to a mental health unit has exhibited physical behaviours that
put him and others at risk. The practical nurse applies four-point restraints on the client
without consent nor obtaining orders from the physician. The nurse is at risk of being
accused of which of the following?
ANSWER
a. Battery
b. False imprisonment
c. Negligence
d. Malpractice
Rationale
3
@THE STUDY VAULT
, Battery is defined as "an intentional and wrongful physical contact with a person that
entails an injury or offensive touching. Performing a treatment without the client's
permission or without receiving informed consent might constitute both assault and
battery. Battery suits have been won based on the use of restraints when dealing with
confused clients.
Question 6
Which of the following behaviours would be considered to be a boundary violation of the
nurse-client relationship in a mental health setting?
ANSWER
a. Asking the client about his sexual history
b. Sharing cookies and milk with the client during a therapeutic session
c. Smiling and nodding at the client
d. Keeping a secret from the healthcare team as requested by the client
Rationale
Keeping a secret from the healthcare team is considered boundary crossing. It implies a
special relationship between the practical nurse and client. The nurse must inform the
client that all relevant information must be shared with other members of the healthcare
team.
Question 7
Based on CCPNR (Canadian Council for Practical Nurse Regulators) outline around ethical
decision making, which of the following step is next after gathering the factual information
relevant to the issue?
ANSWER
a. Clarify the challenge or problem
b. Describe the issue and identify the nature of the problem
4
@THE STUDY VAULT
