lOMoAR cPSD| 37668344
Practice Exam 5
PRACTICE EXAM #5|2025 KEY CANADIAN
NURSING PRINCIPLE (CPNRE) EXAM WITH 100%
VERIFIED ANSWERS
Practice Exam #5
Case scenario
1. A client is scheduled for surgery in the morning to remove several small adhesions from
her large bowel. What prep teaching should be included?
a. DB&C, leg exercises, turning
b. Use of an incentive spirometer, pain management options
c. Access to Home Care and the hazards of smoking
d. How to apply TED stockings, when to do dressing changes
2. The client tells the nurse that she is taking acetaminophen 500 mg tablets twice a day for
chronic pain. Why would the nurse note this in her nursing history?
a. Because she is at risk for hemorrhage
b. Because it is data concerning preoperative pain management
c. Because she is not narcotic naïve and is a substance abuser
d. Because she will require much more anesthetic than normal
3. The client tells the nurse that she has had a “very poor appetite” recently. She has lost 12
pounds in the past 3 months without dieting. Why is this information important?
a. Because her nutritional status may be compromised
b. Because she may need a referral for treatment of anorexia
c. Because it indicates that the adhesions are cancerous
d. Because she will have more postop pain
4. It is 4 hours prior to the client’s surgery. She says, “I’m afraid of this surgery. What if I
die?” Using the SOAP charting format, where would this statement be placed?
a. S
b. O
c. A
d. P
, lOMoAR cPSD| 37668344
Practice Exam 5
5. Which statement is true regarding informed consent?
a. It must be done at least 24 hours prior to surgery
b. The doctor and the nurse must witness it
c. It must be signed in ink
d. Any abbreviations are acceptable
6. The client is to receive Demerol 50 mg and Atropine 0.6 mg IM one hour preoperatively.
What is important for the client to do prior to the nurse administering this medication?
a. It is important to remove her dentures
b. It is important that she apply TED stockings
c. It is important that she use the bathroom
d. It is important that she wash her hands and face
7. Following administering this medication, what would be most appropriate for the nurse to
do?
a. Put up all the side rails
b. Assis the client to walk to the bathroom
c. Notify the doctor that the medication has been given
d. Remove all of the client’s jewellery
8. Went the client returns to the unit from the recovery room, what is the priority nursing
action?
a. To take her vital signs
b. To wash her hands and face
c. To change her dressing
d. To give her pain medication
9. The client’s vital signs are stable, the client is conscious but drowsy, and there is an IV of
D51/2NS running at 125 ml per hour. How often are the vital signs supposed to be
taken?
, lOMoAR cPSD| 37668344
Practice Exam 5
a. Every 5 minutes for the first 2 hours
b. Every 15 minutes for the first hour
c. Every 670 minutes for the first 4 hours
d. 4 times per day for the first 4 days
10. The client returned form the recovery room one hour ago. The nurse assesses the urinary
drainage bag and notices that 100 ml of urine is in the bag. What would be the best
nursing decision?
a. To call the surgeon because of the low output
b. To increase the IV flow rate and continue to monitor
c. To do nothing since this is a good output
d. To decrease the IV flow rate to minimize the chance of pulmonary edema
11. To prevent respiratory complications, what should the nurse encourage the client to do?
a. To do deep breathing and coughing exercises every 2 hours
b. To use an incentive spirometer every 15 minutes
c. To do leg exercises every 2 hours
d. To increase her oral fluid intake to 2500 ml per day
12. The nurse teaches the client how to do leg exercises. How frequently during the postop
period are these done?
a. Every 30 minutes for 4 hours, then every one hour for 4 hours
b. Every hour for 12 hours
c. Every 2 hours when awake
d. Every shift in a 24 hour period
13. Why is early ambulation beneficial?
a. There will be fewer interruptions by the nurse if the client can do things for
themselves.
b. The client’s cardiovascular and respiratory systems will shut down if the client does
not get out of bed and walk
c. Venous return and good air exchange are promoted
, lOMoAR cPSD| 37668344
Practice Exam 5
d. The client will be able to go home that day
14. Which of the following oral items would be most appropriate for a client who just had
major surgery on their extremity and has arrived back to the ward 6 hours ago?
a. Soft ice cream
b. Sips of clear fluid
c. Pureed potatoes
d. Diet cola
15. Which postop complication may require action on the part of the nurse in the first 4 hours
following major surgery?
a. Constipation
b. Urinary retention
c. Rising pulse
d. Paralytic ileus
16. Which of the following signs may indicate a postoperative complication may be
occurring?
a. BP is 116/84
b. Faint bowel sounds are present
c. Slight sanguineous drainage is present on the dressing
d. The client is hard to rouse
17. The client tells the nurse that she is experiencing pain in the calf of her left leg. The
nurse asks the client to dorsiflex her left foot and describe what she feels. What test is the
nurse using to assess the client?
a. Homan’s sign
b. Babinski reflex
c. Abbott reflex
d. Trousseau’s sign
Practice Exam 5
PRACTICE EXAM #5|2025 KEY CANADIAN
NURSING PRINCIPLE (CPNRE) EXAM WITH 100%
VERIFIED ANSWERS
Practice Exam #5
Case scenario
1. A client is scheduled for surgery in the morning to remove several small adhesions from
her large bowel. What prep teaching should be included?
a. DB&C, leg exercises, turning
b. Use of an incentive spirometer, pain management options
c. Access to Home Care and the hazards of smoking
d. How to apply TED stockings, when to do dressing changes
2. The client tells the nurse that she is taking acetaminophen 500 mg tablets twice a day for
chronic pain. Why would the nurse note this in her nursing history?
a. Because she is at risk for hemorrhage
b. Because it is data concerning preoperative pain management
c. Because she is not narcotic naïve and is a substance abuser
d. Because she will require much more anesthetic than normal
3. The client tells the nurse that she has had a “very poor appetite” recently. She has lost 12
pounds in the past 3 months without dieting. Why is this information important?
a. Because her nutritional status may be compromised
b. Because she may need a referral for treatment of anorexia
c. Because it indicates that the adhesions are cancerous
d. Because she will have more postop pain
4. It is 4 hours prior to the client’s surgery. She says, “I’m afraid of this surgery. What if I
die?” Using the SOAP charting format, where would this statement be placed?
a. S
b. O
c. A
d. P
, lOMoAR cPSD| 37668344
Practice Exam 5
5. Which statement is true regarding informed consent?
a. It must be done at least 24 hours prior to surgery
b. The doctor and the nurse must witness it
c. It must be signed in ink
d. Any abbreviations are acceptable
6. The client is to receive Demerol 50 mg and Atropine 0.6 mg IM one hour preoperatively.
What is important for the client to do prior to the nurse administering this medication?
a. It is important to remove her dentures
b. It is important that she apply TED stockings
c. It is important that she use the bathroom
d. It is important that she wash her hands and face
7. Following administering this medication, what would be most appropriate for the nurse to
do?
a. Put up all the side rails
b. Assis the client to walk to the bathroom
c. Notify the doctor that the medication has been given
d. Remove all of the client’s jewellery
8. Went the client returns to the unit from the recovery room, what is the priority nursing
action?
a. To take her vital signs
b. To wash her hands and face
c. To change her dressing
d. To give her pain medication
9. The client’s vital signs are stable, the client is conscious but drowsy, and there is an IV of
D51/2NS running at 125 ml per hour. How often are the vital signs supposed to be
taken?
, lOMoAR cPSD| 37668344
Practice Exam 5
a. Every 5 minutes for the first 2 hours
b. Every 15 minutes for the first hour
c. Every 670 minutes for the first 4 hours
d. 4 times per day for the first 4 days
10. The client returned form the recovery room one hour ago. The nurse assesses the urinary
drainage bag and notices that 100 ml of urine is in the bag. What would be the best
nursing decision?
a. To call the surgeon because of the low output
b. To increase the IV flow rate and continue to monitor
c. To do nothing since this is a good output
d. To decrease the IV flow rate to minimize the chance of pulmonary edema
11. To prevent respiratory complications, what should the nurse encourage the client to do?
a. To do deep breathing and coughing exercises every 2 hours
b. To use an incentive spirometer every 15 minutes
c. To do leg exercises every 2 hours
d. To increase her oral fluid intake to 2500 ml per day
12. The nurse teaches the client how to do leg exercises. How frequently during the postop
period are these done?
a. Every 30 minutes for 4 hours, then every one hour for 4 hours
b. Every hour for 12 hours
c. Every 2 hours when awake
d. Every shift in a 24 hour period
13. Why is early ambulation beneficial?
a. There will be fewer interruptions by the nurse if the client can do things for
themselves.
b. The client’s cardiovascular and respiratory systems will shut down if the client does
not get out of bed and walk
c. Venous return and good air exchange are promoted
, lOMoAR cPSD| 37668344
Practice Exam 5
d. The client will be able to go home that day
14. Which of the following oral items would be most appropriate for a client who just had
major surgery on their extremity and has arrived back to the ward 6 hours ago?
a. Soft ice cream
b. Sips of clear fluid
c. Pureed potatoes
d. Diet cola
15. Which postop complication may require action on the part of the nurse in the first 4 hours
following major surgery?
a. Constipation
b. Urinary retention
c. Rising pulse
d. Paralytic ileus
16. Which of the following signs may indicate a postoperative complication may be
occurring?
a. BP is 116/84
b. Faint bowel sounds are present
c. Slight sanguineous drainage is present on the dressing
d. The client is hard to rouse
17. The client tells the nurse that she is experiencing pain in the calf of her left leg. The
nurse asks the client to dorsiflex her left foot and describe what she feels. What test is the
nurse using to assess the client?
a. Homan’s sign
b. Babinski reflex
c. Abbott reflex
d. Trousseau’s sign
