RPNCE practice test 2
Mr. Lopes, 39 years old, was recently transferred to inpatient mental health from
intensive care after a serious suicide attempt. Five days ago, Mr. Lopes cut his throat
with a box cutter and experienced significant blood loss. He is now medically stable and
requires dressing changes daily.
The registered psychiatric nurse reviews the dressing change order and is unfamiliar
with the type of dressing used. What is the RPN's best next step?
A). Request education from the unit nurse-in-charge
B). Ask a colleague to perform the dressing change
C). Search types of dressings and techniques online
D). Consult with the wound care specialist - answer consult with the wound care
specialist
Mr. Lopes, 39 years old, was recently transferred to inpatient mental health from
intensive care after a serious suicide attempt. Five days ago, Mr. Lopes cut his throat
with a box cutter and experienced significant blood loss. He is now medically stable and
requires dressing changes daily.
The registered psychiatric nurse refuses to provide care due to feeling negatively about
Mr. Lopes' suicide attempt. They cannot understand how Mr. Lopes could cut his throat
in front of his child. What might the RPN be experiencing?
A). Moral distress
B). Moral uncertainty
C). Moral dissonance
D). Moral fatigue - answermoral distress
Mr. Lopes, 39 years old, was recently transferred to inpatient mental health from
intensive care after a serious suicide attempt. Five days ago, Mr. Lopes cut his throat
with a box cutter and experienced significant blood loss. He is now medically stable and
requires dressing changes daily.
The registered psychiatric nurse observes slight swelling, redness, warmth and
tenderness to the touch when Mr. Lopes' calf is palpated. What should the RPN
suspect?
A). Muscle spasm
B). Cellulitis
C). Deep vein thrombosis
D). Peripheral artery disease - answerdeep vein thrombosis
Lily, 4 years old, was taken to the hospital by police and social services after being
apprehended from her mother. Lily and her mother were found in a city park, sleeping
,under a park bench. Lily's mother was intoxicated at the time. Lily has recently been
diagnosed with reactive attachment disorder and severe malnutrition.
During the initial assessment, what presentation should the registered psychiatric nurse
most likely expect to see from Lily?
A). Excitable, highly energized and giving hugs to all the staff
B). Expresses her needs and does well regulating her emotions
C). Irritated, sad and withdraws from adults who try to engage with her
D). Crying, inconsolable and is asking for her mother - answerirritated, sad and
withdraws from adults who try to engage with her
Lily, 4 years old, was taken to the hospital by police and social services after being
apprehended from her mother. Lily and her mother were found in a city park, sleeping
under a park bench. Lily's mother was intoxicated at the time. Lily has recently been
diagnosed with reactive attachment disorder and severe malnutrition.
Lily is malnourished. What is she most at risk for?
A). Refeeding syndrome
B). Bulimia
C). Developmental delay
D). Stunted growth - answerrefeeding syndrome
Lily, 4 years old, was taken to the hospital by police and social services after being
apprehended from her mother. Lily and her mother were found in a city park, sleeping
under a park bench. Lily's mother was intoxicated at the time. Lily has recently been
diagnosed with reactive attachment disorder and severe malnutrition.
Lily's mother discloses a new incident of physical abuse towards Lily. The psychiatrist
on the team privately tells the registered psychiatric nurse that this does not need to be
disclosed as social services is already involved and Lily's mother is doing the best she
can. What should the RPN do?
A). Chart the discussion
B). Phone social services
C). Document the verbal order
D). Consult another psychiatrist - answerphone social services
Lily, 4 years old, was taken to the hospital by police and social services after being
apprehended from her mother. Lily and her mother were found in a city park, sleeping
under a park bench. Lily's mother was intoxicated at the time. Lily has recently been
diagnosed with reactive attachment disorder and severe malnutrition.
Lily approaches the registered psychiatric nurse a day before discharge and asks,
"What do you think will happen to me? Am I going to be okay?" How should the RPN
respond?
A). Tell Lily that she will be safe with people who care about her
B). Validate Lily's fears and concerns
, C). Consult the team so that all members deliver a united response
D). Reassure Lily that her mother is working hard on - answervalidate lily's fears and
concerns
Mr. Marley, 42 years old, was recently prescribed an antidepressant medication. He is
currently off work, is getting into frequent arguments with his supportive partner and has
increased his consumption of alcohol. He was referred to the psychiatric outpatient
clinic for an assessment of his symptoms. Mr. Marley states that he is under a lot of
stress.
The RPN smells alcohol during an appointment. Mr. Marley states, "This medication is
useless; I have taken it for 3 weeks and I still feel horrible." After assessing his alcohol
use, what should the RPN do?
A). Refer Mr. Marley to the psychiatrist for a medication review
B). Instruct Mr. Marley to discontinue the medication
C). Discuss cognitive behavioural techniques
D). Provide him with information on Alcoholics Anonymous - answerdiscuss cognitive
behavioural techniques
Mr. Marley, 42 years old, was recently prescribed an antidepressant medication. He is
currently off work, is getting into frequent arguments with his supportive partner and has
increased his consumption of alcohol. He was referred to the psychiatric outpatient
clinic for an assessment of his symptoms. Mr. Marley states that he is under a lot of
stress.
Mr. Marley states that he has had an affair. His partner does not know and he would like
to tell him. He asks the nurse to support him with this disclosure.
What should the RPN do?
A). Share with Mr. Marley the RPN's own relationship story
B). Suggest that this information should not be shared
C). Help Mr. Marley plan how to inform his partner
D). Offer to speak with Mr. Marley's partner about the affair. - answerhelp Mr. Marley
plan how to inform his partner
Mr. Marley, 42 years old, was recently prescribed an antidepressant medication. He is
currently off work, is getting into frequent arguments with his supportive partner and has
increased his consumption of alcohol. He was referred to the psychiatric outpatient
clinic for an assessment of his symptoms. Mr. Marley states that he is under a lot of
stress.
Mr. Marley has completed his sessions with the RPN. Mr. Marley presents the RPN with
a box of chocolates. How should the RPN respond?
A). Inform Mr. Marley that is unethical for the RPN to accept the gift
B). Suggest that the client's partner would appreciate the gift instead
C). State how nice it is to be appreciated for once
Mr. Lopes, 39 years old, was recently transferred to inpatient mental health from
intensive care after a serious suicide attempt. Five days ago, Mr. Lopes cut his throat
with a box cutter and experienced significant blood loss. He is now medically stable and
requires dressing changes daily.
The registered psychiatric nurse reviews the dressing change order and is unfamiliar
with the type of dressing used. What is the RPN's best next step?
A). Request education from the unit nurse-in-charge
B). Ask a colleague to perform the dressing change
C). Search types of dressings and techniques online
D). Consult with the wound care specialist - answer consult with the wound care
specialist
Mr. Lopes, 39 years old, was recently transferred to inpatient mental health from
intensive care after a serious suicide attempt. Five days ago, Mr. Lopes cut his throat
with a box cutter and experienced significant blood loss. He is now medically stable and
requires dressing changes daily.
The registered psychiatric nurse refuses to provide care due to feeling negatively about
Mr. Lopes' suicide attempt. They cannot understand how Mr. Lopes could cut his throat
in front of his child. What might the RPN be experiencing?
A). Moral distress
B). Moral uncertainty
C). Moral dissonance
D). Moral fatigue - answermoral distress
Mr. Lopes, 39 years old, was recently transferred to inpatient mental health from
intensive care after a serious suicide attempt. Five days ago, Mr. Lopes cut his throat
with a box cutter and experienced significant blood loss. He is now medically stable and
requires dressing changes daily.
The registered psychiatric nurse observes slight swelling, redness, warmth and
tenderness to the touch when Mr. Lopes' calf is palpated. What should the RPN
suspect?
A). Muscle spasm
B). Cellulitis
C). Deep vein thrombosis
D). Peripheral artery disease - answerdeep vein thrombosis
Lily, 4 years old, was taken to the hospital by police and social services after being
apprehended from her mother. Lily and her mother were found in a city park, sleeping
,under a park bench. Lily's mother was intoxicated at the time. Lily has recently been
diagnosed with reactive attachment disorder and severe malnutrition.
During the initial assessment, what presentation should the registered psychiatric nurse
most likely expect to see from Lily?
A). Excitable, highly energized and giving hugs to all the staff
B). Expresses her needs and does well regulating her emotions
C). Irritated, sad and withdraws from adults who try to engage with her
D). Crying, inconsolable and is asking for her mother - answerirritated, sad and
withdraws from adults who try to engage with her
Lily, 4 years old, was taken to the hospital by police and social services after being
apprehended from her mother. Lily and her mother were found in a city park, sleeping
under a park bench. Lily's mother was intoxicated at the time. Lily has recently been
diagnosed with reactive attachment disorder and severe malnutrition.
Lily is malnourished. What is she most at risk for?
A). Refeeding syndrome
B). Bulimia
C). Developmental delay
D). Stunted growth - answerrefeeding syndrome
Lily, 4 years old, was taken to the hospital by police and social services after being
apprehended from her mother. Lily and her mother were found in a city park, sleeping
under a park bench. Lily's mother was intoxicated at the time. Lily has recently been
diagnosed with reactive attachment disorder and severe malnutrition.
Lily's mother discloses a new incident of physical abuse towards Lily. The psychiatrist
on the team privately tells the registered psychiatric nurse that this does not need to be
disclosed as social services is already involved and Lily's mother is doing the best she
can. What should the RPN do?
A). Chart the discussion
B). Phone social services
C). Document the verbal order
D). Consult another psychiatrist - answerphone social services
Lily, 4 years old, was taken to the hospital by police and social services after being
apprehended from her mother. Lily and her mother were found in a city park, sleeping
under a park bench. Lily's mother was intoxicated at the time. Lily has recently been
diagnosed with reactive attachment disorder and severe malnutrition.
Lily approaches the registered psychiatric nurse a day before discharge and asks,
"What do you think will happen to me? Am I going to be okay?" How should the RPN
respond?
A). Tell Lily that she will be safe with people who care about her
B). Validate Lily's fears and concerns
, C). Consult the team so that all members deliver a united response
D). Reassure Lily that her mother is working hard on - answervalidate lily's fears and
concerns
Mr. Marley, 42 years old, was recently prescribed an antidepressant medication. He is
currently off work, is getting into frequent arguments with his supportive partner and has
increased his consumption of alcohol. He was referred to the psychiatric outpatient
clinic for an assessment of his symptoms. Mr. Marley states that he is under a lot of
stress.
The RPN smells alcohol during an appointment. Mr. Marley states, "This medication is
useless; I have taken it for 3 weeks and I still feel horrible." After assessing his alcohol
use, what should the RPN do?
A). Refer Mr. Marley to the psychiatrist for a medication review
B). Instruct Mr. Marley to discontinue the medication
C). Discuss cognitive behavioural techniques
D). Provide him with information on Alcoholics Anonymous - answerdiscuss cognitive
behavioural techniques
Mr. Marley, 42 years old, was recently prescribed an antidepressant medication. He is
currently off work, is getting into frequent arguments with his supportive partner and has
increased his consumption of alcohol. He was referred to the psychiatric outpatient
clinic for an assessment of his symptoms. Mr. Marley states that he is under a lot of
stress.
Mr. Marley states that he has had an affair. His partner does not know and he would like
to tell him. He asks the nurse to support him with this disclosure.
What should the RPN do?
A). Share with Mr. Marley the RPN's own relationship story
B). Suggest that this information should not be shared
C). Help Mr. Marley plan how to inform his partner
D). Offer to speak with Mr. Marley's partner about the affair. - answerhelp Mr. Marley
plan how to inform his partner
Mr. Marley, 42 years old, was recently prescribed an antidepressant medication. He is
currently off work, is getting into frequent arguments with his supportive partner and has
increased his consumption of alcohol. He was referred to the psychiatric outpatient
clinic for an assessment of his symptoms. Mr. Marley states that he is under a lot of
stress.
Mr. Marley has completed his sessions with the RPN. Mr. Marley presents the RPN with
a box of chocolates. How should the RPN respond?
A). Inform Mr. Marley that is unethical for the RPN to accept the gift
B). Suggest that the client's partner would appreciate the gift instead
C). State how nice it is to be appreciated for once
