Exam (elaborations) CPNRE (CANADIAN PRACTICAL NURSE REGISTRATION)

CPNRE (CANADIAN PRACTICAL NURSE REGISTRATION) CLINDYS PREP EXAM COMPLETE TEST BANK EXAM LATEST VERSION WITH ALL QUESTIONS AND ACCURATE DETAILED ANSWERS VERIFIED ANSWERS GRADED A+ CPNRE (CANADIAN PRACTICAL NURSE REGISTRATION) CLINDYS PREP EXAM COMPLETE TEST BANK EXAM LATEST VERSION WITH ALL QUESTIONS AND ACCURATE DETAILED ANSWERS VERIFIED ANSWERS GRADED A+ A patient with cancer has been on high doses of morphine for several days. During an assessment, the side effect that the nurse would be likely to see is: A) Constipation B) Respiratory depression C) Pain relief D) Diarrhea A) Constipation A 2-year old patient must receive an injection. The nurse knows that the IM site of choice for this patient would be: A) Dorsogluteal B) Ventrogluteal C) Vastus lateralis D) Deltoid C) Vastus lateralis To instill eardrops in the adult patient, the ear canal is opened by pulling the ear: A) Up and back B) Down and back A) Up and back 5/26/25, 4:45 AM Cindys CPNRE Practice / 2/189 C) Up and forward D) Back and forward A patient is being started on warfarin (Coumadin) in preparing for cardiac tests. Which of the following medications should the patient be instructed to omit while he is on this medication? A) Enalapril (Vasotec) B) Metformin (Glucophage) C) Ibuprophen (Motrin) D) Digoxin (Lanoxin) C) Ibuprophen (Motrin) The antidote for heparin (Heparin) is: A) Protamine sulphate B) Potassium C) Vitamin K D) Zinc A) Protamine sulphate 5/26/25, 4:45 AM Cindys CPNRE Practice / 3/189 What trimester of pregnancy is the period of greatest danger for drug induced developmental defects in the fetus? A) First B) Second C) Third D) Fourth A) First Ototoxicity is a major side effect involving which of the following? A) Hearing B) Liver C) Fetus D) Kidney A) Hearing A medication used to treat Parkinson's disease is: A) Methylphenidate (Ritaline) B) Carbamazepine (Tegretol) C) Benztropine mesylate (Cogentin) D) Theophylline (Accurbron) C) Benztropine mesylate (Cogentin) Which type of insulin is the only one that may be given intravenously? A) Regular B) Lente C) NPH D) Ultralente A) Regular 5/26/25, 4:45 AM Cindys CPNRE Practice / 4/189 A nurse has made an entry in the hard copy of the wrong client's health record. What should be the corrective action? A) Remove the entry from the wrong chart B) Draw a line through the entry, write "error," and initial it C) Use whiteout to eliminate the entry D) Complete an incident report and place a copy in both client charts B) Draw a line through the entry, write "error," and initial it A physician writing orders for a new patient, states to the nurse, "I would like this medicine to work as quickly as possible." To obtain fastest absorption and action from a medication, the nurse knows that it should be administered: A) By mouth B) Intramuscularly C) Subcutaneously D) Intravenously D) Intravenously 5/26/25, 4:45 AM Cindys CPNRE Practice Combining white wine with an analgesic is dangerous. The effect on the CNS when given is called: A) Antagonist B) Synergistic C) Cumulative D) Tolerance Patients who are placed on B) Synergistic B) Hyperkalemia spironolactone (Aldactone) should be assessed continuously for which of the following? A) Hypokalemia B) Hyperkalemia C) Hyponatremia D) Hypercalcemia A patient asks the nurse how amlodipine (Norvasc) works to reduce the blood pressure. Which response will the nurse provide? A) "It causes blood vessel dilation." B) "It helps you get rid of fluid." C) "It helps your heart beat stronger." D) "It slows your heart rate." A) "It causes blood vessel dilation." When administering a buccal tablet, the nurse will tell the patient to: A) Chew the tablet B) Swallow the tablet with water D) Let the tablet dissolve between the cheek and the gum 5/189 / 5/26/25, 4:45 AM Cindys CPNRE Practice / 6/189 C) Let the tablet dissolve under the tongue D) Let the tablet dissolve between the cheek and the gum A 19-year-old college student has been diagnosed with hypothyroidism and has started thyroid replacement therapy with levothyroxine (Synthroid). After 1 week, she calls you to complain that she feels no better. Your response is based on the fact that: A) She will probably require surgery for a cure. B) Synthroid does not reach peak effect for several months. C) She probably did not take her medication as instructed. D) Her diet may be causing absorption problems. B) Synthroid does not reach peak effect for several months. 5/26/25, 4:45 AM Cindys CPNRE Practice / 7/189 The angle for an intramuscular injection is: A) 45 degrees B) 60 degrees C) 90 degrees D) 10 degrees C) 90 degrees A patient is admitted with a fever of 39°C. It is of unknown origin. The assessment reveals bilateral crackles and a productive cough. The physician has ordered sputum and blood cultures and the administration of ampicillin 500 mg intravenous (IV) stat and then every 6 hours. Which is the correct sequence for the nurse to follow to complete these orders? A) Blood culture, ampicillin dose, then sputum culture B) Sputum culture, ampicillin dose, then blood culture C) Ampicillin dose, then blood and sputum cultures D) Blood and sputum cultures, then ampicillin dose D) Blood and sputum cultures, then ampicillin dose 5/26/25, 4:45 AM Cindys CPNRE Practice / 8/189 A patient on iron treatment for anemia would benefit from which of these medications to prevent constipation? A) Loperamide (Immodium) B) Docosate sodium (Colace) C) Hydralazine (Apresoline) D) Hydroxyzine (Vistaril) B) Docosate sodium (Colace) Too much salt in the diet of a client taking Lithium will result in increased secretion and therefore low levels. Drinking too little water or losing fluid through excess sweating, vomiting or diarrhea will result in: A) Lower levels resulting in a deficit B) Maintenance level C) Increased lithium level causing toxicity D) All of the above -------?-------- The patient will be taught to take his iron preparation: A) At bedtime B) Before meals C) With meals D) Between meals D) Between meals 5/26/25, 4:45 AM Cindys CPNRE Practice / 9/189 When teaching self administration of eye drops to a patient, the nurse will stress that the correct method for instilling eye drops is to drop the medication into the: A) Eyeball itself B) Inner canthus of the eye C) Lower conjunctival sac D) Outermost point of the eye C) Lower conjunctival sac Which of the following conditions would most interfere with the pharmacokinetics of medications? A) Diabetes B) Kidney disease C) Angina pectoris D) Brain tumor B) Kidney disease Why do corticosteroids increase a client's risk for infection? A) Corticosteroids increase the production of leukocytes B) Corticosteroids interfere with antibody production in the lymphatic tissues C) Corticosteroids promote the growth and spread of enteric viruses D) Corticosteroids suppress the inflammatory response of the body D) Corticosteroids suppress the inflammatory response of the body 5/26/25, 4:45 AM Cindys CPNRE Practice / 10/18 9 If a patient takes a drug on an empty stomach with a full glass of water, the nurse is aware that the drug will be: A) absorbed more slowly B) neutralized by the first-pass effect C) absorbed more rapidly D) excreted more rapidly C) absorbed more rapidly While the nurse administers the daily dose of furosemide (Lasix) to the patient, the opportunity arises for patient teaching. Which of the following should the nurse be sure to stress? A) "Take the medication at bedtime." B) "You may need sodium and potassium supplements." C) "Weight yourself twice a day." D) "Change positions slowly to prevent dizziness." D) "Change positions slowly to prevent dizziness." 5/26/25, 4:45 AM Cindys CPNRE Practice / 11/18 9 When teaching your patient how to prevent lipodystrophy when self-administering insulin, the nurse would stress the importance of: A) Immediately reporting any itching at the injection site B) Rotating injection sites and areas C) Massaging the injection site to enhance absorption D) Administering insulin only by the intravenous route B) Rotating injection sites and areas A patient is experiencing hives in an allergic reaction. Which of the following reports would indicate that diphenhydramine (Benadryl) is showing its desired therapeutic effects? A) Improved vision B) Decreased pruritus C) Decreased muscle cramps D) Decreased headache B) Decreased pruritus Levodopa-carbidopa is also known as: A) Sinemet B) Amantadine C) Selegiline D) Dopamine. A) Sinemet