CPNRE Exam Preparation 2024/2025 QUESTIONS AND CORRECT
ANSWERS PROFESSOR VERIFIED
1. What questions should the practical nurse ask a family member of a 75
yr old male new admission with Mid-stage Alzheimer's to obtain the most
relevant info for updating a care plan?
1. Do you have any help at home
2. Are your children worried about their father
3. What help does Mr. Robichaud require each day
4. How frequently are you able to visit: 3. What help does Mr. Robichaud require
each day. (This information is critical in the development of a personalized care
plan.)
2. The resident son, asks the practical nurse whether he can participate in his
father's daily care when he is available. What should the nurse do?
1. Invite the son to come and play cards with his father
2. Encourage the son to spend his days off with his father
3. Reassure the son that the fathers daily care is being provided by the health
care team
4. Question son about what part of his father's care he would like to be a part
of: 4. Question son about what part of his father's care he would like to be a part
of
,3. Practical nurse witnesses resident fall to the floor. He does not appear
visibly injured, but becomes aggressive when practical nurse tries to assess
him. What should the practical nurse do?
1. Reassure the resident and request assistance with a mechanical lift
2. Stay with him and ask the nurse-in-charge to contact the primary
care
contact
3. Wait until the resident becomes calm and complete the assessment of
his injuries
4. Call for assistance, reassure the resident and provide necessary care: 4.
Call for assistance, reassure the resident and provide necessary care
4. Practical nurse is helping orientate a new employee, an unregulated health
worker. Practical nurse watches the UCP (unregulated care provider) helping
a resident at mealtimes and notices she appears uncomfortable. What should
the nurse do?
1. Suggest that the UCP share her concerns with other employees
2. Partner the UCP with a more experienced unregulated health worker
3. Invite the UCP to attend information sessions on Alzheimers disease
4. Ask the UCP how she feels about caring for clients with Alzheimer's
disease: 4. Ask the UCP how she feels about caring for clients with Alzheimer's
disease
5. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN,
oral hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg
daily and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
While watching the pt's back during AM care the PN notices a reddened area
on his sacrum. What is proper documentation of the PN's assessment
finding?
,1. Small reddened area noted over sacrum
2. Reddened area over sacrum the size of a grape
3. Reddened area over sacrum 3cm in diameter, skin intact
4. Skin over sacral area appears reddened: 3. Reddened area over sacrum 3cm
in diameter, skin intact
6. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN,
oral hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg
daily and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
When administering the oral hypoglycemic pill, he states " that doesn't look
like the pill I take at home." What should the PN do?
1. Reassure the pt that this is the correct med order by the physician
2. Reassure the pt that this is the correct med although it may look different
3. Re-check the Dr's orders and the home medication history
4. RE-check the pharmacy label before giving the med: 3. Re-check the Dr's
orders and the home medication history
7. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN,
oral hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg
daily and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
The PN is preparing to admin the pt's nitroglycerin patch. What would be the
best place to apply the patch?
1. Lower leg
2. Upper arm
, 3. Lumbar area
4. Upper thigh: 2. Upper arm
8. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN,
oral hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg
daily and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
The 2nd day on the medical unit, the pt develop diarrhea and begins vomiting.
The Dr orders the IV rate to increase to 150mL/h. 2 hrs later the PN notices
that he is dyspneic and his RR is 32 breaths/min. The PN auscultates his chest
and notes adventitious sounds throughout. What should the PN do?
1. Discontinue the IV infusion and notify the physician
2. Reassess the IV rate and encourage deep breathing and coughing exercis-
es
3. Maintain the IV infusion at 150mL/h and notify the physician
4. Notify the physician and anticipate a decrease in the IV rate: 4. Notify the
physician and anticipate a decrease in the IV rate
9. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN,
oral hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg
daily and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
On the fourth day on the medical unit, the pt reports that he has chest
discomfort and SOB. The PN notes that he is pale, and his skin is cool
and clammy . Most appropriate sequence of interventions? 1. Assess vital
signs & blood glucose, then apply oxygen
2. Apply oxygen, assess vital signs and then assess blood glucose
ANSWERS PROFESSOR VERIFIED
1. What questions should the practical nurse ask a family member of a 75
yr old male new admission with Mid-stage Alzheimer's to obtain the most
relevant info for updating a care plan?
1. Do you have any help at home
2. Are your children worried about their father
3. What help does Mr. Robichaud require each day
4. How frequently are you able to visit: 3. What help does Mr. Robichaud require
each day. (This information is critical in the development of a personalized care
plan.)
2. The resident son, asks the practical nurse whether he can participate in his
father's daily care when he is available. What should the nurse do?
1. Invite the son to come and play cards with his father
2. Encourage the son to spend his days off with his father
3. Reassure the son that the fathers daily care is being provided by the health
care team
4. Question son about what part of his father's care he would like to be a part
of: 4. Question son about what part of his father's care he would like to be a part
of
,3. Practical nurse witnesses resident fall to the floor. He does not appear
visibly injured, but becomes aggressive when practical nurse tries to assess
him. What should the practical nurse do?
1. Reassure the resident and request assistance with a mechanical lift
2. Stay with him and ask the nurse-in-charge to contact the primary
care
contact
3. Wait until the resident becomes calm and complete the assessment of
his injuries
4. Call for assistance, reassure the resident and provide necessary care: 4.
Call for assistance, reassure the resident and provide necessary care
4. Practical nurse is helping orientate a new employee, an unregulated health
worker. Practical nurse watches the UCP (unregulated care provider) helping
a resident at mealtimes and notices she appears uncomfortable. What should
the nurse do?
1. Suggest that the UCP share her concerns with other employees
2. Partner the UCP with a more experienced unregulated health worker
3. Invite the UCP to attend information sessions on Alzheimers disease
4. Ask the UCP how she feels about caring for clients with Alzheimer's
disease: 4. Ask the UCP how she feels about caring for clients with Alzheimer's
disease
5. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN,
oral hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg
daily and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
While watching the pt's back during AM care the PN notices a reddened area
on his sacrum. What is proper documentation of the PN's assessment
finding?
,1. Small reddened area noted over sacrum
2. Reddened area over sacrum the size of a grape
3. Reddened area over sacrum 3cm in diameter, skin intact
4. Skin over sacral area appears reddened: 3. Reddened area over sacrum 3cm
in diameter, skin intact
6. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN,
oral hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg
daily and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
When administering the oral hypoglycemic pill, he states " that doesn't look
like the pill I take at home." What should the PN do?
1. Reassure the pt that this is the correct med order by the physician
2. Reassure the pt that this is the correct med although it may look different
3. Re-check the Dr's orders and the home medication history
4. RE-check the pharmacy label before giving the med: 3. Re-check the Dr's
orders and the home medication history
7. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN,
oral hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg
daily and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
The PN is preparing to admin the pt's nitroglycerin patch. What would be the
best place to apply the patch?
1. Lower leg
2. Upper arm
, 3. Lumbar area
4. Upper thigh: 2. Upper arm
8. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN,
oral hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg
daily and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
The 2nd day on the medical unit, the pt develop diarrhea and begins vomiting.
The Dr orders the IV rate to increase to 150mL/h. 2 hrs later the PN notices
that he is dyspneic and his RR is 32 breaths/min. The PN auscultates his chest
and notes adventitious sounds throughout. What should the PN do?
1. Discontinue the IV infusion and notify the physician
2. Reassess the IV rate and encourage deep breathing and coughing exercis-
es
3. Maintain the IV infusion at 150mL/h and notify the physician
4. Notify the physician and anticipate a decrease in the IV rate: 4. Notify the
physician and anticipate a decrease in the IV rate
9. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN,
oral hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg
daily and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
On the fourth day on the medical unit, the pt reports that he has chest
discomfort and SOB. The PN notes that he is pale, and his skin is cool
and clammy . Most appropriate sequence of interventions? 1. Assess vital
signs & blood glucose, then apply oxygen
2. Apply oxygen, assess vital signs and then assess blood glucose
