CPNRE PREP YARDSTICK PRACTICE EXAMS
LATEST 2025-2026 UPDATE QUESTIONS AND
REVISED ANSWERS
Mrs. McLean tells the PN she is experiencing confusion, nausea and
vision changes. Vital signs are T 37ºC, HR 45, RR24, BP 138/80 and
SpO2 92% with oxygen 4 L per minute via nasal cannula. What should
the practical nurse do first?
A. Complete a Snellen eye test
B. Encourage deep breathing exercise
C. Administer propranolol
D. Obtain an order for serum digoxin level - Answer-D. Obtain an order
for serum digoxin level
Request digitalis blood level is the best action, as digitalis toxicity is
suspected.
Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
taking carbidopa/levodopa (Sinemet). He relies on his wife for some of
his personal care. They live alone in their home and have a daughter in
the same community. Mr. Walter is competent.
The Practical nurse visits Mr. Walter at home to complete a dressing
change to his coccyx pressure injury. The practical nurse notices that the
,wound has increased in size and depth. What should the practical nurse
do first?
A encourage his wife to provide high protein meals
B. Consult with the wound care team
C. Arrange admission to the hospital
D. Pack the wound with dry gauze - Answer-B. Consult with the wound
care team
The wound is getting worse, so consultation with wound specialist is the
priority.
Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
taking carbidopa/levodopa (Sinemet). He relies on his wife for some of
his personal care. They live alone in their home and have a daughter in
the same community. Mr. Walter is competent.
Mr. Walter sits in his wheelchair for meals and while watching
television. What action should the practical nurse take to promote wound
healing to the coccyx pressure injury?
A. Apply heat to the coccyx area
B. Teach the client the importance of bedrest
C. Refer the client to the occupational therapist
D. Advise to sit on a pillow - Answer-C. Refer the client to the
occupational therapist
,The occupational therapist would help to ensure that wheelchair fits the
client and could order a pressure relieving cushion.
Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
taking carbidopa/levodopa (Sinemet). He relies on his wife for some of
his personal care. They live alone in their home and have a daughter in
the same community. Mr. Walter is competent.
Mrs. Walter's report that her husband has difficulty finishing his meals
due to fatigue. What is the most appropriate recommendation?
A. Provide meal replacement drinks
B. Cut food into bite size
C. Prepare frequent small meals each day
D. Offer meals high in protein - Answer-C. Prepare frequent small meals
each day
Small frequent meals are more appropriate . Six meals per day arre
recommended. The shorter eating times for each meal conserve energy.
Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
taking carbidopa/levodopa (Sinemet). He relies on his wife for some of
his personal care. They live alone in their home and have a daughter in
the same community. Mr. Walter is competent.
, Mrs. Walter states she finds it difficult to provide care for Mr. Walter,
and wishes her daughter would be more helpful. What should the PN
do?
A. Arrange respite care for Mr. Walter at a local long-term care facility
B. Encourage Mrs. Walter's to plan self-care activities
C. Offer to arrange a family meeting to discuss Mr. Walters' care needs
D. Call the daughter to ask if she can prepare meals - Answer-C. Offer
to arrange a family meeting to discuss Mr. Walters' care needs.
This recognizes the need identified by the wife.
Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
taking carbidopa/levodopa (Sinemet). He relies on his wife for some of
his personal care. They live alone in their home and have a daughter in
the same community. Mr. Walter is competent.
Mr. Walter is looking to the practical nurse for more information on
Medical Assistance in Dying (MAid). What should the practical nurse
do first?
A. Ask the social worker to visit Mr. Walters
B. Provide printed material to Mr. Walters
C. Refer Mr Walters' question to the family physician
D. Advice Mr. Walters to focus on his quality of life with his family -
Answer-B. Provide printed material to Mr. Walter
LATEST 2025-2026 UPDATE QUESTIONS AND
REVISED ANSWERS
Mrs. McLean tells the PN she is experiencing confusion, nausea and
vision changes. Vital signs are T 37ºC, HR 45, RR24, BP 138/80 and
SpO2 92% with oxygen 4 L per minute via nasal cannula. What should
the practical nurse do first?
A. Complete a Snellen eye test
B. Encourage deep breathing exercise
C. Administer propranolol
D. Obtain an order for serum digoxin level - Answer-D. Obtain an order
for serum digoxin level
Request digitalis blood level is the best action, as digitalis toxicity is
suspected.
Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
taking carbidopa/levodopa (Sinemet). He relies on his wife for some of
his personal care. They live alone in their home and have a daughter in
the same community. Mr. Walter is competent.
The Practical nurse visits Mr. Walter at home to complete a dressing
change to his coccyx pressure injury. The practical nurse notices that the
,wound has increased in size and depth. What should the practical nurse
do first?
A encourage his wife to provide high protein meals
B. Consult with the wound care team
C. Arrange admission to the hospital
D. Pack the wound with dry gauze - Answer-B. Consult with the wound
care team
The wound is getting worse, so consultation with wound specialist is the
priority.
Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
taking carbidopa/levodopa (Sinemet). He relies on his wife for some of
his personal care. They live alone in their home and have a daughter in
the same community. Mr. Walter is competent.
Mr. Walter sits in his wheelchair for meals and while watching
television. What action should the practical nurse take to promote wound
healing to the coccyx pressure injury?
A. Apply heat to the coccyx area
B. Teach the client the importance of bedrest
C. Refer the client to the occupational therapist
D. Advise to sit on a pillow - Answer-C. Refer the client to the
occupational therapist
,The occupational therapist would help to ensure that wheelchair fits the
client and could order a pressure relieving cushion.
Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
taking carbidopa/levodopa (Sinemet). He relies on his wife for some of
his personal care. They live alone in their home and have a daughter in
the same community. Mr. Walter is competent.
Mrs. Walter's report that her husband has difficulty finishing his meals
due to fatigue. What is the most appropriate recommendation?
A. Provide meal replacement drinks
B. Cut food into bite size
C. Prepare frequent small meals each day
D. Offer meals high in protein - Answer-C. Prepare frequent small meals
each day
Small frequent meals are more appropriate . Six meals per day arre
recommended. The shorter eating times for each meal conserve energy.
Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
taking carbidopa/levodopa (Sinemet). He relies on his wife for some of
his personal care. They live alone in their home and have a daughter in
the same community. Mr. Walter is competent.
, Mrs. Walter states she finds it difficult to provide care for Mr. Walter,
and wishes her daughter would be more helpful. What should the PN
do?
A. Arrange respite care for Mr. Walter at a local long-term care facility
B. Encourage Mrs. Walter's to plan self-care activities
C. Offer to arrange a family meeting to discuss Mr. Walters' care needs
D. Call the daughter to ask if she can prepare meals - Answer-C. Offer
to arrange a family meeting to discuss Mr. Walters' care needs.
This recognizes the need identified by the wife.
Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
taking carbidopa/levodopa (Sinemet). He relies on his wife for some of
his personal care. They live alone in their home and have a daughter in
the same community. Mr. Walter is competent.
Mr. Walter is looking to the practical nurse for more information on
Medical Assistance in Dying (MAid). What should the practical nurse
do first?
A. Ask the social worker to visit Mr. Walters
B. Provide printed material to Mr. Walters
C. Refer Mr Walters' question to the family physician
D. Advice Mr. Walters to focus on his quality of life with his family -
Answer-B. Provide printed material to Mr. Walter
