CPNRE PREP YARDSTICK
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1. B. Encourage her to Mrs. McLean, 61 year old, is admitted with heart failure. She present with a
express her feelings productive cough, dyspnea and lower leg edema. She is receiving oxygen
4 L per minute via nasal cannula.she has an order for oxygen for digoxin
The practical nurse 0.125mg, propranolol (Inderal)80 mg and furosemide (Lasix) 40 mg
should first discuss
the issue with the Mrs Maclean is having difficulty coping with her deteriorating health. How
client. should the practical nurse proceed?
A. Contact the physician for an order of antidepressants
B. Encourage her to express her feelings.
C. Discuss Medical Assistance in Dying (MAID).
D. Arrange a visit from a spiritual advisor.
2. D. Raise the head of Mrs. McLean, 61 year old, is admitted with heart failure. She present with a
the bed productive cough, dyspnea and lower leg edema. She is receiving oxygen
4 L per minute via nasal cannula.she has an order for oxygen for digoxin
Placing the client in 0.125mg, propranolol (Inderal)80 mg and furosemide (Lasix) 40 mg
an upright position
allows for improved Mrs. Mac Lean's respiratory rate increase to 28 breaths per minute at rest.
lung expansion. What should the practical nurse do first?
A. Contact the physician immediately
B. Collaborate with the nurse-in-charge
C. Increase oxygen to 6 L per minute
D. Raise the head of the bed.
3. A. Encourage her to Mrs. McLean, 61 year old, is admitted with heart failure. She present with a
take her medication in productive cough, dyspnea and lower leg edema. She is receiving oxygen
the morning 4 L per minute via nasal cannula.she has an order for oxygen for digoxin
0.125mg, propranolol (Inderal)80 mg and furosemide (Lasix) 40 mg
The client will often
to void after going to Upon discharge, Mrs Maclean tells the PN that she plans to take half the
bed due to fluid in prescribed dose of furosemide because she will be up all night going to
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the legs returning to the bathroom. What should the practical nurse do first?
the heart and then
the kidneys for filter- A. Encourage her to take the medication in the morning
ing after they lie down. B. Suggest that she go to bed later in the evening
To help the client get C. Recommend that she stops fluid intake 6 hours before bedtime
undisturbed rest as D. Encourage the use of inconvenient product
possible, furosemide
should be taken earli-
er in the day.
4. B. Collaborate with a Mrs. McLean, 61 year old, is admitted with heart failure. She present with a
nursing colleague productive cough, dyspnea and lower leg edema. She is receiving oxygen
4 L per minute via nasal cannula.she has an order for oxygen for digoxin
This action satis- 0.125mg, propranolol (Inderal)80 mg and furosemide (Lasix) 40 mg
fies the requirements
of being responsible The practical nurse is having difficulty recognizing lung sounds. How
for individual compe- should the practical nurse proceed?
tence, being aware
that more education A. Delegate activity to a college
is needed and seeking B. Collaborate with a nursing colleague
guidance when neces- C. Refer to baseline documentation
sary. D. Reassess the client within 4 hours
5. D. Obtain an order for Mrs. McLean, 61 year old, is admitted with heart failure. She present with a
serum digoxin level productive cough, dyspnea and lower leg edema. She is receiving oxygen
4 L per minute via nasal cannula.she has an order for oxygen for digoxin
Request digitalis 0.125mg, propranolol (Inderal)80 mg and furosemide (Lasix) 40 mg
blood level is the best
action, as digitalis tox- Mrs. McLean tells the PN she is experiencing confusion, nausea and vision
icity is suspected. 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?
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A. Complete a Snellen eye test
B. Encourage deep breathing exercise
C. Administer propranolol
D. Obtain an order for serum digoxin level
6. B. Consult with the Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
wound care team 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 wound is getting the same community. Mr. Walter is competent.
worse, so consultation
with wound specialist The Practical nurse visits Mr. Walter at home to complete a dressing
is the priority. 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
7. C. Refer the client to Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
the occupational ther- taking carbidopa/levodopa (Sinemet). He relies on his wife for some of
apist his personal care. They live alone in their home and have a daughter in
the same community. Mr. Walter is competent.
The occupational ther-
apist would help to en- Mr. Walter sits in his wheelchair for meals and while watching television.
sure that wheelchair What action should the practical nurse take to promote wound healing to
fits the client and the coccyx pressure injury?
could order a pressure
relieving cushion. 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
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8. C. Prepare frequent Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
small meals each day 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
Small frequent meals the same community. Mr. Walter is competent.
are more appropri-
ate . Six meals per Mrs. Walter's report that her husband has difficulty finishing his meals due
day arre recommend- to fatigue. What is the most appropriate recommendation?
ed. The shorter eating
times for each meal A. Provide meal replacement drinks
conserve energy. B. Cut food into bite size
C. Prepare frequent small meals each day
D. Offer meals high in protein
9. C. Offer to arrange a Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
family meeting to dis- taking carbidopa/levodopa (Sinemet). He relies on his wife for some of
cuss Mr. Walters' care his personal care. They live alone in their home and have a daughter in
needs. the same community. Mr. Walter is competent.
This recognizes the Mrs. Walter states she finds it difficult to provide care for Mr. Walter, and
need identified by the wishes her daughter would be more helpful. What should the PN do?
wife.
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
10. B. Provide printed ma- Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
terial to Mr. Walter 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
Clients have a right to the same community. Mr. Walter is competent.
make informed deci- Mr. Walter is looking to the practical nurse for more information on
sions based on cur- Medical Assistance in Dying (MAid). What should the practical nurse do
Study online at https://quizlet.com/_fq8ubv
1. B. Encourage her to Mrs. McLean, 61 year old, is admitted with heart failure. She present with a
express her feelings productive cough, dyspnea and lower leg edema. She is receiving oxygen
4 L per minute via nasal cannula.she has an order for oxygen for digoxin
The practical nurse 0.125mg, propranolol (Inderal)80 mg and furosemide (Lasix) 40 mg
should first discuss
the issue with the Mrs Maclean is having difficulty coping with her deteriorating health. How
client. should the practical nurse proceed?
A. Contact the physician for an order of antidepressants
B. Encourage her to express her feelings.
C. Discuss Medical Assistance in Dying (MAID).
D. Arrange a visit from a spiritual advisor.
2. D. Raise the head of Mrs. McLean, 61 year old, is admitted with heart failure. She present with a
the bed productive cough, dyspnea and lower leg edema. She is receiving oxygen
4 L per minute via nasal cannula.she has an order for oxygen for digoxin
Placing the client in 0.125mg, propranolol (Inderal)80 mg and furosemide (Lasix) 40 mg
an upright position
allows for improved Mrs. Mac Lean's respiratory rate increase to 28 breaths per minute at rest.
lung expansion. What should the practical nurse do first?
A. Contact the physician immediately
B. Collaborate with the nurse-in-charge
C. Increase oxygen to 6 L per minute
D. Raise the head of the bed.
3. A. Encourage her to Mrs. McLean, 61 year old, is admitted with heart failure. She present with a
take her medication in productive cough, dyspnea and lower leg edema. She is receiving oxygen
the morning 4 L per minute via nasal cannula.she has an order for oxygen for digoxin
0.125mg, propranolol (Inderal)80 mg and furosemide (Lasix) 40 mg
The client will often
to void after going to Upon discharge, Mrs Maclean tells the PN that she plans to take half the
bed due to fluid in prescribed dose of furosemide because she will be up all night going to
, CPNRE PREP YARDSTICK
Study online at https://quizlet.com/_fq8ubv
the legs returning to the bathroom. What should the practical nurse do first?
the heart and then
the kidneys for filter- A. Encourage her to take the medication in the morning
ing after they lie down. B. Suggest that she go to bed later in the evening
To help the client get C. Recommend that she stops fluid intake 6 hours before bedtime
undisturbed rest as D. Encourage the use of inconvenient product
possible, furosemide
should be taken earli-
er in the day.
4. B. Collaborate with a Mrs. McLean, 61 year old, is admitted with heart failure. She present with a
nursing colleague productive cough, dyspnea and lower leg edema. She is receiving oxygen
4 L per minute via nasal cannula.she has an order for oxygen for digoxin
This action satis- 0.125mg, propranolol (Inderal)80 mg and furosemide (Lasix) 40 mg
fies the requirements
of being responsible The practical nurse is having difficulty recognizing lung sounds. How
for individual compe- should the practical nurse proceed?
tence, being aware
that more education A. Delegate activity to a college
is needed and seeking B. Collaborate with a nursing colleague
guidance when neces- C. Refer to baseline documentation
sary. D. Reassess the client within 4 hours
5. D. Obtain an order for Mrs. McLean, 61 year old, is admitted with heart failure. She present with a
serum digoxin level productive cough, dyspnea and lower leg edema. She is receiving oxygen
4 L per minute via nasal cannula.she has an order for oxygen for digoxin
Request digitalis 0.125mg, propranolol (Inderal)80 mg and furosemide (Lasix) 40 mg
blood level is the best
action, as digitalis tox- Mrs. McLean tells the PN she is experiencing confusion, nausea and vision
icity is suspected. 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?
, CPNRE PREP YARDSTICK
Study online at https://quizlet.com/_fq8ubv
A. Complete a Snellen eye test
B. Encourage deep breathing exercise
C. Administer propranolol
D. Obtain an order for serum digoxin level
6. B. Consult with the Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
wound care team 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 wound is getting the same community. Mr. Walter is competent.
worse, so consultation
with wound specialist The Practical nurse visits Mr. Walter at home to complete a dressing
is the priority. 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
7. C. Refer the client to Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
the occupational ther- taking carbidopa/levodopa (Sinemet). He relies on his wife for some of
apist his personal care. They live alone in their home and have a daughter in
the same community. Mr. Walter is competent.
The occupational ther-
apist would help to en- Mr. Walter sits in his wheelchair for meals and while watching television.
sure that wheelchair What action should the practical nurse take to promote wound healing to
fits the client and the coccyx pressure injury?
could order a pressure
relieving cushion. 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
, CPNRE PREP YARDSTICK
Study online at https://quizlet.com/_fq8ubv
8. C. Prepare frequent Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
small meals each day 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
Small frequent meals the same community. Mr. Walter is competent.
are more appropri-
ate . Six meals per Mrs. Walter's report that her husband has difficulty finishing his meals due
day arre recommend- to fatigue. What is the most appropriate recommendation?
ed. The shorter eating
times for each meal A. Provide meal replacement drinks
conserve energy. B. Cut food into bite size
C. Prepare frequent small meals each day
D. Offer meals high in protein
9. C. Offer to arrange a Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
family meeting to dis- taking carbidopa/levodopa (Sinemet). He relies on his wife for some of
cuss Mr. Walters' care his personal care. They live alone in their home and have a daughter in
needs. the same community. Mr. Walter is competent.
This recognizes the Mrs. Walter states she finds it difficult to provide care for Mr. Walter, and
need identified by the wishes her daughter would be more helpful. What should the PN do?
wife.
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
10. B. Provide printed ma- Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is
terial to Mr. Walter 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
Clients have a right to the same community. Mr. Walter is competent.
make informed deci- Mr. Walter is looking to the practical nurse for more information on
sions based on cur- Medical Assistance in Dying (MAid). What should the practical nurse do
