CPNRE EXAM 2025 BANK | ALL EXAM QUESTIONS
AND ANSWERS WITH RATIONALES | EXPERT
VERIFIED FOR GUARANTEED PASS | LATEST
UPDATE
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 exercises
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
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
3. Assess vital signs, apply oxygen, and then give sublingual nitroglycerin
4. Apply oxygen, assess vital signs and provide a warm blanket
3. Assess vital signs, apply oxygen, and then give sublingual nitroglycerin
13 yr old female hospitalized with vomiting and generalized stomach pain. Her parents worry
about recent changes in behavior and depressed mood.
,Pt tells PN her stomach hurts because she is making herself vomit. Asks PN not to tell parents,
how should PN respond?
1. Tell the pt that the PN is only obliged to report vomiting if it occurs during her hospitalization
2. Remind the pt that clients have the right to determine what information is documented and
reported
3. Explain to the pt that information is shared with the health care team to provide appropriate
care
4. Reassure the pt that her stomach pains will subside if she stops vomiting and her condition
improves
3. Explain to the pt that information is shared with the health care team to provide appropriate
care
13 yr old female hospitalized with vomiting and generalized stomach pain. Her parents worry
about recent changes in behavior and depressed mood.
In accordance with the nursing care plan, the PN sits with the pt while she eats her meals and
accompanies her to the bathroom. Today, the PN notices the females facecloths are missing from
the bathroom. What action should the PN take?
1. Discuss the issue of lost facecloths, search the room when the pt is out of her room and
document appropriately
2. Ask the pt where the facecloths are, ask her to return them and chart the missing facecloths
3. Ask the pt where the facecloths are and chart the suspicion that they are being used to hide
uneaten food
4. Discuss the issue of lost facecloths with the pt and document appropriate information
4. Discuss the issue of lost facecloths with the pt and document appropriate information
13 yr old female hospitalized with vomiting and generalized stomach pain. Her parents worry
about recent changes in behavior and depressed mood.
The pt is concerned about her weight. She exercise and makes food choices based on not wanting
to become fat. She says that she does not feel like eating. What should the nurse do?
1. Design a diet in consultation with the dietitian and ensure that it is balanced, contains variety
and has the requisite caloric intake.
2. Ask the pt what she likes and dislikes, have her mother bring in food, and obtain and record
her daily weight to demonstrate progress.
3. Include the pt in goal-setting for healthy weight, have her maintain a food and fitness journal,
and obtain & record her weight weekly.
4. Promote a healthy lifestyle, the importance of stress management and nutritional teaching with
peer support groups
,3. Include the pt in goal-setting for healthy weight, have her maintain a food and fitness journal,
and obtain & record her weight weekly.
75 yr old pt with tuberculosis, and has been placed on isolation precautions since being admitted
to the hospital.
Which action best indicates that the practical nurse knows how to collect sputum specimen from
the pt?
1. Keep the specimen at room temperature and send to the laboratory for analysis
2. Collect the specimen in a clean, light occlusive container
3.Instruct the pt to use mouthwash prior to specimen collection
4. Teach the pt to deep breath and cough prior to expectoration
4. Teach the pt to deep breath and cough prior to expectoration
75 yr old pt with tuberculosis, and has been placed on isolation precautions since being admitted
to the hospital.
While in the pt room doing routine care, what is the most crucial health information about TB
that the practical nurse should provide to the pt?
1. His contacts do not need to worry about contracting TB
2. He must comply with medication protocol on discharge
3. He should follow a well-balanced diet
4. His fluid intake should ensure adequate hydration
2. He must comply with medication protocol on discharge
75 yr old pt with tuberculosis, and has been placed on isolation precautions since being admitted
to the hospital.
What would offer the best protection to the PN when providing direct care to the pt?
1. A mask
2. Sterile gloves
3. A gown
4. Goggles
1. A mask
A pt, 68 years old, has chronic renal failure. She has been on peritoneal dialysis for the past 2
years. Her daughter brought her to the Emergency Department last night with a fever. Infection
of her peritoneal dialysis catheter is suspected.
The pt is started on IV therapy what complication is most likely to occur bc of renal failure?
1. Infiltration
, 2. Fluid Overload
3. Dehydration
4. Urinary retention
2. Fluid Overload
A pt, 68 years old, has chronic renal failure. She has been on peritoneal dialysis for the past 2
years. Her daughter brought her to the Emergency Department last night with a fever. Infection
of her peritoneal dialysis catheter is suspected.
As her hemoglobin is low, she is ordered ferrous sulfate. What side effects should the PN tell her
to suspect?
1. Yellowing of the sclera
2. Rust colored urine
3. Discoloration of nail beds
4. Black colored stools
4. Black colored stools
A pt, 68 years old, has chronic renal failure. She has been on peritoneal dialysis for the past 2
years. Her daughter brought her to the Emergency Department last night with a fever. Infection
of her peritoneal dialysis catheter is suspected.
She reports swelling in her ankles. Yesterday she had an intake of 1000mL and an outake 400mL.
When assessing her respiratory status what would the PN most likely expect to find?
1. Inspiratory stridor bilaterally
2. Fine crackles in the bases bilaterally
3. Course crackles on auscultation
4. Vesicular breath sounds
3. Course crackles on auscultation
A pt, 68 years old, has chronic renal failure. She has been on peritoneal dialysis for the past 2
years. Her daughter brought her to the Emergency Department last night with a fever. Infection
of her peritoneal dialysis catheter is suspected.
The PN checks her blood test results. NA and creatinine are elevated and her potassium is
6mmol/L. When health teaching which food should the PN encourage her to avoid consuming?
1. Orange juice
2. Green beans
3. Breads
4, Pineapple
1. Orange juice
AND ANSWERS WITH RATIONALES | EXPERT
VERIFIED FOR GUARANTEED PASS | LATEST
UPDATE
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 exercises
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
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
3. Assess vital signs, apply oxygen, and then give sublingual nitroglycerin
4. Apply oxygen, assess vital signs and provide a warm blanket
3. Assess vital signs, apply oxygen, and then give sublingual nitroglycerin
13 yr old female hospitalized with vomiting and generalized stomach pain. Her parents worry
about recent changes in behavior and depressed mood.
,Pt tells PN her stomach hurts because she is making herself vomit. Asks PN not to tell parents,
how should PN respond?
1. Tell the pt that the PN is only obliged to report vomiting if it occurs during her hospitalization
2. Remind the pt that clients have the right to determine what information is documented and
reported
3. Explain to the pt that information is shared with the health care team to provide appropriate
care
4. Reassure the pt that her stomach pains will subside if she stops vomiting and her condition
improves
3. Explain to the pt that information is shared with the health care team to provide appropriate
care
13 yr old female hospitalized with vomiting and generalized stomach pain. Her parents worry
about recent changes in behavior and depressed mood.
In accordance with the nursing care plan, the PN sits with the pt while she eats her meals and
accompanies her to the bathroom. Today, the PN notices the females facecloths are missing from
the bathroom. What action should the PN take?
1. Discuss the issue of lost facecloths, search the room when the pt is out of her room and
document appropriately
2. Ask the pt where the facecloths are, ask her to return them and chart the missing facecloths
3. Ask the pt where the facecloths are and chart the suspicion that they are being used to hide
uneaten food
4. Discuss the issue of lost facecloths with the pt and document appropriate information
4. Discuss the issue of lost facecloths with the pt and document appropriate information
13 yr old female hospitalized with vomiting and generalized stomach pain. Her parents worry
about recent changes in behavior and depressed mood.
The pt is concerned about her weight. She exercise and makes food choices based on not wanting
to become fat. She says that she does not feel like eating. What should the nurse do?
1. Design a diet in consultation with the dietitian and ensure that it is balanced, contains variety
and has the requisite caloric intake.
2. Ask the pt what she likes and dislikes, have her mother bring in food, and obtain and record
her daily weight to demonstrate progress.
3. Include the pt in goal-setting for healthy weight, have her maintain a food and fitness journal,
and obtain & record her weight weekly.
4. Promote a healthy lifestyle, the importance of stress management and nutritional teaching with
peer support groups
,3. Include the pt in goal-setting for healthy weight, have her maintain a food and fitness journal,
and obtain & record her weight weekly.
75 yr old pt with tuberculosis, and has been placed on isolation precautions since being admitted
to the hospital.
Which action best indicates that the practical nurse knows how to collect sputum specimen from
the pt?
1. Keep the specimen at room temperature and send to the laboratory for analysis
2. Collect the specimen in a clean, light occlusive container
3.Instruct the pt to use mouthwash prior to specimen collection
4. Teach the pt to deep breath and cough prior to expectoration
4. Teach the pt to deep breath and cough prior to expectoration
75 yr old pt with tuberculosis, and has been placed on isolation precautions since being admitted
to the hospital.
While in the pt room doing routine care, what is the most crucial health information about TB
that the practical nurse should provide to the pt?
1. His contacts do not need to worry about contracting TB
2. He must comply with medication protocol on discharge
3. He should follow a well-balanced diet
4. His fluid intake should ensure adequate hydration
2. He must comply with medication protocol on discharge
75 yr old pt with tuberculosis, and has been placed on isolation precautions since being admitted
to the hospital.
What would offer the best protection to the PN when providing direct care to the pt?
1. A mask
2. Sterile gloves
3. A gown
4. Goggles
1. A mask
A pt, 68 years old, has chronic renal failure. She has been on peritoneal dialysis for the past 2
years. Her daughter brought her to the Emergency Department last night with a fever. Infection
of her peritoneal dialysis catheter is suspected.
The pt is started on IV therapy what complication is most likely to occur bc of renal failure?
1. Infiltration
, 2. Fluid Overload
3. Dehydration
4. Urinary retention
2. Fluid Overload
A pt, 68 years old, has chronic renal failure. She has been on peritoneal dialysis for the past 2
years. Her daughter brought her to the Emergency Department last night with a fever. Infection
of her peritoneal dialysis catheter is suspected.
As her hemoglobin is low, she is ordered ferrous sulfate. What side effects should the PN tell her
to suspect?
1. Yellowing of the sclera
2. Rust colored urine
3. Discoloration of nail beds
4. Black colored stools
4. Black colored stools
A pt, 68 years old, has chronic renal failure. She has been on peritoneal dialysis for the past 2
years. Her daughter brought her to the Emergency Department last night with a fever. Infection
of her peritoneal dialysis catheter is suspected.
She reports swelling in her ankles. Yesterday she had an intake of 1000mL and an outake 400mL.
When assessing her respiratory status what would the PN most likely expect to find?
1. Inspiratory stridor bilaterally
2. Fine crackles in the bases bilaterally
3. Course crackles on auscultation
4. Vesicular breath sounds
3. Course crackles on auscultation
A pt, 68 years old, has chronic renal failure. She has been on peritoneal dialysis for the past 2
years. Her daughter brought her to the Emergency Department last night with a fever. Infection
of her peritoneal dialysis catheter is suspected.
The PN checks her blood test results. NA and creatinine are elevated and her potassium is
6mmol/L. When health teaching which food should the PN encourage her to avoid consuming?
1. Orange juice
2. Green beans
3. Breads
4, Pineapple
1. Orange juice
