CPNRE BEST EXAM PACKAGE| UPDATED VERSION|EXAM QUESTIONS AND
DETAILED ANSWERS| 100% CORRECT| GRADED A+| GURRANTEED PASS!!
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 - ✔ANSWER 3. What help does Mr. Robichaud
require each day. (This information is critical in the development of a personalized care plan.)
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 - ✔ANSWER
4. Question son about what part of his father's care he would like to be a part of
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 - ✔ANSWER 4. Call
for assistance, reassure the resident and provide necessary care
,The practical nurse overhears a colleague angrily respond to the client's call bell by stating,
"Mrs. Dennis, you have just been up; it is not time for you to go again!" The colleague then
leaves the unit to go on a break. What should the practical nurse do first?
A. Assist Mrs. Dennis to the bathroom.
B. Apologize to Mrs. Dennis for the colleague's behaviour.
C. Answer the call bell the next time Mrs. Dennis rings.
D. Confront the colleague in the break room. - ✔ANSWER Answer: A (#46)
Mrs. Wong, 74 years old, has been admitted to a medical unit with a diagnosis of tuberculosis
(TB). She has an order for oxygen 3L/min via nasal cannula prn Mrs. Wong is in an isolation
room and has airborne precautions in place. Because Mrs. Wong does not speak English, her
daughter visits frequently.
Mrs. Wong requires routine blood work but becomes upset and resists attempts to obtain her
blood. Mrs. Wong needs further explanation about the procedure. Which intervention by the
PN would be the most appropriate?
1. Use non-verbal communication techniques such as hand gestures to explain the procedure.
2. Ask Mrs. Wong's daughter to facilitate communication with the practical nurse
3. Explain to the physician that the client is resistant and the procedure cannot be completed
4. Reschedule the blood work for when a hospital interpreter will be available - ✔ANSWER
4. Reschedule the blood work for when a hospital interpreter will be available
Using hand gestures and a family member is not enough to relay a message; can be
misinterpreted
Mrs. Wong, 74 years old, has been admitted to a medical unit with a diagnosis of tuberculosis
(TB). She has an order for oxygen 3L/min via nasal cannula prn Mrs. Wong is in an isolation
room and has airborne precautions in place. Because Mrs. Wong does not speak English, her
daughter visits frequently.
The practical nurse notes that Mrs. Wong is dyspneic and slightly cyanotic. Her vital signs are T-
39.2, HR 112, RR 32 and BP 146/90. In what order should the PN proceed?
,1. Administer oxygen, contact Mrs. Wong's daughter, obtain an oxygen saturation level (SpO2)
and have the physician notified
2. Have the physician notified, administer an antipyretic, perform a chest assessment and
administer oxygen
3. Obtain an oxygen saturation level (SpO2), administer oxygen PRN, perform a chest
assessment and have the physician notified
4. Instruct her to perform deep breathing and coughing, administer oxygen, have the physician
n - ✔ANSWER 3. Obtain an oxygen saturation level (SpO2), administer oxygen PRN, perform
a chest assessment and have the physician notified : The priority should be to complete a
focused respiratory assessment (ABC's)
Mrs. Wong, 74 years old, has been admitted to a medical unit with a diagnosis of tuberculosis
(TB). She has an order for oxygen 3L/min via nasal cannula prn Mrs. Wong is in an isolation
room and has airborne precautions in place. Because Mrs. Wong does not speak English, her
daughter visits frequently.
Mrs. Wong's white blood cell (WBC's) count is elevated. Considering Mrs. Wong's health status
what do these results indicate?
1. Dehydration due to hyperthermia
2. The presence of a high number of antibody titres
3. An inflammatory and possibly infectious process
4. Hypervolemia due to liver failure - ✔ANSWER 3. An inflammatory and possibly infectious
process : an elevation in the number and types of WBC's indicates possible infection
Dehydration is not common to hyperthermia
High number of antibody titres is a part of agglutination testing that confirms immunity to
disease; not for high WBC
Hypervolemia and liver failure are not shown by high WBC
Mrs. Wong, 74 years old, has been admitted to a medical unit with a diagnosis of tuberculosis
(TB). She has an order for oxygen 3L/min via nasal cannula prn Mrs. Wong is in an isolation
room and has airborne precautions in place. Because Mrs. Wong does not speak English, her
daughter visits frequently.
, Mrs. Wong is preparing for discharge. She asks whether she should continue taking her TB
medications at home. What would be the best response by the PN?
1. "Here are some written discharge instructions. If you have any questions, you can contact
your physician."
2. "Contact your pharmacist who will provide instructions on how the medication should be
taken."
3. "You must follow the treatment regimen by taking your medication and reporting for follow-
up screening."
4. "The public health nurse will visit in a few days and discuss follow up care with you." -
✔ANSWER 3. "You must follow the treatment regimen by taking your medication and
reporting for follow-up screening." : adherence to the prescribed treatment regimen is very
important and can lead to a cure
Written directions are not enough; it is the PN's responsibility to provide discharge instructions
not a pharmacist.
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 - ✔ANSWER
4. Ask the UCP how she feels about caring for clients with Alzheimer's disease
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?
DETAILED ANSWERS| 100% CORRECT| GRADED A+| GURRANTEED PASS!!
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 - ✔ANSWER 3. What help does Mr. Robichaud
require each day. (This information is critical in the development of a personalized care plan.)
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 - ✔ANSWER
4. Question son about what part of his father's care he would like to be a part of
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 - ✔ANSWER 4. Call
for assistance, reassure the resident and provide necessary care
,The practical nurse overhears a colleague angrily respond to the client's call bell by stating,
"Mrs. Dennis, you have just been up; it is not time for you to go again!" The colleague then
leaves the unit to go on a break. What should the practical nurse do first?
A. Assist Mrs. Dennis to the bathroom.
B. Apologize to Mrs. Dennis for the colleague's behaviour.
C. Answer the call bell the next time Mrs. Dennis rings.
D. Confront the colleague in the break room. - ✔ANSWER Answer: A (#46)
Mrs. Wong, 74 years old, has been admitted to a medical unit with a diagnosis of tuberculosis
(TB). She has an order for oxygen 3L/min via nasal cannula prn Mrs. Wong is in an isolation
room and has airborne precautions in place. Because Mrs. Wong does not speak English, her
daughter visits frequently.
Mrs. Wong requires routine blood work but becomes upset and resists attempts to obtain her
blood. Mrs. Wong needs further explanation about the procedure. Which intervention by the
PN would be the most appropriate?
1. Use non-verbal communication techniques such as hand gestures to explain the procedure.
2. Ask Mrs. Wong's daughter to facilitate communication with the practical nurse
3. Explain to the physician that the client is resistant and the procedure cannot be completed
4. Reschedule the blood work for when a hospital interpreter will be available - ✔ANSWER
4. Reschedule the blood work for when a hospital interpreter will be available
Using hand gestures and a family member is not enough to relay a message; can be
misinterpreted
Mrs. Wong, 74 years old, has been admitted to a medical unit with a diagnosis of tuberculosis
(TB). She has an order for oxygen 3L/min via nasal cannula prn Mrs. Wong is in an isolation
room and has airborne precautions in place. Because Mrs. Wong does not speak English, her
daughter visits frequently.
The practical nurse notes that Mrs. Wong is dyspneic and slightly cyanotic. Her vital signs are T-
39.2, HR 112, RR 32 and BP 146/90. In what order should the PN proceed?
,1. Administer oxygen, contact Mrs. Wong's daughter, obtain an oxygen saturation level (SpO2)
and have the physician notified
2. Have the physician notified, administer an antipyretic, perform a chest assessment and
administer oxygen
3. Obtain an oxygen saturation level (SpO2), administer oxygen PRN, perform a chest
assessment and have the physician notified
4. Instruct her to perform deep breathing and coughing, administer oxygen, have the physician
n - ✔ANSWER 3. Obtain an oxygen saturation level (SpO2), administer oxygen PRN, perform
a chest assessment and have the physician notified : The priority should be to complete a
focused respiratory assessment (ABC's)
Mrs. Wong, 74 years old, has been admitted to a medical unit with a diagnosis of tuberculosis
(TB). She has an order for oxygen 3L/min via nasal cannula prn Mrs. Wong is in an isolation
room and has airborne precautions in place. Because Mrs. Wong does not speak English, her
daughter visits frequently.
Mrs. Wong's white blood cell (WBC's) count is elevated. Considering Mrs. Wong's health status
what do these results indicate?
1. Dehydration due to hyperthermia
2. The presence of a high number of antibody titres
3. An inflammatory and possibly infectious process
4. Hypervolemia due to liver failure - ✔ANSWER 3. An inflammatory and possibly infectious
process : an elevation in the number and types of WBC's indicates possible infection
Dehydration is not common to hyperthermia
High number of antibody titres is a part of agglutination testing that confirms immunity to
disease; not for high WBC
Hypervolemia and liver failure are not shown by high WBC
Mrs. Wong, 74 years old, has been admitted to a medical unit with a diagnosis of tuberculosis
(TB). She has an order for oxygen 3L/min via nasal cannula prn Mrs. Wong is in an isolation
room and has airborne precautions in place. Because Mrs. Wong does not speak English, her
daughter visits frequently.
, Mrs. Wong is preparing for discharge. She asks whether she should continue taking her TB
medications at home. What would be the best response by the PN?
1. "Here are some written discharge instructions. If you have any questions, you can contact
your physician."
2. "Contact your pharmacist who will provide instructions on how the medication should be
taken."
3. "You must follow the treatment regimen by taking your medication and reporting for follow-
up screening."
4. "The public health nurse will visit in a few days and discuss follow up care with you." -
✔ANSWER 3. "You must follow the treatment regimen by taking your medication and
reporting for follow-up screening." : adherence to the prescribed treatment regimen is very
important and can lead to a cure
Written directions are not enough; it is the PN's responsibility to provide discharge instructions
not a pharmacist.
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 - ✔ANSWER
4. Ask the UCP how she feels about caring for clients with Alzheimer's disease
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?
