CPNRE EXAM PRACTICE 165 QUESTIONS &
CORRECT ANSWERS LATEST 2025
A 32-year-old client has tested positive for the human immunodeficiency virus
(HIV). Recently, the client was diagnosed with gallbladder disease and has been
admitted to hospital for a cholecystectomy.
Which of the following indicates that the client is an active participant in his care?
1. The client reads the care plan thoroughly.
2. The client demonstrates an indifference to changes in his care.
3. The client asks questions about his care.
4. The client follows the directions of his family. CORRECT ANSWER: 3
1. This demonstrates an ability to read, but does not reflect active participation.
2. Indifference does not demonstrate interest or participation.
3. This demonstrates participation in the care plan by asking questions.
4. Following directions does not demonstrate active participation.
A 32-year-old client has tested positive for the human immunodeficiency virus
(HIV). Recently, the client was diagnosed with gallbladder disease and has been
admitted to hospital for a cholecystectomy.
The client was provided with preoperative teaching on deep breathing and
coughing. How should the practical nurse best evaluate the outcomes of the
teaching?
1. Have the client explain deep breathing and coughing.
2. Have the client identify barriers to performing these exercises.
3. Ask the client to demonstrate deep breathing and coughing.
,4. Demonstrate deep breathing and coughing to the client. CORRECT
ANSWER: 3
1. This is part of the evaluation, but it does not measure application of the
technique.
2. This does not measure that the client has learned the skill.
3. Client action demonstrates learning. This provides an opportunity for the
practical nurse to evaluate client learning.
4. This does not measure client learning.
A 32-year-old client has tested positive for the human immunodeficiency virus
(HIV). Recently, the client was diagnosed with gallbladder disease and has been
admitted to hospital for a cholecystectomy.
What is the primary objective for the practical nurse using aseptic technique when
changing a postoperative dressing?
1. It allows the practical nurse to maintain a sterile field.
2. It helps to prevent the spread of HIV.
3. It reduces the risk of contamination and wound infection.
4. It promotes the repair of abdominal tissues. CORRECT ANSWER: 3
1. This does not explain the primary outcome of aseptic technique.
2. The practical nurse may or may not dispose of the dressings correctly. Aseptic
technique may not minimize the spread of HIV.
3. The primary objective of aseptic technique is to prevent microorganisms from
being introduced to the surgical wound, therefore reducing the risk of
contamination and infection.
4. Aseptic technique helps prevent infection and does not directly impact tissue
integrity.
Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure.
His treatment includes IV therapy of normal saline infusing at 100 mL per hour.
,Since the initial assessment and his admission to the unit, Mr. Bell's abdominal
girth has increased
by 14 cm. What order should the practical nurse anticipate first?
1. Decrease his IV therapy to keep the vein open.
2. Apply oxygen at 2 L per minute via nasal cannula.
3. Apply antiembolic stockings to his legs.
4. Decrease his caloric intake to 1,400 calories daily. CORRECT ANSWER: 1
1. Fluid accumulation can be increased by IV therapy.
2. Oxygen is only applied when oxygen saturation is decreased.
3. This will not have any effect on the abdomen.
4. Weight gain in liver failure is due to fluid accumulation, not caloric intake.
Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure.
His treatment includes IV therapy of normal saline infusing at 100 mL per hour.
What manifestation associated with liver failure should the practical nurse report
first?
1. Yellowing of sclerae
2. Decreased appetite
3. Increased respirations
4. Decreased consciousness CORRECT ANSWER: 4
1. This is suggestive of disease decompensation and early liver failure.
2. Decrease appetite is a manifestation of many diseases and would require further
investigation but is not life- threatening.
3. Increased respirations are related to increased pressure on the diaphragm due to
ascites. This would require further intervention; however, this is not life
threatening compared to decreased consciousness.
4. Hepatic encephalopathy is a central nervous system manifestation that often
leads to coma and death.
, Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure.
His treatment includes IV therapy of normal saline infusing at 100 mL per hour.
Mr. Bell's family has arranged for a meeting with the transplant coordinator. Mr.
Bell does not agree with this consultation and yells at his family. What should the
practical nurse do first?
1. Arrange for a meeting between the client, his family and a social worker.
2. Explore Mr. Bell's understanding of the pros and cons of a transplant.
3. Reinforce Mr. Bell's disinterest in meeting with the transplant coordinator.
4. Respect his right to refuse and accept the client's decision. CORRECT
ANSWER: 2
1. This disregards the client.
2. This would help the client make an informed decision.
3. Mr. Bell's informed decision-making in his treatment options has not been
established.
Exploration of the client's understanding of his options and wishes is necessary in
order to ensure that he is making an informeddecision.
Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure.
His treatment includes IV therapy of normal saline infusing at 100 mL per hour.
Mr. Bell has been transferred to a long-term care facility. As the team leader in the
facility, what should the practical nurse do first?
1. Refer Mr. Bell to a dietitian for a high-iron diet.
2. Delegate Mr. Bell's total care to an unregulated health worker.
3. Discuss with the team Mr. Bell's increased need for skin care.
4. Continue to educate Mr. Bell on the advantages of a liver transplant.
CORRECT ANSWER: 3
1. A high-iron diet would not be helpful.
CORRECT ANSWERS LATEST 2025
A 32-year-old client has tested positive for the human immunodeficiency virus
(HIV). Recently, the client was diagnosed with gallbladder disease and has been
admitted to hospital for a cholecystectomy.
Which of the following indicates that the client is an active participant in his care?
1. The client reads the care plan thoroughly.
2. The client demonstrates an indifference to changes in his care.
3. The client asks questions about his care.
4. The client follows the directions of his family. CORRECT ANSWER: 3
1. This demonstrates an ability to read, but does not reflect active participation.
2. Indifference does not demonstrate interest or participation.
3. This demonstrates participation in the care plan by asking questions.
4. Following directions does not demonstrate active participation.
A 32-year-old client has tested positive for the human immunodeficiency virus
(HIV). Recently, the client was diagnosed with gallbladder disease and has been
admitted to hospital for a cholecystectomy.
The client was provided with preoperative teaching on deep breathing and
coughing. How should the practical nurse best evaluate the outcomes of the
teaching?
1. Have the client explain deep breathing and coughing.
2. Have the client identify barriers to performing these exercises.
3. Ask the client to demonstrate deep breathing and coughing.
,4. Demonstrate deep breathing and coughing to the client. CORRECT
ANSWER: 3
1. This is part of the evaluation, but it does not measure application of the
technique.
2. This does not measure that the client has learned the skill.
3. Client action demonstrates learning. This provides an opportunity for the
practical nurse to evaluate client learning.
4. This does not measure client learning.
A 32-year-old client has tested positive for the human immunodeficiency virus
(HIV). Recently, the client was diagnosed with gallbladder disease and has been
admitted to hospital for a cholecystectomy.
What is the primary objective for the practical nurse using aseptic technique when
changing a postoperative dressing?
1. It allows the practical nurse to maintain a sterile field.
2. It helps to prevent the spread of HIV.
3. It reduces the risk of contamination and wound infection.
4. It promotes the repair of abdominal tissues. CORRECT ANSWER: 3
1. This does not explain the primary outcome of aseptic technique.
2. The practical nurse may or may not dispose of the dressings correctly. Aseptic
technique may not minimize the spread of HIV.
3. The primary objective of aseptic technique is to prevent microorganisms from
being introduced to the surgical wound, therefore reducing the risk of
contamination and infection.
4. Aseptic technique helps prevent infection and does not directly impact tissue
integrity.
Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure.
His treatment includes IV therapy of normal saline infusing at 100 mL per hour.
,Since the initial assessment and his admission to the unit, Mr. Bell's abdominal
girth has increased
by 14 cm. What order should the practical nurse anticipate first?
1. Decrease his IV therapy to keep the vein open.
2. Apply oxygen at 2 L per minute via nasal cannula.
3. Apply antiembolic stockings to his legs.
4. Decrease his caloric intake to 1,400 calories daily. CORRECT ANSWER: 1
1. Fluid accumulation can be increased by IV therapy.
2. Oxygen is only applied when oxygen saturation is decreased.
3. This will not have any effect on the abdomen.
4. Weight gain in liver failure is due to fluid accumulation, not caloric intake.
Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure.
His treatment includes IV therapy of normal saline infusing at 100 mL per hour.
What manifestation associated with liver failure should the practical nurse report
first?
1. Yellowing of sclerae
2. Decreased appetite
3. Increased respirations
4. Decreased consciousness CORRECT ANSWER: 4
1. This is suggestive of disease decompensation and early liver failure.
2. Decrease appetite is a manifestation of many diseases and would require further
investigation but is not life- threatening.
3. Increased respirations are related to increased pressure on the diaphragm due to
ascites. This would require further intervention; however, this is not life
threatening compared to decreased consciousness.
4. Hepatic encephalopathy is a central nervous system manifestation that often
leads to coma and death.
, Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure.
His treatment includes IV therapy of normal saline infusing at 100 mL per hour.
Mr. Bell's family has arranged for a meeting with the transplant coordinator. Mr.
Bell does not agree with this consultation and yells at his family. What should the
practical nurse do first?
1. Arrange for a meeting between the client, his family and a social worker.
2. Explore Mr. Bell's understanding of the pros and cons of a transplant.
3. Reinforce Mr. Bell's disinterest in meeting with the transplant coordinator.
4. Respect his right to refuse and accept the client's decision. CORRECT
ANSWER: 2
1. This disregards the client.
2. This would help the client make an informed decision.
3. Mr. Bell's informed decision-making in his treatment options has not been
established.
Exploration of the client's understanding of his options and wishes is necessary in
order to ensure that he is making an informeddecision.
Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure.
His treatment includes IV therapy of normal saline infusing at 100 mL per hour.
Mr. Bell has been transferred to a long-term care facility. As the team leader in the
facility, what should the practical nurse do first?
1. Refer Mr. Bell to a dietitian for a high-iron diet.
2. Delegate Mr. Bell's total care to an unregulated health worker.
3. Discuss with the team Mr. Bell's increased need for skin care.
4. Continue to educate Mr. Bell on the advantages of a liver transplant.
CORRECT ANSWER: 3
1. A high-iron diet would not be helpful.
