CPNRE Exam 2026 Version Questions And Correct
Verified Answers With Rationales
2 6
20
Daniel, 4 years old, is undergoing a preschool assessment. His mother reports that he is increasingly
inattentive and has a poor vocabulary for his age. What is the most likely cause of DanieI's
behavior?
a. Hearing deficit
am
b. Attention deficit disorder-do not have vocabulary difficulties
c. Premature birth-not consistent with the symptoms
d. Sensory deprivation-no indication of this
Ex
The above behaviours are classic signs that a child exhibits with a hearing deficit, mainly
behavior problems and delayed verbalization. Knowledge
The nurse has been ordered to administer a fleet enema. Which one of the following positions is
s
most appropriate for the adult client when the nurse is administering a fleet enema?
rt
a. Prone
b. Dorsal recumbent
pe
c. Left Sims' position
d. Right, side-lying
c. Left Sims’ position
Ex
As per Practice Guidelines---Position the patient on the bed on his or her left side with the top
knee bent and pulled slightly upward toward the chin
,Jennifer, 12 years old, had reconstructive surgery to her face. Jennifer discloses to the nurse that her
mother refuses to allow her to wear makeup to cover the scars. Which statement by the nurse would
be most appropriate?
a. ′ ′
Afamily meeting could be arranged to discuss how important your appearance is to you"
6
b. "I understand how you must feel. I will speak privately to your mother and discuss how
important this is to you."
2
c. "We could show you how to apply makeup and then see if your family likes it."
20
d. "I think your physician needs to discuss this matter with your mother."
a. “A family meeting could be arranged to discuss how important your appearance is to you"
Option a- displays concern, recognizes the importance of the issue and plans to involve everyone.
Option b-nurse needs to obtain Jennifer's consent to do this. Again, I understand is not the
am
appropriate response in this situation. Physician could be consulted/collaborated with as a member
of the health team, but this is a situation that the nurse can begin to manage, and not pass on
responsibilities. C-could create unwanted outcomes.
Ex
Application
April, 3 months old, was born with a cleft lip. She undergoes surgery for repair of the defect. She
returns from the operating room, awake and crying. Which intervention should be a priority of the
nurse?"
ts
a. Give April an age-appropriate toy to distract her-important but not priority.
r
b. Reassure the parents that infants do not suffer as much pain as adults-false statement
pe
c. Offer her a soother to prevent crying-sucking can damage suture line
d. Assess April for pain and, if necessary, report the need for an analgesic.
d. Assess April for pain and, if necessary, report the need for an analgesic.
Ex
Priority management should be directed at the assessment findings-using the nursing process,identify
the stimuli. From the above options, an assessment should be the priority.
Critical Thinking. Option b is an inaccurate statement. Distraction is an intervention for
pain,however, an assessment should be first conducted.
,The above behaviours are classic signs that a child exhibits with a hearing deficit, mainly
6
behavior problems and delayed verbalization. Knowledge
2
A 2-month-old infant is admitted to the hospital. The nurse should take which of the following
actions to maintain the infant's safety and to reduce the risk of sudden infant death syndrome
20
(SIDS)?
a. Make sure that only plastic bottles and toys are used
b. Place the infant in a supine position in preparation for sleep
am
c. Take the pacifier out of the mouth before the infant falls asleep
d. Cover the crib with netting when the child is not being directly observed.
b. Place the infant in a supine position in preparation for sleep
Ex
Best Practice Guidelines in SIDS prevention focuses on correct positioning of infant. Placing the
infant in a supine position has proven to be the best prevention for SIDS. Knowledge.
s
rt
Mrs. Peterson, 72 years old, is receiving a blood transfusion. Two hours later, the practical nurse
pe
notices that the client has become dyspneic and her heart rate has increased from 75 to
104beats/min. What should the nurse do first?
Ex
a. Auscultate the client's chest
b. Stop the transfusion
c. Verify the oxygen saturation levels
d. Take the client's temperature
a. Auscultate the client's chest----not first action, however this is an assessment for confirming
circulatory overload.
b. Stop the transfusion
, c. Verify the oxygen saturation levels—not a priority, the infusion must be stopped with FVE
d. Take the client's temperature—this is an assessment for adverse reactions with blood therapy,
however the signs and symptoms the client is experiencing demonstrate circulatory overload
This is considered an adverse reaction related to possible circulatory overload. The nurse
acknowledges that the volume is too high for the client's heart to manage. The nurse does not want
to increase the circulating blood volume any further.
6
Ms. Findlay, 24 years old, is to receive 1 unit of whole blood. When taking the blood to Ms.Findlay's
room, the practical nurse is asked by a staff member to also take a unit of packed cells to another
2
client in the next room. What should the nurse do to promote safety in the identification of both
20
clients?
a. Clarify the name and room of the second client with the staff member
b. Take both units of blood and the requisitions to the two clients at the same time
am
c. Return for the packed cells after delivering Ms. Findlay's unit of whole blood
d. Request that the staff member ask the laboratory technician to return the packed cells.
a. Clarify the name and room of the second client with the staff member -More client
information is required for correct identification
Ex
b. Take both units of blood and the requisitions to the two clients at the same time -The
potential for error is increased with this practice as the wrong patient may receive the
incorrect unit of blood. This may also violate agency policy
ts
c. Return for the packed cells after delivering Ms. Findlay's unit of whole blood
d. Request that the staff member ask the laboratory technician to return the packed cells. -No
r
rationale to support the return of the blood to the lab.
pe
Blood should be transported to one client at a time, as this will decrease the potential for
ERROR.
Mr. Keough, 42 years old, was admitted to the surgical unit postoperatively. The first of 2 units of
Ex
packed cells is infusing at 100 mL/h. Mr. Keough informs the practical nurse of discomfort in his back,
nausea and chills. What should the practical nurse do?
a. Administer pain medication and antiemetic and cover him with a warm blanket
b. Inform him that the discomfort is related to his surgery and offer an analgesic
c. Assess vital signs, inform the nurse-in-charge and document
d. Stop the blood infusion, assess the vital signs and have the physician notified.
Verified Answers With Rationales
2 6
20
Daniel, 4 years old, is undergoing a preschool assessment. His mother reports that he is increasingly
inattentive and has a poor vocabulary for his age. What is the most likely cause of DanieI's
behavior?
a. Hearing deficit
am
b. Attention deficit disorder-do not have vocabulary difficulties
c. Premature birth-not consistent with the symptoms
d. Sensory deprivation-no indication of this
Ex
The above behaviours are classic signs that a child exhibits with a hearing deficit, mainly
behavior problems and delayed verbalization. Knowledge
The nurse has been ordered to administer a fleet enema. Which one of the following positions is
s
most appropriate for the adult client when the nurse is administering a fleet enema?
rt
a. Prone
b. Dorsal recumbent
pe
c. Left Sims' position
d. Right, side-lying
c. Left Sims’ position
Ex
As per Practice Guidelines---Position the patient on the bed on his or her left side with the top
knee bent and pulled slightly upward toward the chin
,Jennifer, 12 years old, had reconstructive surgery to her face. Jennifer discloses to the nurse that her
mother refuses to allow her to wear makeup to cover the scars. Which statement by the nurse would
be most appropriate?
a. ′ ′
Afamily meeting could be arranged to discuss how important your appearance is to you"
6
b. "I understand how you must feel. I will speak privately to your mother and discuss how
important this is to you."
2
c. "We could show you how to apply makeup and then see if your family likes it."
20
d. "I think your physician needs to discuss this matter with your mother."
a. “A family meeting could be arranged to discuss how important your appearance is to you"
Option a- displays concern, recognizes the importance of the issue and plans to involve everyone.
Option b-nurse needs to obtain Jennifer's consent to do this. Again, I understand is not the
am
appropriate response in this situation. Physician could be consulted/collaborated with as a member
of the health team, but this is a situation that the nurse can begin to manage, and not pass on
responsibilities. C-could create unwanted outcomes.
Ex
Application
April, 3 months old, was born with a cleft lip. She undergoes surgery for repair of the defect. She
returns from the operating room, awake and crying. Which intervention should be a priority of the
nurse?"
ts
a. Give April an age-appropriate toy to distract her-important but not priority.
r
b. Reassure the parents that infants do not suffer as much pain as adults-false statement
pe
c. Offer her a soother to prevent crying-sucking can damage suture line
d. Assess April for pain and, if necessary, report the need for an analgesic.
d. Assess April for pain and, if necessary, report the need for an analgesic.
Ex
Priority management should be directed at the assessment findings-using the nursing process,identify
the stimuli. From the above options, an assessment should be the priority.
Critical Thinking. Option b is an inaccurate statement. Distraction is an intervention for
pain,however, an assessment should be first conducted.
,The above behaviours are classic signs that a child exhibits with a hearing deficit, mainly
6
behavior problems and delayed verbalization. Knowledge
2
A 2-month-old infant is admitted to the hospital. The nurse should take which of the following
actions to maintain the infant's safety and to reduce the risk of sudden infant death syndrome
20
(SIDS)?
a. Make sure that only plastic bottles and toys are used
b. Place the infant in a supine position in preparation for sleep
am
c. Take the pacifier out of the mouth before the infant falls asleep
d. Cover the crib with netting when the child is not being directly observed.
b. Place the infant in a supine position in preparation for sleep
Ex
Best Practice Guidelines in SIDS prevention focuses on correct positioning of infant. Placing the
infant in a supine position has proven to be the best prevention for SIDS. Knowledge.
s
rt
Mrs. Peterson, 72 years old, is receiving a blood transfusion. Two hours later, the practical nurse
pe
notices that the client has become dyspneic and her heart rate has increased from 75 to
104beats/min. What should the nurse do first?
Ex
a. Auscultate the client's chest
b. Stop the transfusion
c. Verify the oxygen saturation levels
d. Take the client's temperature
a. Auscultate the client's chest----not first action, however this is an assessment for confirming
circulatory overload.
b. Stop the transfusion
, c. Verify the oxygen saturation levels—not a priority, the infusion must be stopped with FVE
d. Take the client's temperature—this is an assessment for adverse reactions with blood therapy,
however the signs and symptoms the client is experiencing demonstrate circulatory overload
This is considered an adverse reaction related to possible circulatory overload. The nurse
acknowledges that the volume is too high for the client's heart to manage. The nurse does not want
to increase the circulating blood volume any further.
6
Ms. Findlay, 24 years old, is to receive 1 unit of whole blood. When taking the blood to Ms.Findlay's
room, the practical nurse is asked by a staff member to also take a unit of packed cells to another
2
client in the next room. What should the nurse do to promote safety in the identification of both
20
clients?
a. Clarify the name and room of the second client with the staff member
b. Take both units of blood and the requisitions to the two clients at the same time
am
c. Return for the packed cells after delivering Ms. Findlay's unit of whole blood
d. Request that the staff member ask the laboratory technician to return the packed cells.
a. Clarify the name and room of the second client with the staff member -More client
information is required for correct identification
Ex
b. Take both units of blood and the requisitions to the two clients at the same time -The
potential for error is increased with this practice as the wrong patient may receive the
incorrect unit of blood. This may also violate agency policy
ts
c. Return for the packed cells after delivering Ms. Findlay's unit of whole blood
d. Request that the staff member ask the laboratory technician to return the packed cells. -No
r
rationale to support the return of the blood to the lab.
pe
Blood should be transported to one client at a time, as this will decrease the potential for
ERROR.
Mr. Keough, 42 years old, was admitted to the surgical unit postoperatively. The first of 2 units of
Ex
packed cells is infusing at 100 mL/h. Mr. Keough informs the practical nurse of discomfort in his back,
nausea and chills. What should the practical nurse do?
a. Administer pain medication and antiemetic and cover him with a warm blanket
b. Inform him that the discomfort is related to his surgery and offer an analgesic
c. Assess vital signs, inform the nurse-in-charge and document
d. Stop the blood infusion, assess the vital signs and have the physician notified.
