CPNRE PRACTICE QUESTIONS | FROM QUESTION TO
PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,Case:Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial
infarction. Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse
discovers her condition has changed.
Which data would best indicate to the practical nurse that Mrs. Smith's health status has
deteriorated and that her condition should be reported immediately?
A)Cold, clammy skin
B)Bounding pulse
C)Elevated blood pressure
D)Increased muscular activity Answer: A)Cold, clammy skin
Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial infarction.
Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse discovers her
condition has changed.
Mrs. Smith becomes confused and responds inappropriately. Which question by the practical
nurse would best help in the assessment of Mrs. Smith's level of orientation?
A)What is your name?
B)What does two plus two equal?
C)When did your bowels last move?
D)What did you think about that television program? Answer: A)What is your name?
Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial infarction.
Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse discovers her
condition has changed.
The physician has ordered an IV of normal saline to run at 100mls/hr what does the practical
nurse do when first initiating the IV?
A)Shave any hair from the selected site
B)Briskly tap and massage the selected vein
C)Select a proximal site in the non-dominant extremity
D)Apply a tourniquet 4 to 6 inches above the selected site Answer: D)Apply a tourniquet 4 to 6
inches above the selected site
Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial infarction.
Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse discovers her
condition has changed.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, While assessing Mrs. Smith, the practical nurse would become concerned with which of the
following symptoms related to the IV infusion?"
A)Polyuria
B)Crackles in the lungs
C)Dry mucous membranes
D)Decreased blood pressure Answer: B)Crackles in the lungs
Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial infarction.
Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse discovers her
condition has changed.
Mrs. Smith is ordered Heparin subcutaneously every 12 hours. The practical nurse expects the
physician will decrease the dose when blood work indicates which of the following?
A)INR below therapeutic range
B)INR above therapeutic range
C)Potassium below therapeutic range
D)Potassium above therapeutic range Answer: B)INR above therapeutic range
Justin, 16 years old, has been admitted to hospital for gastroenteritis. He is very upset and angry
about not being able to participate in a baseball tournament with his friends.
Which action by the practical nurse is most appropriate for encouraging Justin to participate in
his care?
A)Encourage Justin to help develop a plan of care
B)Tell Justin what he needs to do to help with his care
C)Ask Justin's parents to help draw up the plan of care
D)Request that the physician tell Justin how to care for himself Answer: A)Encourage Justin to
help develop a plan of care
Justin, 16 years old, has been admitted to hospital for gastroenteritis. He is very upset and angry
about not being able to participate in a baseball tournament with his friends.
Which procedure, related to Justin's care after he has had a bowel movement, is most important
for the practical nurse to teach him to prevent the spread of bacteria?
A)Wash his hands with soap and water
B)Wear latex gloves when cleaning himself
C)Use a disinfectant to clean the toilet seat
D)Notify the practical nurse after each bowel movement Answer: A)Wash his hands with soap
and water
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,Case:Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial
infarction. Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse
discovers her condition has changed.
Which data would best indicate to the practical nurse that Mrs. Smith's health status has
deteriorated and that her condition should be reported immediately?
A)Cold, clammy skin
B)Bounding pulse
C)Elevated blood pressure
D)Increased muscular activity Answer: A)Cold, clammy skin
Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial infarction.
Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse discovers her
condition has changed.
Mrs. Smith becomes confused and responds inappropriately. Which question by the practical
nurse would best help in the assessment of Mrs. Smith's level of orientation?
A)What is your name?
B)What does two plus two equal?
C)When did your bowels last move?
D)What did you think about that television program? Answer: A)What is your name?
Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial infarction.
Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse discovers her
condition has changed.
The physician has ordered an IV of normal saline to run at 100mls/hr what does the practical
nurse do when first initiating the IV?
A)Shave any hair from the selected site
B)Briskly tap and massage the selected vein
C)Select a proximal site in the non-dominant extremity
D)Apply a tourniquet 4 to 6 inches above the selected site Answer: D)Apply a tourniquet 4 to 6
inches above the selected site
Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial infarction.
Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse discovers her
condition has changed.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, While assessing Mrs. Smith, the practical nurse would become concerned with which of the
following symptoms related to the IV infusion?"
A)Polyuria
B)Crackles in the lungs
C)Dry mucous membranes
D)Decreased blood pressure Answer: B)Crackles in the lungs
Mrs. Smith, 64 years old, has been on a medical unit recovering from a myocardial infarction.
Upon arriving in Mrs. Smith's room to provide morning care, the practical nurse discovers her
condition has changed.
Mrs. Smith is ordered Heparin subcutaneously every 12 hours. The practical nurse expects the
physician will decrease the dose when blood work indicates which of the following?
A)INR below therapeutic range
B)INR above therapeutic range
C)Potassium below therapeutic range
D)Potassium above therapeutic range Answer: B)INR above therapeutic range
Justin, 16 years old, has been admitted to hospital for gastroenteritis. He is very upset and angry
about not being able to participate in a baseball tournament with his friends.
Which action by the practical nurse is most appropriate for encouraging Justin to participate in
his care?
A)Encourage Justin to help develop a plan of care
B)Tell Justin what he needs to do to help with his care
C)Ask Justin's parents to help draw up the plan of care
D)Request that the physician tell Justin how to care for himself Answer: A)Encourage Justin to
help develop a plan of care
Justin, 16 years old, has been admitted to hospital for gastroenteritis. He is very upset and angry
about not being able to participate in a baseball tournament with his friends.
Which procedure, related to Justin's care after he has had a bowel movement, is most important
for the practical nurse to teach him to prevent the spread of bacteria?
A)Wash his hands with soap and water
B)Wear latex gloves when cleaning himself
C)Use a disinfectant to clean the toilet seat
D)Notify the practical nurse after each bowel movement Answer: A)Wash his hands with soap
and water
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
