Page 1 of 481
CPNRE PRACTICE EXAM QUESTION BANK
NEWEST 2026 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {630 Q & A}
ALREADY GRADED A+ | BRAND NEW! | 100%
GUARANTEED PASS
Mr. Keough, 42 years old, was admitted to the surgical unit
postoperatively. The first of 2 units of 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. - ✔✔✔ Correct Answer > a. Administer pain
medication and antiemetic and cover him with a warm blanket -
Does not address the cause of the symptoms
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b. Inform him that the discomfort is related to his surgery and
offer an analgesic —further assessment is required if he is
having a transfusion reaction
c. Assess vital signs, inform the nurse-in-charge and
document— see above
d. Stop the blood infusion, assess the vital signs and have the
physician notified.
A transfusion reaction is suspected. Therefore SPIN
The client has type 1 diabetes and receives insulin. He asks the
nurse why he cannot just take pills instead. What is the best
response by the nurse?
a. "Insulin must be injected because it needs to work quickly."
b. "Insulin cannot be in a pill because it is destroyed in stomach
acid."
c. "Have you talked to your doctor about taking pills instead?"
d. "I know it is tough, but you will get used to the shots soon." -
✔✔✔ Correct Answer > b. "Insulin cannot be in a pill because it is
destroyed in stomach acid."
The hormone insulin is made up of proteins that if taken by
mouth is denatured by the digestive process. This would
inactivate the insulin. Therefore, when the body can't make
,Page 3 of 481
insulin, it can't be taken in pill form and at this time must be
injected
Oral hypoglycemic: Pills that are used to help control diabetes
are not insulin. These pills are to help the body use the insulin it
already makes
Knowledge/Application
When providing mouth care for a client who wears dentures,
what should the nurse do first?
a. Wear a mask to prevent spread of disease
b. Offer the client a denture toothbrush, toothpaste and
mouthwash
c. Verify the physician's orders
d. Apply gloves prior to removing dentures. - ✔✔✔ Correct Answer > a.
Wear a mask to prevent spread of disease—Not indicated for
mouthcare (masks)
b. Offer the client a denture toothbrush, toothpaste and
mouthwash-not the initial step; the mouth would be washed with
a toothbrush, not a denture brush
c. Verify the physician's orders-not necessary
d. Apply gloves prior to removing dentures.
Answer: Gloves must be worn when in contact with mucous
membranes and moist body substances
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What should the nurse do immediately prior to obtaining blood or
blood products from the blood bank?
a. Gather baseline vitals from the client
b. Check for previous transfusion reactions
c. Check the client's hemoglobin level
d. Verify the physician's order - ✔✔✔ Correct Answer > a. Gather
baseline vitals from the client—this is performed prior to
Hanging/Infusing the blood
b. Check for previous transfusion reactions—Physician's order
should be checked first
c. Check the client's hemoglobin level—see above
d. Verify the physician's order
This nursing action is required immediately prior to obtaining
blood or blood products for correct verification
A client is scheduled for major surgery. The physician has
ordered the client to be typed and crossmatched for 2 units of
whole blood. Which reason best explains the need for this order?
a. To replace blood volume loss
b. To maintain fluid volume
CPNRE PRACTICE EXAM QUESTION BANK
NEWEST 2026 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {630 Q & A}
ALREADY GRADED A+ | BRAND NEW! | 100%
GUARANTEED PASS
Mr. Keough, 42 years old, was admitted to the surgical unit
postoperatively. The first of 2 units of 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. - ✔✔✔ Correct Answer > a. Administer pain
medication and antiemetic and cover him with a warm blanket -
Does not address the cause of the symptoms
,Page 2 of 481
b. Inform him that the discomfort is related to his surgery and
offer an analgesic —further assessment is required if he is
having a transfusion reaction
c. Assess vital signs, inform the nurse-in-charge and
document— see above
d. Stop the blood infusion, assess the vital signs and have the
physician notified.
A transfusion reaction is suspected. Therefore SPIN
The client has type 1 diabetes and receives insulin. He asks the
nurse why he cannot just take pills instead. What is the best
response by the nurse?
a. "Insulin must be injected because it needs to work quickly."
b. "Insulin cannot be in a pill because it is destroyed in stomach
acid."
c. "Have you talked to your doctor about taking pills instead?"
d. "I know it is tough, but you will get used to the shots soon." -
✔✔✔ Correct Answer > b. "Insulin cannot be in a pill because it is
destroyed in stomach acid."
The hormone insulin is made up of proteins that if taken by
mouth is denatured by the digestive process. This would
inactivate the insulin. Therefore, when the body can't make
,Page 3 of 481
insulin, it can't be taken in pill form and at this time must be
injected
Oral hypoglycemic: Pills that are used to help control diabetes
are not insulin. These pills are to help the body use the insulin it
already makes
Knowledge/Application
When providing mouth care for a client who wears dentures,
what should the nurse do first?
a. Wear a mask to prevent spread of disease
b. Offer the client a denture toothbrush, toothpaste and
mouthwash
c. Verify the physician's orders
d. Apply gloves prior to removing dentures. - ✔✔✔ Correct Answer > a.
Wear a mask to prevent spread of disease—Not indicated for
mouthcare (masks)
b. Offer the client a denture toothbrush, toothpaste and
mouthwash-not the initial step; the mouth would be washed with
a toothbrush, not a denture brush
c. Verify the physician's orders-not necessary
d. Apply gloves prior to removing dentures.
Answer: Gloves must be worn when in contact with mucous
membranes and moist body substances
, Page 4 of 481
What should the nurse do immediately prior to obtaining blood or
blood products from the blood bank?
a. Gather baseline vitals from the client
b. Check for previous transfusion reactions
c. Check the client's hemoglobin level
d. Verify the physician's order - ✔✔✔ Correct Answer > a. Gather
baseline vitals from the client—this is performed prior to
Hanging/Infusing the blood
b. Check for previous transfusion reactions—Physician's order
should be checked first
c. Check the client's hemoglobin level—see above
d. Verify the physician's order
This nursing action is required immediately prior to obtaining
blood or blood products for correct verification
A client is scheduled for major surgery. The physician has
ordered the client to be typed and crossmatched for 2 units of
whole blood. Which reason best explains the need for this order?
a. To replace blood volume loss
b. To maintain fluid volume
