Mosby's Comprehensive Review for the
Canadian PN Exam
An important component of conservative treatment for chronic renal failure is diet therapy.
Which of the following would be an appropriate lunch menu for Mr. Kassam?
a) A 100-g cheese sandwich on whole wheat bread, a banana, and 200 mL of milk
b) Canned tomato soup, 250 mL, saltine crackers, and 400 mL of orange juice
c) Turkey, 60 g, on white bread with mayonnaise, and apply, and 250 mL of ginger ale
d) Grilled beefsteak, 300 g, a baked potato, cooked spinach, and chocolate milk - ANS - c
\Edgar admits to the practical nurse he has been experimenting with alcohol and binge drinking
on the weekends. He states that his parents are "heavy drinkers" and are not aware of his
behaviour. What is the most critical issue concerning Edgar's drinking of alcohol?
a) Alcohol causes a rise in blood sugar, leading to a sustained period of hyperglycemia
b) Binge drinking can lead to inappropriate and dangerous behaviour
c) Alcohol causes a drop in blood sugar that could lead to severe hypoglycemia
d) Because Edgar's parents are "heavy drinkers", he is more likely to develop a dependency on
alcohol - ANS - c
\Edgar injects seven units of regular (Humulin R) insulin at 1600 hours. When should the
practical nurse caution him to be alert for a possible hypoglycemic episode?
a) 1830 hours
b) 2030 hours
c) 2230 hours
d) 2400 hours - ANS - a
\Following several months of dialysis, Mr. Kassam exclaims to the practical nurse, "I just can't do
this anymore. I'd rather be dead!" What is the most therapeutic response by the practical nurse?
a) "You'd rather be dead?"
b) "This is very difficult treatment. Tell me about what is bothering you the most."
c) "Just hang on until we can get you a kidney transplant."
d) "Are you depressed?" - ANS - b
\Mr. Carolis develops manifestations of an infection. Which of the following abnormal findings
indicates that Mr. Carolis may have an infection?
a) Leukocytosis
b) Neutropenia
c) Thrombocytosis
d) Leukopenia - ANS - a
\Mr. Carolis is ordered to have urine cultures and then is started on intravenous antibiotics.
What action should the practical nurse take with regard to the specimen collection and antibiotic
administration?
a) Commence the antibiotics as soon as the medication is received from the pharmacy
department
b) Ask the physician for the correct order for specimen collection and medication administration
, c) Take the urine sample from the in-dwelling catheter, and then commence the medication
d) Administer the antibiotics, and then collect the urine sample from the urinary collection bag -
ANS - c
\Mr. Carolis, age 81, has just had a total hip replacement. He has a history of poor nutrition.
Postoperatively, he has an in-dwelling urinary catheter. Which of these factors puts Mr. Carolis
most at risk for developing an infection?
a) Age
b) Poor nutrition
c) Surgery
d) In-dwelling urinary catheter - ANS - d
\Mr. Kassam has chronic renal failure, secondary to type 2 diabetes. Which of the following
laboratory blood test results would be of most concern to the practical nurse?
a) Potassium: 7 mmol/L
b) pH: 7.37
c) Sodium: 142 mmol/L
d) Blood urea nitrogen (BUN): 6.8 mmol/L - ANS - a
\Mr. Kassam is on erythropoietin therapy. What is the rationale for this therapy?
a) To treat the associated anemia
b) To control hypertension
c) To correct the acid-base balance
d) To increase perfusion in the kidney - ANS - a
\Mr. Kassam reveals to the practical nurse he has found an Internet site that provides kidney
transplant surgery in another country for a significant amount of money. What is the practical
nurse's professional responsibility in response to Mr. Kassam?
a) Tell Mr. Kassam it is illegal to buy or sell organs in Canada
b) Tell Mr. Kassam he must wait until he can receive a kidney in Canada
c) Ask Mr. Kassam for more details about the Internet site and details of the transplant service
d) Inform Mr. Kassam that he should not waste his money - ANS - c
\Mr. Kassam's condition is deteriorating, and he decides to no longer take dialysis. He tells the
practical nurse he just wants to die. He is considering medical assistance in dying (MAID).
Which of the following does not meet the criteria for MAID?
a) The client is at least 18 years of age and capable of making decisions with respect to his or
her health
b) The client has a grievous and terminal medical condition
c) The client has been encouraged by the physician and family members to request MAID to
end his or her suffering
d) The client gave informed consent to receive MAID after having been informed of the palliative
care - ANS - c
\Mr. Lackraj introduces himself to the practical nurse as a new client to the fitness centre. He is
54, obese, and flushed and appears short of breath. What should be the practical nurse's initial
assessment question?
a) "What has been your past pattern of exercise?"
b) " What is your personal goal for an exercise plan?"
c) "Have you consulted your physician about an exercise plan?"
Canadian PN Exam
An important component of conservative treatment for chronic renal failure is diet therapy.
Which of the following would be an appropriate lunch menu for Mr. Kassam?
a) A 100-g cheese sandwich on whole wheat bread, a banana, and 200 mL of milk
b) Canned tomato soup, 250 mL, saltine crackers, and 400 mL of orange juice
c) Turkey, 60 g, on white bread with mayonnaise, and apply, and 250 mL of ginger ale
d) Grilled beefsteak, 300 g, a baked potato, cooked spinach, and chocolate milk - ANS - c
\Edgar admits to the practical nurse he has been experimenting with alcohol and binge drinking
on the weekends. He states that his parents are "heavy drinkers" and are not aware of his
behaviour. What is the most critical issue concerning Edgar's drinking of alcohol?
a) Alcohol causes a rise in blood sugar, leading to a sustained period of hyperglycemia
b) Binge drinking can lead to inappropriate and dangerous behaviour
c) Alcohol causes a drop in blood sugar that could lead to severe hypoglycemia
d) Because Edgar's parents are "heavy drinkers", he is more likely to develop a dependency on
alcohol - ANS - c
\Edgar injects seven units of regular (Humulin R) insulin at 1600 hours. When should the
practical nurse caution him to be alert for a possible hypoglycemic episode?
a) 1830 hours
b) 2030 hours
c) 2230 hours
d) 2400 hours - ANS - a
\Following several months of dialysis, Mr. Kassam exclaims to the practical nurse, "I just can't do
this anymore. I'd rather be dead!" What is the most therapeutic response by the practical nurse?
a) "You'd rather be dead?"
b) "This is very difficult treatment. Tell me about what is bothering you the most."
c) "Just hang on until we can get you a kidney transplant."
d) "Are you depressed?" - ANS - b
\Mr. Carolis develops manifestations of an infection. Which of the following abnormal findings
indicates that Mr. Carolis may have an infection?
a) Leukocytosis
b) Neutropenia
c) Thrombocytosis
d) Leukopenia - ANS - a
\Mr. Carolis is ordered to have urine cultures and then is started on intravenous antibiotics.
What action should the practical nurse take with regard to the specimen collection and antibiotic
administration?
a) Commence the antibiotics as soon as the medication is received from the pharmacy
department
b) Ask the physician for the correct order for specimen collection and medication administration
, c) Take the urine sample from the in-dwelling catheter, and then commence the medication
d) Administer the antibiotics, and then collect the urine sample from the urinary collection bag -
ANS - c
\Mr. Carolis, age 81, has just had a total hip replacement. He has a history of poor nutrition.
Postoperatively, he has an in-dwelling urinary catheter. Which of these factors puts Mr. Carolis
most at risk for developing an infection?
a) Age
b) Poor nutrition
c) Surgery
d) In-dwelling urinary catheter - ANS - d
\Mr. Kassam has chronic renal failure, secondary to type 2 diabetes. Which of the following
laboratory blood test results would be of most concern to the practical nurse?
a) Potassium: 7 mmol/L
b) pH: 7.37
c) Sodium: 142 mmol/L
d) Blood urea nitrogen (BUN): 6.8 mmol/L - ANS - a
\Mr. Kassam is on erythropoietin therapy. What is the rationale for this therapy?
a) To treat the associated anemia
b) To control hypertension
c) To correct the acid-base balance
d) To increase perfusion in the kidney - ANS - a
\Mr. Kassam reveals to the practical nurse he has found an Internet site that provides kidney
transplant surgery in another country for a significant amount of money. What is the practical
nurse's professional responsibility in response to Mr. Kassam?
a) Tell Mr. Kassam it is illegal to buy or sell organs in Canada
b) Tell Mr. Kassam he must wait until he can receive a kidney in Canada
c) Ask Mr. Kassam for more details about the Internet site and details of the transplant service
d) Inform Mr. Kassam that he should not waste his money - ANS - c
\Mr. Kassam's condition is deteriorating, and he decides to no longer take dialysis. He tells the
practical nurse he just wants to die. He is considering medical assistance in dying (MAID).
Which of the following does not meet the criteria for MAID?
a) The client is at least 18 years of age and capable of making decisions with respect to his or
her health
b) The client has a grievous and terminal medical condition
c) The client has been encouraged by the physician and family members to request MAID to
end his or her suffering
d) The client gave informed consent to receive MAID after having been informed of the palliative
care - ANS - c
\Mr. Lackraj introduces himself to the practical nurse as a new client to the fitness centre. He is
54, obese, and flushed and appears short of breath. What should be the practical nurse's initial
assessment question?
a) "What has been your past pattern of exercise?"
b) " What is your personal goal for an exercise plan?"
c) "Have you consulted your physician about an exercise plan?"
