CPNRE Practice Questions #1
Study online at https://quizlet.com/_dg3lg4
1. A nurse calls the health care a. Contact the nursing supervisor
provider (HCP) regarding a b. Administer the dose prescribed
new medication prescription. The c. Hold the medication until the HCP can be contacted
dosage prescribed is higher than d. Administer the recommended dose until the HCP can
the recommended dosage, how- be located
ever, the nurse is unable to locate
the HCP for an explanation. Which Rationale
action should the nurse take if the If the physician writes a prescription that requires clarifi-
medication is due to be adminis- cation, the nurse's responsibility is to contact the HCP. If
tered at this moment? there is no resolution regarding the prescription because
the HCP cannot be located or because the prescription re-
mains as it was written after talking with the HCP, the nurse
should contact the nurse manager or nursing supervisor
for further clarification as to what the next step should be.
Prescriptions should not be given until the practical nurse
obtains clarification.
2. A practical nurse has been re- a. Monitor to ensure that all staff consistently wash their
viewing research focusing on the hands between each client contact
benefits of hand washing in pre- b. Have a discussion about hand washing with fellow
venting the spread of microor- nurses during the morning break
ganisms. The last few days he c. Report the lack of hand washing to the local Medical
has notices a number of health Officer of Health for a follow-up with the health care work-
care workers not washing their ers
hands between client contact. He d. Develop a poster and pamphlet to be used at the sinks
wants to initiate a change in prac- on each unit to promote hand washing
tice. Which of the following ac-
tions should he perform? Rationale
Using posters and pamphlets is a good method to pro-
mote awareness regarding the importance of hand wash-
ing between client contacts. This was the result of the
practical nurse reading evidence-based literature of the
, CPNRE Practice Questions #1
Study online at https://quizlet.com/_dg3lg4
benefits of hand washing and using the research results
to initiate changes in practice.
3. A 37-year-old female has just a. Implement safety strategies to protect herself
been admitted to the neurolo- b. Document and report the facts of the verbal abuse and
gy unit. She is recovering from a threat to the nurse manager
brain injury and also has unstable c. Recognize that the behaviour is related to her diagnosis
bipolar disorder. When the practi- and not take the abuse personally
cal nurse enters the room to as- d. Obtain support from nursing colleagues who are in-
sess her, she says to the nurse volved in her care
'If you come near me I'm going
to attack you!' What should be Rationale
the primary action by the practical Practical nurses should always first protect themselves
nurse? from verbal abuse as it may lead to physical abuse. The
practical nurse should ensure all safeguards are in place
for this client. Then, she can address support, commu-
nication with colleagues, documentation and methods to
provide care.
4. Professional regulations and laws a. To ensure that nurses are in good moral standing
that govern nursing practice are b. To protect the safety of the public
in place for which of the following c. To ensure that enough new nurses are available
reasons? d. To limit the number of nurses in practice
Rationale
Provincial and territorial governing bodies, professional
regulations, and laws are in place to protect the public by
ensuring that nurses are accountable for safe, competent,
and ethical nursing practice.
5. A 45-year-old client admitted to a. Battery
a mental health unit has exhib- b. False imprisonment
ited physical behaviours that put c. Negligence
, CPNRE Practice Questions #1
Study online at https://quizlet.com/_dg3lg4
him and others at risk. The prac- d. Malpractice
tical nurse applies four-point re-
straints on the client without con- Rationale
sent nor obtaining orders from Battery is defined as "an intentional and wrongful physical
the physician. The nurse is at risk contact with a person that entails an injury or offensive
of being accused of which of the touching. Performing a treatment without the client's per-
following? mission or without receiving informed consent might con-
stitute both assault and battery. Battery suits have been
won based on the use of restraints when dealing with
confused clients.
6. Which of the following behav- a. Asking the client about his sexual history
iours would be considered to b. Sharing cookies and milk with the client during a ther-
be a boundary violation of the apeutic session
nurse-client relationship in a c. Smiling and nodding at the client
mental health setting? d. Keeping a secret from the healthcare team as requested
by the client
Rationale
Keeping a secret from the healthcare team is considered
boundary crossing. It implies a special relationship be-
tween the practical nurse and client. The nurse must in-
form the client that all relevant information must be shared
with other members of the healthcare team.
7. Based on CCPNR (Canadian Coun- a. Clarify the challenge or problem
cil for Practical Nurse Regula- b. Describe the issue and identify the nature of the prob-
tors) outline around ethical deci- lem
sion making, which of the follow- c. Implement your decision as thoughtfully and sensitively
ing step is next after gathering as possible
the factual information relevant d. Identify options for action, recognizing that the best
to the issue? option may not be obvious at the outset
, CPNRE Practice Questions #1
Study online at https://quizlet.com/_dg3lg4
Rationale
Clarify the challenge or problem is the 3rd step in ethical
decision making. Decision making questions during this
steps are:
What is the issue?
What ethical principles are at stake?
What stakeholders need to be consulted or involved in
resolving the issue?
Is unethical conduct by a peer or other professional col-
league suspected?
The 8 steps of Ethical Decision Making are:
Step 1: Describe the issue and identify the nature of the
problem
Step 2: Gather the factual information relevant to the is-
sue
Step 3: Clarify the challenge or problem
Step 4: Identify options for action, recognizing that the
best option may not be obvious at the outset.
Step 5: Assess the options in light of applicable policy,
legislation, or regulation in terms of advantages and lim-
itations of each.
Step 6: Decide on a course of action taking all the gathered
information into account.
Step 7: Implement your decision as thoughtfully and sen-
sitively as possible
Step 8: Assess the consequences of your decision
8. To determine the structural rela- a. Organizational chart
tionship of one hospital depart- b. Job description
Study online at https://quizlet.com/_dg3lg4
1. A nurse calls the health care a. Contact the nursing supervisor
provider (HCP) regarding a b. Administer the dose prescribed
new medication prescription. The c. Hold the medication until the HCP can be contacted
dosage prescribed is higher than d. Administer the recommended dose until the HCP can
the recommended dosage, how- be located
ever, the nurse is unable to locate
the HCP for an explanation. Which Rationale
action should the nurse take if the If the physician writes a prescription that requires clarifi-
medication is due to be adminis- cation, the nurse's responsibility is to contact the HCP. If
tered at this moment? there is no resolution regarding the prescription because
the HCP cannot be located or because the prescription re-
mains as it was written after talking with the HCP, the nurse
should contact the nurse manager or nursing supervisor
for further clarification as to what the next step should be.
Prescriptions should not be given until the practical nurse
obtains clarification.
2. A practical nurse has been re- a. Monitor to ensure that all staff consistently wash their
viewing research focusing on the hands between each client contact
benefits of hand washing in pre- b. Have a discussion about hand washing with fellow
venting the spread of microor- nurses during the morning break
ganisms. The last few days he c. Report the lack of hand washing to the local Medical
has notices a number of health Officer of Health for a follow-up with the health care work-
care workers not washing their ers
hands between client contact. He d. Develop a poster and pamphlet to be used at the sinks
wants to initiate a change in prac- on each unit to promote hand washing
tice. Which of the following ac-
tions should he perform? Rationale
Using posters and pamphlets is a good method to pro-
mote awareness regarding the importance of hand wash-
ing between client contacts. This was the result of the
practical nurse reading evidence-based literature of the
, CPNRE Practice Questions #1
Study online at https://quizlet.com/_dg3lg4
benefits of hand washing and using the research results
to initiate changes in practice.
3. A 37-year-old female has just a. Implement safety strategies to protect herself
been admitted to the neurolo- b. Document and report the facts of the verbal abuse and
gy unit. She is recovering from a threat to the nurse manager
brain injury and also has unstable c. Recognize that the behaviour is related to her diagnosis
bipolar disorder. When the practi- and not take the abuse personally
cal nurse enters the room to as- d. Obtain support from nursing colleagues who are in-
sess her, she says to the nurse volved in her care
'If you come near me I'm going
to attack you!' What should be Rationale
the primary action by the practical Practical nurses should always first protect themselves
nurse? from verbal abuse as it may lead to physical abuse. The
practical nurse should ensure all safeguards are in place
for this client. Then, she can address support, commu-
nication with colleagues, documentation and methods to
provide care.
4. Professional regulations and laws a. To ensure that nurses are in good moral standing
that govern nursing practice are b. To protect the safety of the public
in place for which of the following c. To ensure that enough new nurses are available
reasons? d. To limit the number of nurses in practice
Rationale
Provincial and territorial governing bodies, professional
regulations, and laws are in place to protect the public by
ensuring that nurses are accountable for safe, competent,
and ethical nursing practice.
5. A 45-year-old client admitted to a. Battery
a mental health unit has exhib- b. False imprisonment
ited physical behaviours that put c. Negligence
, CPNRE Practice Questions #1
Study online at https://quizlet.com/_dg3lg4
him and others at risk. The prac- d. Malpractice
tical nurse applies four-point re-
straints on the client without con- Rationale
sent nor obtaining orders from Battery is defined as "an intentional and wrongful physical
the physician. The nurse is at risk contact with a person that entails an injury or offensive
of being accused of which of the touching. Performing a treatment without the client's per-
following? mission or without receiving informed consent might con-
stitute both assault and battery. Battery suits have been
won based on the use of restraints when dealing with
confused clients.
6. Which of the following behav- a. Asking the client about his sexual history
iours would be considered to b. Sharing cookies and milk with the client during a ther-
be a boundary violation of the apeutic session
nurse-client relationship in a c. Smiling and nodding at the client
mental health setting? d. Keeping a secret from the healthcare team as requested
by the client
Rationale
Keeping a secret from the healthcare team is considered
boundary crossing. It implies a special relationship be-
tween the practical nurse and client. The nurse must in-
form the client that all relevant information must be shared
with other members of the healthcare team.
7. Based on CCPNR (Canadian Coun- a. Clarify the challenge or problem
cil for Practical Nurse Regula- b. Describe the issue and identify the nature of the prob-
tors) outline around ethical deci- lem
sion making, which of the follow- c. Implement your decision as thoughtfully and sensitively
ing step is next after gathering as possible
the factual information relevant d. Identify options for action, recognizing that the best
to the issue? option may not be obvious at the outset
, CPNRE Practice Questions #1
Study online at https://quizlet.com/_dg3lg4
Rationale
Clarify the challenge or problem is the 3rd step in ethical
decision making. Decision making questions during this
steps are:
What is the issue?
What ethical principles are at stake?
What stakeholders need to be consulted or involved in
resolving the issue?
Is unethical conduct by a peer or other professional col-
league suspected?
The 8 steps of Ethical Decision Making are:
Step 1: Describe the issue and identify the nature of the
problem
Step 2: Gather the factual information relevant to the is-
sue
Step 3: Clarify the challenge or problem
Step 4: Identify options for action, recognizing that the
best option may not be obvious at the outset.
Step 5: Assess the options in light of applicable policy,
legislation, or regulation in terms of advantages and lim-
itations of each.
Step 6: Decide on a course of action taking all the gathered
information into account.
Step 7: Implement your decision as thoughtfully and sen-
sitively as possible
Step 8: Assess the consequences of your decision
8. To determine the structural rela- a. Organizational chart
tionship of one hospital depart- b. Job description
