CPNRE Exam Prep
Study online at https://quizlet.com/_8ccp8y
What questions should the practical
nurse ask a family member of a 75 yr
old male new admission with Mid-stage
Alzheimer's to obtain the most relevant
3. What help does Mr. Robichaud require
info for updating a care plan?
each day. (This information is critical in
1. Do you have any help at home
the development of a personalized care
2. Are your children worried about their
plan.)
father
3. What help does Mr. Robichaud require
each day
4. How frequently are you able to visit
The resident son, asks the practical
nurse whether he can participate in his
father's daily care when he is available.
What should the nurse do?
1. Invite the son to come and play cards
with his father
4. Question son about what part of his
2. Encourage the son to spend his days
father's care he would like to be a part of
off with his father
3. Reassure the son that the fathers daily
care is being provided by the health care
team
4. Question son about what part of his
father's care he would like to be a part of
Practical nurse witnesses resident fall
to the floor. He does not appear visibly
injured, but becomes aggressive when
practical nurse tries to assess him. What
should the practical nurse do?
1. Reassure the resident and request as-
4. Call for assistance, reassure the resi-
sistance with a mechanical lift
dent and provide necessary care
2. Stay with him and ask the
nurse-in-charge to contact the primary
care contact
3. Wait until the resident becomes calm
and complete the assessment of his in-
juries
, CPNRE Exam Prep
Study online at https://quizlet.com/_8ccp8y
4. Call for assistance, reassure the resi-
dent and provide necessary care
Practical nurse is helping orientate a new
employee, an unregulated health worker.
Practical nurse watches the UCP (unreg-
ulated care provider) helping a resident
at mealtimes and notices she appears
uncomfortable. What should the nurse
do?
4. Ask the UCP how she feels about car-
1. Suggest that the UCP share her con-
ing for clients with Alzheimer's disease
cerns with other employees
2. Partner the UCP with a more experi-
enced unregulated health worker
3. Invite the UCP to attend information
sessions on Alzheimers disease
4. Ask the UCP how she feels about car-
ing for clients with Alzheimer's disease
A 68 yr old in the medical unit follow-
ing an MI has a history of type 2 dia-
betes mellitus and has orders for IV 0.9%
NaCl at 30mL/h, oxygen PRN, oral hypo-
glycemic daily, nitroglycerin transdermal
patch (Nitro-Dur) 0.4mg daily and nitro-
glycerin 0.3mg sublingual PRN for chest
discomfort.
While watching the pt's back during AM
3. Reddened area over sacrum 3cm in
care the PN notices a reddened area on
diameter, skin intact
his sacrum. What is proper documenta-
tion of the PN's assessment finding?
1. Small reddened area noted over
sacrum
2. Reddened area over sacrum the size
of a grape
3. Reddened area over sacrum 3cm in
diameter, skin intact
4. Skin over sacral area appears red-
dened
, CPNRE Exam Prep
Study online at https://quizlet.com/_8ccp8y
A 68 yr old in the medical unit follow-
ing an MI has a history of type 2 dia-
betes mellitus and has orders for IV 0.9%
NaCl at 30mL/h, oxygen PRN, oral hypo-
glycemic daily, nitroglycerin transdermal
patch (Nitro-Dur) 0.4mg daily and nitro-
glycerin 0.3mg sublingual PRN for chest
discomfort.
When administering the oral hypo-
3. Re-check the Dr's orders and the
glycemic pill, he states " that doesn't look
home medication history
like the pill I take at home." What should
the PN do?
1. Reassure the pt that this is the correct
med order by the physician
2. Reassure the pt that this is the correct
med although it may look different
3. Re-check the Dr's orders and the
home medication history
4. RE-check the pharmacy label before
giving the med
A 68 yr old in the medical unit follow-
ing an MI has a history of type 2 dia-
betes mellitus and has orders for IV 0.9%
NaCl at 30mL/h, oxygen PRN, oral hypo-
glycemic daily, nitroglycerin transdermal
patch (Nitro-Dur) 0.4mg daily and nitro-
glycerin 0.3mg sublingual PRN for chest
discomfort.
2. Upper arm
The PN is preparing to admin the pt's
nitroglycerin patch. What would be the
best place to apply the patch?
1. Lower leg
2. Upper arm
3. Lumbar area
4. Upper thigh
, CPNRE Exam Prep
Study online at https://quizlet.com/_8ccp8y
A 68 yr old in the medical unit follow-
ing an MI has a history of type 2 dia-
betes mellitus and has orders for IV 0.9%
NaCl at 30mL/h, oxygen PRN, oral hypo-
glycemic daily, nitroglycerin transdermal
patch (Nitro-Dur) 0.4mg daily and nitro-
glycerin 0.3mg sublingual PRN for chest
discomfort.
The 2nd day on the medical unit, the
pt develop diarrhea and begins vomit-
ing. The Dr orders the IV rate to in-
4. Notify the physician and anticipate a
crease to 150mL/h. 2 hrs later the PN
decrease in the IV rate
notices that he is dyspneic and his RR
is 32 breaths/min. The PN auscultates
his chest and notes adventitious sounds
throughout. What should the PN do?
1. Discontinue the IV infusion and notify
the physician
2. Reassess the IV rate and encourage
deep breathing and coughing exercises
3. Maintain the IV infusion at 150mL/h
and notify the physician
4. Notify the physician and anticipate a
decrease in the IV rate
A 68 yr old in the medical unit follow-
ing an MI has a history of type 2 dia-
betes mellitus and has orders for IV 0.9%
NaCl at 30mL/h, oxygen PRN, oral hypo-
glycemic daily, nitroglycerin transdermal
patch (Nitro-Dur) 0.4mg daily and nitro-
glycerin 0.3mg sublingual PRN for chest 3. Assess vital signs, apply oxygen, and
discomfort. then give sublingual nitroglycerin
On the fourth day on the medical unit, the
pt reports that he has chest discomfort
and SOB. The PN notes that he is pale,
and his skin is cool and clammy . Most
appropriate sequence of interventions?
Study online at https://quizlet.com/_8ccp8y
What questions should the practical
nurse ask a family member of a 75 yr
old male new admission with Mid-stage
Alzheimer's to obtain the most relevant
3. What help does Mr. Robichaud require
info for updating a care plan?
each day. (This information is critical in
1. Do you have any help at home
the development of a personalized care
2. Are your children worried about their
plan.)
father
3. What help does Mr. Robichaud require
each day
4. How frequently are you able to visit
The resident son, asks the practical
nurse whether he can participate in his
father's daily care when he is available.
What should the nurse do?
1. Invite the son to come and play cards
with his father
4. Question son about what part of his
2. Encourage the son to spend his days
father's care he would like to be a part of
off with his father
3. Reassure the son that the fathers daily
care is being provided by the health care
team
4. Question son about what part of his
father's care he would like to be a part of
Practical nurse witnesses resident fall
to the floor. He does not appear visibly
injured, but becomes aggressive when
practical nurse tries to assess him. What
should the practical nurse do?
1. Reassure the resident and request as-
4. Call for assistance, reassure the resi-
sistance with a mechanical lift
dent and provide necessary care
2. Stay with him and ask the
nurse-in-charge to contact the primary
care contact
3. Wait until the resident becomes calm
and complete the assessment of his in-
juries
, CPNRE Exam Prep
Study online at https://quizlet.com/_8ccp8y
4. Call for assistance, reassure the resi-
dent and provide necessary care
Practical nurse is helping orientate a new
employee, an unregulated health worker.
Practical nurse watches the UCP (unreg-
ulated care provider) helping a resident
at mealtimes and notices she appears
uncomfortable. What should the nurse
do?
4. Ask the UCP how she feels about car-
1. Suggest that the UCP share her con-
ing for clients with Alzheimer's disease
cerns with other employees
2. Partner the UCP with a more experi-
enced unregulated health worker
3. Invite the UCP to attend information
sessions on Alzheimers disease
4. Ask the UCP how she feels about car-
ing for clients with Alzheimer's disease
A 68 yr old in the medical unit follow-
ing an MI has a history of type 2 dia-
betes mellitus and has orders for IV 0.9%
NaCl at 30mL/h, oxygen PRN, oral hypo-
glycemic daily, nitroglycerin transdermal
patch (Nitro-Dur) 0.4mg daily and nitro-
glycerin 0.3mg sublingual PRN for chest
discomfort.
While watching the pt's back during AM
3. Reddened area over sacrum 3cm in
care the PN notices a reddened area on
diameter, skin intact
his sacrum. What is proper documenta-
tion of the PN's assessment finding?
1. Small reddened area noted over
sacrum
2. Reddened area over sacrum the size
of a grape
3. Reddened area over sacrum 3cm in
diameter, skin intact
4. Skin over sacral area appears red-
dened
, CPNRE Exam Prep
Study online at https://quizlet.com/_8ccp8y
A 68 yr old in the medical unit follow-
ing an MI has a history of type 2 dia-
betes mellitus and has orders for IV 0.9%
NaCl at 30mL/h, oxygen PRN, oral hypo-
glycemic daily, nitroglycerin transdermal
patch (Nitro-Dur) 0.4mg daily and nitro-
glycerin 0.3mg sublingual PRN for chest
discomfort.
When administering the oral hypo-
3. Re-check the Dr's orders and the
glycemic pill, he states " that doesn't look
home medication history
like the pill I take at home." What should
the PN do?
1. Reassure the pt that this is the correct
med order by the physician
2. Reassure the pt that this is the correct
med although it may look different
3. Re-check the Dr's orders and the
home medication history
4. RE-check the pharmacy label before
giving the med
A 68 yr old in the medical unit follow-
ing an MI has a history of type 2 dia-
betes mellitus and has orders for IV 0.9%
NaCl at 30mL/h, oxygen PRN, oral hypo-
glycemic daily, nitroglycerin transdermal
patch (Nitro-Dur) 0.4mg daily and nitro-
glycerin 0.3mg sublingual PRN for chest
discomfort.
2. Upper arm
The PN is preparing to admin the pt's
nitroglycerin patch. What would be the
best place to apply the patch?
1. Lower leg
2. Upper arm
3. Lumbar area
4. Upper thigh
, CPNRE Exam Prep
Study online at https://quizlet.com/_8ccp8y
A 68 yr old in the medical unit follow-
ing an MI has a history of type 2 dia-
betes mellitus and has orders for IV 0.9%
NaCl at 30mL/h, oxygen PRN, oral hypo-
glycemic daily, nitroglycerin transdermal
patch (Nitro-Dur) 0.4mg daily and nitro-
glycerin 0.3mg sublingual PRN for chest
discomfort.
The 2nd day on the medical unit, the
pt develop diarrhea and begins vomit-
ing. The Dr orders the IV rate to in-
4. Notify the physician and anticipate a
crease to 150mL/h. 2 hrs later the PN
decrease in the IV rate
notices that he is dyspneic and his RR
is 32 breaths/min. The PN auscultates
his chest and notes adventitious sounds
throughout. What should the PN do?
1. Discontinue the IV infusion and notify
the physician
2. Reassess the IV rate and encourage
deep breathing and coughing exercises
3. Maintain the IV infusion at 150mL/h
and notify the physician
4. Notify the physician and anticipate a
decrease in the IV rate
A 68 yr old in the medical unit follow-
ing an MI has a history of type 2 dia-
betes mellitus and has orders for IV 0.9%
NaCl at 30mL/h, oxygen PRN, oral hypo-
glycemic daily, nitroglycerin transdermal
patch (Nitro-Dur) 0.4mg daily and nitro-
glycerin 0.3mg sublingual PRN for chest 3. Assess vital signs, apply oxygen, and
discomfort. then give sublingual nitroglycerin
On the fourth day on the medical unit, the
pt reports that he has chest discomfort
and SOB. The PN notes that he is pale,
and his skin is cool and clammy . Most
appropriate sequence of interventions?
