Alberta Licensed Practical Nurse
(CPNRE) Practice Exam Questions
And Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A| Instant
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1. A client with type 2 diabetes presents with a blood glucose of 360
mg/dL. Which nursing action is the priority?
A. Encourage oral fluids
B. Administer oral hypoglycemic medication
C. Assess for signs of diabetic ketoacidosis
D. Call the physician
Answer: C
Rationale: A glucose level of 360 mg/dL places the client at risk for diabetic
ketoacidosis, which is a medical emergency requiring immediate assessment.
2. A client taking warfarin states, "I will stop the medication if I feel
better." What is the nurse’s best response?
A. That is appropriate
B. Take double doses if missed
C. Do not stop medication without consulting your physician
D. Avoid monitoring INR
Answer: C
Rationale: Stopping warfarin without guidance increases the risk of
thromboembolic events; consistent dosing and monitoring are critical.
3. Which intervention is most appropriate for acute postoperative pain?
A. Encourage ambulation only
B. Apply cold packs only
, C. Administer prescribed analgesics and reassess
D. Wait until the client requests medication
Answer: C
Rationale: Effective pain management requires timely administration of
analgesics and monitoring the response.
4. A client with congestive heart failure is prescribed furosemide. Which
finding should the nurse monitor closely?
A. Blood glucose
B. Serum potassium
C. Platelet count
D. Hemoglobin
Answer: B
Rationale: Furosemide can cause hypokalemia, which increases the risk for
cardiac arrhythmias.
5. Which position optimizes breathing in a client with COPD?
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
Answer: B
Rationale: High Fowler’s position allows maximal lung expansion and
improves oxygenation.
6. A nurse caring for a client with MRSA should:
A. Use standard precautions only
B. Wear gown and gloves before entering the room
C. Wear a mask only
D. No precautions required
Answer: B
Rationale: Contact precautions prevent the spread of MRSA through direct
contact.
, 7. A client’s IV site is red, swollen, and painful. The nurse should:
A. Apply warm compress and continue
B. Discontinue IV and restart at another site
C. Reduce IV rate
D. Cover with dressing only
Answer: B
Rationale: These are signs of phlebitis; the IV must be discontinued to
prevent further complications.
8. A client with leg swelling and jugular vein distention likely has:
A. Pulmonary embolism
B. Left-sided heart failure
C. Asthma
D. Right-sided heart failure
Answer: D
Rationale: Right-sided heart failure causes fluid backup, leading to
peripheral edema and jugular vein distention.
9. When administering a subcutaneous injection, the correct angle is:
A. 15°
B. 45–90° depending on tissue thickness
C. 25°
D. 120°
Answer: B
Rationale: Subcutaneous injections require proper angle for absorption
based on tissue thickness.
10. A client with hypertension should prioritize which lifestyle
modification?
A. Increasing calcium intake
B. Reducing sodium intake
C. Increasing sugar intake
D. Avoiding physical activity
(CPNRE) Practice Exam Questions
And Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A| Instant
Download Pdf
1. A client with type 2 diabetes presents with a blood glucose of 360
mg/dL. Which nursing action is the priority?
A. Encourage oral fluids
B. Administer oral hypoglycemic medication
C. Assess for signs of diabetic ketoacidosis
D. Call the physician
Answer: C
Rationale: A glucose level of 360 mg/dL places the client at risk for diabetic
ketoacidosis, which is a medical emergency requiring immediate assessment.
2. A client taking warfarin states, "I will stop the medication if I feel
better." What is the nurse’s best response?
A. That is appropriate
B. Take double doses if missed
C. Do not stop medication without consulting your physician
D. Avoid monitoring INR
Answer: C
Rationale: Stopping warfarin without guidance increases the risk of
thromboembolic events; consistent dosing and monitoring are critical.
3. Which intervention is most appropriate for acute postoperative pain?
A. Encourage ambulation only
B. Apply cold packs only
, C. Administer prescribed analgesics and reassess
D. Wait until the client requests medication
Answer: C
Rationale: Effective pain management requires timely administration of
analgesics and monitoring the response.
4. A client with congestive heart failure is prescribed furosemide. Which
finding should the nurse monitor closely?
A. Blood glucose
B. Serum potassium
C. Platelet count
D. Hemoglobin
Answer: B
Rationale: Furosemide can cause hypokalemia, which increases the risk for
cardiac arrhythmias.
5. Which position optimizes breathing in a client with COPD?
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
Answer: B
Rationale: High Fowler’s position allows maximal lung expansion and
improves oxygenation.
6. A nurse caring for a client with MRSA should:
A. Use standard precautions only
B. Wear gown and gloves before entering the room
C. Wear a mask only
D. No precautions required
Answer: B
Rationale: Contact precautions prevent the spread of MRSA through direct
contact.
, 7. A client’s IV site is red, swollen, and painful. The nurse should:
A. Apply warm compress and continue
B. Discontinue IV and restart at another site
C. Reduce IV rate
D. Cover with dressing only
Answer: B
Rationale: These are signs of phlebitis; the IV must be discontinued to
prevent further complications.
8. A client with leg swelling and jugular vein distention likely has:
A. Pulmonary embolism
B. Left-sided heart failure
C. Asthma
D. Right-sided heart failure
Answer: D
Rationale: Right-sided heart failure causes fluid backup, leading to
peripheral edema and jugular vein distention.
9. When administering a subcutaneous injection, the correct angle is:
A. 15°
B. 45–90° depending on tissue thickness
C. 25°
D. 120°
Answer: B
Rationale: Subcutaneous injections require proper angle for absorption
based on tissue thickness.
10. A client with hypertension should prioritize which lifestyle
modification?
A. Increasing calcium intake
B. Reducing sodium intake
C. Increasing sugar intake
D. Avoiding physical activity
