CANADIAN PN EXAM ACTUAL EXAM 2026 (MOSBY'S
COMPREHENSIVE REVIEW) | ALL QUESTIONS AND
CORRECT ANSWERS WITH DETAILED EXPLANATIONS |
VERIFIED ANSWERS
Mrs. Wasson complains that her nipples are sore. What should the
practical nurse suggest for care of the breasts?
1. Air the nipples as much as possible.
2. Use a lanolin-based cream after every feeding.
3. Use plastic-lined breast pads.
4. Begin nursing with the breast that is most painful. ---------CORRECT
ANSWER-----------------1. Air the nipples as much as possible.
Mrs. Wasson plans to express breast milk for use when she has a
babysitter. She asks the practical nurse how she should instruct the
babysitter to warm the bottle. What should be the practical nurse's
response?
1. Place the bottle in a pot of water and heat slowly on top of the stove.
2. Place the bottle in a microwave oven and heat at a low temperature.
3. Place the bottle in a bowl of lukewarm water.
,4. Warming is not necessary, as the bottle can be used directly from the
refrigerator. ---------CORRECT ANSWER-----------------3. Place the bottle in
a bowl of lukewarm water.
Case 2
Edgar is a 14-year-old boy who was diagnosed with type 1 diabetes at
age 4 years. His blood sugar control has been poorly maintained for the
past 2 months. It is suspected that the lack of control is related to an
adolescent growth spurt and possible poor adherence to blood glucose
monitoring, nutrition, and insulin administration. Edgar has been
admitted to a short-stay unit in hospital for stabilization.
Questions 6-10 refer to this case.
When Edgar was diagnosed at age 4, he exhibited the cardinal
symptoms of the three "polys." What are these manifestations?
1. Polycythemia, polyuria, polymyositis
2. Polydipsia, polyelectrolyte, polyneuropathy
3. Polyopia, polyarthritis, polyphagia
4. Polyphagia, polydipsia, polyuria ---------CORRECT ANSWER---------------
--4. Polyphagia, polydipsia, polyuria
,The practical nurse reviews insulin action, dosage, and administration
with Edgar. What is the optimum insulin regimen for most children with
diabetes?
1. Twice-daily injections of rapid-acting and intermediate-acting insulins
2. Multiple daily injections of rapid- and long-acting insulins
3. Total dosage and percentage of regular- to intermediate-acting
insulins determined individually
4. Ratio and dose determined by weight in kilograms ---------CORRECT
ANSWER-----------------3. Total dosage and percentage of regular- to
intermediate-acting insulins determined individually
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?
1. Alcohol causes a rise in blood sugar, leading to a sustained period of
hyperglycemia.
2. Binge drinking can lead to inappropriate and dangerous behaviour.
3. Alcohol causes a drop in blood sugar that could lead to severe
hypoglycemia.
4. Because Edgar's parents are "heavy drinkers," he is more likely to
develop a dependency on alcohol. ---------CORRECT ANSWER---------------
, --3. Alcohol causes a drop in blood sugar that could lead to severe
hypoglycemia.
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?
1. 1830 hours
2. 2030 hours
3. 2230 hours
4. 2400 hours ---------CORRECT ANSWER-----------------1. 1830 hours
The practical nurse assesses that Edgar has been non-adherent to his
diabetes management. What is the most appropriate nursing action to
address Edgar's non-adherence?
1. Ask Edgar's parents to supervise him more closely.
2. Provide education to Edgar and his family about the potential
dangers of poorly controlled diabetes.
3. In private, explore Edgar's feelings about diabetes and the treatment
regimen.
COMPREHENSIVE REVIEW) | ALL QUESTIONS AND
CORRECT ANSWERS WITH DETAILED EXPLANATIONS |
VERIFIED ANSWERS
Mrs. Wasson complains that her nipples are sore. What should the
practical nurse suggest for care of the breasts?
1. Air the nipples as much as possible.
2. Use a lanolin-based cream after every feeding.
3. Use plastic-lined breast pads.
4. Begin nursing with the breast that is most painful. ---------CORRECT
ANSWER-----------------1. Air the nipples as much as possible.
Mrs. Wasson plans to express breast milk for use when she has a
babysitter. She asks the practical nurse how she should instruct the
babysitter to warm the bottle. What should be the practical nurse's
response?
1. Place the bottle in a pot of water and heat slowly on top of the stove.
2. Place the bottle in a microwave oven and heat at a low temperature.
3. Place the bottle in a bowl of lukewarm water.
,4. Warming is not necessary, as the bottle can be used directly from the
refrigerator. ---------CORRECT ANSWER-----------------3. Place the bottle in
a bowl of lukewarm water.
Case 2
Edgar is a 14-year-old boy who was diagnosed with type 1 diabetes at
age 4 years. His blood sugar control has been poorly maintained for the
past 2 months. It is suspected that the lack of control is related to an
adolescent growth spurt and possible poor adherence to blood glucose
monitoring, nutrition, and insulin administration. Edgar has been
admitted to a short-stay unit in hospital for stabilization.
Questions 6-10 refer to this case.
When Edgar was diagnosed at age 4, he exhibited the cardinal
symptoms of the three "polys." What are these manifestations?
1. Polycythemia, polyuria, polymyositis
2. Polydipsia, polyelectrolyte, polyneuropathy
3. Polyopia, polyarthritis, polyphagia
4. Polyphagia, polydipsia, polyuria ---------CORRECT ANSWER---------------
--4. Polyphagia, polydipsia, polyuria
,The practical nurse reviews insulin action, dosage, and administration
with Edgar. What is the optimum insulin regimen for most children with
diabetes?
1. Twice-daily injections of rapid-acting and intermediate-acting insulins
2. Multiple daily injections of rapid- and long-acting insulins
3. Total dosage and percentage of regular- to intermediate-acting
insulins determined individually
4. Ratio and dose determined by weight in kilograms ---------CORRECT
ANSWER-----------------3. Total dosage and percentage of regular- to
intermediate-acting insulins determined individually
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?
1. Alcohol causes a rise in blood sugar, leading to a sustained period of
hyperglycemia.
2. Binge drinking can lead to inappropriate and dangerous behaviour.
3. Alcohol causes a drop in blood sugar that could lead to severe
hypoglycemia.
4. Because Edgar's parents are "heavy drinkers," he is more likely to
develop a dependency on alcohol. ---------CORRECT ANSWER---------------
, --3. Alcohol causes a drop in blood sugar that could lead to severe
hypoglycemia.
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?
1. 1830 hours
2. 2030 hours
3. 2230 hours
4. 2400 hours ---------CORRECT ANSWER-----------------1. 1830 hours
The practical nurse assesses that Edgar has been non-adherent to his
diabetes management. What is the most appropriate nursing action to
address Edgar's non-adherence?
1. Ask Edgar's parents to supervise him more closely.
2. Provide education to Edgar and his family about the potential
dangers of poorly controlled diabetes.
3. In private, explore Edgar's feelings about diabetes and the treatment
regimen.
