CPNRE Exam 1 Practice Questions and
Rationales Nursing Preparation Material
Introduction:
This document contains a comprehensive set of CPNRE-style
multiple-choice questions with verified answers and detailed
rationales. It covers key nursing topics including patient safety,
pharmacology, mental health, medical-surgical care, and clinical
decision-making scenarios. The material is well-suited for exam
preparation and reinforces critical thinking aligned with practical
nursing competencies.
Exam Questions and Answers with Rationales:
1. Mr. Shuman, 53 years old, has been admitted to the hospital
with a diagno- sis of seizure activity related to late-stage alcohol
abuse. His daughter visits frequently.
Due to hand tremors, Mr. Shuman has difficulty eating. While
having breakfast one morning, he becomes frustrated and throws
his tray onto the floor. How should the practical nurse respond?
A) Acknowledge that the client is upset and document the
behaviour.
B) Use silent technique and leave the room to allow the client
time to calm down.
,C) Advise the physician of the need to establish intravenous
therapy to prevent malnutrition.
D) Remind Mr. Shuman that this type of behaviour is
unacceptable.---Correct precise Answer---A) Acknowledge that the
client is upset and document the behavior.
When Mr. Shuman becomes frustrated and throws his tray onto the
floor, the best initial response for the practical nurse is to
acknowledge that he is upset and document the behavior. This
approach:
Validates Mr. Shuman's feelings and frustration, which can help in
de-escalating the situation.
Provides an opportunity to address the underlying cause of his
frustration, such as diflculty with eating due to hand tremors.
Ensures that the incident is documented accurately in his medical
record, which is important for continuity of care and understanding
his behavioral patterns.
The other options may not be as ettective or appropriate:
B) Use silent technique and leave the room to allow the client
time to calm down - While giving Mr. Shuman some space might
help him calm down, it does not address the immediate need for
support and understanding.
C) Advise the physician of the need to establish intravenous
therapy to prevent malnutrition - This may be a necessary
intervention if Mr. Shuman is unable to eat, but it should be
considered after addressing the immediate situation and in
consultation with the healthcare team.
,D) Remind Mr. Shuman that this type of behavior is unacceptable
- This approach can be confrontational and may escalate the
situation, making it less likely that Mr. Shuman will be receptive to
help.
2. Mr. Shuman, 53 years old, has been admitted to the hospital
with a diagno- sis of seizure activity related to late-stage alcohol
abuse. His daughter visits frequently.
Three days later, Mr. Shuman's seizure activity increases. A
colleague states that this is an expected finding. How should the
practical nurse initially respond?
A) Document the information and collaborate with the colleague.
B) Notify the physician of Mr. Shuman's seizure activity.
C) Discuss current best practices with the colleague.
D) Continue to monitor Mr. Shuman for seizure activities.---
Correct precise Answer---B) Notify the physician of Mr.Shuman's
seizure activity.
When Mr. Shuman's seizure activity increases, the most
appropriate initial response for the practical nurse is to notify the
physician. This is important because:
Immediate Attention:Increased seizure activity may require
immediate medical intervention to ensure Mr. Shuman's safety and
to manage the seizures ettectively.
, Medication Adjustment:The physician may need to adjust Mr.
Shuman's anticonvulsant medications or other treat- ments.
Documentation:Notifying the physician ensures that the increase in
seizure activity is documented in Mr. Shuman's medical record,
which is essential for his ongoing care.
The other options are also important but should follow the
notification of the physician:
A) Document the information and collaborate with the colleague -
Documentation is crucial, but it should be done after notifying the
physician.
C) Discuss current best practices with the colleague - This can be
beneficial for professional development but should not delay the
notification of the physician.
D) Continue to monitor Mr. Shuman for seizure activities -
Monitoring is ongoing, but the immediate increase in seizure
activity needs to be addressed promptly.
3. Mr. Shuman, 53 years old, has been admitted to the hospital
with a diagno- sis of seizure activity related to late-stage alcohol
abuse. His daughter visits frequently.
Mr. Shuman is extremely agitated and is attempting to climb out of
bed. What should the practical nurse do to promote Mr. Shuman's
safety?
A) Obtain a physician's order for a restraint.
B) Insist that the daughter remain with the client.
C) Advocate for constant observation of the client.
Rationales Nursing Preparation Material
Introduction:
This document contains a comprehensive set of CPNRE-style
multiple-choice questions with verified answers and detailed
rationales. It covers key nursing topics including patient safety,
pharmacology, mental health, medical-surgical care, and clinical
decision-making scenarios. The material is well-suited for exam
preparation and reinforces critical thinking aligned with practical
nursing competencies.
Exam Questions and Answers with Rationales:
1. Mr. Shuman, 53 years old, has been admitted to the hospital
with a diagno- sis of seizure activity related to late-stage alcohol
abuse. His daughter visits frequently.
Due to hand tremors, Mr. Shuman has difficulty eating. While
having breakfast one morning, he becomes frustrated and throws
his tray onto the floor. How should the practical nurse respond?
A) Acknowledge that the client is upset and document the
behaviour.
B) Use silent technique and leave the room to allow the client
time to calm down.
,C) Advise the physician of the need to establish intravenous
therapy to prevent malnutrition.
D) Remind Mr. Shuman that this type of behaviour is
unacceptable.---Correct precise Answer---A) Acknowledge that the
client is upset and document the behavior.
When Mr. Shuman becomes frustrated and throws his tray onto the
floor, the best initial response for the practical nurse is to
acknowledge that he is upset and document the behavior. This
approach:
Validates Mr. Shuman's feelings and frustration, which can help in
de-escalating the situation.
Provides an opportunity to address the underlying cause of his
frustration, such as diflculty with eating due to hand tremors.
Ensures that the incident is documented accurately in his medical
record, which is important for continuity of care and understanding
his behavioral patterns.
The other options may not be as ettective or appropriate:
B) Use silent technique and leave the room to allow the client
time to calm down - While giving Mr. Shuman some space might
help him calm down, it does not address the immediate need for
support and understanding.
C) Advise the physician of the need to establish intravenous
therapy to prevent malnutrition - This may be a necessary
intervention if Mr. Shuman is unable to eat, but it should be
considered after addressing the immediate situation and in
consultation with the healthcare team.
,D) Remind Mr. Shuman that this type of behavior is unacceptable
- This approach can be confrontational and may escalate the
situation, making it less likely that Mr. Shuman will be receptive to
help.
2. Mr. Shuman, 53 years old, has been admitted to the hospital
with a diagno- sis of seizure activity related to late-stage alcohol
abuse. His daughter visits frequently.
Three days later, Mr. Shuman's seizure activity increases. A
colleague states that this is an expected finding. How should the
practical nurse initially respond?
A) Document the information and collaborate with the colleague.
B) Notify the physician of Mr. Shuman's seizure activity.
C) Discuss current best practices with the colleague.
D) Continue to monitor Mr. Shuman for seizure activities.---
Correct precise Answer---B) Notify the physician of Mr.Shuman's
seizure activity.
When Mr. Shuman's seizure activity increases, the most
appropriate initial response for the practical nurse is to notify the
physician. This is important because:
Immediate Attention:Increased seizure activity may require
immediate medical intervention to ensure Mr. Shuman's safety and
to manage the seizures ettectively.
, Medication Adjustment:The physician may need to adjust Mr.
Shuman's anticonvulsant medications or other treat- ments.
Documentation:Notifying the physician ensures that the increase in
seizure activity is documented in Mr. Shuman's medical record,
which is essential for his ongoing care.
The other options are also important but should follow the
notification of the physician:
A) Document the information and collaborate with the colleague -
Documentation is crucial, but it should be done after notifying the
physician.
C) Discuss current best practices with the colleague - This can be
beneficial for professional development but should not delay the
notification of the physician.
D) Continue to monitor Mr. Shuman for seizure activities -
Monitoring is ongoing, but the immediate increase in seizure
activity needs to be addressed promptly.
3. Mr. Shuman, 53 years old, has been admitted to the hospital
with a diagno- sis of seizure activity related to late-stage alcohol
abuse. His daughter visits frequently.
Mr. Shuman is extremely agitated and is attempting to climb out of
bed. What should the practical nurse do to promote Mr. Shuman's
safety?
A) Obtain a physician's order for a restraint.
B) Insist that the daughter remain with the client.
C) Advocate for constant observation of the client.
