CPNRE Exam Prep Questions and Answers
1. 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 info for updating a care plan?
1. Do you have any help at home
2. Are your children worried about their father
3. What help does Mr. Robichaud require each day
4. How frequently are you able to visit: 3. What help does Mr. Robichaud require
each day. (This information is critical in the development of a personalized care plan.)
2. 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
2. Encourage the son to spend his days 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: 4. Question son about what part of his father's care he would like to be a part of
3. 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 assistance with a mechanical lift
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
injuries
4. Call for assistance, reassure the resident and provide necessary care: 4. Call
for assistance, reassure the resident and provide necessary care
4. Practical nurse is helping orientate a new employee, an unregulated health
worker. Practical nurse watches the UCP (unregulated care provider) helping
a resident at mealtimes and notices she appears uncomfortable. What should
the nurse do?
1. Suggest that the UCP share her concerns with other employees
2. Partner the UCP with a more experienced unregulated health worker
3. Invite the UCP to attend information sessions on Alzheimers disease
4. Ask the UCP how she feels about caring for clients with Alzheimer's disease-
: 4. Ask the UCP how she feels about caring for clients with Alzheimer's disease
5. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN, oral
hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg daily
and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
, CPNRE Exam Prep Questions and Answers
While watching the pt's back during AM care the PN notices a reddened
area on his sacrum. What is proper documentation 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 reddened: 3. Reddened area over sacrum 3cm
in diameter, skin intact
6. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN, oral
hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg daily
and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
When administering the oral hypoglycemic pill, he states " that doesn't look
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: 3. Re-check the Dr's
orders and the home medication history
7. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN, oral
hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg daily
and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
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: 2. Upper arm
8. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN, oral
hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg daily
and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
The 2nd day on the medical unit, the pt develop diarrhea and begins vomiting.
The Dr orders the IV rate to increase to 150mL/h. 2 hrs later the PN notices that
, CPNRE Exam Prep Questions and Answers
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 exercis-
es
3. Maintain the IV infusion at 150mL/h and notify the physician
4. Notify the physician and anticipate a decrease in the IV rate: 4. Notify the
physician and anticipate a decrease in the IV rate
9. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN, oral
hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg daily
and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
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?
1. Assess vital signs & blood glucose, then apply oxygen
2. Apply oxygen, assess vital signs and then assess blood glucose
3. Assess vital signs, apply oxygen, and then give sublingual nitroglycerin
4. Apply oxygen, assess vital signs and provide a warm blanket: 3. Assess vital
signs, apply oxygen, and then give sublingual nitroglycerin
10. 13 yr old female hospitalized with vomiting and generalized stomach pain.
Her parents worry about recent changes in behavior and depressed mood.
Pt tells PN her stomach hurts because she is making herself vomit. Asks PN
not to tell parents, how should PN respond?
1. Tell the pt that the PN is only obliged to report vomiting if it occurs during
her hospitalization
2. Remind the pt that clients have the right to determine what information is
documented and reported
3. Explain to the pt that information is shared with the health care team to
provide appropriate care
4. Reassure the pt that her stomach pains will subside if she stops vomiting
and her condition improves: 3. Explain to the pt that information is shared with the
health care team to provide appropriate care
11. 13 yr old female hospitalized with vomiting and generalized stomach pain.
Her parents worry about recent changes in behavior and depressed mood.
In accordance with the nursing care plan, the PN sits with the pt while she
, CPNRE Exam Prep Questions and Answers
eats her meals and accompanies her to the bathroom. Today, the PN notices
the females facecloths are missing from the bathroom. What action should the
PN take?
1. Discuss the issue of lost facecloths, search the room when the pt is out of
her room and document appropriately
2. Ask the pt where the facecloths are, ask her to return them and chart the
missing facecloths
3. Ask the pt where the facecloths are and chart the suspicion that they are
being used to hide uneaten food
4. Discuss the issue of lost facecloths with the pt and document appropriate
information: 4. Discuss the issue of lost facecloths with the pt and document
appropriate information
12. 13 yr old female hospitalized with vomiting and generalized stomach pain.
Her parents worry about recent changes in behavior and depressed mood.
The pt is concerned about her weight. She exercise and makes food choices
based on not wanting to become fat. She says that she does not feel like
eating. What should the nurse do?
1. Design a diet in consultation with the dietitian and ensure that it is balanced,
contains variety and has the requisite caloric intake.
2. Ask the pt what she likes and dislikes, have her mother bring in food, and
obtain and record her daily weight to demonstrate progress.
3. Include the pt in goal-setting for healthy weight, have her maintain a food
and fitness journal, and obtain & record her weight weekly.
4. Promote a healthy lifestyle, the importance of stress management and
nutritional teaching with peer support groups: 3. Include the pt in goal-setting
for healthy weight, have her maintain a food and fitness journal, and obtain & record
her weight weekly.
13. 75 yr old pt with tuberculosis, and has been placed on isolation precau-
tions since being admitted to the hospital.
Which action best indicates that the practical nurse knows how to collect
sputum specimen from the pt?
1. Keep the specimen at room temperature and send to the laboratory for
analysis
2. Collect the specimen in a clean, light occlusive container
3. Instruct the pt to use mouthwash prior to specimen collection
4. Teach the pt to deep breath and cough prior to expectoration: 4. Teach the
pt to deep breath and cough prior to expectoration
1. 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 info for updating a care plan?
1. Do you have any help at home
2. Are your children worried about their father
3. What help does Mr. Robichaud require each day
4. How frequently are you able to visit: 3. What help does Mr. Robichaud require
each day. (This information is critical in the development of a personalized care plan.)
2. 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
2. Encourage the son to spend his days 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: 4. Question son about what part of his father's care he would like to be a part of
3. 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 assistance with a mechanical lift
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
injuries
4. Call for assistance, reassure the resident and provide necessary care: 4. Call
for assistance, reassure the resident and provide necessary care
4. Practical nurse is helping orientate a new employee, an unregulated health
worker. Practical nurse watches the UCP (unregulated care provider) helping
a resident at mealtimes and notices she appears uncomfortable. What should
the nurse do?
1. Suggest that the UCP share her concerns with other employees
2. Partner the UCP with a more experienced unregulated health worker
3. Invite the UCP to attend information sessions on Alzheimers disease
4. Ask the UCP how she feels about caring for clients with Alzheimer's disease-
: 4. Ask the UCP how she feels about caring for clients with Alzheimer's disease
5. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN, oral
hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg daily
and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
, CPNRE Exam Prep Questions and Answers
While watching the pt's back during AM care the PN notices a reddened
area on his sacrum. What is proper documentation 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 reddened: 3. Reddened area over sacrum 3cm
in diameter, skin intact
6. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN, oral
hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg daily
and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
When administering the oral hypoglycemic pill, he states " that doesn't look
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: 3. Re-check the Dr's
orders and the home medication history
7. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN, oral
hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg daily
and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
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: 2. Upper arm
8. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN, oral
hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg daily
and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
The 2nd day on the medical unit, the pt develop diarrhea and begins vomiting.
The Dr orders the IV rate to increase to 150mL/h. 2 hrs later the PN notices that
, CPNRE Exam Prep Questions and Answers
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 exercis-
es
3. Maintain the IV infusion at 150mL/h and notify the physician
4. Notify the physician and anticipate a decrease in the IV rate: 4. Notify the
physician and anticipate a decrease in the IV rate
9. A 68 yr old in the medical unit following an MI has a history of type 2
diabetes mellitus and has orders for IV 0.9% NaCl at 30mL/h, oxygen PRN, oral
hypoglycemic daily, nitroglycerin transdermal patch (Nitro-Dur) 0.4mg daily
and nitroglycerin 0.3mg sublingual PRN for chest discomfort.
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?
1. Assess vital signs & blood glucose, then apply oxygen
2. Apply oxygen, assess vital signs and then assess blood glucose
3. Assess vital signs, apply oxygen, and then give sublingual nitroglycerin
4. Apply oxygen, assess vital signs and provide a warm blanket: 3. Assess vital
signs, apply oxygen, and then give sublingual nitroglycerin
10. 13 yr old female hospitalized with vomiting and generalized stomach pain.
Her parents worry about recent changes in behavior and depressed mood.
Pt tells PN her stomach hurts because she is making herself vomit. Asks PN
not to tell parents, how should PN respond?
1. Tell the pt that the PN is only obliged to report vomiting if it occurs during
her hospitalization
2. Remind the pt that clients have the right to determine what information is
documented and reported
3. Explain to the pt that information is shared with the health care team to
provide appropriate care
4. Reassure the pt that her stomach pains will subside if she stops vomiting
and her condition improves: 3. Explain to the pt that information is shared with the
health care team to provide appropriate care
11. 13 yr old female hospitalized with vomiting and generalized stomach pain.
Her parents worry about recent changes in behavior and depressed mood.
In accordance with the nursing care plan, the PN sits with the pt while she
, CPNRE Exam Prep Questions and Answers
eats her meals and accompanies her to the bathroom. Today, the PN notices
the females facecloths are missing from the bathroom. What action should the
PN take?
1. Discuss the issue of lost facecloths, search the room when the pt is out of
her room and document appropriately
2. Ask the pt where the facecloths are, ask her to return them and chart the
missing facecloths
3. Ask the pt where the facecloths are and chart the suspicion that they are
being used to hide uneaten food
4. Discuss the issue of lost facecloths with the pt and document appropriate
information: 4. Discuss the issue of lost facecloths with the pt and document
appropriate information
12. 13 yr old female hospitalized with vomiting and generalized stomach pain.
Her parents worry about recent changes in behavior and depressed mood.
The pt is concerned about her weight. She exercise and makes food choices
based on not wanting to become fat. She says that she does not feel like
eating. What should the nurse do?
1. Design a diet in consultation with the dietitian and ensure that it is balanced,
contains variety and has the requisite caloric intake.
2. Ask the pt what she likes and dislikes, have her mother bring in food, and
obtain and record her daily weight to demonstrate progress.
3. Include the pt in goal-setting for healthy weight, have her maintain a food
and fitness journal, and obtain & record her weight weekly.
4. Promote a healthy lifestyle, the importance of stress management and
nutritional teaching with peer support groups: 3. Include the pt in goal-setting
for healthy weight, have her maintain a food and fitness journal, and obtain & record
her weight weekly.
13. 75 yr old pt with tuberculosis, and has been placed on isolation precau-
tions since being admitted to the hospital.
Which action best indicates that the practical nurse knows how to collect
sputum specimen from the pt?
1. Keep the specimen at room temperature and send to the laboratory for
analysis
2. Collect the specimen in a clean, light occlusive container
3. Instruct the pt to use mouthwash prior to specimen collection
4. Teach the pt to deep breath and cough prior to expectoration: 4. Teach the
pt to deep breath and cough prior to expectoration
