Canadian PN Exam, Mosby Questions and Answers
1. During a documentation session, one of the new nurses asks what abbre-
viations can be used within pt health record. What abbreviations should the
nurse use
a. abbreviations learned in school
b. abbreviations approved by the Canadian Nurses Association
c. abbreviations approved by the hospital
d, abbreviations that are common use on specific units within the hospital-
ANSWER -c. abbreviations approved by the hospital
2. which statement is most accurate regarding pt consent
a. nurses are responsible for ensuring that pt signs all consent forms on health
record
b. healthcare provider proposing the procedure requiring written consent is
the person who must ensure written consent is obtained
c. verbal consent for operative procedures is acceptable. Written consent isn't
necessary
d. when pt is admitted to hospital, they sign a written consent covering all tx-
ANSWER -b. healthcare provider proposing the procedure requiring written
consent is the person who must ensure written consent is obtained
3. in the health record, a nurse has written
"verbal order acetominophen 325 mg PO prn for pain."
There is no evidence that this was an emergency.
Which of the following describes best practice r/t verbal orders
a. verbal orders are to be avoided except in an emergency
b. nurse should follow the same practice for verbal orders as telephone orders
c. verbal orders should never be accepted even in emergencies
d. only RN may receive verbal order from dr- ANSWER -a. verbal orders are to
be avoided except in an emergency situation
4. new grad reviews a variety of orders on sample health records. Which of the
following is a correct order
a. acetaminophen 325 mg PO for pain
b. acetaminophen 325-650 mg PO for pain q4-6h prn
c. acetaminophen 325-650 mg PO for pain as needed
d. acetaminophen 325 or 650 mg q4-6h prn- ANSWER -b. acetaminophen 325-
650 mg PO for pain q4-6h prn
, Canadian PN Exam, Mosby Questions and Answers
5. during orientation, nurse educator states the hospital uses evidence in-
formed practice to guide clinical decision making. what best describes evi-
dence informed practice
a. opportunity to obtain govt funding
b. opportunity to transfer research findings into clinical practice
c. chance for professionals to trial untested findings
d. way to promote enhanced assessment skills- ANSWER -b. opportunity to
transfer re- search findings into clinical practice
6. A manager of home care nurses has noticed over the past 3 months a lack
of clarity about the roles of the team members, poor team morale, increasing
negative communication, and team conflict. The manager decides to support
her staff by providing an education session.
One of the new team members is a nurse practitioner (NP). How should the
manager describe the level of education for the NP?
a. A nurse who has specialty certification from the Canadian Nurses Associ-
ation
b. A nurse who has taken a special interest course in a unique field
c. A nurse who has an undergraduate degree in a discipline other than nursing
d. A nurse educated at the master's level with a specialization in a particular
practice area- ANSWER -d, A nurse practitioner is usually educated at the master's
level.
7. The manager is preparing the education session for her staff group. Which
of the following is true in relation to the teaching and learning process?
a. It is important to use the same approach with all types of learners.
b. It is better to introduce all new knowledge instead of connecting it to
previously learned knowledge.
c. Learning occurs best when the individual has an identified need to learn.
d. It is always best to deliver education quickly and at the same time of day.-
ANSWER -c, Learning occurs best when the learner identifies a learning need.
8. The manager explains that effective interpersonal communication with
clients and team members includes which of the following?
a. The use of "you" statements when interacting with clients and colleagues
b. The use of warmth and genuineness in interactions
c. The use of questions that elicit single-word responses in order to promote
efficient communication
d. The use of frequent self-disclosure to ensure that others will share your
point of view- ANSWER -b, When genuineness and warmth are utilized, the
communication is more effective
, Canadian PN Exam, Mosby Questions and Answers
9. In situations in which a team conflict has arisen, what would be the best
statement by the manager to her staff?
a. "We should put aside our differences and work together as a team."
b. "I think we should employ a conflict-resolution specialist to help us."
c. "Let's have a discussion about what we can agree is expected team behav-
iour."
d. "These are the guidelines for team behaviour in this agency."- ANSWER -c,
"Let's have a discussion about what we can agree is expected team behaviour."
10. A practical nurse works in a long-term care facility where many of the
residents experience acute agitation.
The facility follows a "least-restraint policy." What is the most important
consideration with a "least-restraint policy"?
1. That a family conference is organized prior to the implementation of a
restraint
2. That all possible alternative interventions have been exhausted before a
restraint is implemented
3. That the client has no manifestations of delirium or dementia
4. That the client has signed consent for the application of restraints-
ANSWER -2. That all possible alternative interventions have been exhausted
before a restraint is implemented
11. The practical nurse charts the behaviour of a client. Which of the following
statements would be the most appropriate documentation?
1. "The client was agitated today."
2. "The client was confused this morning."
3. "The client was shaking his fist at the practical nurse at 1100 hours."
4. "The client was behaving inappropriately during the evening shift."-
ANSWER -3. "The client was shaking his fist at the practical nurse at 1100 hours."
12. The practical nurse consults the provincial or territorial standards of
nursing practice when contemplating the use of restraints. What is the most
important purpose for using standards of nursing practice?
1. Standards will help the practical nurse make decisions about ongoing
learning needs.
2. Standards will act as a guide to the practical nurse's clinical decision
making.
3. Standards will help the practical nurse in malpractice situations.
4. Standards will guide the practical nurse to be aware of protection of per-
sonal health, safety, and welfare.- ANSWER -2. Standards will act as a guide to
the practical nurse's clinical decision making.
, Canadian PN Exam, Mosby Questions and Answers
13. A practical nurse has immigrated to Canada from Poland. She received her
nursing education in Poland and is now studying for the Canadian Practical
Nurse Registration Examination (CPNRE). She has discovered many differ-
ences in terms and meaning between nursing practice in Canada and nursing
practice in Poland.
The practical nurse knows she must be able to articulate the differences and
similarities between various nursing organizations. The mandate of nursing
regulatory organizations is which of the following?
1. Protection of the public
2. Protection of nurses
3. Protection of nursing employers
4. Protection of all regulated healthcare providers- ANSWER -1. Protection of
the public
14. The practical nurse is trying to distinguish the difference between stan-
dards of nursing practice and the nursing Best Practice Guidelines. What are
the Best Practice Guidelines?
1. Classifications that assist in the analysis and grouping of data
2. Advance directives that clearly indicate the client's wishes and needs
3. Tools based on proven criteria that improve client, nurse, and organizational
outcomes
4. Policies that guide compassionate care and ethical nursing decisions-
ANSWER -3. Tools based on proven criteria that improve client, nurse, and
organizational out- comes
15. The practical nurse has noticed the term DNR in one of the sample ques-
tions in the exam preparatory book. What does DNR mean?
1. Do not perform cardiopulmonary resuscitation
2. Do not administer cardiac compressions
3. Do not perform any life-saving actions
4. Do not perform any form of resuscitation that has not been agreed upon by
the client or substitute decision maker- ANSWER -4. Do not perform any form
of resuscita- tion that has not been agreed upon by the client or substitute
decision maker
16. Which member of the interprofessional team would be a beneficial re-
source for the practical nurse to consult with regarding her client who has
difficulty communicating and eating after a cerebrovascular accident?
1. Physiotherapist
2. Speech-language pathologist
3. Dietitian
1. During a documentation session, one of the new nurses asks what abbre-
viations can be used within pt health record. What abbreviations should the
nurse use
a. abbreviations learned in school
b. abbreviations approved by the Canadian Nurses Association
c. abbreviations approved by the hospital
d, abbreviations that are common use on specific units within the hospital-
ANSWER -c. abbreviations approved by the hospital
2. which statement is most accurate regarding pt consent
a. nurses are responsible for ensuring that pt signs all consent forms on health
record
b. healthcare provider proposing the procedure requiring written consent is
the person who must ensure written consent is obtained
c. verbal consent for operative procedures is acceptable. Written consent isn't
necessary
d. when pt is admitted to hospital, they sign a written consent covering all tx-
ANSWER -b. healthcare provider proposing the procedure requiring written
consent is the person who must ensure written consent is obtained
3. in the health record, a nurse has written
"verbal order acetominophen 325 mg PO prn for pain."
There is no evidence that this was an emergency.
Which of the following describes best practice r/t verbal orders
a. verbal orders are to be avoided except in an emergency
b. nurse should follow the same practice for verbal orders as telephone orders
c. verbal orders should never be accepted even in emergencies
d. only RN may receive verbal order from dr- ANSWER -a. verbal orders are to
be avoided except in an emergency situation
4. new grad reviews a variety of orders on sample health records. Which of the
following is a correct order
a. acetaminophen 325 mg PO for pain
b. acetaminophen 325-650 mg PO for pain q4-6h prn
c. acetaminophen 325-650 mg PO for pain as needed
d. acetaminophen 325 or 650 mg q4-6h prn- ANSWER -b. acetaminophen 325-
650 mg PO for pain q4-6h prn
, Canadian PN Exam, Mosby Questions and Answers
5. during orientation, nurse educator states the hospital uses evidence in-
formed practice to guide clinical decision making. what best describes evi-
dence informed practice
a. opportunity to obtain govt funding
b. opportunity to transfer research findings into clinical practice
c. chance for professionals to trial untested findings
d. way to promote enhanced assessment skills- ANSWER -b. opportunity to
transfer re- search findings into clinical practice
6. A manager of home care nurses has noticed over the past 3 months a lack
of clarity about the roles of the team members, poor team morale, increasing
negative communication, and team conflict. The manager decides to support
her staff by providing an education session.
One of the new team members is a nurse practitioner (NP). How should the
manager describe the level of education for the NP?
a. A nurse who has specialty certification from the Canadian Nurses Associ-
ation
b. A nurse who has taken a special interest course in a unique field
c. A nurse who has an undergraduate degree in a discipline other than nursing
d. A nurse educated at the master's level with a specialization in a particular
practice area- ANSWER -d, A nurse practitioner is usually educated at the master's
level.
7. The manager is preparing the education session for her staff group. Which
of the following is true in relation to the teaching and learning process?
a. It is important to use the same approach with all types of learners.
b. It is better to introduce all new knowledge instead of connecting it to
previously learned knowledge.
c. Learning occurs best when the individual has an identified need to learn.
d. It is always best to deliver education quickly and at the same time of day.-
ANSWER -c, Learning occurs best when the learner identifies a learning need.
8. The manager explains that effective interpersonal communication with
clients and team members includes which of the following?
a. The use of "you" statements when interacting with clients and colleagues
b. The use of warmth and genuineness in interactions
c. The use of questions that elicit single-word responses in order to promote
efficient communication
d. The use of frequent self-disclosure to ensure that others will share your
point of view- ANSWER -b, When genuineness and warmth are utilized, the
communication is more effective
, Canadian PN Exam, Mosby Questions and Answers
9. In situations in which a team conflict has arisen, what would be the best
statement by the manager to her staff?
a. "We should put aside our differences and work together as a team."
b. "I think we should employ a conflict-resolution specialist to help us."
c. "Let's have a discussion about what we can agree is expected team behav-
iour."
d. "These are the guidelines for team behaviour in this agency."- ANSWER -c,
"Let's have a discussion about what we can agree is expected team behaviour."
10. A practical nurse works in a long-term care facility where many of the
residents experience acute agitation.
The facility follows a "least-restraint policy." What is the most important
consideration with a "least-restraint policy"?
1. That a family conference is organized prior to the implementation of a
restraint
2. That all possible alternative interventions have been exhausted before a
restraint is implemented
3. That the client has no manifestations of delirium or dementia
4. That the client has signed consent for the application of restraints-
ANSWER -2. That all possible alternative interventions have been exhausted
before a restraint is implemented
11. The practical nurse charts the behaviour of a client. Which of the following
statements would be the most appropriate documentation?
1. "The client was agitated today."
2. "The client was confused this morning."
3. "The client was shaking his fist at the practical nurse at 1100 hours."
4. "The client was behaving inappropriately during the evening shift."-
ANSWER -3. "The client was shaking his fist at the practical nurse at 1100 hours."
12. The practical nurse consults the provincial or territorial standards of
nursing practice when contemplating the use of restraints. What is the most
important purpose for using standards of nursing practice?
1. Standards will help the practical nurse make decisions about ongoing
learning needs.
2. Standards will act as a guide to the practical nurse's clinical decision
making.
3. Standards will help the practical nurse in malpractice situations.
4. Standards will guide the practical nurse to be aware of protection of per-
sonal health, safety, and welfare.- ANSWER -2. Standards will act as a guide to
the practical nurse's clinical decision making.
, Canadian PN Exam, Mosby Questions and Answers
13. A practical nurse has immigrated to Canada from Poland. She received her
nursing education in Poland and is now studying for the Canadian Practical
Nurse Registration Examination (CPNRE). She has discovered many differ-
ences in terms and meaning between nursing practice in Canada and nursing
practice in Poland.
The practical nurse knows she must be able to articulate the differences and
similarities between various nursing organizations. The mandate of nursing
regulatory organizations is which of the following?
1. Protection of the public
2. Protection of nurses
3. Protection of nursing employers
4. Protection of all regulated healthcare providers- ANSWER -1. Protection of
the public
14. The practical nurse is trying to distinguish the difference between stan-
dards of nursing practice and the nursing Best Practice Guidelines. What are
the Best Practice Guidelines?
1. Classifications that assist in the analysis and grouping of data
2. Advance directives that clearly indicate the client's wishes and needs
3. Tools based on proven criteria that improve client, nurse, and organizational
outcomes
4. Policies that guide compassionate care and ethical nursing decisions-
ANSWER -3. Tools based on proven criteria that improve client, nurse, and
organizational out- comes
15. The practical nurse has noticed the term DNR in one of the sample ques-
tions in the exam preparatory book. What does DNR mean?
1. Do not perform cardiopulmonary resuscitation
2. Do not administer cardiac compressions
3. Do not perform any life-saving actions
4. Do not perform any form of resuscitation that has not been agreed upon by
the client or substitute decision maker- ANSWER -4. Do not perform any form
of resuscita- tion that has not been agreed upon by the client or substitute
decision maker
16. Which member of the interprofessional team would be a beneficial re-
source for the practical nurse to consult with regarding her client who has
difficulty communicating and eating after a cerebrovascular accident?
1. Physiotherapist
2. Speech-language pathologist
3. Dietitian
