CPNRE Exam Prep correctly answered to pass 150
QUESTIONS AND ANSWERS
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.)
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
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
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
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.
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
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
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
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 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 exercises
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
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
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
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 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
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.
75 yr old pt with tuberculosis, and has been placed on isolation precautions 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
75 yr old pt with tuberculosis, and has been placed on isolation precautions since
being admitted to the hospital.
While in the pt room doing routine care, what is the most crucial health
information about TB that the practical nurse should provide to the pt?
1. His contacts do not need to worry about contracting TB
2. He must comply with medication protocol on discharge
3. He should follow a well-balanced diet
4. His fluid intake should ensure adequate hydration
2. He must comply with medication protocol on discharge
75 yr old pt with tuberculosis, and has been placed on isolation precautions since
being admitted to the hospital.
What would offer the best protection to the PN when providing direct care to the
pt?
1. A mask
2. Sterile gloves
3. A gown
4. Goggles
1. A mask
A pt, 68 years old, has chronic renal failure. She has been on peritoneal dialysis
for the past 2 years. Her daughter brought her to the Emergency Department last
night with a fever. Infection of her peritoneal dialysis catheter is suspected.
The pt is started on IV therapy what complication is most likely to occur bc of
QUESTIONS AND ANSWERS
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.)
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
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
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
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.
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
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
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
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 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 exercises
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
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
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
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 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
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.
75 yr old pt with tuberculosis, and has been placed on isolation precautions 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
75 yr old pt with tuberculosis, and has been placed on isolation precautions since
being admitted to the hospital.
While in the pt room doing routine care, what is the most crucial health
information about TB that the practical nurse should provide to the pt?
1. His contacts do not need to worry about contracting TB
2. He must comply with medication protocol on discharge
3. He should follow a well-balanced diet
4. His fluid intake should ensure adequate hydration
2. He must comply with medication protocol on discharge
75 yr old pt with tuberculosis, and has been placed on isolation precautions since
being admitted to the hospital.
What would offer the best protection to the PN when providing direct care to the
pt?
1. A mask
2. Sterile gloves
3. A gown
4. Goggles
1. A mask
A pt, 68 years old, has chronic renal failure. She has been on peritoneal dialysis
for the past 2 years. Her daughter brought her to the Emergency Department last
night with a fever. Infection of her peritoneal dialysis catheter is suspected.
The pt is started on IV therapy what complication is most likely to occur bc of
