CPNRE EXAM WITH QUESTIONS AND
ANSWERS 2025 UPDATE.
Which is an adverse effect of digoxin? - ANS bradycardia
What does TKVO mean? - ANS To keep vein open
Mr. Singh is experiencing asthma and acute shortness of breath and wheezing, whats the first
thing you should do? - ANS Administer rescue inhaler
Which of the following is most important when performing a preoperative assessment? - ANS
physical assessment
Which of the following would be elicit the best information about a patients pain? - ANS
Describe your pain to me (open ended)
The practical nurses scope of practice is determined by - ANS legislation and regulatory and
licensure requirments
Intentional torts - ANS Assault
Battery
Invasion of privacy
False imprisonment
Battery - ANS the intentional touching of a person without his or her consent
Unintentional torts - ANS Negligence is a failure to take the care that a reasonable nurse in
similar circumstances would have taken.
Examples of activities that nurses may be charged with - ANS - theft of narcotics
- theft of client or agency property
- assisted suicide
- criminal negligence
Common negligence acts - ANS medication errors, intravenous therapy errors that result in
phlebitis or infiltrations, burns caused by equipment, falls, failure to use aseptic technique,
failure to report, failure to monitor a patients condition, failure to notify a physician
Principles of accountability for nurses - ANS - responsible and accountable for their decisions
and actions
- engage in self reflection and continuous learning to maintain and enhance competence
- accountable and responsible for assessing their individual fitness to practice.
- practical nurses demonstrate and apply knowledge of the distinction between ethical
responsible and legal rights
,Code of nursing ethics - ANS - being accountable for ones actions
- upholding the patients rights to privacy and confidentiality
- providing care that maintains pt dignity
- respect at all times
- promoting integrity by providing safe, competent, and ethical nursing care
- evaluating ones work and maintaining competency
A professional relationship is created through - ANS the nurses application of knowledge,
communication theory, understanding of human behaviour, and commitment to ethical
behaviour.
Four phases of the nurse client relationship - ANS *Pre-interaction*: Gathering information;
assessing one's feelings, fears, and anxieties about working with a particular client
*Orientation*: nurse and client become acquainted. Goal is to establish trust.
*Working*: Goal is to promote client change
*Termination*: Evaluate goal attainment; and ensure therapeutic closure
-penia - ANS reduced amount
Best approach to conflict resolution - ANS collaboration
The repeat back method consists of - ANS identification, situation, background, assessment,
recommendations, repeat back
before consent, patients need to receive - ANS full disclosure of all details of the procedure.
Can practical nurses obtain consent for surgery? - ANS no because they are not conducting the
surgery, but may be a witness
consent can be - ANS verbal, written, and implicit
Example of implicit consent; - ANS client lifting leg for wound care
Cno practice standard for resuscitation is based on these ethical values - ANS - respect for ones
well-being
- client choice
- privacy and confidentiality
- respect for life
- maintaining comittments
- truthfulness and fairness
medication treatment is used for - ANS dx, treatment, cure, relief, and prevention
Idiosyncratic reactions - ANS are unpredictable and occur when an individual overreaction from
the medication or has a different reaction from the norm.
,After a medication is taken it breaks down in the body and is - ANS absorbed, distributed,
metabolized, and excreted
10 rights of medication administration - ANS right medication, right dose, right client, right
route, right time, right documentation, right reason, right to refuse, right client education, right
evaluation
oral medications - ANS given by mouth. easiest route , most common, and has the slowest, most
prolonged effect
sublingual medications - ANS placed under the tongue and should not be swallowed.
parenteral medications - ANS injected into the body tissues. The four main sites are:
- intradermal, subcutaneous (only for volumes of 0.5-1ml)
- intramuscular (for volumes up to 3ml)
- IV
inhalation route - ANS used to administer medications through nasal passages, orally, by
endotracheal tube or via tracheostomy
The nursing process - ANS 1. assessment
2. analysis
3. planning
4. implementation
5. evaluation, outcome, and revision of care
During a documentation session in the hospital, one of the new practical nurses asks what
abbreviations can be used within the patients health record? what abbreviations can the nurse
use? - ANS Must be approved by the agency (hospital)
Which is the most accurate information in regard to patient consent? - ANS The health care
provider proposing the procedure should be the one to obtain written consent.
In the sample clients health record , the new graduate practical nurses discovers that a nurse has
written "verbal order, acetaminophen" but there is no evidence of an emergency situation. which
of the following describes best practice in relation to verbal medication orders? - ANS Verbal
orders are not telephone orders and should not be used, unless in an emergency situation.
A correct medication order - ANS The dose is accurate, the route is identified, the frequency is
identified, and the qualifier is identified.
During orientation a nurse educator explains that the hospital uses evidence informed practice to
guide clinical decision making. which of the following statements best describes evidence
informed practice? - ANS Evidence informed care is the transfer of current research into practice
, which of the following is true in relation to the learning process? - ANS Learning occurs best
when the learner identifies a learning need
A manager explains the effective interpersonal communication with clients and team members
and includes - ANS When genuine and warmth are utilized communication is enhanced
A facility follows a "least restraint policy" what is the most important consideration with a "least
restraint policy"? - ANS All possible alternative interventions have been exhausted before a
restraint is used
The practical nurse charts the behaviour of a client, which statement would be the most
appropriate documentation? - ANS The client was "shaking his fist as the nurse @ 1100" *must
be factual
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? - ANS Standards of nursing practice define the expectation for practical nurses
in various practice settings and situations and generally guide nursing practice
13: The practical nurses knows that she must be able to articulate the differences and similiarities
between various nursing organizations. The mandate of nursing regulatory organizations is
which of the following? - ANS The primary mandate of a health regulatory agency is protection
of the public
14: The practical nurse is trying to distinguish the differences and similarities between standards
of nursing practice and the nursing best practice guidelines. what are the best practice
guidelines? - ANS Evidence informed guidelines are tools that improve client, practical nurse,
and organizational outcomes. They involve care that is based on actual observed and proven
outcomes, not traditional based care.
What does DNR mean? - ANS do not perform cardiopulmonary resuscitation
16: Which member of the interprofessional team would be a beneficial resources for the rpn to
contact regarding a patient who is having difficulty communicating and eating after a
cerebrovascular accident? - ANS The speech pathologist helps people improve their speech and
learn different strategies and ways to communicate. The speech language pathologist also assists
people with swallowing problems.
20: A resident in a long term care facility tells the practical nurses that his legs hurts from the fall
he had an hour ago. The practical nurse was unaware of the fall and obtains details from the UCP
who cared for the resident at the time of the fall. Which statement related to accountability is
correct? - ANS UCP's are accountable for their care, including any actions or inactions taken that
relate to the resident falling.
21: A practical nurse has been asked by his manager to work an extra of 4 hours after his 12 hour
shift because three nurses have called in sick. The practical nurse has worked four 12 hour shifts
ANSWERS 2025 UPDATE.
Which is an adverse effect of digoxin? - ANS bradycardia
What does TKVO mean? - ANS To keep vein open
Mr. Singh is experiencing asthma and acute shortness of breath and wheezing, whats the first
thing you should do? - ANS Administer rescue inhaler
Which of the following is most important when performing a preoperative assessment? - ANS
physical assessment
Which of the following would be elicit the best information about a patients pain? - ANS
Describe your pain to me (open ended)
The practical nurses scope of practice is determined by - ANS legislation and regulatory and
licensure requirments
Intentional torts - ANS Assault
Battery
Invasion of privacy
False imprisonment
Battery - ANS the intentional touching of a person without his or her consent
Unintentional torts - ANS Negligence is a failure to take the care that a reasonable nurse in
similar circumstances would have taken.
Examples of activities that nurses may be charged with - ANS - theft of narcotics
- theft of client or agency property
- assisted suicide
- criminal negligence
Common negligence acts - ANS medication errors, intravenous therapy errors that result in
phlebitis or infiltrations, burns caused by equipment, falls, failure to use aseptic technique,
failure to report, failure to monitor a patients condition, failure to notify a physician
Principles of accountability for nurses - ANS - responsible and accountable for their decisions
and actions
- engage in self reflection and continuous learning to maintain and enhance competence
- accountable and responsible for assessing their individual fitness to practice.
- practical nurses demonstrate and apply knowledge of the distinction between ethical
responsible and legal rights
,Code of nursing ethics - ANS - being accountable for ones actions
- upholding the patients rights to privacy and confidentiality
- providing care that maintains pt dignity
- respect at all times
- promoting integrity by providing safe, competent, and ethical nursing care
- evaluating ones work and maintaining competency
A professional relationship is created through - ANS the nurses application of knowledge,
communication theory, understanding of human behaviour, and commitment to ethical
behaviour.
Four phases of the nurse client relationship - ANS *Pre-interaction*: Gathering information;
assessing one's feelings, fears, and anxieties about working with a particular client
*Orientation*: nurse and client become acquainted. Goal is to establish trust.
*Working*: Goal is to promote client change
*Termination*: Evaluate goal attainment; and ensure therapeutic closure
-penia - ANS reduced amount
Best approach to conflict resolution - ANS collaboration
The repeat back method consists of - ANS identification, situation, background, assessment,
recommendations, repeat back
before consent, patients need to receive - ANS full disclosure of all details of the procedure.
Can practical nurses obtain consent for surgery? - ANS no because they are not conducting the
surgery, but may be a witness
consent can be - ANS verbal, written, and implicit
Example of implicit consent; - ANS client lifting leg for wound care
Cno practice standard for resuscitation is based on these ethical values - ANS - respect for ones
well-being
- client choice
- privacy and confidentiality
- respect for life
- maintaining comittments
- truthfulness and fairness
medication treatment is used for - ANS dx, treatment, cure, relief, and prevention
Idiosyncratic reactions - ANS are unpredictable and occur when an individual overreaction from
the medication or has a different reaction from the norm.
,After a medication is taken it breaks down in the body and is - ANS absorbed, distributed,
metabolized, and excreted
10 rights of medication administration - ANS right medication, right dose, right client, right
route, right time, right documentation, right reason, right to refuse, right client education, right
evaluation
oral medications - ANS given by mouth. easiest route , most common, and has the slowest, most
prolonged effect
sublingual medications - ANS placed under the tongue and should not be swallowed.
parenteral medications - ANS injected into the body tissues. The four main sites are:
- intradermal, subcutaneous (only for volumes of 0.5-1ml)
- intramuscular (for volumes up to 3ml)
- IV
inhalation route - ANS used to administer medications through nasal passages, orally, by
endotracheal tube or via tracheostomy
The nursing process - ANS 1. assessment
2. analysis
3. planning
4. implementation
5. evaluation, outcome, and revision of care
During a documentation session in the hospital, one of the new practical nurses asks what
abbreviations can be used within the patients health record? what abbreviations can the nurse
use? - ANS Must be approved by the agency (hospital)
Which is the most accurate information in regard to patient consent? - ANS The health care
provider proposing the procedure should be the one to obtain written consent.
In the sample clients health record , the new graduate practical nurses discovers that a nurse has
written "verbal order, acetaminophen" but there is no evidence of an emergency situation. which
of the following describes best practice in relation to verbal medication orders? - ANS Verbal
orders are not telephone orders and should not be used, unless in an emergency situation.
A correct medication order - ANS The dose is accurate, the route is identified, the frequency is
identified, and the qualifier is identified.
During orientation a nurse educator explains that the hospital uses evidence informed practice to
guide clinical decision making. which of the following statements best describes evidence
informed practice? - ANS Evidence informed care is the transfer of current research into practice
, which of the following is true in relation to the learning process? - ANS Learning occurs best
when the learner identifies a learning need
A manager explains the effective interpersonal communication with clients and team members
and includes - ANS When genuine and warmth are utilized communication is enhanced
A facility follows a "least restraint policy" what is the most important consideration with a "least
restraint policy"? - ANS All possible alternative interventions have been exhausted before a
restraint is used
The practical nurse charts the behaviour of a client, which statement would be the most
appropriate documentation? - ANS The client was "shaking his fist as the nurse @ 1100" *must
be factual
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? - ANS Standards of nursing practice define the expectation for practical nurses
in various practice settings and situations and generally guide nursing practice
13: The practical nurses knows that she must be able to articulate the differences and similiarities
between various nursing organizations. The mandate of nursing regulatory organizations is
which of the following? - ANS The primary mandate of a health regulatory agency is protection
of the public
14: The practical nurse is trying to distinguish the differences and similarities between standards
of nursing practice and the nursing best practice guidelines. what are the best practice
guidelines? - ANS Evidence informed guidelines are tools that improve client, practical nurse,
and organizational outcomes. They involve care that is based on actual observed and proven
outcomes, not traditional based care.
What does DNR mean? - ANS do not perform cardiopulmonary resuscitation
16: Which member of the interprofessional team would be a beneficial resources for the rpn to
contact regarding a patient who is having difficulty communicating and eating after a
cerebrovascular accident? - ANS The speech pathologist helps people improve their speech and
learn different strategies and ways to communicate. The speech language pathologist also assists
people with swallowing problems.
20: A resident in a long term care facility tells the practical nurses that his legs hurts from the fall
he had an hour ago. The practical nurse was unaware of the fall and obtains details from the UCP
who cared for the resident at the time of the fall. Which statement related to accountability is
correct? - ANS UCP's are accountable for their care, including any actions or inactions taken that
relate to the resident falling.
21: A practical nurse has been asked by his manager to work an extra of 4 hours after his 12 hour
shift because three nurses have called in sick. The practical nurse has worked four 12 hour shifts
