CPNRE FINAL EXAM WITH QUESTIONS
AND ANSWERS 2025 LATEST UPDATE.
A practical nurse is completing a home-care visit with an elderly client who is ready to be
discharged from homecare services. This is the nurse's last visit. Each time that the nurse
attempts to leave, the client offers a new subject and attempts to delay the nurse's departure.
What is the best action by the practical nurse?
a.
Abruptly tell the client that the session has ended and that the nurse must leave.
b.
Be firm and clear about the termination of the relationship and solicit feedback from the client.
c.
Set up an appointment for an additional home-care visit.
d.
Plan to meet the client for coffee the following Sunday. - ANS b
A new mother tells the practical nurse that she is concerned she will not know if her baby is
getting enough breast milk. Which of the following findings best indicates that the baby is
getting adequate nutrition?
a.
The baby's weight increases after each feeding.
b.
The baby sleeps for five or six hours between feedings.
c.
The baby passes a stool each day.
d.
The baby wets 6-8 diapers in a 24-hour period. - ANS d
A 7-year old boy on the unit is 12 hours post-operative after repair of a compound fracture of the
left tibia. Which of the following would the practical nurse recognize as requiring immediate
attention?
a.
bruising of the fingers
b.
pallor of the nailbeds
c.
capillary refill of 2 seconds
d.
edema of the extremity - ANS b
, The practical nurse is preparing an intradermal injection. Which of the following angles is the
recommended angle for insertion?
a.
5-15 degress
b.
45-90 degrees
c.
30-45 degrees
d.
20-30 degrees - ANS a
Mr. Williams, 27-year-old, is being discharged home following outpatient surgery. The
physician has provided a prescription for Tylenol #3, p.o. q4h prn for pain. Which of the
following discharge instructions are most important?
a.
limit exposure to the sun while taking this medication
b.
increase intake of fiber and fluids while taking this medication
c.
always take this medication on an empty stomach
d.
always take this medication with food - ANS b
A unregulated care provider (UCP) is employed at a hospital and is working under the direction
of a registered practical nurse. The UCP is in the third year of a registered nurse program and has
been administering medications and performing procedures during clinical experiences as a
student nurse. Which actions describe the most appropriate delegation to the UCP by the
practical nurse?
a.
Asks the UCP to complete an independent check of a dose the RPN is to administer in an insulin
pen.
b.
Asks the UCP to witness a client's consent prior to surgery.
c.
Asks the UCP to secure a wheelchair and take a client for a chest x-ray.
d.
Asks the UCP to prepare oral medications for a stable client. - ANS c
What measures should the practical nurse take to promote the client's relaxation following an
acute episode of asthma?
a.
keep the air in the room warm and humid
AND ANSWERS 2025 LATEST UPDATE.
A practical nurse is completing a home-care visit with an elderly client who is ready to be
discharged from homecare services. This is the nurse's last visit. Each time that the nurse
attempts to leave, the client offers a new subject and attempts to delay the nurse's departure.
What is the best action by the practical nurse?
a.
Abruptly tell the client that the session has ended and that the nurse must leave.
b.
Be firm and clear about the termination of the relationship and solicit feedback from the client.
c.
Set up an appointment for an additional home-care visit.
d.
Plan to meet the client for coffee the following Sunday. - ANS b
A new mother tells the practical nurse that she is concerned she will not know if her baby is
getting enough breast milk. Which of the following findings best indicates that the baby is
getting adequate nutrition?
a.
The baby's weight increases after each feeding.
b.
The baby sleeps for five or six hours between feedings.
c.
The baby passes a stool each day.
d.
The baby wets 6-8 diapers in a 24-hour period. - ANS d
A 7-year old boy on the unit is 12 hours post-operative after repair of a compound fracture of the
left tibia. Which of the following would the practical nurse recognize as requiring immediate
attention?
a.
bruising of the fingers
b.
pallor of the nailbeds
c.
capillary refill of 2 seconds
d.
edema of the extremity - ANS b
, The practical nurse is preparing an intradermal injection. Which of the following angles is the
recommended angle for insertion?
a.
5-15 degress
b.
45-90 degrees
c.
30-45 degrees
d.
20-30 degrees - ANS a
Mr. Williams, 27-year-old, is being discharged home following outpatient surgery. The
physician has provided a prescription for Tylenol #3, p.o. q4h prn for pain. Which of the
following discharge instructions are most important?
a.
limit exposure to the sun while taking this medication
b.
increase intake of fiber and fluids while taking this medication
c.
always take this medication on an empty stomach
d.
always take this medication with food - ANS b
A unregulated care provider (UCP) is employed at a hospital and is working under the direction
of a registered practical nurse. The UCP is in the third year of a registered nurse program and has
been administering medications and performing procedures during clinical experiences as a
student nurse. Which actions describe the most appropriate delegation to the UCP by the
practical nurse?
a.
Asks the UCP to complete an independent check of a dose the RPN is to administer in an insulin
pen.
b.
Asks the UCP to witness a client's consent prior to surgery.
c.
Asks the UCP to secure a wheelchair and take a client for a chest x-ray.
d.
Asks the UCP to prepare oral medications for a stable client. - ANS c
What measures should the practical nurse take to promote the client's relaxation following an
acute episode of asthma?
a.
keep the air in the room warm and humid
