Canadian Practical Nurse Registration Exam (CPNRE)
practice Test Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A | Instant
Download Pdf
1. A client with chronic obstructive pulmonary disease (COPD) is receiving
oxygen therapy. The nurse should monitor for which complication?
Carbon dioxide retention
Clients with COPD rely on hypoxic drive; high-flow oxygen can suppress their
respiratory drive and lead to CO2 retention.
2. Which action best demonstrates client-centered care?
Including the client in decision-making about their care plan
Client-centered care emphasizes autonomy and respect for client
preferences.
3. A post-operative client reports pain 8/10. What is the nurse’s priority?
Administer prescribed analgesic
Uncontrolled pain can impede recovery; prompt relief is essential.
4. A client with diabetes is shaky and diaphoretic. Blood glucose is 3.2
mmol/L. What should the nurse do first?
Provide a fast-acting carbohydrate
Immediate treatment of hypoglycemia requires a quick source of glucose.
,5. Which finding requires immediate nursing intervention?
Client with asthma reporting increasing difficulty breathing
Respiratory distress is a priority due to potential airway compromise.
6. When teaching a client about warfarin therapy, the nurse should
emphasize:
Report signs of bleeding to the healthcare provider
Warfarin increases bleeding risk; early reporting prevents complications.
7. A client with dementia is wandering at night. The best intervention is:
Implement safety measures such as bed alarms and safe environment
Ensuring safety is the priority while maintaining dignity.
8. Which is an example of a therapeutic communication technique?
“Tell me more about how you are feeling.”
Open-ended questions encourage client expression and exploration.
9. Which client should the nurse assess first?
Post-surgical client with sudden chest pain and shortness of breath
These symptoms suggest pulmonary embolism, a medical emergency.
10.A client with heart failure has gained 2 kg in 24 hours. The nurse should:
Notify the healthcare provider
Rapid weight gain indicates fluid retention and worsening heart failure.
11.Which intervention supports infection control?
Performing hand hygiene before and after client contact
Hand hygiene is the most effective method to prevent infection
transmission.
,12.A client with depression states, “I don’t want to live anymore.” The nurse’s
priority is:
Ensure client safety by initiating suicide precautions
Suicidal ideation requires immediate protective interventions.
13.Which action is appropriate when caring for a client with a nasogastric
tube?
Verify tube placement before administering medications
Ensuring correct placement prevents aspiration and complications.
14.A client with hypertension is prescribed a diuretic. The nurse should
monitor for:
Electrolyte imbalances
Diuretics can cause potassium and sodium disturbances.
15.When delegating to an unregulated care provider (UCP), the nurse must:
Ensure the task is within the UCP’s scope of practice
Nurses remain accountable for appropriate delegation.
16.A client reports nausea after chemotherapy. The nurse should:
Administer prescribed antiemetic
Prompt management improves comfort and prevents dehydration.
17.Which statement by a client taking antibiotics indicates a need for
teaching?
“I’ll stop taking them when I feel better.”
Antibiotics must be completed to prevent resistance.
, 18.A client is being discharged with a new colostomy. The nurse should:
Provide education on stoma care and resources for support
Teaching promotes self-care and confidence in managing the colostomy.
19.Which action prevents pressure injuries?
Repositioning the client every 2 hours
Regular repositioning reduces pressure and maintains circulation.
20.A client with pneumonia has thick secretions. What intervention is most
helpful?
Encourage increased fluid intake
Hydration thins secretions, aiding expectoration.
21.A client with schizophrenia reports hearing voices. The nurse’s best
response is:
“I understand the voices are real to you, but I do not hear them.”
Acknowledging the client’s experience while maintaining reality orientation
is therapeutic.
22.Which client teaching is correct for nitroglycerin use?
Take one tablet every 5 minutes for chest pain, up to three doses
This is the proper emergency protocol for angina management.
23.A client with anemia may exhibit which clinical sign?
Fatigue and pallor
Decreased hemoglobin reduces oxygen delivery, causing these symptoms.
24.Which vital sign change indicates hypovolemic shock?
Increased heart rate, decreased blood pressure
Tachycardia and hypotension are classic signs of fluid loss.
practice Test Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A | Instant
Download Pdf
1. A client with chronic obstructive pulmonary disease (COPD) is receiving
oxygen therapy. The nurse should monitor for which complication?
Carbon dioxide retention
Clients with COPD rely on hypoxic drive; high-flow oxygen can suppress their
respiratory drive and lead to CO2 retention.
2. Which action best demonstrates client-centered care?
Including the client in decision-making about their care plan
Client-centered care emphasizes autonomy and respect for client
preferences.
3. A post-operative client reports pain 8/10. What is the nurse’s priority?
Administer prescribed analgesic
Uncontrolled pain can impede recovery; prompt relief is essential.
4. A client with diabetes is shaky and diaphoretic. Blood glucose is 3.2
mmol/L. What should the nurse do first?
Provide a fast-acting carbohydrate
Immediate treatment of hypoglycemia requires a quick source of glucose.
,5. Which finding requires immediate nursing intervention?
Client with asthma reporting increasing difficulty breathing
Respiratory distress is a priority due to potential airway compromise.
6. When teaching a client about warfarin therapy, the nurse should
emphasize:
Report signs of bleeding to the healthcare provider
Warfarin increases bleeding risk; early reporting prevents complications.
7. A client with dementia is wandering at night. The best intervention is:
Implement safety measures such as bed alarms and safe environment
Ensuring safety is the priority while maintaining dignity.
8. Which is an example of a therapeutic communication technique?
“Tell me more about how you are feeling.”
Open-ended questions encourage client expression and exploration.
9. Which client should the nurse assess first?
Post-surgical client with sudden chest pain and shortness of breath
These symptoms suggest pulmonary embolism, a medical emergency.
10.A client with heart failure has gained 2 kg in 24 hours. The nurse should:
Notify the healthcare provider
Rapid weight gain indicates fluid retention and worsening heart failure.
11.Which intervention supports infection control?
Performing hand hygiene before and after client contact
Hand hygiene is the most effective method to prevent infection
transmission.
,12.A client with depression states, “I don’t want to live anymore.” The nurse’s
priority is:
Ensure client safety by initiating suicide precautions
Suicidal ideation requires immediate protective interventions.
13.Which action is appropriate when caring for a client with a nasogastric
tube?
Verify tube placement before administering medications
Ensuring correct placement prevents aspiration and complications.
14.A client with hypertension is prescribed a diuretic. The nurse should
monitor for:
Electrolyte imbalances
Diuretics can cause potassium and sodium disturbances.
15.When delegating to an unregulated care provider (UCP), the nurse must:
Ensure the task is within the UCP’s scope of practice
Nurses remain accountable for appropriate delegation.
16.A client reports nausea after chemotherapy. The nurse should:
Administer prescribed antiemetic
Prompt management improves comfort and prevents dehydration.
17.Which statement by a client taking antibiotics indicates a need for
teaching?
“I’ll stop taking them when I feel better.”
Antibiotics must be completed to prevent resistance.
, 18.A client is being discharged with a new colostomy. The nurse should:
Provide education on stoma care and resources for support
Teaching promotes self-care and confidence in managing the colostomy.
19.Which action prevents pressure injuries?
Repositioning the client every 2 hours
Regular repositioning reduces pressure and maintains circulation.
20.A client with pneumonia has thick secretions. What intervention is most
helpful?
Encourage increased fluid intake
Hydration thins secretions, aiding expectoration.
21.A client with schizophrenia reports hearing voices. The nurse’s best
response is:
“I understand the voices are real to you, but I do not hear them.”
Acknowledging the client’s experience while maintaining reality orientation
is therapeutic.
22.Which client teaching is correct for nitroglycerin use?
Take one tablet every 5 minutes for chest pain, up to three doses
This is the proper emergency protocol for angina management.
23.A client with anemia may exhibit which clinical sign?
Fatigue and pallor
Decreased hemoglobin reduces oxygen delivery, causing these symptoms.
24.Which vital sign change indicates hypovolemic shock?
Increased heart rate, decreased blood pressure
Tachycardia and hypotension are classic signs of fluid loss.
