CPNRE PREP YARDSTICK PRACTICE EXAMS
B. Encourage her to express her feelings
The practical nurse should first discuss the issue with the client. - -Mrs. McLean, 61 year
old, is admitted with heart failure. She present with a productive cough, dyspnea and lower
leg edema. She is receiving oxygen 4 L per minute via nasal cannula.she has an order for
oxygen for digoxin 0.125mg, propranolol (Inderal)80 mg and furosemide (Lasix) 40 mg
Mrs Maclean is having difficulty coping with her deteriorating health. How should the
practical nurse proceed?
A. Contact the physician for an order of antidepressants
B. Encourage her to express her feelings.
C. Discuss Medical Assistance in Dying (MAID).
D. Arrange a visit from a spiritual advisor.
-D. Raise the head of the bed
Placing the client in an upright position allows for improved lung expansion. - -Mrs.
McLean, 61 year old, is admitted with heart failure. She present with a productive cough,
dyspnea and lower leg edema. She is receiving oxygen 4 L per minute via nasal cannula.she
has an order for oxygen for digoxin 0.125mg, propranolol (Inderal)80 mg and furosemide
(Lasix) 40 mg
Mrs. Mac Lean's respiratory rate increase to 28 breaths per minute at rest. What should the
practical nurse do first?
A. Contact the physician immediately
B. Collaborate with the nurse-in-charge
C. Increase oxygen to 6 L per minute
D. Raise the head of the bed.
-A. Encourage her to take her medication in the morning
The client will often to void after going to bed due to fluid in the legs returning to the heart
and then the kidneys for filtering after they lie down. To help the client get undisturbed
rest as possible, furosemide should be taken earlier in the day. - -Mrs. McLean, 61 year old,
is admitted with heart failure. She present with a productive cough, dyspnea and lower leg
edema. She is receiving oxygen 4 L per minute via nasal cannula.she has an order for
oxygen for digoxin 0.125mg, propranolol (Inderal)80 mg and furosemide (Lasix) 40 mg
Upon discharge, Mrs Maclean tells the PN that she plans to take half the prescribed dose of
furosemide because she will be up all night going to the bathroom. What should the
practical nurse do first?
,A. Encourage her to take the medication in the morning
B. Suggest that she go to bed later in the evening
C. Recommend that she stops fluid intake 6 hours before bedtime
D. Encourage the use of inconvenient product
-B. Collaborate with a nursing colleague
This action satisfies the requirements of being responsible for individual competence,
being aware that more education is needed and seeking guidance when necessary. - -Mrs.
McLean, 61 year old, is admitted with heart failure. She present with a productive cough,
dyspnea and lower leg edema. She is receiving oxygen 4 L per minute via nasal cannula.she
has an order for oxygen for digoxin 0.125mg, propranolol (Inderal)80 mg and furosemide
(Lasix) 40 mg
The practical nurse is having difficulty recognizing lung sounds. How should the practical
nurse proceed?
A. Delegate activity to a college
B. Collaborate with a nursing colleague
C. Refer to baseline documentation
D. Reassess the client within 4 hours
-D. Obtain an order for serum digoxin level
Request digitalis blood level is the best action, as digitalis toxicity is suspected. - -Mrs.
McLean, 61 year old, is admitted with heart failure. She present with a productive cough,
dyspnea and lower leg edema. She is receiving oxygen 4 L per minute via nasal cannula.she
has an order for oxygen for digoxin 0.125mg, propranolol (Inderal)80 mg and furosemide
(Lasix) 40 mg
Mrs. McLean tells the PN she is experiencing confusion, nausea and vision changes. Vital
signs are T 37ºC, HR 45, RR24, BP 138/80 and SpO2 92% with oxygen 4 L per minute via
nasal cannula. What should the practical nurse do first?
A. Complete a Snellen eye test
B. Encourage deep breathing exercise
C. Administer propranolol
D. Obtain an order for serum digoxin level
-B. Consult with the wound care team
The wound is getting worse, so consultation with wound specialist is the priority. - -Mr.
Walter, 71 years old, has a diagnosis of Parkinson disease. He is taking carbidopa/levodopa
(Sinemet). He relies on his wife for some of his personal care. They live alone in their home
and have a daughter in the same community. Mr. Walter is competent.
,The Practical nurse visits Mr. Walter at home to complete a dressing change to his coccyx
pressure injury. The practical nurse notices that the wound has increased in size and depth.
What should the practical nurse do first?
A encourage his wife to provide high protein meals
B. Consult with the wound care team
C. Arrange admission to the hospital
D. Pack the wound with dry gauze
-C. Refer the client to the occupational therapist
The occupational therapist would help to ensure that wheelchair fits the client and could
order a pressure relieving cushion. - -Mr. Walter, 71 years old, has a diagnosis of Parkinson
disease. He is taking carbidopa/levodopa (Sinemet). He relies on his wife for some of his
personal care. They live alone in their home and have a daughter in the same community.
Mr. Walter is competent.
Mr. Walter sits in his wheelchair for meals and while watching television. What action
should the practical nurse take to promote wound healing to the coccyx pressure injury?
A. Apply heat to the coccyx area
B. Teach the client the importance of bedrest
C. Refer the client to the occupational therapist
D. Advise to sit on a pillow
-C. Prepare frequent small meals each day
Small frequent meals are more appropriate . Six meals per day arre recommended. The
shorter eating times for each meal conserve energy. - -Mr. Walter, 71 years old, has a
diagnosis of Parkinson disease. He is taking carbidopa/levodopa (Sinemet). He relies on his
wife for some of his personal care. They live alone in their home and have a daughter in the
same community. Mr. Walter is competent.
Mrs. Walter's report that her husband has difficulty finishing his meals due to fatigue. What
is the most appropriate recommendation?
A. Provide meal replacement drinks
B. Cut food into bite size
C. Prepare frequent small meals each day
D. Offer meals high in protein
-C. Offer to arrange a family meeting to discuss Mr. Walters' care needs.
This recognizes the need identified by the wife. - -Mr. Walter, 71 years old, has a diagnosis
of Parkinson disease. He is taking carbidopa/levodopa (Sinemet). He relies on his wife for
, some of his personal care. They live alone in their home and have a daughter in the same
community. Mr. Walter is competent.
Mrs. Walter states she finds it difficult to provide care for Mr. Walter, and wishes her
daughter would be more helpful. What should the PN do?
A. Arrange respite care for Mr. Walter at a local long-term care facility
B. Encourage Mrs. Walter's to plan self-care activities
C. Offer to arrange a family meeting to discuss Mr. Walters' care needs
D. Call the daughter to ask if she can prepare meals
-B. Provide printed material to Mr. Walter
Clients have a right to make informed decisions based on current available information. - -
Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is taking
carbidopa/levodopa (Sinemet). He relies on his wife for some of his personal care. They
live alone in their home and have a daughter in the same community. Mr. Walter is
competent.
Mr. Walter is looking to the practical nurse for more information on Medical Assistance in
Dying (MAid). What should the practical nurse do first?
A. Ask the social worker to visit Mr. Walters
B. Provide printed material to Mr. Walters
C. Refer Mr Walters' question to the family physician
D. Advice Mr. Walters to focus on his quality of life with his family
-C. The client asks questions about their care
Asking questions demonstrates participation in the care plan. - -A 32-year old client has
been admitted to hospital for a cholecystectomy.
Which of the following indicates that the client is an active participant in their care?
A. The client reads the care plan throughly
B. The client follows the plan of care
C. The client asks questions about their care
D. The client follows the directions of their family
-C. Ask the client to demonstrate deep breathing and coughing
Client action demonstrates learning. This provides an opportunity for the practical nurse to
evaluate client learning. - -A 32-year old client has been admitted to hospital for a
cholecystectomy.
The client was provided with preoperative teaching on deep breathing and coughing. How
should the practical nurse evaluate the teaching
B. Encourage her to express her feelings
The practical nurse should first discuss the issue with the client. - -Mrs. McLean, 61 year
old, is admitted with heart failure. She present with a productive cough, dyspnea and lower
leg edema. She is receiving oxygen 4 L per minute via nasal cannula.she has an order for
oxygen for digoxin 0.125mg, propranolol (Inderal)80 mg and furosemide (Lasix) 40 mg
Mrs Maclean is having difficulty coping with her deteriorating health. How should the
practical nurse proceed?
A. Contact the physician for an order of antidepressants
B. Encourage her to express her feelings.
C. Discuss Medical Assistance in Dying (MAID).
D. Arrange a visit from a spiritual advisor.
-D. Raise the head of the bed
Placing the client in an upright position allows for improved lung expansion. - -Mrs.
McLean, 61 year old, is admitted with heart failure. She present with a productive cough,
dyspnea and lower leg edema. She is receiving oxygen 4 L per minute via nasal cannula.she
has an order for oxygen for digoxin 0.125mg, propranolol (Inderal)80 mg and furosemide
(Lasix) 40 mg
Mrs. Mac Lean's respiratory rate increase to 28 breaths per minute at rest. What should the
practical nurse do first?
A. Contact the physician immediately
B. Collaborate with the nurse-in-charge
C. Increase oxygen to 6 L per minute
D. Raise the head of the bed.
-A. Encourage her to take her medication in the morning
The client will often to void after going to bed due to fluid in the legs returning to the heart
and then the kidneys for filtering after they lie down. To help the client get undisturbed
rest as possible, furosemide should be taken earlier in the day. - -Mrs. McLean, 61 year old,
is admitted with heart failure. She present with a productive cough, dyspnea and lower leg
edema. She is receiving oxygen 4 L per minute via nasal cannula.she has an order for
oxygen for digoxin 0.125mg, propranolol (Inderal)80 mg and furosemide (Lasix) 40 mg
Upon discharge, Mrs Maclean tells the PN that she plans to take half the prescribed dose of
furosemide because she will be up all night going to the bathroom. What should the
practical nurse do first?
,A. Encourage her to take the medication in the morning
B. Suggest that she go to bed later in the evening
C. Recommend that she stops fluid intake 6 hours before bedtime
D. Encourage the use of inconvenient product
-B. Collaborate with a nursing colleague
This action satisfies the requirements of being responsible for individual competence,
being aware that more education is needed and seeking guidance when necessary. - -Mrs.
McLean, 61 year old, is admitted with heart failure. She present with a productive cough,
dyspnea and lower leg edema. She is receiving oxygen 4 L per minute via nasal cannula.she
has an order for oxygen for digoxin 0.125mg, propranolol (Inderal)80 mg and furosemide
(Lasix) 40 mg
The practical nurse is having difficulty recognizing lung sounds. How should the practical
nurse proceed?
A. Delegate activity to a college
B. Collaborate with a nursing colleague
C. Refer to baseline documentation
D. Reassess the client within 4 hours
-D. Obtain an order for serum digoxin level
Request digitalis blood level is the best action, as digitalis toxicity is suspected. - -Mrs.
McLean, 61 year old, is admitted with heart failure. She present with a productive cough,
dyspnea and lower leg edema. She is receiving oxygen 4 L per minute via nasal cannula.she
has an order for oxygen for digoxin 0.125mg, propranolol (Inderal)80 mg and furosemide
(Lasix) 40 mg
Mrs. McLean tells the PN she is experiencing confusion, nausea and vision changes. Vital
signs are T 37ºC, HR 45, RR24, BP 138/80 and SpO2 92% with oxygen 4 L per minute via
nasal cannula. What should the practical nurse do first?
A. Complete a Snellen eye test
B. Encourage deep breathing exercise
C. Administer propranolol
D. Obtain an order for serum digoxin level
-B. Consult with the wound care team
The wound is getting worse, so consultation with wound specialist is the priority. - -Mr.
Walter, 71 years old, has a diagnosis of Parkinson disease. He is taking carbidopa/levodopa
(Sinemet). He relies on his wife for some of his personal care. They live alone in their home
and have a daughter in the same community. Mr. Walter is competent.
,The Practical nurse visits Mr. Walter at home to complete a dressing change to his coccyx
pressure injury. The practical nurse notices that the wound has increased in size and depth.
What should the practical nurse do first?
A encourage his wife to provide high protein meals
B. Consult with the wound care team
C. Arrange admission to the hospital
D. Pack the wound with dry gauze
-C. Refer the client to the occupational therapist
The occupational therapist would help to ensure that wheelchair fits the client and could
order a pressure relieving cushion. - -Mr. Walter, 71 years old, has a diagnosis of Parkinson
disease. He is taking carbidopa/levodopa (Sinemet). He relies on his wife for some of his
personal care. They live alone in their home and have a daughter in the same community.
Mr. Walter is competent.
Mr. Walter sits in his wheelchair for meals and while watching television. What action
should the practical nurse take to promote wound healing to the coccyx pressure injury?
A. Apply heat to the coccyx area
B. Teach the client the importance of bedrest
C. Refer the client to the occupational therapist
D. Advise to sit on a pillow
-C. Prepare frequent small meals each day
Small frequent meals are more appropriate . Six meals per day arre recommended. The
shorter eating times for each meal conserve energy. - -Mr. Walter, 71 years old, has a
diagnosis of Parkinson disease. He is taking carbidopa/levodopa (Sinemet). He relies on his
wife for some of his personal care. They live alone in their home and have a daughter in the
same community. Mr. Walter is competent.
Mrs. Walter's report that her husband has difficulty finishing his meals due to fatigue. What
is the most appropriate recommendation?
A. Provide meal replacement drinks
B. Cut food into bite size
C. Prepare frequent small meals each day
D. Offer meals high in protein
-C. Offer to arrange a family meeting to discuss Mr. Walters' care needs.
This recognizes the need identified by the wife. - -Mr. Walter, 71 years old, has a diagnosis
of Parkinson disease. He is taking carbidopa/levodopa (Sinemet). He relies on his wife for
, some of his personal care. They live alone in their home and have a daughter in the same
community. Mr. Walter is competent.
Mrs. Walter states she finds it difficult to provide care for Mr. Walter, and wishes her
daughter would be more helpful. What should the PN do?
A. Arrange respite care for Mr. Walter at a local long-term care facility
B. Encourage Mrs. Walter's to plan self-care activities
C. Offer to arrange a family meeting to discuss Mr. Walters' care needs
D. Call the daughter to ask if she can prepare meals
-B. Provide printed material to Mr. Walter
Clients have a right to make informed decisions based on current available information. - -
Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is taking
carbidopa/levodopa (Sinemet). He relies on his wife for some of his personal care. They
live alone in their home and have a daughter in the same community. Mr. Walter is
competent.
Mr. Walter is looking to the practical nurse for more information on Medical Assistance in
Dying (MAid). What should the practical nurse do first?
A. Ask the social worker to visit Mr. Walters
B. Provide printed material to Mr. Walters
C. Refer Mr Walters' question to the family physician
D. Advice Mr. Walters to focus on his quality of life with his family
-C. The client asks questions about their care
Asking questions demonstrates participation in the care plan. - -A 32-year old client has
been admitted to hospital for a cholecystectomy.
Which of the following indicates that the client is an active participant in their care?
A. The client reads the care plan throughly
B. The client follows the plan of care
C. The client asks questions about their care
D. The client follows the directions of their family
-C. Ask the client to demonstrate deep breathing and coughing
Client action demonstrates learning. This provides an opportunity for the practical nurse to
evaluate client learning. - -A 32-year old client has been admitted to hospital for a
cholecystectomy.
The client was provided with preoperative teaching on deep breathing and coughing. How
should the practical nurse evaluate the teaching
