CPNRE Practice Questions and Answers 2023

CPNRE Practice Questions and Answers 2023 What manifestation associated with Liver failure should the practical nurse report first? a) Yellowing of sclerae b) Decreased appetite c) Increased respiration d) Decreased consciousness d) Decreased consciousness Hepatic encephalopathy is a CNS manifestation that often leads to coma and death Mr. Bell has been transferred to a long-term care facility. As the team leader in the facility, what should the practical nurse do first? a) Refer Mr. Bell to a dietician for a high-iron diet b) Delegate Mr. Bell's total care to an unregulated health worker c) Discuss with the team Mr. Bell's increased need for skin care d) Continue to educate Mr. Bell on the advantages of a liver transplant c) Discuss with the team Mr. Bell's increased need for skin care This uses the practical nurse's leadership skills within the interprofessional team Mrs. Tang delivered a healthy baby girl 2 hours ago. What is the practical nurse's priority assessment of the mother? a) Location and tone of the uterus b) Parent and infant attachment behaviours c) Vital signs, especially blood pressure d) Perineal edema and lochia a) Location and tone of the uterus Mrs. Burke has skin breakdown over her coccyx. She rarely rings for assistance in repositioning and sits for prolonged periods in her wheelchair. What should the practical nurse do initially? a) Ensure that Mrs. Burke understands the importance of relieving pressure to reduce risk of skin breakdown b) Make a note on the chart to reposition Mrs. Burke every 2 hours to prevent pressure on the coccyx c) Cleanse the coccyx with sterile water and place a sterile dressing over the broken skin d) Recommend that Mrs. Burke remain in bed until her coccyx has completely healed a) Ensure that Mrs. Burke understands the importance of relieving pressure to reduce risk of skin breakdown Mrs. Burke tells the practical nurse that she suddenly has a headache and feels nauseous. She is diaphoretic and her face is flushed. Mrs. Burke's blood pressure is assessed and is now significantly elevated. What should the practical nurse do? a) Check her temperature, heart rate and respiration and administer a p.r.n. analgesic b) Reassess Mrs. Burke's vital signs and assess the urinary drainage system c) Place her in the Trendelenburg position and administer an antiemetic medication d) Perform a neurological assessment prior to notifying the physician b) Reassess Mrs. Burke's vital signs and assess the urinary drainage system She's presenting with manifestations of autonomic dysreflexia which can be fatal if the triggering stimulus is not removed as quickly as possible The physician's order reads intermediate-duration insulin NPH (Novolin ge NPH) 36 units with regular insulin 12 units subcutaneously. What process should the practical nurse use? a) Inject 36 units of air into the insulin NPH followed by 12 units of air into the regular insulin, invert vial and withdraw regular insulin b) Inject 12 units of air into the regular insulin followed by 36 units of air into the insulin NPH, invert vial and withdraw insulin NPH c) Withdraw 12 units of regular insulin followed by withdrawal of 36 units of insulin NPH d) Withdraw 36 units of insulin NPH followed by withdrawal of 12 units of regular insulin a) Inject 36 units of air into the insulin NPH followed by 12 units of air into the regular insulin, invert vial and withdraw regular insulin Mrs. Nicholson offers the practical nurse $20 for being so kind and helpful. After thanking Mrs. Nicholson, how should the practical nurse respond? a) Accept the money and donate it to charity b) Refuse the money and explain that staff cannot accept money c) Refuse the money and tell Mrs. Nicholson to buy something for herself d) Accept the money and return it to the daughter b) Refuse the money and explain that staff cannot accept money Ms. Slater is to receive 100 mL of normal saline with 1 g of the prescribed antibiotic over 20 minutes via IV pump. At what rate should the practical nurse program the pump to deliver the medication as ordered? a) 10 mL per hour b) 30 mL per hour c) 200 mL per hour d) 300 mL per hour d) 300 mL per hour Christine, a 17 year old primipara, gave birth to a girl yesterday whom she is breastfeeding. She lives alone and states that her friends, who are currently visiting, are her only support. She will be discharged home with her baby tomorrow. What stage is Christine in according to Erikson's theory? a) Identity vs. role confusion b) Intimacy vs. isolation c) Generativity vs. stagnation d) Ego integrity vs. despair a) Identity vs. role confusion The stage for those between 11-21 years of age Christine, a 17 year old primipara, gave birth to a girl yesterday whom she is breastfeeding. She lives alone and states that her friends, who are currently visiting, are her only support. She will be discharged home with her baby tomorrow. What is the priority nursing diagnosis for Christine? a) Knowledge deficit related to newborn care b) Risk for altered parent/infant attachment related to client age c) Risk for ineffective health maintenance related to client age d) Effective breastfeeding as evidenced by infant weight gain a) Knowledge deficit related to newborn care (She is a primipara with a limited support group) Ms. Karch, 60 years old, was admitted 5 days ago with abdominal pain and a diagnosis of diverticulitis and a bowel abscess. On admission, vital signs were T 36.5 °C, HR 82, RR 18 and BP 120/64. She has been on analgesics, IV fluids and IV antibiotics since admission. The physician visits Ms. Karch and orders the following: full fluid diet, morphine 5-10 mg IV every 4-6 hours p.r.n. for pain, increase IV rate to 125 mL per hour and activity as tolerated. What should the practical nurse question? a) Activity as tolerated b) Morphine c) Full fluid diet d) IV rate c) Full fluid diet With diverticulitis the goal is to rest the bowel, the client should receive nothing by mouth because she has signs of perforation