Exam (elaborations)

CPNRE exam 2024 with 100% correct answers

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Course
CPNRE

Institution
CPNRE

Q1. Which of the following indicates that the client is an active participant in his care? 1. The client reads the care plan thoroughly. 2. The client demonstrates an indifference to changes in his care. 3. The client asks questions about his care. 4. The client follows the direction...

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Uploaded on January 13, 2024
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cpnre exam 2024 with 100 correct answers

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Q1. Which of the following indicates that the client is an active participant in his care?

1. The client reads the care plan thoroughly.

2. The client demonstrates an indifference to changes in his care.

3. The client asks questions about his care.

4. The client follows the directions of his family. - correct answer 3. The client asks questions about his
care.

Reason: This demonstrates participation in the care plan by asking questions.

Q2. The client was provided with preoperative teaching on deep breathing and coughing. How should
the practical nurse best evaluate the outcomes of the teaching.

1. Have the client explain deep breathing and coughing.

2. Have the client identify barriers to performing these exercises.

3. Ask the client to demonstrate deep breathing and coughing.

4. Demonstrate deep breathing and coughing to the client. - correct answer 3. Ask the client to
demonstrate deep breathing and coughing.

,Reason: Client action demonstrates learning. This provides an opportunity for the practical nurse to
evaluate client learning.

Q3. What is the primary objective for the practical nurse using aseptic technique when changing a
postoperative dressing?

1. It allows the practical nurse to maintain a sterile field.

2. It helps to prevent the spread of HIV.

3. It reduces the risk of contamination and wound infection.

4. It promotes the repair of abdominal tissue. - correct answer 3. It reduces the risk of contamination
and wound infection.

Reason: The primary objective of aseptic technique is to prevent microorganisms from being introduced
to the surgical wound, therefore reducing the risk of contamination and infection.

Q4. Since the initial assessment and his admission to the unit, Mr. Bell's abdominal girths increased by
14cm. What order should the practical nurse anticipate first?

1. Decrease his IV therapy to keep the vein open.

2. Apply oxygen at 2 L per minute via nasal cannula.

3. Apply anti embolic stockings to his legs.

4. Decrease his caloric intake to 1,400 calories daily. - correct answer 1. Decrease his IV therapy to keep
the vein open.

Reason: Fluid accumulation can be increased by IV therapy.

,Q5. What manifestation associated with liver failure should the practical nurse report first?

1. Yellowing of sclerae.

2. Decreased appetite.

3. Increased respirations.

4. Decreased consciousness. - correct answer 4. Decreased consciousness.

Reason: Hepatic encephalopathy is a central nervous system manifestation that often leads to coma and
death.

Q6. Mr. Bell's family has arranged for a meeting with the transplant coordinator. Mr. Bell does not agree
with his consultation and yells at his family. What should the practical nurse do first?

1. Arrange for a meeting between the client, his family and a social worker.

2. Explore Mr. Bell's understanding of the pros and cons of a transplant.

3. Reinforce Mr. Bell's disinterest in meeting with the transplant coordinator.

4. Respect his right to refuse and accept the client's decision. - correct answer 2. Explore Mr. Bell's
understanding of the pros and cons of a transplant.

Reason: This would help the client make an informed decision.

Q7. 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?

, 1. Refer Mr. Bell to dietitian for a high-iron diet.

2. Delegate Mr. Bell's total care to an unregulated health worker.

3. Discuss with the team Mr. Bell's increased need for skin care.

4. Continue to educated Mr. Bell on the advantages of a liver transplant. - correct answer 3. Discuss
with the team Mr. Bell's increased need for skin care.

Reason: This uses the practical nurse's leadership skills within the inter professional team.

Q8. Mrs. Tang recalls that the first day of her last menstrual period was December 14. What should the
practical nurse document as the client's expected date of delivery using Naegele's rule?

1. September 21st.

2. October 7th.

3. August 17th.

4. November 11th. - correct answer 1. September 21st.

Reason: Naegele's rule states to count back 3 months and add 7 days from the first day of the last
menstrual period.

Q9. Mrs. Tang delivered a healthy baby girl 2 hours ago. What is the practical nurse's priority assessment
of the mother?

1. Location and tone of the uterus.

2. Parent and infant attachment behaviours.

3. Vital signs, especially blood pressure.

4. Perineal edema and lochia. - correct answer 1. Location and tone of the uterus.

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