CPNRE practice exam Questions and Answers 2023
Q 1-5
Mrs. McLean 61 years old is admitted with heart failure she presents 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 digoxin 0.125 mg propranolol (Inderal) 80 ...
the practical nurse is having difficulty recognizi
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CPNRE practice exam Questions and Answers 2023
Q 1-5
Mrs. McLean 61 years old is admitted with heart failure she presents 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 digoxin 0.125 mg propranolol (Inderal) 80 mg and furosemide(Lasix) 40 mg.
Mrs. Mekwan is having difficulty coping with her deteriorating health how should the practical nurse proceed?
A) Contact the physician for an order of anti-depressants
B) Encourage her to express her feelings
C) Discuss medical assistance in dying
D) Arrange a visit from a spiritual advisor - answer B) Encourage her feelings
The practical nurse should first discuss the issue with the client.
Mrs. McLeans respiratory rate increases 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 - answer D) Raise the head of the bed
Placing the client in an upright position allows for improve lung expansion.
Upon discharge Mrs. McLean tells the practical nurse that she plans to take half the prescribed dose of furosemide (Lasix) 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) Suggested she go to bed later in the evening.
C) Recommend that she stops fluid intake six hours before bedtime.
D) Encourage the use of incontinence products. - answer A) encourage her to take the medication in the morning.
The client will often need to avoid shortly 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 as much understand dress as possible furosemide (Lasix) should be taken earlier in the day.
The practical nurse is having difficulty recognizing lung sounds. How should the practical nurse proceed?
A) Delegate activity to a colleague
B) Collaborate with a nursing colleague
C) Refer to baseline documentation D) Reassess the client within four hours - answer B) Collaborate with a nursing colleague.
This action certifies the requirements of being responsible for individual competence, being aware that more education is needed and seeking guidance when necessary.
Mrs. McLean tells the practical nurse she is experiencing confusion, nausea and vision changes. Vital signs are T 37°C, HR 45, RR 24, 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 exercises
C) Administer propranolol
D) Obtain an order for serum digoxin level - answer D) Obtain an order for serum digoxin level
Request digitalis blood level is the best action as digitalis toxicity is suspected.
Q 6-10
Mr. Walters, 71 years old, has a diagnosis of Parkinson's disease. He is currently 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. Walters is competent.
The practical nurse visit Mr. Walters 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 a 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. - answer B) Consult with the wound care team.
The world is getting worse so consultation with wound specialist is the priority.
Mr. Walters 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 bed rest
C) Refer the client to the occupational therapist
D) Advise the client to sit on a pillow - answer C) Refer the client to the occupational therapist.
The occupational therapist would help to ensure the wheelchair fits the client and could order a pressure relieving cushion.
Mrs. Walters reports that her husband has difficulty finishing his meals due to fatigue. What is the most appropriate recommendation?
A) Provide a meal replacement drinks
B) Cut the food into bite-size pieces
C) Prepare frequent small meals each day
D) Offer meals high in protein - answer C) Prepare frequent small meals each day
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