CPNRE - Canadian Practical Nurse Registration Examination Nursing Care and Interventions Questions and Answers

Question 1

A practical nurse is caring for an older adult client with a stage 2 pressure injury on their sacrum. Which nursing intervention is most appropriate for this client?

Accepted Answer

Cleanse the wound and apply a moisture-retentive dressing.

Answer

Apply a dry gauze dressing to the wound.

Answer

Massage the reddened area vigorously to promote circulation.

Answer

Pack the wound tightly with sterile gauze.

Question 2

A practical nurse is preparing to perform nasopharyngeal suctioning on a client. Which action is essential to prevent hypoxia during the procedure?

Accepted Answer

Pre-oxygenating the client before suctioning, if indicated.

Answer

Applying continuous suction for 30 seconds.

Answer

Using the largest catheter size possible to clear secretions quickly.

Answer

Instilling 5 mL of sterile saline to loosen secretions before suctioning.

Question 3

A practical nurse is caring for a client who is 4 hours post-abdominal surgery. The client is hesitant to use the incentive spirometer, stating "it hurts too much to breathe deeply." What is the nurse's most appropriate initial action?

Accepted Answer

Teach the client how to splint the incision with a pillow before attempting deep breaths.

Answer

Document the client's refusal and re-evaluate in another hour.

Answer

Contact the surgeon immediately to report the client's non-compliance.

Answer

Explain that not using the spirometer will lead to pneumonia.

Question 4

A practical nurse is preparing to enter the room of a client on contact precautions for Methicillin-resistant Staphylococcus aureus (MRSA) in a wound. Which of the following sequences for donning Personal Protective Equipment (PPE) is correct?

Accepted Answer

Gown, mask, goggles, gloves

Answer

Gloves, gown, mask, goggles

Answer

Mask, gown, goggles, gloves

Answer

Goggles, gloves, gown, mask

Question 5

A practical nurse is assisting with feeding a client who has dysphagia following a stroke. Which intervention is a priority to prevent aspiration?

Accepted Answer

Positioning the client in an upright, 90-degree angle.

Answer

Encouraging the client to use a straw for all liquids.

Answer

Providing a large meal to ensure adequate caloric intake.

Answer

Speaking to the client continuously during the meal to check for alertness.

Question 6

A practical nurse is preparing to transfer a client with left-sided weakness from the bed to a chair. Which action demonstrates the correct technique?

Accepted Answer

Positioning the chair at a 45-degree angle to the bed on the client's strong (right) side.

Answer

Placing the chair on the client's weak (left) side.

Answer

Instructing the client to pivot on their weaker (left) foot.

Answer

Having the client place their hands on the nurse's shoulders for support.

A practical nurse is caring for an older adult client with a stage 2 pressure injury on their sacrum.Which nursing intervention is most appropriate for this client?

A practical nurse is caring for an older adult client with a stage 2 pressure injury on their sacrum.
Which nursing intervention is most appropriate for this client?