CPNRE Client Health Assessment 2

Question 1

During a focused respiratory assessment, the practical nurse auscultates high-pitched musical sounds on exhalation. How are these best described?

Accepted Answer

Wheezes

Answer

Wheezes are high-pitched musical sounds from narrowed airways, heard primarily on exhalation, associated with asthma and COPD.

Question 2

A client opens eyes to voice, speaks confused words, and localizes pain. What is the Glasgow Coma Scale total?

Accepted Answer

12

Answer

Eye opening to voice = 3, confused speech = 4, localizes pain = 5. Total GCS = 3+4+5 = 12.

Question 3

When assessing a wound for infection, which finding is most concerning?

Accepted Answer

Increased warmth, redness, purulent drainage, and fever

Answer

Warmth, redness, purulent drainage, and fever are classic signs of wound infection requiring prompt reporting and treatment.

Question 4

The apical pulse is 96 bpm but the radial pulse is 78 bpm. How should this be documented?

Accepted Answer

Pulse deficit of 18 beats per minute

Answer

A pulse deficit is the difference between apical and radial rates (96-78=18), indicating some contractions lack sufficient force to produce a peripheral pulse.

Question 5

In what order should abdominal assessment techniques be performed?

Accepted Answer

Inspection, auscultation, percussion, palpation

Answer

Abdominal assessment sequence: inspection, auscultation, percussion, palpation. Auscultation precedes palpation to get unaltered bowel sounds.

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE Client Health Assessment 2