CPNRE Complex Care 2

Question 1

A client post-abdominal surgery reports sudden severe abdominal pain with board-like rigidity. What is the priority nursing action?

Accepted Answer

Position in semi-Fowlers and notify the physician immediately

Answer

Sudden severe pain with abdominal rigidity post-surgery suggests peritonitis or anastomotic leak requiring immediate medical intervention.

Question 2

A client with Type 1 diabetes has blood glucose 2.8 mmol/L with diaphoresis and trembling. Which intervention has priority?

Accepted Answer

Give 15 grams of fast-acting carbohydrate if the client can swallow safely

Answer

A conscious client with symptomatic hypoglycemia receives 15g fast-acting carbohydrate first (15-15 rule).

Question 3

A client with chronic renal failure on a potassium-restricted diet selects which food that requires correction?

Accepted Answer

Orange juice and a banana

Answer

Oranges and bananas are high-potassium foods contraindicated in clients with chronic renal failure on potassium restriction.

Question 4

A client develops chills, fever, and back pain 20 minutes into a blood transfusion. What is the first nursing action?

Accepted Answer

Stop the transfusion immediately and maintain IV access with normal saline

Answer

Signs of transfusion reaction require immediately stopping the transfusion while maintaining IV access with normal saline.

Question 5

A client with left-sided stroke has left hemiplegia and dysphagia. Which meal positioning is most appropriate?

Accepted Answer

Upright at 90 degrees with head turned toward the weaker side

Answer

Upright 90 degrees with head turned to the weak side closes that side of the pharynx, directing the food bolus to the stronger side.

CPNRE - Canadian Practical Nurse Registration Examination Practice Test