CPNRE CPNRE - Canadian Practical Nurse Registration Examination Gerontological and Palliative Care Questions and Answers

Question 1

An elderly client with dementia is refusing to take their morning medications. What is the most appropriate nursing action?

Accepted Answer

Document the refusal and report to the charge nurse

Answer

Force the medications immediately

Answer

Crush the medications and mix them into food without consent

Answer

Ignore the refusal and try again later

Question 2

Which assessment finding in an older adult would most concern the nurse regarding fall risk?

Accepted Answer

Postural hypotension of 25 mmHg drop

Answer

Blood pressure of 118/76 mmHg

Answer

Heart rate of 72 bpm

Answer

Oral temperature of 36.8°C

Question 3

A palliative care client rates their pain as 8/10 despite scheduled analgesia. What is the priority nursing action?

Accepted Answer

Administer a breakthrough dose as ordered and notify the physician

Answer

Wait until the next scheduled dose

Answer

Reassess in 30 minutes

Answer

Encourage distraction techniques only

Question 4

When providing end-of-life care, the nurse notices the client's breathing has become irregular with long pauses. This pattern is called:

Accepted Answer

Cheyne-Stokes respiration

Answer

Kussmaul breathing

Answer

Biot's respiration

Answer

Tachypnea

Question 5

Which intervention best promotes dignity for a client receiving palliative care?

Accepted Answer

Involving the client and family in care planning

Answer

Making all care decisions for the client to reduce stress

Answer

Limiting visitors to reduce fatigue

Answer

Avoiding discussion of death to minimize distress

Question 6

An older adult client has a sacral pressure injury that appears as a shallow open wound with a red-pink wound bed. How is this classified?

Accepted Answer

Stage 2

Answer

Stage 1

Answer

Stage 3

Answer

Stage 4