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

Documenting the refusal and notifying the charge nurse respects client autonomy while ensuring appropriate follow-up care.

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

A postural blood pressure drop of 20 mmHg or more is a significant fall risk factor in older adults.

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

Uncontrolled pain in palliative care requires prompt administration of breakthrough analgesia and physician notification.

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

Cheyne-Stokes respiration is characterized by cycles of increasing and decreasing depth with periods of apnea, common near death.

Question 5

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

Accepted Answer

Involving the client and family in care planning

Answer

Involving the client and family in care planning respects autonomy and promotes dignity throughout the end-of-life process.

CPNRE - Canadian Practical Nurse Registration Examination Practice Test