CPNRE Basic Care 4

Question 1

A client with a nasogastric tube is receiving continuous enteral feeding. Which nursing action is the highest priority?

Accepted Answer

Elevate the head of the bed to at least 30-45 degrees

Answer

Elevating the head of the bed to 30-45 degrees is the highest priority to prevent aspiration pneumonia in clients receiving enteral feedings.

Question 2

A nurse is removing a client's indwelling urinary catheter. What is the correct sequence of steps?

Accepted Answer

Deflate balloon, then withdraw catheter slowly

Answer

The balloon must be fully deflated before withdrawing the catheter to prevent urethral trauma.

Question 3

A client reports difficulty sleeping due to pain. After administering ordered analgesics, which additional non-pharmacological measure should the nurse implement first?

Accepted Answer

Dim the lights and reduce environmental noise

Answer

Reducing environmental stimuli by dimming lights and minimizing noise creates a restful environment that promotes sleep onset.

Question 4

When performing a bed bath, a nurse should wash the client's body in which order?

Accepted Answer

Face, neck, chest, arms, abdomen, legs, perineum, back

Answer

Washing from the cleanest areas (face) to the least clean (perineum) prevents cross-contamination and reduces infection risk.

Question 5

A nurse is caring for a postoperative client who has not voided in 8 hours. The client reports lower abdominal discomfort. What is the nurse's priority action?

Accepted Answer

Palpate and percuss the suprapubic area to assess for bladder distension

Answer

Assessing for bladder distension by palpation and percussion confirms urinary retention before any intervention is initiated.

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE Basic Care 4