CPNRE Basic Care 5

Question 1

A nurse is applying elastic compression stockings to a client. Which assessment finding would require the nurse to withhold the stockings and notify the physician?

Accepted Answer

Cool, mottled skin on the lower extremities

Answer

Cool, mottled skin suggests compromised peripheral circulation, and applying compression stockings could further impair blood flow.

Question 2

A nurse is preparing to apply a dry sterile dressing to a wound. After performing hand hygiene and opening the sterile field, the nurse accidentally touches the edge of the sterile drape. What should the nurse do?

Accepted Answer

Discard the entire sterile field and start over

Answer

A contaminated sterile field cannot be made sterile again; the nurse must discard all supplies and establish a new sterile field.

Question 3

A client who is immobile is at risk for contractures. Which nursing intervention is most effective for preventing this complication?

Accepted Answer

Performing passive range-of-motion exercises at least twice daily

Answer

Passive range-of-motion exercises maintain joint flexibility and muscle length, directly preventing the development of contractures.

Question 4

A nurse is preparing to transfer a client from the bed to a wheelchair using a gait belt. Where should the nurse position the gait belt?

Accepted Answer

Around the client's waist, over clothing

Answer

The gait belt is correctly placed around the client's waist over clothing to provide a secure grip without restricting breathing.

Question 5

A nurse is caring for a client with a wound drain (Jackson-Pratt). The nurse notes the bulb is fully expanded. What is the correct nursing action?

Accepted Answer

Empty and recompress the bulb to re-establish suction

Answer

A fully expanded Jackson-Pratt bulb means suction has been lost; the nurse must empty the collected drainage and compress the bulb to restore negative pressure.

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE Basic Care 5