CPNRE CPNRE - Canadian Practical Nurse Registration Examination Gerontological and Palliative Care Questions and Answers 4

Question 1

An elderly client with dementia repeatedly asks to go home during evening hours. Which nursing intervention best addresses sundowning behaviour?

Accepted Answer

Increase lighting in the room and engage the client in a calm activity

Answer

Increased lighting and calm redirection reduce confusion and agitation associated with sundowning syndrome.

Question 2

A palliative care client reports breakthrough pain rated 8/10 despite scheduled opioid therapy. What is the nurse's priority action?

Accepted Answer

Notify the physician and administer prescribed breakthrough analgesic

Answer

Uncontrolled breakthrough pain requires timely administration of the prescribed PRN analgesic and prompt physician notification.

Question 3

When assessing an older adult for fall risk, which single factor carries the greatest predictive value?

Accepted Answer

History of a previous fall

Answer

A prior fall history is the strongest single predictor of future falls in the older adult population.

Question 4

A PN is caring for a dying client whose family insists on continuing aggressive IV hydration against the client's advance directive. The PN's first action is to:

Accepted Answer

Consult the palliative care team and refer the conflict to the care team and ethics committee if needed

Answer

Conflicts between family wishes and a valid advance directive require interprofessional consultation and may involve an ethics committee.

Question 5

Which pressure injury stage is characterized by full-thickness skin loss with visible subcutaneous fat but no exposed bone, tendon, or muscle?

Accepted Answer

Stage 3

Answer

Stage 3 pressure injuries involve full-thickness skin loss exposing subcutaneous tissue without deeper structure involvement.

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE CPNRE - Canadian Practical Nurse Registration Examination Gerontological and Palliative Care Questions and Answers 4