CPNRE CPNRE - Canadian Practical Nurse Registration Examination Gerontological and Palliative Care Questions and Answers 5

Question 1

A 78-year-old client is prescribed multiple medications. Which age-related pharmacokinetic change most increases the risk of drug toxicity in older adults?

Accepted Answer

Decreased renal clearance

Answer

Declining glomerular filtration rate reduces renal clearance, causing drug accumulation and elevated risk of toxicity in older adults.

Question 2

When using the PAINAD scale to assess pain in a non-verbal client with advanced dementia, the nurse observes rigid body posture and clenched fists but no facial grimacing or vocalization. The nurse should:

Accepted Answer

Score body language and consult the care team about analgesic management

Answer

Body language indicators on the PAINAD scale are valid pain indicators; rigid posture and clenched fists indicate discomfort requiring attention.

Question 3

Which dietary modification is most appropriate for an older adult with dysphagia at risk for aspiration?

Accepted Answer

Provide minced or pureed foods and thickened liquids as per SLP recommendation

Answer

A speech-language pathologist-guided texture-modified diet reduces aspiration risk while preserving oral nutrition.

Question 4

An older adult residing in a long-term care facility refuses a bath for the third consecutive day. The nurse's best response is to:

Accepted Answer

Explore the reason for refusal and offer alternative hygiene options

Answer

Exploring barriers and offering choices respects autonomy while addressing hygiene needs through person-centred care.

Question 5

A palliative client on high-dose morphine develops myoclonus. This symptom most likely indicates:

Accepted Answer

Opioid-induced neurotoxicity potentially requiring opioid rotation

Answer

Myoclonus is a sign of opioid-induced neurotoxicity; opioid rotation to a different opioid may be needed.

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 5