Free CPNRE Basic Care Questions and Answers 1

Question 1

A Japanese Canadian client receiving terminal care is being cared for by a practical nurse; many emotional family members visit multiple times a day.  For this client, what nursing intervention would be most appropriate?

Accepted Answer

Make the required preparations so that family members can visit.

Answer

In many cultures, including Japanese Canadian, family presence and emotional expression are vital during end-of-life care. The nurse's role is to facilitate and support these cultural practices, ensuring the family has the space and opportunity to be with their loved one. Limiting visits or advising against emotional outbursts would be culturally insensitive and detrimental to the client and family's coping process.

Question 2

A client with chronic lung illness who is getting oxygen through a nasal cannula is being cared for by a practical nurse.  Which of the following outcomes is the nurse expected to expect?

Accepted Answer

Three L/minute or fewer will be the oxygen flow rate.

Answer

Clients with chronic lung diseases, such as COPD, often rely on a hypoxic drive to breathe. Administering high flow rates of oxygen can suppress this drive, leading to hypoventilation and increased carbon dioxide retention. Therefore, a low oxygen flow rate (typically 3 L/minute or less) is crucial to maintain adequate oxygenation without compromising the client's respiratory effort.

Question 3

A group of recently graduated practical nurses are participating in an educational session led by nurse educator Anne. Clinical decision-making at the hospital is guided by evidence-informed practice, as explained by Anne.  Which of the following sums up this kind of behavior the best?

Accepted Answer

A chance to implement study findings into practice

Answer

Evidence-informed practice involves integrating the best available research evidence with clinical expertise and client values to guide healthcare decisions. It provides a structured approach for nurses to use current, high-quality research findings to improve patient care and outcomes. This process ensures that nursing interventions are based on scientific evidence rather than tradition or anecdote.

Question 4

At a nursing home, there is a practical nurse employed.  When the nurse walks into the client's room, she observes the client trying to get himself up off the floor where he is sitting.  The nurse asks the patient about what transpired.  The customer answers, "I slipped."  Which of the following details have to be included in the incident report by the nurse?

Accepted Answer

"Client found on floor and stated 'I slipped'. Physician notified, assessment completed, no injury noted" is how the incident report should be filed by the nurse.

Answer

An incident report must be objective, factual, and comprehensive, detailing only what was observed and stated, along with actions taken. Stating 'client found on floor and stated 'I slipped'' accurately reflects the observation and the client's direct quote without making assumptions about the cause of the fall. Including 'Physician notified, assessment completed, no injury noted' documents the appropriate follow-up care and assessment, which is crucial for legal and clinical purposes.

Question 5

Nicole works as a public health nurse and is in charge of locating the contacts of people who have been linked to proven instances of STDs.   Nicole gives a call to the person that the infected client has identified.  The caller demands to know the name of the person who added him as a contact right away.  Which of the following describes Nicole's proper response?

Accepted Answer

I have a duty to respect everyone's privacy, including yours.

Answer

Nurses have a professional and ethical obligation to maintain client confidentiality, especially in sensitive situations like STD contact tracing. Revealing the identity of the person who provided the contact's name would violate privacy principles and could deter individuals from seeking testing or providing necessary information in the future. The nurse's duty is to protect everyone's privacy, including the contact's and the original client's.

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

Free CPNRE Basic Care Questions and Answers 1