FREE CPNRE Complex Care Questions and Answers

Question 1

A 78-year-old male customer who was previously in good health has been diagnosed with hypothyroidism. He resides in a senior-focused community development in his own apartment. He seeks advice regarding his illness from the building complex nurse. What guidance might the nurse most effectively offer this client?

Accepted Answer

Boost your diet's fiber and hydration intake.

Answer

Hypothyroidism often leads to a slowed metabolism, which can cause symptoms like constipation and fatigue. Increasing dietary fiber and fluid intake is a practical and effective intervention to help manage constipation, a common and uncomfortable symptom associated with hypothyroidism. This advice directly addresses a physiological consequence of the condition and promotes gastrointestinal health.

Question 2

An intravenous infusion is placed in Ms. Fellie's left arm as a precaution. How do I assist her in putting on a hospital gown while the IV is still in place?

Accepted Answer

From the inside of the gown, insert the IV bag through the sleeve.

Answer

To assist a client with an IV to put on a hospital gown, the correct method is to first thread the IV bag and tubing through the sleeve of the gown from the inside out. Then, place the gown on the arm with the IV first, followed by the other arm. This technique prevents dislodging the IV, maintains the integrity of the line, and allows the gown to be put on smoothly and comfortably without pulling or twisting the IV site.

Question 3

The burns affected the student's face, neck, and chest. Determine which possible health issue is most important in this case:

Accepted Answer

blockage of the airway

Answer

Burns to the face, neck, and chest are extremely dangerous because they can cause rapid and severe swelling of the airway. This swelling can quickly lead to respiratory compromise or complete airway obstruction, which is a life-threatening emergency. Therefore, ensuring a patent airway is the absolute priority in the initial management of such burn injuries.

Question 4

After being brought to the hospital, 52-year-old Mrs. Melissa asks for her monthly injection of vitamin B12, which her daughter gives her at home. Her suitcase contains the medication. What would be the best course of action for the nurse to follow?

Accepted Answer

Look for a formal order for her B12 injection each month.

Answer

Nurses must always adhere to the principle of administering medications only with a valid physician's order. Even if a client regularly takes a medication at home, the nurse cannot administer it in a hospital setting without a formal order from the attending physician. This protocol ensures patient safety, proper dosage, and legal compliance within the healthcare facility.

Question 5

Six-year-old Anthony frequently gets epistaxis, especially in dry, chilly weather. What first aid advice should Anthony's parents receive from the nurse?

Accepted Answer

Close both of your nostrils for approximately five minutes.

Answer

The most effective first aid for a nosebleed is to have the person lean slightly forward (to prevent blood from running down the throat) and firmly pinch both nostrils together for at least five minutes. This direct pressure helps to compress the bleeding blood vessels in the nose, promoting clot formation and stopping the bleeding. Other options are either ineffective or potentially harmful.

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

FREE CPNRE Complex Care Questions and Answers