CPNRE exam correctly answered latest update 2022/2023, Exams of Nursing

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CPNRE exam correctly answered

latest update 2022/

2022/

CPNRE exam correctly answered latest update 2022/ Which is an adverse effect of digoxin? - correct answer bradycardia What does TKVO mean? - correct answer To keep vein open Mr. Singh is experiencing asthma and acute shortness of breath and wheezing, whats the first thing you should do? - correct answer Administer rescue inhaler Which of the following is most important when performing a preoperative assessment? - correct answer physical assessment Which of the following would be elicit the best information about a patients pain? - correct answer Describe your pain to me (open ended) The practical nurses scope of practice is determined by - correct answer legislation and regulatory and licensure requirments

CPNRE exam correctly answered latest update

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Intentional torts - correct answer Assault Battery Invasion of privacy False imprisonment Battery - correct answer the intentional touching of a person without his or her consent Unintentional torts - correct answer Negligence is a failure to take the care that a reasonable nurse in similar circumstances would have taken. Examples of activities that nurses may be charged with - correct answer - theft of narcotics

- theft of client or agency property - assisted suicide - criminal negligence Common negligence acts - correct answer medication errors, intravenous therapy errors that result in phlebitis or infiltrations, burns caused by equipment, falls, failure to use aseptic technique, failure to report, failure to monitor a patients condition, failure to notify a physician

CPNRE exam correctly answered latest update

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Principles of accountability for nurses - correct answer - responsible and accountable for their decisions and actions

- engage in self reflection and continuous learning to maintain and enhance competence

CPNRE exam correctly answered latest update

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- accountable and responsible for assessing their individual fitness to practice. - practical nurses demonstrate and apply knowledge of the distinction between ethical responsible and legal rights Code of nursing ethics - correct answer - being accountable for ones actions - upholding the patients rights to privacy and confidentiality - providing care that maintains pt dignity - respect at all times - promoting integrity by providing safe, competent, and ethical nursing care - evaluating ones work and maintaining competency A professional relationship is created through - correct answer the nurses application of knowledge, communication theory, understanding of human behaviour, and commitment to ethical behaviour. Four phases of the nurse client relationship - correct answer Pre- interaction: Gathering information; assessing one's feelings, fears, and anxieties about working with a particular client Orientation: nurse and client become acquainted. Goal is to establish trust. Working: Goal is to promote client change

CPNRE exam correctly answered latest update

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Termination: Evaluate goal attainment; and ensure therapeutic closure -penia - correct answer reduced amount Best approach to conflict resolution - correct answer collaboration The repeat back method consists of - correct answer identification, situation, background, assessment, recommendations, repeat back before consent, patients need to receive - correct answer full disclosure of all details of the procedure. Can practical nurses obtain consent for surgery? - correct answer no because they are not conducting the surgery, but may be a witness consent can be - correct answer verbal, written, and implicit Example of implicit consent; - correct answer client lifting leg for wound care Cno practice standard for resuscitation is based on these ethical values - correct answer - respect for ones well-being

CPNRE exam correctly answered latest update

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- client choice - privacy and confidentiality - respect for life - maintaining comittments - truthfulness and fairness

CPNRE exam correctly answered latest update

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medication treatment is used for - correct answer dx, treatment, cure, relief, and prevention Idiosyncratic reactions - correct answer are unpredictable and occur when an individual overreaction from the medication or has a different reaction from the norm. After a medication is taken it breaks down in the body and is - correct answer absorbed, distributed, metabolized, and excreted 10 rights of medication administration - correct answer right medication, right dose, right client, right route, right time, right documentation, right reason, right to refuse, right client education, right evaluation oral medications - correct answer given by mouth. easiest route , most common, and has the slowest, most prolonged effect sublingual medications - correct answer placed under the tongue and should not be swallowed. parenteral medications - correct answer injected into the body

CPNRE exam correctly answered latest update

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tissues. The four main sites are:

- intradermal, subcutaneous (only for volumes of 0.5-1ml) - intramuscular (for volumes up to 3ml) - IV inhalation route - correct answer used to administer medications through nasal passages, orally, by endotracheal tube or via tracheostomy The nursing process - correct answer 1. assessment 2. analysis 3. planning 4. implementation 5. evaluation, outcome, and revision of care During a documentation session in the hospital, one of the new practical nurses asks what abbreviations can be used within the patients health record? what abbreviations can the nurse use? - correct answer Must be approved by the agency (hospital) Which is the most accurate information in regard to patient consent? - correct answer The health care provider proposing the procedure should be the one to obtain written consent.

CPNRE exam correctly answered latest update

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In the sample clients health record , the new graduate practical nurses discovers that a nurse has written "verbal order, acetaminophen" but there is no evidence of an emergency situation. which of the following describes best practice in relation to verbal

CPNRE exam correctly answered latest update

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medication orders? - correct answer Verbal orders are not telephone orders and should not be used, unless in an emergency situation. A correct medication order - correct answer The dose is accurate, the route is identified, the frequency is identified, and the qualifier is identified. During orientation a nurse educator explains that the hospital uses evidence informed practice to guide clinical decision making. which of the following statements best describes evidence informed practice? - correct answer Evidence informed care is the transfer of current research into practice which of the following is true in relation to the learning process? - correct answer Learning occurs best when the learner identifies a learning need A manager explains the effective interpersonal communication with clients and team members and includes - correct answer When genuine and warmth are utilized communication is enhanced A facility follows a "least restraint policy" what is the most important consideration with a "least restraint policy"? - correct answer All

CPNRE exam correctly answered latest update

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possible alternative interventions have been exhausted before a restraint is used The practical nurse charts the behaviour of a client, which statement would be the most appropriate documentation? - correct answer The client was "shaking his fist as the nurse @ 1100" *must be factual 12: The practical nurse consults the provincial or territorial standards of nursing practice when contemplating the use of restraints. What is the most important purpose for using standards of nursing practice? - correct answer Standards of nursing practice define the expectation for practical nurses in various practice settings and situations and generally guide nursing practice 13: The practical nurses knows that she must be able to articulate the differences and similiarities between various nursing organizations. The mandate of nursing regulatory organizations is which of the following? - correct answer The primary mandate of a health regulatory agency is protection of the public 14: The practical nurse is trying to distinguish the differences and similarities between standards of nursing practice and the nursing best practice guidelines. what are the best practice guidelines? - correct answer Evidence informed guidelines are tools that improve client,

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practical nurse, and organizational outcomes. They involve care that is based on actual observed and proven outcomes, not traditional based care. What does DNR mean? - correct answer do not perform cardiopulmonary resuscitation

CPNRE exam correctly answered latest update

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16: Which member of the interprofessional team would be a beneficial resources for the rpn to contact regarding a patient who is having difficulty communicating and eating after a cerebrovascular accident? - correct answer The speech pathologist helps people improve their speech and learn different strategies and ways to communicate. The speech language pathologist also assists people with swallowing problems. 20: A resident in a long term care facility tells the practical nurses that his legs hurts from the fall he had an hour ago. The practical nurse was unaware of the fall and obtains details from the UCP who cared for the resident at the time of the fall. Which statement related to accountability is correct? - correct answer UCP's are accountable for their care, including any actions or inactions taken that relate to the resident falling. 21: A practical nurse has been asked by his manager to work an extra of 4 hours after his 12 hour shift because three nurses have called in sick. The practical nurse has worked four 12 hour shifts in a row. He admits he is tired and not sure whether he is too fatigued to work an extra 4 hours. Which statement is correct? - correct answer The practical nurses first priority is to provide high quality client-care. He must determine if he is too tired to complete competent care.

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22: Joe aged 42, has Lou Gehrig disease. He is married and has two school aged children. He has consented to have MAID. What is the practical nurses role in providing MAID, in accordance with the law? - correct answer Inserting and IV line with the doctors order, that will be used to administer the medication that will cause death of the client. 23:A second year practical nursing student obtains an apical heart rate of 140bpm on Cara, a 6 year old child. The student practical nurse assumes that she has made an error in counting the beats. She did not take any action in relation to her findings, and did not report the elevated HR to anyone. Who is responsible for this error in care? - correct answer The student nurse because she did not report and take any action. 24: A client is ordered 325mg of acetlysalicylic acid (ASA) prn for headache. The practical nurse is aware that this is also a client that is receiving warfarin (Coumadin). Which of the following is the most important action to be taken by the practical nurse? - correct answer Contact the pharmacist of the potential drug interaction A second year practical nursing student has asked the preceptor about the use of restraints. Which of the following is not considered a restraint category? - correct answer Hazardous

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A student nurse has forgotten her computer password. She asks a staff nurse to share her password in order to access a clients chart. What should the staff nurse do? - correct answer Do not share the password and direct the student nurse to the policy of retrieving forgotten passwords.

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27: A client is ordered venlafaxine (Effexor) for depression. The client refuses to take the medications, stating that it causes headaches. What should the practical nurse do? - correct answer The client has withdrawn consent, therefore the rpn must not force treatment. 28: In a hospital setting, what is the priority practice by a practical nurse to ensure administration of the correct medication, to the correct client?

• correct answer Checking the clients identification bracelet is the safest method to ensure the "right client". 29: The practical nurse is not able to read the obstetricians handwriting for postpartum orders for a client. The obstetrician has returned to his office outside of the hospital. what should the nurse do? - correct answer Practical nurses must have the original prescriber to clarify the order. 30: In which of the following situations would the nurse use a code of ethics to guide their situation? - correct answer Confidentiality and privacy are included in ethical behaviour. Open ended questions - correct answer - how are you feeling today? - tell me about your health concerns? - why have you come to the clinic today?

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Closed or direct questions - correct answer - do you have any drug allergies?

- do you have any SOB climbing a flight of stairs? - when was the last time you ate anything? Faciliation - correct answer - encourages further information - shows interest in the information being shared, thus promoting story telling - "yes", nodding your head, good eye contact, "mhmm" "uh huh" "go on I'm listening" Reflection - correct answer - repeat part of what the client said, so that they can expand on it "so you are feeling scared?" The practical nurse uses the following techniques when objectively assessing the client - correct answer inspection, palpation, auscultation When palpating there is a painful area... - correct answer palpate it last Ear pieces of a stethoscope - correct answer directed towards the nose

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How many facial bones are there? - correct answer 14 Bones Maxillae (2) Zygomatic bones (2) Lacrimal bones (2) Nasal bones (2)

CPNRE exam correctly answered latest update

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Inferior nasal conchae (2) Palatine bones (2) Vomer (1) Mandible (1) Note: in radiography, mandible is unique and not part of a facial bone series The head sits on the vertebrae of the - correct answer cervical spine C1 is called the - correct answer atlas C2 is called the - correct answer axis The cervical vertebrae continue down to - correct answer C7 Cranial nerve V - correct answer Trigeminal nerve controls masseter muscles, controls eating, talking The sensory component of the trigeminal nerve - correct answer allows for feel of touch to the chin, cheek, and forehead The pulsation of the temporal artier can be felt - correct answer

CPNRE exam correctly answered latest update

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anterior to the ear, supplying the head and neck with blood The parotid gland is located - correct answer below and in front of the ear The muscles of the neck - correct answer sternomastoid, trapezius, and omohyoid

- they are innervated by the cranial nerve IX, the spinal accessory nerve. The thyroid gland synthesizes and excretes - correct answer thyroxine and triiodothyronine, hormones that regular cellular metabolism and growth The thyroid gland has two lobes and - correct answer should be smooth without any lumps or bumps - the cricoid cartilage is just above the thyroid gland The lymphatic system - correct answer Composed of a network of vessels, ducts, nodes, and organs. Responsible for cleaning the blood and provides defense against infection. The lymph nodes are situated - correct answer along the pathways of the lymphatic system, in which they filter bacteria and particles from

CPNRE exam correctly answered latest update

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the lymph fluid. If lymphnodes become cancerous they are - correct answer fixed, nontender and firm

CPNRE exam correctly answered latest update

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Subjective data specific to the head and neck, *questions specific to the older adult - correct answer - are you experiencing headaches?

- what types of stress do you have in your life? - do you have any illnesses, such as diabetes or lung or heart disease? - are you experiencing vertigo or heart disease, if yes does it interfere with your daily routine? - have you noticed any decrease range of motion in your neck? - any trouble breathing or swallowing? Objective data or the head and neck - correct answer - for an infant measure head circumference and feel for any tenderness of cranial bones - palpate the temporal artery - test the movement of the mandible against resistance for strength - assess the trachea, should be midline limbus - correct answer where the sclera and cornea come together Canthus - correct answer where the eyelids meet in the corner of the eye P palpebral conjunctiva - correct answer lines the eyelids lacrimal system - correct answer Lubricates

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conjunctiva and cornea Secretes tears, drains into puncta and nasolacrimal duct These cranial nerves innervate the eye - correct answer III, IV, VI Sclera - correct answer white part of the eye, should have a smooth consistency The cornea bends (refracts) the incoming light rays, which are then directed back to the

- correct answer retina The eyes middle layer consists of - correct answer choroid, iris, pupil, lens, anterior and posterior chambers Presbyopia - correct answer farsightedness caused by loss of elasticity of the lens of the eye, occurring typically in middle (40yrs) and old age. Cranial nerve II - correct answer Optic The proper order to examine the abdomen - correct answer Inspection, auscultation, palpation

CPNRE exam correctly answered latest update