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Canadian Practical Nurse Registration Examination (CPNRE) / Regulatory Exam - Practical Nurse (REx-PN) practice questions are available now; exam metadata is being verified.
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A client experiencing auditory hallucinations tells the nurse, "The voices are telling me to leave the unit." What is the nurse's most therapeutic response?
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Sample CPNRE / REx-PN Practice Questions
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1A practical nurse is assigned to care for four clients. Which client should the nurse assess first at the start of the shift?
A.A client with COPD whose oxygen saturation has dropped from 92% to 85%
B.A client who is 1 day post-op reporting incisional pain rated 5/10
C.A client with a new diagnosis of type 2 diabetes awaiting teaching
D.A client requesting discharge paperwork before leaving in the afternoon
Explanation: Using the ABCs (airway, breathing, circulation) and Maslow's hierarchy, a physiologically unstable client takes priority. A drop in oxygen saturation to 85% in a client with COPD signals deteriorating gas exchange and a potential airway/breathing emergency requiring immediate assessment.
2A practical nurse is delegating tasks to an unregulated care provider (UCP/PSW). Which task is appropriate to assign to the UCP?
A.Performing the initial admission assessment on a new client
B.Assisting a stable client with bathing and oral hygiene
C.Administering a scheduled oral medication to a client
D.Evaluating a client's response to a new pain protocol
Explanation: Delegation to unregulated care providers is appropriate for stable, predictable tasks within their role, such as assisting a stable client with personal hygiene and activities of daily living. Assessment, medication administration, and evaluation require nursing judgment and cannot be delegated.
3A client tells the practical nurse, "I don't want any more chemotherapy. I'm done." The client is alert and oriented. What is the nurse's most appropriate response?
A."You should keep fighting; your family needs you."
B."I will let the doctor know you are refusing treatment right away."
C."Tell me more about what is leading you to this decision."
D."Your physician knows what is best, so let's continue the plan."
Explanation: A competent, alert client has the autonomous right to refuse treatment. The nurse should use therapeutic communication to explore the client's feelings and understanding before any documentation or notification, respecting autonomy while ensuring informed decision-making.
4A practical nurse witnesses a colleague documenting vital signs that were not actually taken. What is the nurse's most appropriate initial action?
A.Report the colleague to the provincial regulatory college immediately
B.Re-take the vital signs and document them under the nurse's own name
C.Ignore it because the client appears stable at this time
D.Speak privately with the colleague about the falsified documentation
Explanation: Falsifying documentation is a serious professional and ethical breach. The most appropriate initial step is to address the concern directly and privately with the colleague, giving them an opportunity to correct it, before escalating through the chain of command if needed.
5Which situation requires the practical nurse to obtain a new informed consent before proceeding?
A.A client signed consent but the surgical approach has been significantly changed
B.A client previously consented and the procedure is now being rescheduled to a later time
C.A client asks a routine question about post-operative pain management
D.A family member requests to be present during the procedure
Explanation: Informed consent is specific to the procedure described. If the nature or scope of the procedure changes significantly, the original consent is no longer valid and new informed consent must be obtained so the client understands the revised risks and benefits.
6A practical nurse is reviewing the personal health information of a client who is not assigned to the nurse's care, out of curiosity. This action is a violation of which principle?
A.Beneficence
B.Confidentiality and privacy legislation
C.Veracity
D.Distributive justice
Explanation: Accessing a client's health record without a legitimate care-related reason breaches confidentiality and privacy legislation (such as provincial health information acts). Nurses may only access records on a need-to-know basis for clients in their care.
7During shift report, the off-going nurse provides handover for a post-operative client. Which piece of information is the highest priority to communicate?
A.The client prefers to have the curtains open during the day
B.The client's spouse will visit in the evening after work
C.The client's last analgesic dose was given 30 minutes ago and remains in pain
D.The client had a regular bowel movement two days ago before surgery
Explanation: Effective handover prioritizes time-sensitive clinical information affecting immediate care. Knowing the client received analgesia 30 minutes ago yet remains in pain alerts the incoming nurse to reassess and consider intervention without over-medicating.
8A practical nurse is caring for a client who speaks limited English. Which action best supports culturally safe and effective communication?
A.Ask the client's adult son to interpret medical information
B.Speak loudly and slowly using simple English words
C.Provide written English instructions for the client to read later
D.Arrange for a professional interpreter to assist with the discussion
Explanation: Using a qualified professional interpreter ensures accurate, confidential, and unbiased communication of health information. Family members may filter information, lack medical vocabulary, or breach confidentiality, so they are not the preferred option for clinical communication.
9A practical nurse identifies that a client's prescribed medication dose appears unusually high and potentially unsafe. What is the nurse's most appropriate action?
A.Withhold the medication and clarify the order with the prescriber
B.Administer the dose as written because the prescriber ordered it
C.Reduce the dose to what the nurse believes is safe and administer it
D.Ask another nurse to administer the medication instead
Explanation: Nurses are accountable for the medications they administer. When an order appears unsafe, the nurse must withhold the medication and clarify with the prescriber before administering. Nurses cannot independently alter a prescribed dose.
10Which of the following best describes the practical nurse's role within the interprofessional health care team?
A.To take direction only from physicians and avoid independent judgment
B.To collaborate and contribute nursing knowledge while respecting each member's scope
C.To supervise all other regulated and unregulated team members
D.To work independently without consulting other disciplines
Explanation: Collaborative practice involves the practical nurse contributing nursing expertise, communicating client information, and respecting the distinct scope and contributions of each interprofessional team member to achieve coordinated, client-centred care.
About the CPNRE / REx-PN Practice Questions
Verified exam format metadata for Canadian Practical Nurse Registration Examination (CPNRE) / Regulatory Exam - Practical Nurse (REx-PN) is pending. The practice questions above remain available while official exam length, timing, passing score, fee, and administrator details are reviewed.