CRNE : Canadian Registered Nurse Examination

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Nursing
CRNE
Canadian Registered Nurse Examination
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Question: 253
Wesley, a nurse supervisor, manages the nursing staff, prepares the budget,
maintains client service, and implements policies. These tasks are accomplished
by performing managerial functions. When Wesley uses performance standards as
criteria for measuring success, he operates through which of the following
functions?
A. Directing
B. Controlling
C. Organizing
D. Decision-making
Answer: B
The nurse manager operates through the function of controlling when
performance standards are used as criteria for measuring success. Directing is
guiding or motivating others to meet the expected outcomes. Organizing is using
resources to achieve the expected outcomes. Decision-making is identifying a
problem and considering alternatives to resolve the problem.
Question: 254
A nurse is making a room assignment for a 12-month-old child with bacterial
meningitis. The nurse plans to place the infant in which of the following rooms?
A. Isolation room with negative air pressure
B. Isolation room near the nurse’s station
C. A room with a 12-month-old child with a ventriculoperitoneal shunt
D. A room with a 12-month old child diagnosed with diarrhea
Answer: B
A child with bacterial meningitis should be placed in an isolation room until the
child receives antibiotics, given through the IV route, for 24 hours. The room
must be near the nurse’s station for close monitoring and easier access. Bacterial
meningitis is transmitted through respiratory secretions; it is not an airborne
disease. An isolation room with negative pressure is recommended for a client
with tuberculosis.
Question: 255
A nurse is making a room assignment for a 12-year-old boy with a brain
concussion. The nurse determines to place the boy in a room with which of the
following clients?
A. A 3-year-old boy who had a club foot repair
B. A 12-year-boy with rheumatic fever
C. A 12-year-old boy with measles
D. A 10-year-old boy with a fractured leg
Answer: D
A 12-year old child with brain concussion should be placed in a room with a non-
infectious client who is about the same age as the boy. A client with rheumatic
fever or measles is not an ideal roommate for a client with brain concussion. The
3-year-old who had a club foot repair and the 10-year-old boy with a fractured leg
are both non-infectious, but based on the growth and developmental needs of the
12-year-old client with concussion, he must be assigned to a room with a boy who
is about the same age.
Question: 256
A nurse is assigned to care for four clients during a shift. After reviewing the
client records, the nurse knows that it is most important for which of the
following clients to receive the scheduled medication on time?
A. A client diagnosed with tuberculosis, treated with streptomycin
B. A client diagnosed with depression, treated with amitriptyline
C. A client diagnosed with myasthenia gravis, treated with pyridogstigmine
bromide
D. A client diagnosed with urinary tract infection, treated with ciprofloxacin
Answer: C
It is most important that a client diagnosed with myasthenia gravis receives
medications on time. Early administration can cause cholinergic crisis, whereas
late administration can cause myasthenia crisis.
Question: 257
A nurse is caring for a client with weakness on the right side of the face, right
arm, and right leg. The nurse includes which of the following nursing actions in
the plan of care?
A. Place objects within the client’s reach on the right side
B. Place objects within the client’s reach on the left side
C. Initiate muscle strengthening exercises to the right side of the body
D. Initiate range of motion exercises to the left side of the body
Answer: B
A client with one-sided weakness would benefit the most if objects were within
their reach on the unaffected side. Muscle strengthening exercises on the
unaffected side and range of motion exercises on the affected side are appropriate
nursing actions
Question: 258
A nurse prepares a nursing care plan for a newly-admitted client with myasthenia
gravis. Understanding the risks of myasthenia gravis, it is a must that the nurse
prepares which of the following near the client’s bedside?
A. Defibrillator
B. Oxygen
C. Incentive spirometer
D. Suction equipment
Answer: D
A client with myasthenia gravis is at risk for respiratory distress caused by
considerable muscle weakness or fatigue, including from the diaphragm. Suction
equipment, an Ambubag, and intubation tray are kept near the client’s bedside.
Question: 259
A nurse should use which of the following protective measures when inserting a
nasogastric tube?
A. Double gloves, goggles, and mask
B. Gloves, goggles, gown, and mask
C. Sterile gloves, goggles, gown, and mask
D. Sterile gloves, gown, and mask
Answer: B
Gloves, goggles, gown, and a mask are worn if the nurse is at risk for exposure to
contaminated secretions generated by splash or sprays. Sterile technique is not
necessary during nasogastric insertion.
Question: 260
A nurse is caring for a client with an open wound. The nurse uses which
technique when changing the client’s dressing?
A. Medical technique
B. Septic technique
C. Clean technique
D. Aseptic technique
Answer: D
Open wounds provide an entry to disease-causing microorganisms. The nurse
should, therefore, use a sterile or aseptic technique when changing dressings.
Question: 261
A nurse dons gloves in which of the following situations?
A. Assisting a client diagnosed with diarrhea to ambulate from the bed to the
bathroom
B. Taking the temperature of a client with Kaposi’s sarcoma
C. Providing a bed bath to a client diagnosed with tuberculosis
D. Administering glucagon through the subcutaneous route
Answer: D
The nurse should wear a pair of gloves if there is a risk for coming in contact with
the client’s bodily fluids, like blood. Wearing of gloves is not necessary when
ambulating a client, when taking the temperature of a client with Kaposi’s
sarcoma, or when bathing a client with tuberculosis.
Question: 262
A nurse would be most concerned by which of the following client room
assignments?
A. A client with tuberculosis is placed in a room with negative air pressure
B. A client diagnosed with methicillin-resistant Staphylococcus aureus
Staphylococcus aureus placed in a room with a client with third degree burns on
both arms placed in a room with a client with third degree burns on both arms
C. A client with methicillin-resistant Staphylococcus aureus Staphylococcus
aureus in a private room in a private room
D. A client diagnosed with salmonella placed in a room with another client
diagnosed with gastroenteritis
Answer: B
A client with MRSA should be placed in a private room or with another MRSA-
colonized client. If cohorting is not possible, the MRSA-colonized client can be
placed in a room with another client who is not at high risk for infections. A client
with third-degree burns can easily get infected because of severe impaired
integrity of the skin.

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