Bay College of Health, Business and Technology
1110 Sheppard Ave., E. #208 M2K 2W2 Toronto, ON, Canada

A client is admitted to the emergency department with severe back pain and bilateral flank ecchymosis after working out in a gum. His vital signs are blood pressure (BP) 90/60 mm Hg, pulse 136 beats/min, and respiration 33 breaths/min. The physician suspects an aortic dissection. The nurse plans interventions for the client based on the expectation that which of the following treatments will be included? a. Prepare for immediate surgery b. An immediate angiogram c. A paracen...tesis when vital signs are stabilized with fluid replacement d. Admission to the ICU for observation while diagnostic tests are completed CNO CPNRE prep class, RPN prep class 416 800 8281 www.BayC.ca/cpnre ANS: A

Mr. Cutler, a 78-year-old elderly abuse victim, is admitted to the unit with severe internal injuries. The nurse understands that, in general, the most frequent abusers of elderly clients are: a. Family members b. Nurses c. Physicians... d. Nursing home staff CNO CPNRE prep class 416-800-8281

A middle aged man with GERD (gastroesophageal reflux disease) came to the health and wellness clinic seeking dietary and lifestyle advice on his condition. Which of the following suggestions should the nurse make to the client? Select all that apply. 1. Avoid smoking and alcohol consumption 2. Coffee and tea consumption will help digestion 3. Eat only three meals daily 4. Trendelenburg position after the meal will promote digestion and prevent eructation... 5. Eat small frequent meals Nclex RN prep class www.BayC.ca/nclex Tel: 416 800 8281 Answer: 1 , 5

A 33 years old client is taking nifedipine (Procardia), a calcium channel blocker. What medication information should the nurse provide to the client? Select all that apply. 1. Expect alopecia 2. Change position slowly 3. Increase grapefruit juice and apple juice intake 4. Reduce calcium intake... 5. Report peripheral edema Nclex RN exam prep class Toronto www.BayC.ca/nclex Answers: 2, 5

Mr. Suboh appears restless and anxious. His breathing is rapid and his pulse is weak. The nurse recognizes that Mr. Suboh is going into shock. What should the nurse do? 1. Remain calm and monitor Mr. Suboh’s vital signs. Position Mr. Suboh in reverse Trendelenburg position. 2. Administer oxygen, reassure Mr. Suboh and repeat vital signs. 3. Administer oxygen and place bed in Trendelenburg position.... 4. Prepare a second I.V. line immediately. See more

The nurse in the neurologic clinic assesses for damage to the glossopharyngeal (ninth cranial) and vagus (tenth cranial) nerve by testing the client's ability to: 1. Vision 2. Swallow 3. Smile 4. Smell... 5. Shrug 6. Gag reflex Nclex RN exam prep - Toronto Bay College Tel: 416-800-8281 Nursing Refresher Program

CNO CPNRE prep class Tel: 416-800-8281 www.BayC.ca/cpnre Colin, an 18-month-old toddler, is brought to a clinic for his DtaP-IPV-Hib and MMR immunization. After the injection, with no side effects noted, Colin leaves the clinic with his mother. The next day, a nurse finds out that the clinical computer shows Colin has an Infed (Iron Dextran) injection not DtaP-IPV-Hib and MMR immunization. Which of the following action by the nurse is the most appropriate?... a. Notify Colin’s physician immediately b. Notify the nurse-in-charge immediately c. Document this documentation error finding in the computer and sign d. Check Colin’s immunization card record to verify this error

Nclex RN exam prep - Toronto Tel: 416-800-8281 What are the desired outcomes when administering a nonsteroidal anti-inflammatory drug (NSAID)? Select all that apply. 1. Increase coagulation... 2. Pain relief 3. Bronchodilation 4. Antipyresis 5. Reduced inflammation 6. Urinary diuresis Nursing Refresher Program Answer 2,4,5

Mr. Cutler, a 78 years old client with terminal illness, is going home to spend more time with his family. To assist the family to provide psychological support to Mr. Cutler, which of the following should the nurse include in the teaching? a. Review of bed bathing techniques and oral care techniques b. Information on how to recognize client’s needs and fears c. Information on home intravenous therapy hydration kit d. Information on how to contact an ambulance ... Hayden, a 4-year-old preschooler, is hospitalized for his surgery. Hayden’s nurse is doing preoperative teaching. Which one of the following teaching methods should the nurse use with Hayden? a. Problem solving b. Role playing c. Theoretical overviews d. Simple explanations and pictures

A 68-year- old client had an open reduction and internal fixation (ORIF) for her fractured hip. After the surgery, the nurse should assess the client’s affected leg. Select all that apply. 1. Assess body temperature 2. Mobility of the toes 3. Assess mobility of the hip 4. Presence of pedal pulse ... 5. Condition of the pin Nclex RN exam prep - Toronto Bay College www.BayC.ca/nclex Answers: 1, 2, 4 See more

Mrs. Peralta, a 66-year-old client, has a gastrointestinal alteration. Which method of medication administration should not be used for Mrs. Peralta? a. Inhalation b. Intramuscular injection c. Oral medication d. Intravenous therapy

CNO RPN CPNRE exam prep class Toronto - Oct. 6th, 2020 www.BayC.ca/cpnre Tel: 416-800-8281 Mr. Turner, a 66 years old client, is admitted to a care facility accompanied by his family. The physician is about to perform a prostate exam on Mr. Turner . The nurse would assist Mr. Turner to assume which of the following positions?... a. Prone b. Trendelenburg position c. Sims position d. Sits upright Nursing Refresher Program - RPN Answer: c

Nclex-RN prep class Live Online September 8, 2020 http://www.bayc.ca/nclex/ Tel: 416-800-8281 Sample question: ... 1. Mrs. Ali, a 46-year-old client, is admitted to the surgical unit for her hysterectomy. Mrs. Ali develops a Staphylococcus aureus wound infection during hospitalization. How is this type of infection classified? a. Primary infection b. Iatrogenic infection c. Superinfection d. Nosocomial infection Nursing Refresher Program: 1. Nclex-RN Exam prep 2. CNO English Proficiency 3. CNO Evidence of Practice http://www.bayc.ca/nursing-refresher/ Bay College Answer: d

CNO CPNRE exam prep class -Live Online August 4, 2020 http://www.bayc.ca/cpnre/ Tel: 416-800-8281 Sample question: ... A nurse works in an emergency room at a local general hospital. The hospital visits are up during the New Year’s Eve celebration. The emergency rooms are packed with weather- related injuries such as broken bones and hypothermia. Which of the following clients is hypothermic? a. Hailey, a 9-year-old child, has cyanotic lips, fingers, and toes b. Mr. Flores’s core body temperature of 35C c. Mrs. Can’s heart rate at rest is 55 beats per minute d. Mrs. Clark, a 77-year-old elderly, was exposed to outdoor temperatures of -10C Nursing Refresher Program: 1. for CPNRE RPN Exam prep 2. for CNO English Proficency 3. for CNO Evidence of Practice http://www.bayc.ca/nursing-refresher/ Bay College Answer: B

Nclex-RN prep class Live Online August 4, 2020 http://www.bayc.ca/nclex/ Tel: 416-800-8281 Sample question: ... Henry, a 17 years old client with head trauma, is admitted to the ER. Henry develops a urine output of 320 ml/hr. His skin and mucous membranes are dry. Which of the following nursing interventions is the most appropriate to perform initially? a. Measure specific gravity b. Prepare Henry for acute renal failure treatment: hemodialysis c. Provide moisturizer and lotion to the skin to prevent breakdown d. Stop the IV fluids and notify the physician immediately Nursing Refresher Program: 1. Nclex-RN Exam prep 2. CNO English Proficiency 3. CNO Evidence of Practice http://www.bayc.ca/nursing-refresher/ Bay College Answer: A

CNO CPNRE exam prep class -Live Online August 4th, 2020 http://www.bayc.ca/cpnre/ Tel: 416-800-8281 Sample question: ... Ms. Wright, a 47-year-old client, is experiencing tribulations with depression. She has come to the clinic showing signs of malnutrition. She tells the nurse that she feels fatigue. During the assessment phase, which of the following is the best initial rejoinder for the nurse to give? a. Depression is uncommon, would you like to tell me your recent issues in your life? b. Have you recently been experiencing hot flashes, night sweats, irregular periods and mood swings? c. Depression is common at your age, however, many women will get better with medical assistance. d. Did you lose weight over the past 2 months? Nursing Refresher Program: 1. for CPNRE RPN Exam prep 2. for CNO English Proficency 3. for CNO Evidence of Practice http://www.bayc.ca/nursing-refresher/ Bay College Answer: B