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CPNRE EXAM NEWEST 2026 TEST BANK| 2 VERSIONS (VERSION
A & B) WITH COMPLETE EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+| CPNRE EXAM PREP 2025 (BRAND NEW!!)
1. A practical nurse is caring for a client who suddenly develops severe
shortness of breath, cyanosis, and an oxygen saturation of 82% on room
air. Which action should the nurse take first?
A. Document the findings and reassess the client in 30 minutes.
B. Assess airway and breathing, apply oxygen as indicated, and initiate
urgent assistance.
C. Encourage the client to ambulate to improve circulation.
D. Offer oral fluids and position the client flat.
Answer: B. Assess airway and breathing, apply oxygen as indicated, and
initiate urgent assistance.
Rationale: Severe hypoxemia is an immediate threat to life, so airway
and breathing take priority.
2. A client reports crushing substernal chest pressure that radiates to
the left arm and jaw and is accompanied by diaphoresis and nausea.
Which nursing response is most appropriate?
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A. Encourage the client to walk to determine whether the pain
improves.
B. Treat the symptoms as possible acute coronary syndrome and obtain
immediate medical assistance.
C. Provide a meal and reassess the pain after eating.
D. Reassure the client that anxiety is the most likely cause.
Answer: B. Treat the symptoms as possible acute coronary syndrome
and obtain immediate medical assistance.
Rationale: Radiating chest pressure with diaphoresis and nausea is
highly concerning for myocardial ischemia and requires urgent
assessment.
3. A client with heart failure reports increasing shortness of breath
when lying down and has gained 2.5 kg during the past three days.
Which interpretation should the nurse make?
A. The findings indicate expected recovery from heart failure.
B. The client is likely experiencing fluid retention and worsening heart
failure.
C. The weight gain is most likely unrelated to cardiovascular status.
D. The client is experiencing severe fluid volume deficit.
Answer: B. The client is likely experiencing fluid retention and
worsening heart failure.
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Rationale: Rapid weight gain and orthopnea are common indicators of
increasing fluid volume in heart failure.
4. A client with hypertension states, “I feel completely normal, so I don't
understand why I need to take my medication every day.” Which
response by the practical nurse is best?
A. “Hypertension usually causes noticeable symptoms whenever your
blood pressure rises.”
B. “You only need medication when you develop a headache.”
C. “High blood pressure can damage organs such as the heart, brain,
kidneys, and blood vessels even when you feel well.”
D. “You can stop the medication whenever your blood pressure reading
is normal.”
Answer: C. “High blood pressure can damage organs such as the heart,
brain, kidneys, and blood vessels even when you feel well.”
Rationale: Hypertension is often asymptomatic but can cause
progressive target-organ damage.
5. A client receiving an antihypertensive medication reports dizziness
whenever standing from a sitting position. Which nursing intervention is
most appropriate?
A. Encourage the client to stand quickly to improve circulation.
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B. Assess for orthostatic hypotension and teach the client to change
positions slowly.
C. Instruct the client to stop the medication immediately.
D. Restrict all fluids until the dizziness disappears.
Answer: B. Assess for orthostatic hypotension and teach the client to
change positions slowly.
Rationale: Antihypertensive medications can contribute to orthostatic
hypotension, increasing the risk of falls.
6. A client with diabetes is awake, diaphoretic, shaky, and confused, and
the blood glucose level is 52 mg/dL. Which intervention should the
nurse implement first?
A. Administer the scheduled insulin.
B. Provide a rapid-acting source of carbohydrate because the client can
safely swallow.
C. Encourage the client to exercise.
D. Restrict oral intake until the glucose level rises independently.
Answer: B. Provide a rapid-acting source of carbohydrate because the
client can safely swallow.
Rationale: Symptomatic hypoglycemia in a conscious client who can
swallow should be treated promptly with rapidly absorbed glucose.
CPNRE EXAM NEWEST 2026 TEST BANK| 2 VERSIONS (VERSION
A & B) WITH COMPLETE EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+| CPNRE EXAM PREP 2025 (BRAND NEW!!)
1. A practical nurse is caring for a client who suddenly develops severe
shortness of breath, cyanosis, and an oxygen saturation of 82% on room
air. Which action should the nurse take first?
A. Document the findings and reassess the client in 30 minutes.
B. Assess airway and breathing, apply oxygen as indicated, and initiate
urgent assistance.
C. Encourage the client to ambulate to improve circulation.
D. Offer oral fluids and position the client flat.
Answer: B. Assess airway and breathing, apply oxygen as indicated, and
initiate urgent assistance.
Rationale: Severe hypoxemia is an immediate threat to life, so airway
and breathing take priority.
2. A client reports crushing substernal chest pressure that radiates to
the left arm and jaw and is accompanied by diaphoresis and nausea.
Which nursing response is most appropriate?
,2|Page
A. Encourage the client to walk to determine whether the pain
improves.
B. Treat the symptoms as possible acute coronary syndrome and obtain
immediate medical assistance.
C. Provide a meal and reassess the pain after eating.
D. Reassure the client that anxiety is the most likely cause.
Answer: B. Treat the symptoms as possible acute coronary syndrome
and obtain immediate medical assistance.
Rationale: Radiating chest pressure with diaphoresis and nausea is
highly concerning for myocardial ischemia and requires urgent
assessment.
3. A client with heart failure reports increasing shortness of breath
when lying down and has gained 2.5 kg during the past three days.
Which interpretation should the nurse make?
A. The findings indicate expected recovery from heart failure.
B. The client is likely experiencing fluid retention and worsening heart
failure.
C. The weight gain is most likely unrelated to cardiovascular status.
D. The client is experiencing severe fluid volume deficit.
Answer: B. The client is likely experiencing fluid retention and
worsening heart failure.
,3|Page
Rationale: Rapid weight gain and orthopnea are common indicators of
increasing fluid volume in heart failure.
4. A client with hypertension states, “I feel completely normal, so I don't
understand why I need to take my medication every day.” Which
response by the practical nurse is best?
A. “Hypertension usually causes noticeable symptoms whenever your
blood pressure rises.”
B. “You only need medication when you develop a headache.”
C. “High blood pressure can damage organs such as the heart, brain,
kidneys, and blood vessels even when you feel well.”
D. “You can stop the medication whenever your blood pressure reading
is normal.”
Answer: C. “High blood pressure can damage organs such as the heart,
brain, kidneys, and blood vessels even when you feel well.”
Rationale: Hypertension is often asymptomatic but can cause
progressive target-organ damage.
5. A client receiving an antihypertensive medication reports dizziness
whenever standing from a sitting position. Which nursing intervention is
most appropriate?
A. Encourage the client to stand quickly to improve circulation.
, 4|Page
B. Assess for orthostatic hypotension and teach the client to change
positions slowly.
C. Instruct the client to stop the medication immediately.
D. Restrict all fluids until the dizziness disappears.
Answer: B. Assess for orthostatic hypotension and teach the client to
change positions slowly.
Rationale: Antihypertensive medications can contribute to orthostatic
hypotension, increasing the risk of falls.
6. A client with diabetes is awake, diaphoretic, shaky, and confused, and
the blood glucose level is 52 mg/dL. Which intervention should the
nurse implement first?
A. Administer the scheduled insulin.
B. Provide a rapid-acting source of carbohydrate because the client can
safely swallow.
C. Encourage the client to exercise.
D. Restrict oral intake until the glucose level rises independently.
Answer: B. Provide a rapid-acting source of carbohydrate because the
client can safely swallow.
Rationale: Symptomatic hypoglycemia in a conscious client who can
swallow should be treated promptly with rapidly absorbed glucose.
