CPNRE Practice Questions

CPNRE Practice Questions gi gi

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1. The nurse is administering heparin via the subcutaneous route. Whic
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h intervention should the nurse implement?
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a. Prepare the medication using a 25-gauge, ½ inch needle
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b. After injecting the needle, aspirate and observe for blood
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c. After removing the needle, massage the area gently
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d. Administer the medication in the client's "love handles": Prepare the med
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- ication using a 25-gauge, ½ inch needle
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Knowledge: The nurse should NOT aspirate for blood when administering heparin
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ecause this can damage surrounding tissue and cause bruising. The nurse should n
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massage after injecting heparin because this may cause bruising or bleeding. Hep
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rin is administered in the abdomen at least 2 inches from umbilicus-best practice.
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2. The nurse is administering morning medications on a medical floor. Whic
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h medication should the nurse administer first?
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a. Regular insulin sliding scale to an elderly client diagnosed with Type
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1 diabetes mellitus
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b. Methylprednisolone, a glucocorticoid, to a client diagnosed with lupu gi gi gi gi gi gi gi gi

s erythematosus
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c. Morphine, a narcotic analgesic, to a client diagnosed with AIDS gi gi gi gi gi gi gi gi gi

d. Lasix, a diuretic, to a client with hypertension: a. Regular insulin sliding scale
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to an elderly client diagnosed with Type 1 diabetes mellitus
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b. Methylprednisolone, a glucocorticoid, to a client diagnosed with lupus erythemato- gi gi gi gi gi gi gi gi gi

sus (can be administered within the 30-minute acceptable time frame)
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c. Morphine, a narcotic analgesic, to a client diagnosed with AIDS -
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pain medication is a priority, but it can be administered after the sliding scale
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d. Lasix, a diuretic, to a client with hypertension-
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can be administered within the 30-minute acceptable time frame
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Regular insulin is administered prior to meals; therefore, this medication should be
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dministered. Critical Thinking gi gi

3. Which data would indicate that the antibiotic therapy has been successfu
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l for a client diagnosed with bacterial pneumonia?
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a. The client's hematocrit is within normal range
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b. The client is expectorating thick green sputum
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c. The client's lung sounds are clear to ausculatation
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d. The client has complaints of pleuritic chest pain.: a. The client's hematocrit is
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, CPNRE Practice Questions gi gi

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within normal range- does not indicate client response
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b. The client is expectorating thick green sputum- symptom of pneumonia
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c. The client's lung sounds are clear to ausculatation
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d. The client has complaints of pleuritic chest pain.—
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symptom of pneumonia The symptoms of pneumonia includes crackles and wh
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eezes, rhonchi in the lung gi gi gi gi

fields. Clear lungs indicate an improvement in the pneumonia and that the medica-
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tion is effective. Application
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4. The nurse is administering Humalog at 0730 to a client diagnosed with Type
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1 diabetes. Which intervention should the nurse implement?
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a. Ensure the client eats at least 90% of the lunch tray
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b. Do not administer unless the breakfast tray is in the client's room
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c. Check the client's blood glucose level 1 hour after receiving the insulin
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d. Have 50% dextrose in water at the bedside for emergency use.: a. Ensure the
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client eats at least 90% of the lunch tray—insulin will not be working 4-
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5 hours after being administered
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b. Do not administer unless the breakfast tray is in the client's room
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c. Check the client's blood glucose level 1 hour after receiving the insulin—
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glucose level should be checked prior to administering
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d. Have 50% dextrose in water at the bedside for emergency use.—this is adminis-
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tered when a client is unconscious secondary to hypoglycemia, and should not b
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e kept at the bedside. Orange juice or some form of simple glucose can be kept at th
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e bedside.
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Application: The insulin peaks in 15- gi gi gi gi gi

20 minutes after being administered; therefore, the meal should be at the bedside
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prior to administering this medication
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5. The client has a severe anaphylactic reaction to insect bites. What priorit
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y discharge intervention should the nurse discuss with the client?
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a. Wear an insect repellent on exposed skin
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b. Keep prescribed antihistamines on their person
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c. Keep an EpiPen in the refrigerator at all times
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d. Wear a MedicAlert identification bracelet: a. Wear an insect repellent on
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exposed skin —
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appropriate intervention, but if the client has an insect bite, the repellent will no
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t prevent anaphylaxis, therefore, not priority intervention
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b. Keep prescribed antihistamines on their person —
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used with anaphylaxis, but it takes at least 30 minutes to work, therefore not a pr
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iority medication gi
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, CPNRE Practice Questions gi gi

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c. Keep an EpiPen in the refrigerator at all times —
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keeping medication in the refrigerator does not allow it to be available to the
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client at all times.
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d. Wear a MedicAlert identification bracelet
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, CPNRE Practice Questions gi gi

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Application: Bracelet indicates the client is at risk for an anaphylactic reaction; there
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ore, this is the priority intervention.
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6. The client's mother contacts the clinic regarding medication administration
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stating, "My daughter cannot swallow this capsule. It's too large." Investig
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a-
tion reveals that the medication is a capsule marked SR. The nurse should
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instruct the mother to:
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a. Open the capsule and mix the medication with apple sauce
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b. Crush the medication and administer it with a glass of liquid
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c. Call the pharmacist and request a change to a different medication
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d. Stop the medication and inform the physician: d. Stop the medication an
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d inform the physician
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Application: SR means sustained released. These medications cannot be altered. In
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answers A and B, crushing or opening the capsule is not allowed. The best response
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would be to inform the prescriber (the doctor) immediately
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7. The client calls the nursing station and requests pain medication. When the
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nurse enters the room with the narcotic medication, the nurse finds the clie
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nt laughing and talking with visitors. Which action should the nurse admini
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ster first? gi




a. Administer the client's prescribed pain medication gi gi gi gi gi

b. Assess the client's perception of pain on a 1-10 scale gi gi gi gi gi gi gi gi gi

c. Wait until the visitors leave to administer any medication
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d. Check the MAR to see if there is a nonnarcotic medication ordered: a.
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Administer the client's prescribed pain medication —
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should not administer pain medication until after assessing the client's pain
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b. Assess the client's perception of pain on a 1-10 scale
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c. Wait until the visitors leave to administer any medication —
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should assess client whether the client has visitors or not
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d. Check the MAR to see if there is a nonnarcotic medication ordered —
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nurse should assess the client's pain first
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Application: first action is to always assess the client in pain to determine if client is
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aving a complication that requires medical intervention rather than PRN medica-
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tion.
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8. The client in hypovolemic shock is receiving normal saline by rapid intra
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-
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