CPNRE Exam Questions And Correct Verified
Answers Graded A+
2 6
The nurse is administering heparin via the subcutaneous route. Which intervention should the nurse
20
implement?
a. Prepare the medication using a 25-gauge, 1/2 inch needle
b. After injecting the needle, aspirate and observe for blood
am
c. After removing the needle, massage the area gently
d. Administer the medication in the client's "love handles"
Prepare the medication using a 25-gauge, 1/2 inch needle
Ex
Knowledge: The nurse should NOT aspirate for blood when administering heparin because this can
damage surrounding tissue and cause bruising. The nurse should not massage after injecting
heparin because this may causebruising or bleeding. Heparin is administered in the abdomen at
least 2 inches from umbilicus-best practice.
s
The nurse is administering morning medications on a medical floor. Which medication should the
rt
nurse administer first?
pe
a. Regular insulin sliding scale to an elderly client diagnosed with Type 1 diabetes mellitus
b. Methylprednisolone, a glucocorticoid, to a client diagnosed with lupus erythematosus
c. Morphine, a narcotic anaIgesic, to a client diagnosed with AIDS
Ex
d. Lasix, a diuretic, to a client with hypertension
a. Regular insulin sliding scale to an elderly client diagnosed with Type 1 diabetes mellitus
b. Methylprednisolone, a glucocorticoid, to a client diagnosed with lupus erythematosus (can be
administered within the 30-minute acceptable time frame)
c. Morphine, a narcotic analgesic, to a client diagnosed with AIDS -pain medication is a
priority,but it can be administered after the sliding scale
,Regular insulin is administered prior to meals; therefore, this medication should be
administered. Critical Thinking
Which data would indicate that the antibiotic therapy has been successful for a client diagnosed
with bacterial pneumonia?
a. The client's hematocrit is within normal range
b. The client is expectorating thick green sputum
6
c. The client's lung sounds are clear to ausculatation
2
d. The client has complaints of pleuritic chest pain.
a. The client's hematocritis within normal range- does not indicate client response
20
b. The client is expectorating thick green sputum- symptom of pneumonia
c. The client's lung sounds are clear to ausculatation
am
d. The client has complaints of pleuritic chest pain.— symptom of pneumonia
The symptoms of pneumonia includes crackles and wheezes, rhonchi in the lung fields. Clear lungs
indicate an improvement in the pneumonia and that the medication is effective.
Application
Ex
The nurse is administering Humalog at 0730 to a client diagnosed with Type 1 diabetes. Which
intervention should the nurse implement?
ts
a. Ensure the client eats at least 90% of the lunch tray
b. Do not administer unless the breakfast tray is in the client's room
c. Check the client's blood glucose level 1 hour after receiving the insulin
r
d. Have 50% dextrose in water at the bedside for emergency use.
pe
a. Ensure the client eats at least 90% of the lunch tray-insulin will not be working 4-5 hours after
being administered
Ex
b. Do not administer unless the breakfast tray is in the client's room
c. Check the client's blood glucose level 1 hour after receiving the insulin-glucose level should be
checked prior to administering
d. Have 50% dextrose in water at the bedside for emergency use.—this is administered when a
client is unconscious secondary to hypoglycemia, and should not be kept at the bedside.
Orange juice or some form of simple glucose can be kept at the bedside.
Application: The insulin peaks in 15-20 minutes after being administered; therefore, the meal
should be at the bedside prior to administering this medication
,The client has a severe anaphylactic reactionto insect bites. What priority discharge
intervention should the nurse discuss with the client?
a. Wear an insect repellent on exposed skin
b. Keep prescribed antihistamines on their person
c. Keep an EpiPen in the refrigerator at all times
d. Wear a MedicAlert identification bracelet
6
a. Wear an insect repellent on exposed skin -appropriate intervention, but if the client has an insect
2
bite, the repellent will notprevent anaphylaxis, therefore, not priority intervention
20
b. Keep prescribed antihistamines on their person -used with anaphylaxis, but it takes at least
30 minutes to work, therefore not a priority medication
c. Keep an EpiPen in the refrigerator at all times —keeping medication in the refrigerator does not
allow it to be available to the client at all times.
am
d. Wear a MedicAlert identification bracelet
Application: Bracelet indicates the client is at risk for an anaphylactic reaction; therefore, this is the
priority intervention.
Ex
The client's mother contacts the clinic regarding medication administration stating, ′ ′
My daughter
cannot swallow this capsule. It's too large." Investigation reveals that the medication is a capsule
marked SR. The nurse should instruct the mother to:
s
a. Open the capsule and mix the medication with apple sauce
rt
b. Crush the medication and administer it with a glass of liquid
c. Call the pharmacist and request a change to a different medication
pe
d. Stop the medication and inform the physician
d. Stop the medication and inform the physician
Application: SR means sustained released. These medications cannot be altered. In answers A and B,
Ex
crushing or opening the capsule is not allowed. The best response would be to inform the prescriber
(the doctor) immediately
The client calls the nursing station and requests pain medication. When the nurse enters the room
with the narcotic medication, the nurse finds the client laughing and talking with visitors Which action
should the nurse administer first?
a. Administer the client's prescribed pain medication
, c. Wait until the visitors leave to administer any medication
d. Check the MAR to see if there is a nonnarcotic medication ordered
a. Administer the client's prescribed pain medication —should not administer pain medication until
after assessing the client's pain
b. Assess the client's perception of pain on a 1-10 scale
c. Wait until the visitors leave to administer any medication -should assess client whether the client
6
has visitors or not
2
d. Check the MAR to see if there is a nonnarcotic medication ordered —nurse should assess the
20
client's pain first
Application: first action is to always assess the client in pain to determine if client is having a
complication that requires medical intervention rather than PRN medication.
The client in hypovolemic shock is receiving normal saline by rapid intravenous infusion. Which
am
assessment data would warrant immediate intervention by the nurse?
a. The client's blood pressure is 89/48
b. The client's pulse oximeter reading is 95%
Ex
c. The client's lung sounds are clear bilaterally
d. The client's urine output is 120 mL in 3 hours
a. The client's blood pressure is 89/48
ts
b. The client's pulse oximeter reading is 95% --normal finding
r
c. The client's lung sounds are clear bilaterally-normal finding
pe
d. The client's urine output is 120 mL in 3 hours-normal finding
Application: low blood pressure reading for a client in hypovolemic shock. A B/P less than
90/60warrants intervention by the nurse and indicates that fluid resuscitation is not effective.
Ex
Which intervention should the nurse implement when administering a medication via the
intradermal route?
a. Insert the needle with the bevel up at 15-degree angle in the skin
b. Prepare the medication in a 3-mL syringe using a 23-gauge 1-inch needle
c. Bunch the skin between the thumb and index finger of the nondominant hand
d. Quickly inject the medication as to not form a wheal or bleb
a. Insert the needle with the bevel up at 15-degree angle in the skin
Answers Graded A+
2 6
The nurse is administering heparin via the subcutaneous route. Which intervention should the nurse
20
implement?
a. Prepare the medication using a 25-gauge, 1/2 inch needle
b. After injecting the needle, aspirate and observe for blood
am
c. After removing the needle, massage the area gently
d. Administer the medication in the client's "love handles"
Prepare the medication using a 25-gauge, 1/2 inch needle
Ex
Knowledge: The nurse should NOT aspirate for blood when administering heparin because this can
damage surrounding tissue and cause bruising. The nurse should not massage after injecting
heparin because this may causebruising or bleeding. Heparin is administered in the abdomen at
least 2 inches from umbilicus-best practice.
s
The nurse is administering morning medications on a medical floor. Which medication should the
rt
nurse administer first?
pe
a. Regular insulin sliding scale to an elderly client diagnosed with Type 1 diabetes mellitus
b. Methylprednisolone, a glucocorticoid, to a client diagnosed with lupus erythematosus
c. Morphine, a narcotic anaIgesic, to a client diagnosed with AIDS
Ex
d. Lasix, a diuretic, to a client with hypertension
a. Regular insulin sliding scale to an elderly client diagnosed with Type 1 diabetes mellitus
b. Methylprednisolone, a glucocorticoid, to a client diagnosed with lupus erythematosus (can be
administered within the 30-minute acceptable time frame)
c. Morphine, a narcotic analgesic, to a client diagnosed with AIDS -pain medication is a
priority,but it can be administered after the sliding scale
,Regular insulin is administered prior to meals; therefore, this medication should be
administered. Critical Thinking
Which data would indicate that the antibiotic therapy has been successful for a client diagnosed
with bacterial pneumonia?
a. The client's hematocrit is within normal range
b. The client is expectorating thick green sputum
6
c. The client's lung sounds are clear to ausculatation
2
d. The client has complaints of pleuritic chest pain.
a. The client's hematocritis within normal range- does not indicate client response
20
b. The client is expectorating thick green sputum- symptom of pneumonia
c. The client's lung sounds are clear to ausculatation
am
d. The client has complaints of pleuritic chest pain.— symptom of pneumonia
The symptoms of pneumonia includes crackles and wheezes, rhonchi in the lung fields. Clear lungs
indicate an improvement in the pneumonia and that the medication is effective.
Application
Ex
The nurse is administering Humalog at 0730 to a client diagnosed with Type 1 diabetes. Which
intervention should the nurse implement?
ts
a. Ensure the client eats at least 90% of the lunch tray
b. Do not administer unless the breakfast tray is in the client's room
c. Check the client's blood glucose level 1 hour after receiving the insulin
r
d. Have 50% dextrose in water at the bedside for emergency use.
pe
a. Ensure the client eats at least 90% of the lunch tray-insulin will not be working 4-5 hours after
being administered
Ex
b. Do not administer unless the breakfast tray is in the client's room
c. Check the client's blood glucose level 1 hour after receiving the insulin-glucose level should be
checked prior to administering
d. Have 50% dextrose in water at the bedside for emergency use.—this is administered when a
client is unconscious secondary to hypoglycemia, and should not be kept at the bedside.
Orange juice or some form of simple glucose can be kept at the bedside.
Application: The insulin peaks in 15-20 minutes after being administered; therefore, the meal
should be at the bedside prior to administering this medication
,The client has a severe anaphylactic reactionto insect bites. What priority discharge
intervention should the nurse discuss with the client?
a. Wear an insect repellent on exposed skin
b. Keep prescribed antihistamines on their person
c. Keep an EpiPen in the refrigerator at all times
d. Wear a MedicAlert identification bracelet
6
a. Wear an insect repellent on exposed skin -appropriate intervention, but if the client has an insect
2
bite, the repellent will notprevent anaphylaxis, therefore, not priority intervention
20
b. Keep prescribed antihistamines on their person -used with anaphylaxis, but it takes at least
30 minutes to work, therefore not a priority medication
c. Keep an EpiPen in the refrigerator at all times —keeping medication in the refrigerator does not
allow it to be available to the client at all times.
am
d. Wear a MedicAlert identification bracelet
Application: Bracelet indicates the client is at risk for an anaphylactic reaction; therefore, this is the
priority intervention.
Ex
The client's mother contacts the clinic regarding medication administration stating, ′ ′
My daughter
cannot swallow this capsule. It's too large." Investigation reveals that the medication is a capsule
marked SR. The nurse should instruct the mother to:
s
a. Open the capsule and mix the medication with apple sauce
rt
b. Crush the medication and administer it with a glass of liquid
c. Call the pharmacist and request a change to a different medication
pe
d. Stop the medication and inform the physician
d. Stop the medication and inform the physician
Application: SR means sustained released. These medications cannot be altered. In answers A and B,
Ex
crushing or opening the capsule is not allowed. The best response would be to inform the prescriber
(the doctor) immediately
The client calls the nursing station and requests pain medication. When the nurse enters the room
with the narcotic medication, the nurse finds the client laughing and talking with visitors Which action
should the nurse administer first?
a. Administer the client's prescribed pain medication
, c. Wait until the visitors leave to administer any medication
d. Check the MAR to see if there is a nonnarcotic medication ordered
a. Administer the client's prescribed pain medication —should not administer pain medication until
after assessing the client's pain
b. Assess the client's perception of pain on a 1-10 scale
c. Wait until the visitors leave to administer any medication -should assess client whether the client
6
has visitors or not
2
d. Check the MAR to see if there is a nonnarcotic medication ordered —nurse should assess the
20
client's pain first
Application: first action is to always assess the client in pain to determine if client is having a
complication that requires medical intervention rather than PRN medication.
The client in hypovolemic shock is receiving normal saline by rapid intravenous infusion. Which
am
assessment data would warrant immediate intervention by the nurse?
a. The client's blood pressure is 89/48
b. The client's pulse oximeter reading is 95%
Ex
c. The client's lung sounds are clear bilaterally
d. The client's urine output is 120 mL in 3 hours
a. The client's blood pressure is 89/48
ts
b. The client's pulse oximeter reading is 95% --normal finding
r
c. The client's lung sounds are clear bilaterally-normal finding
pe
d. The client's urine output is 120 mL in 3 hours-normal finding
Application: low blood pressure reading for a client in hypovolemic shock. A B/P less than
90/60warrants intervention by the nurse and indicates that fluid resuscitation is not effective.
Ex
Which intervention should the nurse implement when administering a medication via the
intradermal route?
a. Insert the needle with the bevel up at 15-degree angle in the skin
b. Prepare the medication in a 3-mL syringe using a 23-gauge 1-inch needle
c. Bunch the skin between the thumb and index finger of the nondominant hand
d. Quickly inject the medication as to not form a wheal or bleb
a. Insert the needle with the bevel up at 15-degree angle in the skin
