CPNRE PRACTICE QUESTIONS & ANSWERS SCORED A+

A nurse is assigned to care for Amanda, a 39 y/o lawyer who was recently diagnosed with generalized anxiety disorder. Which of the following statements from Amanda would lead the nurse to suspect that Amanda's anxiety has been a long-standing problem? a. "My mother was also diagnosed with general anxiety disorder when she was in her early 40's." b. "Adjusting to college life was difficult. I never thought I would even receive a degree." c. "I have always solved my problems on my own." d. "I've had nightmares since my husband left me a year ago." - ANSWER: B When a client reveals information about having difficulty adjusting to new stressors in life between 18- 24, a long-standing anxiety problem is suspected. Mr. Campbell, 25 y/o construction worker, is admitted to a burn unit after a fire at a construction site. initial assessment reveals burn injuries involving the anterior and posterior aspects of the upper extremities. The injured surfaces are black and dry. Tissues with fat exposure and edema are noted. The patient reports minimal pain. The nurse assessing Mr. Campbell classifies these integumentary injuries as: a. Superficial-thickness burns. b. Partial-thickness superficial burns. c. Full-thickness burns. d. Deep full-thickness burns. - ANSWER: C Mr. Campbell sustained full-thickness burns. Full thickness burns are characterized by deep red, brown, or black burned sites, dry injured surfaces, edema, tissue disruption with fat exposure, and minimal or no pain. Bryan, 17, is rushed to the ER after he is found lying unconscious on the floor. Physical assessment reveals cherry-red skin, mucous membranes, and nails. Based on this finding, which is the most likely cause of Bryan's condition? a. Excessive aspirin ingestion. b. Hydrocarbon ingestion. c. Lead poisoning.d. Carbon monoxide poisoning. - ANSWER: D Bryan is most likely demonstrating a sign of carbon monoxide poisoning. A 23 y/o female at 35 weeks gestation comes to the emergency department complaining of severe abdominal pain. Moderate dark vaginal bleeding is noted. Physical assessment findings include increased uterine tone with orthostatic changes in the blood pressure. External fetal monitor reveals fetal distress. Based on these findings, the client is most likely diagnosed with which of the following conditions? a. Abruptio placenta. b. Placenta previa. c. Hydatidiform mole. d. Ectopic pregnancy. - ANSWER: A The client is most likely diagnosed with abruptio placenta. Rachel, G1P0 female at 30 weeks gestation, was admitted to the facility due to persistent headaches. On assessment, a blood pressure of 180/130 was noted. Lab tests were conducted, revealing proteinuria of more than 5 g in a 24h collection. History reveals that Rachel was diagnosed with pre-eclampsia. Her physician orders the administration of magnesium sulfate IV to prevent convulsions. The nurse who is tasked with preparing and administering the drug ensures that which of the following medications is readily available as an antidote for magnesium sulfate toxicity? a. Naloxone. b. Calcium gluconate. c. Protamine sulfate. d. N-acetylcysteine. - ANSWER: B Calcium gluconate is the antagonist or antidote for magnesium sulfate. Which of the following should alert the labor nurse that her client has begun the second stage of labor? a. The cervix is thin and fully dilated. b. The amniotic membranes have ruptured. c. The presenting part is below the ischial spines. d. The woman tells you she needs to push. - ANSWER: AOnce the cervix is fully dilated and thinned out, the second stage of labor begins. It will probably be very difficult to feel the edges of the cervix at this point. Andrea, 23, comes to the clinic for her second pre-natal examination. On assessment, bluish discoloration of the mucus membranes of the cervix, vagina, and vulva is noted. This probable sign of pregnancy is called what? a. Goodell's sign. b. Hegar's sign. c. Chadwick's sign. d. Ballottement. - ANSWER: C The client demonstrates Chadwick's sign. A client who complains of moderate to severe joint pain and stiffness is diagnosed with rheumatoid arthritis. The nurse caring for the client reviews the client's record and notes which of the following as the most consistent with a diagnostic finding of rheumatoid arthritis? a. Low sedimentation rate. b. Synovial tissue biopsy showing absence of inflammation. c. Greater than 80 IU/mL rheumatoid factor. d. Normal C-reactive protein levels. - ANSWER: C A rheumatoid factor of greater than 80 is the most consistent with a diagnosis of rheumatoid arthritis. 80% of individuals with rheumatoid arthritis are positive for rheumatoid factor. A nurse auscultates the heart of Anne, 21. Anne seeks a consultation for dizziness and easy fatigability. During assessment, the nurse identifies a mild-to-late systolic click followed with a mild-to-late systolic murmur at the cardiac apex. The murmur gets louder when Anne stands up. Based on this finding, Anne is most likely considered for which cardiac problem? a. Aortic stenosis. b. Mitral valve prolapse. c. Pulmonic stenosis. d. Mitral regurgitation. - ANSWER: BThe client is most likely considered for a mitral valve prolapse. This is a cardiac condition in which the valve found between the left atrium and the left ventricle does not shut down as it shoes, causing a backflow of blood