Cindys CPNRE Practice Questions
A 10-12 months-old has an order for Demerol (meperidine) 35mg IM for pain. The medication is
to be had as Demerol 50mg in line with ml. How a good deal must the nurse administer?
A) .5mL
B) .6mL
C) .7mL
D) .8mL - ANS-C) .7ml
A 19-12 months-vintage college student has been identified with hypothyroidism and has started
out thyroid alternative remedy with levothyroxine (Synthroid). After 1 week, she calls you to
whinge that she feels no better. Your response is based at the truth that:
A) She will likely require surgery for a therapy.
B) Synthroid does no longer attain peak effect for numerous months.
C) She probable did now not take her remedy as instructed.
D) Her eating regimen can be inflicting absorption issues. - ANS-B) Synthroid does no longer
attain height impact for numerous months.
A 2-yr old affected person must acquire an injection. The nurse is aware of that the IM web page
of preference for this patient would be:
A) Dorsogluteal
B) Ventrogluteal
C) Vastus lateralis
D) Deltoid - ANS-C) Vastus lateralis
A forty-year-vintage customer these days have become paraplegic. The customer is ready to be
discharged from the rehabilitation centre. Prevention of pressure ulcers has been an essential
part of the purchaser's education. In providing this schooling, the nurse need to have protected
which of the subsequent hints?
A) The customer ought to sit down in a chair for not than three hours.
B) The patron must use a donut-formed chair cushion.
C) The purchaser ought to use a inflexible cushion for full aid.
D) The customer have to shift the load in a chair each 15 minutes. - ANS-D) The patron should
shift the weight in a chair every 15 mins.
Response Feedback:
,Shifting weight regularly prevents extended pressure that could cause stress ulcer formation.
The tenet for sitting up in a chair is to sit down for two hours or less, however it's far most
effective a guiding principle. You must individualize interest for every consumer. Sitting on
inflexible or donut-shaped cushions is contraindicated because they reduce blood supply to the
place, which will increase the region of ischemia.
A 47-yr-vintage female expresses dismay to the nurse that her younger person kids are
unemployed. Her husband is working and close to retirement. She isn't always working and
feels tired of her life and unneeded. She is experiencing which of Erikson's ranges of
improvement?
A) Integrity as opposed to depression
B) Intimacy versus isolation X
C) Identity as opposed to confusion
D) Generativity versus self-absorption and stagnation ?X - ANS-?
A 6-month-vintage little one has been brought to the properly-being sanatorium for a check-up.
She is currently sleeping. What should the examiner do first?
A) Auscultate the lungs and heart at the same time as the toddler continues to be sleeping.
B) Examine the little one's hips due to the fact this method is uncomfortable. C) Begin with the
assessment of the eyes and continue with the the rest of the exam in a head-to-toe approach.
D) Wake the toddler earlier than starting any portion of the examination to attain the maximum
correct evaluation of frame systems. - ANS-A) Auscultate the lungs and coronary heart even as
the toddler remains sound asleep.
A black client with allergies seeks emergency care for acute respiratory distress. Because of this
customer's dark skin, the nurse have to examine for cyanosis by means of analyzing the:
A) Lips.
B) Mucous membranes.
C) Nail beds.
D) Earlobes. - ANS-B) Mucous membranes.
Response Feedback:
Skin colour doesn't have an effect on the mucous membranes. The lips, nail beds, and earlobes
are less dependable indicators of cyanosis due to the fact they're stricken by skin coloration.
A purchaser has been began on oral warfarin sodium (Coumadin) daily. Before administering
this remedy the nurse must check which of the following laboratory outcomes?
A) calcium stages
B) potassium levels
C) International Normalized Ratio (INR)
,D) partial thromboplastin time (PTT) - ANS-C) International Normalized Ratio (INR)
A consumer has been taking antidepressant medication for 1 week and tells the nurse that is
not assisting. The most correct response by means of the nurse would be:
A) The remedy will should be switched to another type of antidepressant
B) Therapeutic outcomes generally start after 2-6 weeks
C) They client need to not be taking their medicine
D) None of the above - ANS-B) Therapeutic effects generally begin after 2-6 weeks
A consumer has just received 2 units of packed cells for anemia. What client coaching must the
practical nurse fortify when the transfusion is discontinued?
A) A fluid intake of three,000 ml must be maintained
B) Ambulation have to be restrained for 2 hours following the transfusion
C) Measurement of fluid consumption and output is needed.
D) Any unusual manifestations ought to be said. - ANS-D) Any unusual manifestations must be
mentioned.
Response Feedback:
The RPN might educate the client in her/his coaching to record any u.S.A. Behaviours submit
transfusion.
A purchaser is to get hold of cephalexin (Keflex) 500 mg via mouth. The pharmacy has sent
250-mg capsules. How many tablets does the nurse give?
A) ½ tablet
B) 1 tablet
C) 1½ capsules
D) 2 pills - ANS-D) 2 pills
A purchaser who has AB wonderful blood is to obtain a blood transfusion. The nurse
understands that blood of which of the following kinds will be administered to this patron?
(Select all that observe.)
A) O positive
B) A high quality
C) B positive
D) AB high-quality - ANS-A) O fantastic
D) AB fine
Response Feedback:
O effective is the popular blood type. O nice blood contains neither type A nor type B antigens.
AB superb is, of direction, the patron's specific blood in shape. A advantageous blood carries
, antibodies in opposition to B antigens and would accordingly result in a transfusion reaction if
given to a person with AB blood. B high quality blood carries antibodies towards A antigens and
would as a consequence cause a transfusion response if given to someone with AB blood.
A patron with a history of cardiac disease is taking a potassium-losing diuretic (furosemide) and
is visible in the emergency branch for proceedings of weak point. The nurse expects to evaluate
which laboratory values?
A) Albumin and protein levels
B) Sodium and chloride levels
C) Potassium and blood glucose tiers
D) Hemoglobin level and hematocrit - ANS-C) Potassium and blood glucose levels
Response Feedback:
Individuals taking potassium-losing diuretics are at danger for hypokalemia. Evaluating blood
glucose level while the consumer reviews weakness is important to ensure that low blood
glucose degree isn't always an issue. Levels of the alternative substances would no longer be
affected by a potassium-wasting diuretic.
A customer with acute pancreatitis has requested ache medication. Which ache remedy is
indicated for the customer with acute pancreatitis?
A) Demerol (meperidine)
B) Toradol (ketorolac)
C) Morphine (morphine sulfate)
D) Codeine (codeine) - ANS-A) Demerol (meperidine)
Response Feedback:
To prevent spasms of the sphincter of Oddi, the purchaser with acute pancreatitis must get hold
of non-opiate analgesics for ache. Answer B is inaccurate because the customer with acute
pancreatitis is probably vulnerable to bleed; therefore, Toradol is not a drug of desire for ache
manage. Morphine and codeine, opiate analgesics, are contraindicated for the consumer with
acute pancreatitis; therefore, answers C and D are wrong.
A client with diabetes mellitus who takes every day insulin injections is scheduled for surgical
operation day after today. The purchaser is to take nothing by mouth (NPO popularity) after
middle of the night. The nurse questions whether insulin must take delivery of the morning of
surgical operation. This is an example of which of the subsequent?
A) Problem fixing
B) Previous enjoy
C) Clinical exercise guideline
D) Scientifically based medical judgement - ANS-D) Scientifically based medical judgement
A 10-12 months-old has an order for Demerol (meperidine) 35mg IM for pain. The medication is
to be had as Demerol 50mg in line with ml. How a good deal must the nurse administer?
A) .5mL
B) .6mL
C) .7mL
D) .8mL - ANS-C) .7ml
A 19-12 months-vintage college student has been identified with hypothyroidism and has started
out thyroid alternative remedy with levothyroxine (Synthroid). After 1 week, she calls you to
whinge that she feels no better. Your response is based at the truth that:
A) She will likely require surgery for a therapy.
B) Synthroid does no longer attain peak effect for numerous months.
C) She probable did now not take her remedy as instructed.
D) Her eating regimen can be inflicting absorption issues. - ANS-B) Synthroid does no longer
attain height impact for numerous months.
A 2-yr old affected person must acquire an injection. The nurse is aware of that the IM web page
of preference for this patient would be:
A) Dorsogluteal
B) Ventrogluteal
C) Vastus lateralis
D) Deltoid - ANS-C) Vastus lateralis
A forty-year-vintage customer these days have become paraplegic. The customer is ready to be
discharged from the rehabilitation centre. Prevention of pressure ulcers has been an essential
part of the purchaser's education. In providing this schooling, the nurse need to have protected
which of the subsequent hints?
A) The customer ought to sit down in a chair for not than three hours.
B) The patron must use a donut-formed chair cushion.
C) The purchaser ought to use a inflexible cushion for full aid.
D) The customer have to shift the load in a chair each 15 minutes. - ANS-D) The patron should
shift the weight in a chair every 15 mins.
Response Feedback:
,Shifting weight regularly prevents extended pressure that could cause stress ulcer formation.
The tenet for sitting up in a chair is to sit down for two hours or less, however it's far most
effective a guiding principle. You must individualize interest for every consumer. Sitting on
inflexible or donut-shaped cushions is contraindicated because they reduce blood supply to the
place, which will increase the region of ischemia.
A 47-yr-vintage female expresses dismay to the nurse that her younger person kids are
unemployed. Her husband is working and close to retirement. She isn't always working and
feels tired of her life and unneeded. She is experiencing which of Erikson's ranges of
improvement?
A) Integrity as opposed to depression
B) Intimacy versus isolation X
C) Identity as opposed to confusion
D) Generativity versus self-absorption and stagnation ?X - ANS-?
A 6-month-vintage little one has been brought to the properly-being sanatorium for a check-up.
She is currently sleeping. What should the examiner do first?
A) Auscultate the lungs and heart at the same time as the toddler continues to be sleeping.
B) Examine the little one's hips due to the fact this method is uncomfortable. C) Begin with the
assessment of the eyes and continue with the the rest of the exam in a head-to-toe approach.
D) Wake the toddler earlier than starting any portion of the examination to attain the maximum
correct evaluation of frame systems. - ANS-A) Auscultate the lungs and coronary heart even as
the toddler remains sound asleep.
A black client with allergies seeks emergency care for acute respiratory distress. Because of this
customer's dark skin, the nurse have to examine for cyanosis by means of analyzing the:
A) Lips.
B) Mucous membranes.
C) Nail beds.
D) Earlobes. - ANS-B) Mucous membranes.
Response Feedback:
Skin colour doesn't have an effect on the mucous membranes. The lips, nail beds, and earlobes
are less dependable indicators of cyanosis due to the fact they're stricken by skin coloration.
A purchaser has been began on oral warfarin sodium (Coumadin) daily. Before administering
this remedy the nurse must check which of the following laboratory outcomes?
A) calcium stages
B) potassium levels
C) International Normalized Ratio (INR)
,D) partial thromboplastin time (PTT) - ANS-C) International Normalized Ratio (INR)
A consumer has been taking antidepressant medication for 1 week and tells the nurse that is
not assisting. The most correct response by means of the nurse would be:
A) The remedy will should be switched to another type of antidepressant
B) Therapeutic outcomes generally start after 2-6 weeks
C) They client need to not be taking their medicine
D) None of the above - ANS-B) Therapeutic effects generally begin after 2-6 weeks
A consumer has just received 2 units of packed cells for anemia. What client coaching must the
practical nurse fortify when the transfusion is discontinued?
A) A fluid intake of three,000 ml must be maintained
B) Ambulation have to be restrained for 2 hours following the transfusion
C) Measurement of fluid consumption and output is needed.
D) Any unusual manifestations ought to be said. - ANS-D) Any unusual manifestations must be
mentioned.
Response Feedback:
The RPN might educate the client in her/his coaching to record any u.S.A. Behaviours submit
transfusion.
A purchaser is to get hold of cephalexin (Keflex) 500 mg via mouth. The pharmacy has sent
250-mg capsules. How many tablets does the nurse give?
A) ½ tablet
B) 1 tablet
C) 1½ capsules
D) 2 pills - ANS-D) 2 pills
A purchaser who has AB wonderful blood is to obtain a blood transfusion. The nurse
understands that blood of which of the following kinds will be administered to this patron?
(Select all that observe.)
A) O positive
B) A high quality
C) B positive
D) AB high-quality - ANS-A) O fantastic
D) AB fine
Response Feedback:
O effective is the popular blood type. O nice blood contains neither type A nor type B antigens.
AB superb is, of direction, the patron's specific blood in shape. A advantageous blood carries
, antibodies in opposition to B antigens and would accordingly result in a transfusion reaction if
given to a person with AB blood. B high quality blood carries antibodies towards A antigens and
would as a consequence cause a transfusion response if given to someone with AB blood.
A patron with a history of cardiac disease is taking a potassium-losing diuretic (furosemide) and
is visible in the emergency branch for proceedings of weak point. The nurse expects to evaluate
which laboratory values?
A) Albumin and protein levels
B) Sodium and chloride levels
C) Potassium and blood glucose tiers
D) Hemoglobin level and hematocrit - ANS-C) Potassium and blood glucose levels
Response Feedback:
Individuals taking potassium-losing diuretics are at danger for hypokalemia. Evaluating blood
glucose level while the consumer reviews weakness is important to ensure that low blood
glucose degree isn't always an issue. Levels of the alternative substances would no longer be
affected by a potassium-wasting diuretic.
A customer with acute pancreatitis has requested ache medication. Which ache remedy is
indicated for the customer with acute pancreatitis?
A) Demerol (meperidine)
B) Toradol (ketorolac)
C) Morphine (morphine sulfate)
D) Codeine (codeine) - ANS-A) Demerol (meperidine)
Response Feedback:
To prevent spasms of the sphincter of Oddi, the purchaser with acute pancreatitis must get hold
of non-opiate analgesics for ache. Answer B is inaccurate because the customer with acute
pancreatitis is probably vulnerable to bleed; therefore, Toradol is not a drug of desire for ache
manage. Morphine and codeine, opiate analgesics, are contraindicated for the consumer with
acute pancreatitis; therefore, answers C and D are wrong.
A client with diabetes mellitus who takes every day insulin injections is scheduled for surgical
operation day after today. The purchaser is to take nothing by mouth (NPO popularity) after
middle of the night. The nurse questions whether insulin must take delivery of the morning of
surgical operation. This is an example of which of the subsequent?
A) Problem fixing
B) Previous enjoy
C) Clinical exercise guideline
D) Scientifically based medical judgement - ANS-D) Scientifically based medical judgement
