CPNRE PRACTICE COMPREHENSIVE EXAM QUESTIONS
WITH DETAILED VERIFIED AND 100% ACCURATE
ANSWERS BRAND NEW EXAM ALREADY GRADED A+ PASS
The nurse is administering heparin via the subcutaneous route. Which
intervention should the nurse implement?
a. Prepare the medication using a 25-gauge, ½ inch needle
b. After injecting the needle, aspirate and observe for blood
c. After removing the needle, massage the area gently
d. Administer the medication in the client's "love handles"
Ans✓✓✓Prepare the medication using a 25-gauge, ½ inch needle
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 cause bruising or bleeding. Heparin is administered in
the abdomen at least 2 inches from umbilicus-best practice.
The nurse is administering morning medications on a medical floor.
Which medication should the nurse administer first?
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 analgesic, to a client diagnosed with AIDS
,d. Lasix, a diuretic, to a client with hypertension Ans✓✓✓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
d. Lasix, a diuretic, to a client with hypertension- can be administered
within the 30-minute acceptable time frame
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
c. The client's lung sounds are clear to ausculatation
d. The client has complaints of pleuritic chest pain. Ans✓✓✓a. The
client's hematocrit is within normal range- does not indicate client
response
b. The client is expectorating thick green sputum- symptom of
pneumonia
c. The client's lung sounds are clear to ausculatation
,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
The nurse is administering Humalog at 0730 to a client diagnosed with
Type 1 diabetes. Which intervention should the nurse implement?
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
d. Have 50% dextrose in water at the bedside for emergency use.
Ans✓✓✓a. Ensure the client eats at least 90% of the lunch tray—insulin
will not be working 4-5 hours after being administered
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 reaction to 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 Ans✓✓✓a. Wear an insect
repellent on exposed skin —appropriate intervention, but if the client has
an insect bite, the repellent will not prevent anaphylaxis, therefore, not
priority intervention
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.
d. Wear a MedicAlert identification bracelet
Application: Bracelet indicates the client is at risk for an anaphylactic
reaction; therefore, this is the priority intervention.
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:
WITH DETAILED VERIFIED AND 100% ACCURATE
ANSWERS BRAND NEW EXAM ALREADY GRADED A+ PASS
The nurse is administering heparin via the subcutaneous route. Which
intervention should the nurse implement?
a. Prepare the medication using a 25-gauge, ½ inch needle
b. After injecting the needle, aspirate and observe for blood
c. After removing the needle, massage the area gently
d. Administer the medication in the client's "love handles"
Ans✓✓✓Prepare the medication using a 25-gauge, ½ inch needle
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 cause bruising or bleeding. Heparin is administered in
the abdomen at least 2 inches from umbilicus-best practice.
The nurse is administering morning medications on a medical floor.
Which medication should the nurse administer first?
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 analgesic, to a client diagnosed with AIDS
,d. Lasix, a diuretic, to a client with hypertension Ans✓✓✓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
d. Lasix, a diuretic, to a client with hypertension- can be administered
within the 30-minute acceptable time frame
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
c. The client's lung sounds are clear to ausculatation
d. The client has complaints of pleuritic chest pain. Ans✓✓✓a. The
client's hematocrit is within normal range- does not indicate client
response
b. The client is expectorating thick green sputum- symptom of
pneumonia
c. The client's lung sounds are clear to ausculatation
,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
The nurse is administering Humalog at 0730 to a client diagnosed with
Type 1 diabetes. Which intervention should the nurse implement?
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
d. Have 50% dextrose in water at the bedside for emergency use.
Ans✓✓✓a. Ensure the client eats at least 90% of the lunch tray—insulin
will not be working 4-5 hours after being administered
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 reaction to 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 Ans✓✓✓a. Wear an insect
repellent on exposed skin —appropriate intervention, but if the client has
an insect bite, the repellent will not prevent anaphylaxis, therefore, not
priority intervention
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.
d. Wear a MedicAlert identification bracelet
Application: Bracelet indicates the client is at risk for an anaphylactic
reaction; therefore, this is the priority intervention.
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:
