EXAM QUESTIONS AND A NEW UPDATED STUDY GUIDE (A
NEW UPDATED VERSION 2025/2026) COMPLETE ACCURATE
EXAM ACTUAL QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (100% CORRECT VERIFIED
SOLUTIONS) |GURANTEED PASS. FULL REVISED CPNRE
EXAM 2025/2026
Mr. Yellowtail, 58 years old, has cardiomyopathy and is admitted with
manifestations of congestive heart failure (CHF). He is awaiting a heart
transplant. He is accompanied by During Mr. Yellowtail's assessment,
what knowledge should the practical nurse have?
A) S2 is best heard over the apex area.
B) S1 is best heard over the aortic and pulmonic area.
C) The cardiac cycle consists of the systole and diastole phases.
D) There are four phases to the cardiac cycle including systole and
diastole.
Answer- C) The cardiac cycle consists of the systole and diastole phases.
Rationale: The cardiac cycle is the sequence of events that occurs when
the heart beats, and it primarily consists of two main phases: systole and
diastole. Systole is the contraction phase when the heart pumps blood
out to the body and lungs, while diastole is the relaxation phase when
the heart fills with blood. Understanding these phases is essential for
assessing and managing patients with heart conditions like
cardiomyopathy and congestive heart failure.
,The other statements are less relevant to the overall understanding of the
cardiac cycle:
A) S2 is best heard over the apex area - This is true, but it is more
specific to auscultation techniques rather than the general understanding
of the cardiac cycle.
B) S1 is best heard over the aortic and pulmonic area - This is also true,
but it is more specific to auscultation techniques.
D) There are four phases to the cardiac cycle including systole and
diastole - While there are indeed four phases (atrial systole, ventricular
systole, atrial diastole, and ventricular diastole), the most fundamental
understanding involves the two main phases: systole and diastole.
Mr. Yellowtail, 58 years old, has cardiomyopathy and is admitted with
manifestations of congestive heart failure (CHF). He is awaiting a heart
transplant. He is accompanied by
The practical nurse is preparing Mr. Yellowtail's morning medication.
Furosemide (Lasix) is a new order in the medication administration
record (MAR) and has been written as:
Lasix 80 mg p.m. daily. What should the practical nurse do first?
A) Verify the order on the MAR with another practical nurse.
B) Administer the medication according to the rights of medication
administration.
C) Prepare the medication and document according to hospital policy.
D) Verify the physician's order before preparing the medication.
,Answer- D) Verify the physician's order before preparing the
medication.
Rationale: The first step in administering any new medication, especially
one as potent as Furosemide (Lasix), which is a loop diuretic used to
treat fluid retention in conditions such as congestive heart failure, is to
verify the physician's order. This is a critical safety measure to ensure
that the medication, dose, and frequency are correct and appropriate for
the patient. Verifying the order helps prevent medication errors and
ensures that the patient receives the correct treatment.
After verifying the order, the practical nurse should:
Prepare the medication according to hospital policy.
Administer the medication following the rights of medication
administration.
Document the administration as required.
The other options are important but should follow the verification of the
physician's order:
A) Verify the order on the MAR with another practical nurse - This is a
good practice for double-checking, but it should be done after verifying
the physician's order.
B) Administer the medication according to the rights of medication
administration - This should be done after verifying the order and
preparing the medication.
C) Prepare the medication and document according to hospital policy -
This should be done after verifying the order.
, Mr. Yellowtail, 58 years old, has cardiomyopathy and is admitted with
manifestations of congestive heart failure (CHF). He is awaiting a heart
transplant. He is accompanied by
Mrs. Yellowtail arrives at the hospital and tells the practical nurse that
she is happy that her husband does not need a heart transplant and he can
come home. What should the practical nurse do?
A) Refer her to the heart and stroke association.
B) Remind her that her husband will need a heart transplant.
C) Assess her knowledge of her husband's health problem.
D) Encourage her to support her husband during hospitalization.
Answer- C) Assess her knowledge of her husband's health problem.
Rationale: When Mrs. Yellowtail expresses a misunderstanding about
her husband's need for a heart transplant, the most appropriate initial
action for the practical nurse is to assess her knowledge of her husband's
health problem. This will help determine the extent of her
misunderstanding and guide the nurse in providing accurate information
and education about her husband's condition and treatment plan. It is
important to ensure that Mrs. Yellowtail has a clear understanding of her
husband's health status to support her in providing appropriate care and
making informed decisions.
The other options are less directly focused on addressing the immediate
misunderstanding: