CPNRE Practice Questions & Answers
The nurse is administering heparin via the Prepare the medication using a 25-gauge, ½ inch needle
subcutaneous route. Which intervention
should the nurse implement? Knowledge: The nurse should NOT aspirate for blood when administering hepa
because this can damage surrounding tissue and cause bruising. The nurse sho
a. Prepare the medication using a 25- not massage after injecting heparin because this may cause bruising or bleedin
gauge, ½ inch needle Heparin is administered in the abdomen at least 2 inches from umbilicus-best
b. After injecting the needle, aspirate and practice.
observe for blood
c. After removing the needle, massage the
area gently
d. Administer the medication in the client's
"love handles"
, CPNRE Practice Questions & Answers
The nurse is administering morning a. Regular insulin sliding scale to an elderly client diagnosed with Type 1 diab
medications on a medical floor. Which mellitus
medication should the nurse administer b. Methylprednisolone, a glucocorticoid, to a client diagnosed with lupus
first? erythematosus (can be administered within the 30-minute acceptable time fram
c. Morphine, a narcotic analgesic, to a client diagnosed with AIDS -pain medica
a. Regular insulin sliding scale to an elderly a priority, but it can be administered after the sliding scale
client diagnosed with Type 1 diabetes d. Lasix, a diuretic, to a client with hypertension- can be administered within the
mellitus minute acceptable time frame
b. Methylprednisolone, a glucocorticoid, to Regular insulin is administered prior to meals; therefore, this medication should
a client diagnosed with lupus administered. Critical Thinking
erythematosus
c. Morphine, a narcotic analgesic, to a
client diagnosed with AIDS
d. Lasix, a diuretic, to a client with
hypertension
, CPNRE Practice Questions & Answers
Which data would indicate that the a. The client’s hematocrit is within normal range- does not indicate client respo
antibiotic therapy has been successful for a b. The client is expectorating thick green sputum- symptom of pneumonia
client diagnosed with bacterial c. The client’s lung sounds are clear to ausculatation
pneumonia? d. The client has complaints of pleuritic chest pain.— symptom of pneumonia
The symptoms of pneumonia includes crackles and wheezes, rhonchi in the lun
a. The client's hematocrit is within normal fields. Clear lungs indicate an improvement in the pneumonia and that the
range medication is effective. Application
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.
, CPNRE Practice Questions & Answers
The nurse is administering Humalog at a. Ensure the client eats at least 90% of the lunch tray—insulin will not be workin
0730 to a client diagnosed with Type 1 hours after being administered
diabetes. Which intervention should the b. Do not administer unless the breakfast tray is in the client’s room
nurse implement? c. Check the client’s blood glucose level 1 hour after receiving the insulin—gluc
level should be checked prior to administering
a. Ensure the client eats at least 90% of the d. Have 50% dextrose in water at the bedside for emergency use.—this is
lunch tray administered when a client is unconscious secondary to hypoglycemia, and sho
b. Do not administer unless the breakfast not be kept at the bedside. Orange juice or some form of simple glucose can b
tray is in the client's room kept at the bedside.
c. Check the client's blood glucose level 1 Application: The insulin peaks in 15-20 minutes after being administered; therefo
hour after receiving the insulin the meal should be at the bedside prior to administering this medication
d. Have 50% dextrose in water at the
bedside for emergency use.
The client has a severe anaphylactic a. Wear an insect repellent on exposed skin —appropriate intervention, but if th
reaction to insect bites. What priority client has an insect bite, the repellent will not prevent anaphylaxis, therefore, no
discharge intervention should the nurse priority intervention
discuss with the client? b. Keep prescribed antihistamines on their person —used with anaphylaxis, but
takes at least 30 minutes to work, therefore not a priority medication
a. Wear an insect repellent on exposed skin c. Keep an EpiPen in the refrigerator at all times —keeping medication in the
b. Keep prescribed antihistamines on their refrigerator does not allow it to be available to the client at all times.
person d. Wear a MedicAlert identification bracelet
c. Keep an EpiPen in the refrigerator at all
times Application: Bracelet indicates the client is at risk for an anaphylactic reaction;
d. Wear a MedicAlert identification bracelet therefore, this is the priority intervention.
The nurse is administering heparin via the Prepare the medication using a 25-gauge, ½ inch needle
subcutaneous route. Which intervention
should the nurse implement? Knowledge: The nurse should NOT aspirate for blood when administering hepa
because this can damage surrounding tissue and cause bruising. The nurse sho
a. Prepare the medication using a 25- not massage after injecting heparin because this may cause bruising or bleedin
gauge, ½ inch needle Heparin is administered in the abdomen at least 2 inches from umbilicus-best
b. After injecting the needle, aspirate and practice.
observe for blood
c. After removing the needle, massage the
area gently
d. Administer the medication in the client's
"love handles"
, CPNRE Practice Questions & Answers
The nurse is administering morning a. Regular insulin sliding scale to an elderly client diagnosed with Type 1 diab
medications on a medical floor. Which mellitus
medication should the nurse administer b. Methylprednisolone, a glucocorticoid, to a client diagnosed with lupus
first? erythematosus (can be administered within the 30-minute acceptable time fram
c. Morphine, a narcotic analgesic, to a client diagnosed with AIDS -pain medica
a. Regular insulin sliding scale to an elderly a priority, but it can be administered after the sliding scale
client diagnosed with Type 1 diabetes d. Lasix, a diuretic, to a client with hypertension- can be administered within the
mellitus minute acceptable time frame
b. Methylprednisolone, a glucocorticoid, to Regular insulin is administered prior to meals; therefore, this medication should
a client diagnosed with lupus administered. Critical Thinking
erythematosus
c. Morphine, a narcotic analgesic, to a
client diagnosed with AIDS
d. Lasix, a diuretic, to a client with
hypertension
, CPNRE Practice Questions & Answers
Which data would indicate that the a. The client’s hematocrit is within normal range- does not indicate client respo
antibiotic therapy has been successful for a b. The client is expectorating thick green sputum- symptom of pneumonia
client diagnosed with bacterial c. The client’s lung sounds are clear to ausculatation
pneumonia? d. The client has complaints of pleuritic chest pain.— symptom of pneumonia
The symptoms of pneumonia includes crackles and wheezes, rhonchi in the lun
a. The client's hematocrit is within normal fields. Clear lungs indicate an improvement in the pneumonia and that the
range medication is effective. Application
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.
, CPNRE Practice Questions & Answers
The nurse is administering Humalog at a. Ensure the client eats at least 90% of the lunch tray—insulin will not be workin
0730 to a client diagnosed with Type 1 hours after being administered
diabetes. Which intervention should the b. Do not administer unless the breakfast tray is in the client’s room
nurse implement? c. Check the client’s blood glucose level 1 hour after receiving the insulin—gluc
level should be checked prior to administering
a. Ensure the client eats at least 90% of the d. Have 50% dextrose in water at the bedside for emergency use.—this is
lunch tray administered when a client is unconscious secondary to hypoglycemia, and sho
b. Do not administer unless the breakfast not be kept at the bedside. Orange juice or some form of simple glucose can b
tray is in the client's room kept at the bedside.
c. Check the client's blood glucose level 1 Application: The insulin peaks in 15-20 minutes after being administered; therefo
hour after receiving the insulin the meal should be at the bedside prior to administering this medication
d. Have 50% dextrose in water at the
bedside for emergency use.
The client has a severe anaphylactic a. Wear an insect repellent on exposed skin —appropriate intervention, but if th
reaction to insect bites. What priority client has an insect bite, the repellent will not prevent anaphylaxis, therefore, no
discharge intervention should the nurse priority intervention
discuss with the client? b. Keep prescribed antihistamines on their person —used with anaphylaxis, but
takes at least 30 minutes to work, therefore not a priority medication
a. Wear an insect repellent on exposed skin c. Keep an EpiPen in the refrigerator at all times —keeping medication in the
b. Keep prescribed antihistamines on their refrigerator does not allow it to be available to the client at all times.
person d. Wear a MedicAlert identification bracelet
c. Keep an EpiPen in the refrigerator at all
times Application: Bracelet indicates the client is at risk for an anaphylactic reaction;
d. Wear a MedicAlert identification bracelet therefore, this is the priority intervention.
