CPNRE Practice Questions
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1. The nurse is administering heparin Prepare the medication using a 25-gauge, ½ inch
via the subcutaneous route. Which in- needle
tervention should the nurse imple-
ment? Knowledge: The nurse should NOT aspirate for
blood when administering heparin because this
a. Prepare the medication using a can damage surrounding tissue and cause bruis-
25-gauge, ½ inch needle ing. The nurse should not massage after injecting
b. After injecting the needle, aspirate heparin because this may cause bruising or bleed-
and observe for blood ing. Heparin is administered in the abdomen at
c. After removing the needle, mas- least 2 inches from umbilicus-best practice.
sage the area gently
d. Administer the medication in the
client's "love handles"
2. The nurse is administering morning a. Regular insulin sliding scale to an elderly client
medications on a medical floor. Which diagnosed with Type 1 diabetes mellitus
medication should the nurse adminis- b. Methylprednisolone, a glucocorticoid, to a client
ter first? diagnosed with lupus erythematosus (can be ad-
ministered within the 30-minute acceptable time
a. Regular insulin sliding scale to an frame)
elderly client diagnosed with Type 1 c. Morphine, a narcotic analgesic, to a client diag-
diabetes mellitus nosed with AIDS -pain medication is a priority, but
b. Methylprednisolone, a glucocorti- it can be administered after the sliding scale
coid, to a client diagnosed with lupus d. Lasix, a diuretic, to a client with hypertension-
erythematosus can be administered within the 30-minute accept-
c. Morphine, a narcotic analgesic, to a able time frame
client diagnosed with AIDS Regular insulin is administered prior to meals;
d. Lasix, a diuretic, to a client with hy- therefore, this medication should be administered.
pertension Critical Thinking
3. Which data would indicate that the a. The client's hematocrit is within normal range-
antibiotic therapy has been successful does not indicate client response
, CPNRE Practice Questions
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for a client diagnosed with bacterial b. The client is expectorating thick green sputum-
pneumonia? symptom of pneumonia
c. The client's lung sounds are clear to ausculata-
a. The client's hematocrit is within tion
normal range d. The client has complaints of pleuritic chest
b. The client is expectorating thick pain.— symptom of pneumonia
green sputum The symptoms of pneumonia includes crackles and
c. The client's lung sounds are clear to wheezes, rhonchi in the lung fields. Clear lungs
ausculatation indicate an improvement in the pneumonia and
d. The client has complaints of pleurit- that the medication is effective. Application
ic chest pain.
4. The nurse is administering Humalog a. Ensure the client eats at least 90% of the lunch
at 0730 to a client diagnosed with tray—insulin will not be working 4-5 hours after
Type 1 diabetes. Which intervention being administered
should the nurse implement? b. Do not administer unless the breakfast tray is in
the client's room
a. Ensure the client eats at least 90% c. Check the client's blood glucose level 1 hour
of the lunch tray after receiving the insulin—glucose level should
b. Do not administer unless the break- be checked prior to administering
fast tray is in the client's room d. Have 50% dextrose in water at the bedside
c. Check the client's blood glucose lev- for emergency use.—this is administered when a
el 1 hour after receiving the insulin client is unconscious secondary to hypoglycemia,
d. Have 50% dextrose in water at the and should not be kept at the bedside. Orange
bedside for emergency use. juice or some form of simple glucose can be kept
at the bedside.
Application: The insulin peaks in 15-20 minutes af-
ter being administered; therefore, the meal should
be at the bedside prior to administering this med-
ication
5.
, CPNRE Practice Questions
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The client has a severe anaphylactic a. Wear an insect repellent on exposed skin —ap-
reaction to insect bites. What priori-propriate intervention, but if the client has an in-
ty discharge intervention should the sect bite, the repellent will not prevent anaphylaxis,
nurse discuss with the client? therefore, not priority intervention
b. Keep prescribed antihistamines on their person
a. Wear an insect repellent on ex- —used with anaphylaxis, but it takes at least 30
posed skin minutes to work, therefore not a priority medica-
b. Keep prescribed antihistamines on tion
their person c. Keep an EpiPen in the refrigerator at all times
c. Keep an EpiPen in the refrigerator —keeping medication in the refrigerator does not
at all times allow it to be available to the client at all times.
d. Wear a MedicAlert identification d. Wear a MedicAlert identification bracelet
bracelet
Application: Bracelet indicates the client is at risk
for an anaphylactic reaction; therefore, this is the
priority intervention.
6. The client's mother contacts the clinic d. Stop the medication and inform the physician
regarding medication administration
stating, "My daughter cannot swallow Application: SR means sustained released. These
this capsule. It's too large." Investiga- medications cannot be altered. In answers A and
tion reveals that the medication is a B, crushing or opening the capsule is not allowed.
capsule marked SR. The nurse should The best response would be to inform the pre-
instruct the mother to: scriber (the doctor) immediately
a. Open the capsule and mix the med-
ication with apple sauce
b. Crush the medication and adminis-
ter it with a glass of liquid
c. Call the pharmacist and request a
change to a different medication
, CPNRE Practice Questions
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d. Stop the medication and inform the
physician
7. The client calls the nursing station a. Administer the client's prescribed pain med-
and requests pain medication. When ication —should not administer pain medication
the nurse enters the room with until after assessing the client's pain
the narcotic medication, the nurse b. Assess the client's perception of pain on a 1-10
finds the client laughing and talking scale
with visitors. Which action should the c. Wait until the visitors leave to administer any
nurse administer first? medication —should assess client whether the
client has visitors or not
a. Administer the client's prescribed d. Check the MAR to see if there is a nonnarcotic
pain medication medication ordered —nurse should assess the
b. Assess the client's perception of client's pain first
pain on a 1-10 scale
c. Wait until the visitors leave to ad- Application: first action is to always assess the client
minister any medication in pain to determine if client is having a complica-
d. Check the MAR to see if there is a tion that requires medical intervention rather than
nonnarcotic medication ordered PRN medication.
8. The client in hypovolemic shock is re- a. The client's blood pressure is 89/48
ceiving normal saline by rapid intra- b. The client's pulse oximeter reading is 95% --nor-
venous infusion. Which assessment mal finding
data would warrant immediate inter- c. The client's lung sounds are clear bilateral-
vention by the nurse? ly—normal finding
d. The client's urine output is 120 mL in 3
a. The client's blood pressure is 89/48 hours—normal finding
b. The client's pulse oximeter reading
is 95% Application: low blood pressure reading for a client
c. The client's lung sounds are clear in hypovolemic shock. A B/P less than 90/60 war-
bilaterally rants intervention by the nurse and indicates that
fluid resuscitation is not effective.
Study online at https://quizlet.com/_9361k0
1. The nurse is administering heparin Prepare the medication using a 25-gauge, ½ inch
via the subcutaneous route. Which in- needle
tervention should the nurse imple-
ment? Knowledge: The nurse should NOT aspirate for
blood when administering heparin because this
a. Prepare the medication using a can damage surrounding tissue and cause bruis-
25-gauge, ½ inch needle ing. The nurse should not massage after injecting
b. After injecting the needle, aspirate heparin because this may cause bruising or bleed-
and observe for blood ing. Heparin is administered in the abdomen at
c. After removing the needle, mas- least 2 inches from umbilicus-best practice.
sage the area gently
d. Administer the medication in the
client's "love handles"
2. The nurse is administering morning a. Regular insulin sliding scale to an elderly client
medications on a medical floor. Which diagnosed with Type 1 diabetes mellitus
medication should the nurse adminis- b. Methylprednisolone, a glucocorticoid, to a client
ter first? diagnosed with lupus erythematosus (can be ad-
ministered within the 30-minute acceptable time
a. Regular insulin sliding scale to an frame)
elderly client diagnosed with Type 1 c. Morphine, a narcotic analgesic, to a client diag-
diabetes mellitus nosed with AIDS -pain medication is a priority, but
b. Methylprednisolone, a glucocorti- it can be administered after the sliding scale
coid, to a client diagnosed with lupus d. Lasix, a diuretic, to a client with hypertension-
erythematosus can be administered within the 30-minute accept-
c. Morphine, a narcotic analgesic, to a able time frame
client diagnosed with AIDS Regular insulin is administered prior to meals;
d. Lasix, a diuretic, to a client with hy- therefore, this medication should be administered.
pertension Critical Thinking
3. Which data would indicate that the a. The client's hematocrit is within normal range-
antibiotic therapy has been successful does not indicate client response
, CPNRE Practice Questions
Study online at https://quizlet.com/_9361k0
for a client diagnosed with bacterial b. The client is expectorating thick green sputum-
pneumonia? symptom of pneumonia
c. The client's lung sounds are clear to ausculata-
a. The client's hematocrit is within tion
normal range d. The client has complaints of pleuritic chest
b. The client is expectorating thick pain.— symptom of pneumonia
green sputum The symptoms of pneumonia includes crackles and
c. The client's lung sounds are clear to wheezes, rhonchi in the lung fields. Clear lungs
ausculatation indicate an improvement in the pneumonia and
d. The client has complaints of pleurit- that the medication is effective. Application
ic chest pain.
4. The nurse is administering Humalog a. Ensure the client eats at least 90% of the lunch
at 0730 to a client diagnosed with tray—insulin will not be working 4-5 hours after
Type 1 diabetes. Which intervention being administered
should the nurse implement? b. Do not administer unless the breakfast tray is in
the client's room
a. Ensure the client eats at least 90% c. Check the client's blood glucose level 1 hour
of the lunch tray after receiving the insulin—glucose level should
b. Do not administer unless the break- be checked prior to administering
fast tray is in the client's room d. Have 50% dextrose in water at the bedside
c. Check the client's blood glucose lev- for emergency use.—this is administered when a
el 1 hour after receiving the insulin client is unconscious secondary to hypoglycemia,
d. Have 50% dextrose in water at the and should not be kept at the bedside. Orange
bedside for emergency use. juice or some form of simple glucose can be kept
at the bedside.
Application: The insulin peaks in 15-20 minutes af-
ter being administered; therefore, the meal should
be at the bedside prior to administering this med-
ication
5.
, CPNRE Practice Questions
Study online at https://quizlet.com/_9361k0
The client has a severe anaphylactic a. Wear an insect repellent on exposed skin —ap-
reaction to insect bites. What priori-propriate intervention, but if the client has an in-
ty discharge intervention should the sect bite, the repellent will not prevent anaphylaxis,
nurse discuss with the client? therefore, not priority intervention
b. Keep prescribed antihistamines on their person
a. Wear an insect repellent on ex- —used with anaphylaxis, but it takes at least 30
posed skin minutes to work, therefore not a priority medica-
b. Keep prescribed antihistamines on tion
their person c. Keep an EpiPen in the refrigerator at all times
c. Keep an EpiPen in the refrigerator —keeping medication in the refrigerator does not
at all times allow it to be available to the client at all times.
d. Wear a MedicAlert identification d. Wear a MedicAlert identification bracelet
bracelet
Application: Bracelet indicates the client is at risk
for an anaphylactic reaction; therefore, this is the
priority intervention.
6. The client's mother contacts the clinic d. Stop the medication and inform the physician
regarding medication administration
stating, "My daughter cannot swallow Application: SR means sustained released. These
this capsule. It's too large." Investiga- medications cannot be altered. In answers A and
tion reveals that the medication is a B, crushing or opening the capsule is not allowed.
capsule marked SR. The nurse should The best response would be to inform the pre-
instruct the mother to: scriber (the doctor) immediately
a. Open the capsule and mix the med-
ication with apple sauce
b. Crush the medication and adminis-
ter it with a glass of liquid
c. Call the pharmacist and request a
change to a different medication
, CPNRE Practice Questions
Study online at https://quizlet.com/_9361k0
d. Stop the medication and inform the
physician
7. The client calls the nursing station a. Administer the client's prescribed pain med-
and requests pain medication. When ication —should not administer pain medication
the nurse enters the room with until after assessing the client's pain
the narcotic medication, the nurse b. Assess the client's perception of pain on a 1-10
finds the client laughing and talking scale
with visitors. Which action should the c. Wait until the visitors leave to administer any
nurse administer first? medication —should assess client whether the
client has visitors or not
a. Administer the client's prescribed d. Check the MAR to see if there is a nonnarcotic
pain medication medication ordered —nurse should assess the
b. Assess the client's perception of client's pain first
pain on a 1-10 scale
c. Wait until the visitors leave to ad- Application: first action is to always assess the client
minister any medication in pain to determine if client is having a complica-
d. Check the MAR to see if there is a tion that requires medical intervention rather than
nonnarcotic medication ordered PRN medication.
8. The client in hypovolemic shock is re- a. The client's blood pressure is 89/48
ceiving normal saline by rapid intra- b. The client's pulse oximeter reading is 95% --nor-
venous infusion. Which assessment mal finding
data would warrant immediate inter- c. The client's lung sounds are clear bilateral-
vention by the nurse? ly—normal finding
d. The client's urine output is 120 mL in 3
a. The client's blood pressure is 89/48 hours—normal finding
b. The client's pulse oximeter reading
is 95% Application: low blood pressure reading for a client
c. The client's lung sounds are clear in hypovolemic shock. A B/P less than 90/60 war-
bilaterally rants intervention by the nurse and indicates that
fluid resuscitation is not effective.
