NURS CPNRE EXAM QUESTIONS WITH ANSWERS
GRADED A+ 2022 UPDATE
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"
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
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- 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
,NURS CPNRE EXAM QUESTIONS WITH ANSWERS
GRADED A+ 2022 UPDATE
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.
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
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:
a. Open the capsule and mix the medication with apple sauce
b. Crush the medication and administer it with a glass of liquid
,NURS CPNRE EXAM QUESTIONS WITH ANSWERS
GRADED A+ 2022 UPDATE
c. Call the pharmacist and request a change to a different medication
d. Stop the medication and inform the physician
d. Stop the medication and inform the physician
, NURS CPNRE EXAM QUESTIONS WITH ANSWERS
GRADED A+ 2022 UPDATE
Application: SR means sustained released. These medications cannot be
altered. In answers A and B, crushing or opening the capsule is not
allowed. The best response would be to inform the prescriber (the doctor)
immediately
The client calls the nursing station and requests pain medication. When the
nurse enters the room with the narcotic medication, the nurse finds the
client laughing and talking with visitors. Which action should the nurse
administer first?
a. Administer the client's prescribed pain medication
b. Assess the client's perception of pain on a 1-10 scale
c. Wait until the visitors leave to administer any medication
d. Check the MAR to see if there is a nonnarcotic medication ordered
a. Administer the client’s prescribed pain medication —should not
administer pain medication until after assessing the client’s pain
b. Assess the client’s perception of pain on a 1-10 scale
c. Wait until the visitors leave to administer any medication —should
assess client whether the client has visitors or not
d. Check the MAR to see if there is a nonnarcotic medication ordered —
nurse should assess the client’s pain first
Application: first action is to always assess the client in pain to determine if
client is having a complication that requires medical intervention rather than
PRN medication. The client in hypovolemic shock is receiving normal saline
by rapid intravenous infusion. Which assessment data would warrant
immediate intervention by the nurse?
a. The client's blood pressure is 89/48
b. The client's pulse oximeter reading is 95%
c. The client's lung sounds are clear bilaterally
d. The client's urine output is 120 mL in 3 hours
a. The client’s blood pressure is 89/48
b.The client’s pulse oximeter reading is 95% --normal finding
c.The client’s lung sounds are clear bilaterally—normal finding
d.The client’s urine output is 120 mL in 3 hours—normal finding
Application: low blood pressure reading for a client in hypovolemic shock. A
B/P less than 90/60 warrants intervention by the nurse and indicates that
fluid resuscitation is not effective.
Which intervention should the nurse implement when administering a
medication via the intradermal route?
a. Insert the needle with the bevel up at 15-degree angle in the skin
b. Prepare the medication in a 3-mL syringe using a 23-gauge 1-inch needle
c. Bunch the skin between the thumb and index finger of the nondominant
hand
d. Quickly inject the medication as to not form a wheal or bleb
a. Insert the needle with the bevel up at 15-degree angle in the skin
GRADED A+ 2022 UPDATE
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"
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
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- 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
,NURS CPNRE EXAM QUESTIONS WITH ANSWERS
GRADED A+ 2022 UPDATE
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.
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
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:
a. Open the capsule and mix the medication with apple sauce
b. Crush the medication and administer it with a glass of liquid
,NURS CPNRE EXAM QUESTIONS WITH ANSWERS
GRADED A+ 2022 UPDATE
c. Call the pharmacist and request a change to a different medication
d. Stop the medication and inform the physician
d. Stop the medication and inform the physician
, NURS CPNRE EXAM QUESTIONS WITH ANSWERS
GRADED A+ 2022 UPDATE
Application: SR means sustained released. These medications cannot be
altered. In answers A and B, crushing or opening the capsule is not
allowed. The best response would be to inform the prescriber (the doctor)
immediately
The client calls the nursing station and requests pain medication. When the
nurse enters the room with the narcotic medication, the nurse finds the
client laughing and talking with visitors. Which action should the nurse
administer first?
a. Administer the client's prescribed pain medication
b. Assess the client's perception of pain on a 1-10 scale
c. Wait until the visitors leave to administer any medication
d. Check the MAR to see if there is a nonnarcotic medication ordered
a. Administer the client’s prescribed pain medication —should not
administer pain medication until after assessing the client’s pain
b. Assess the client’s perception of pain on a 1-10 scale
c. Wait until the visitors leave to administer any medication —should
assess client whether the client has visitors or not
d. Check the MAR to see if there is a nonnarcotic medication ordered —
nurse should assess the client’s pain first
Application: first action is to always assess the client in pain to determine if
client is having a complication that requires medical intervention rather than
PRN medication. The client in hypovolemic shock is receiving normal saline
by rapid intravenous infusion. Which assessment data would warrant
immediate intervention by the nurse?
a. The client's blood pressure is 89/48
b. The client's pulse oximeter reading is 95%
c. The client's lung sounds are clear bilaterally
d. The client's urine output is 120 mL in 3 hours
a. The client’s blood pressure is 89/48
b.The client’s pulse oximeter reading is 95% --normal finding
c.The client’s lung sounds are clear bilaterally—normal finding
d.The client’s urine output is 120 mL in 3 hours—normal finding
Application: low blood pressure reading for a client in hypovolemic shock. A
B/P less than 90/60 warrants intervention by the nurse and indicates that
fluid resuscitation is not effective.
Which intervention should the nurse implement when administering a
medication via the intradermal route?
a. Insert the needle with the bevel up at 15-degree angle in the skin
b. Prepare the medication in a 3-mL syringe using a 23-gauge 1-inch needle
c. Bunch the skin between the thumb and index finger of the nondominant
hand
d. Quickly inject the medication as to not form a wheal or bleb
a. Insert the needle with the bevel up at 15-degree angle in the skin
