CPNRE TEST WITH QUESTIONS AND
ANSWERS 2025 UPDATE.
Which of the following medicationsmay predispose the client to hearing loss?
a. Aspirin—ototoxic
b. Ampicillin
c. Demerol
d. Tylenol - ANS a. Aspirin—ototoxic
The typical acute asthmatic attackis usually due to a combination of bronchial spasm bronchial
edema and the presenceof mucoid secretions in the bronchial lumen. The client with asthma was
givenmucomyst for which of the following reasons?
a. Todecrease the viscosity of secretions.
b. Toencourage the movement of the secretions in the bronchi.
c. To stimulate the cough reflex.
d. Todilate the bronchi. - ANS a. Todecrease the viscosity of secretions.
3. Most asthmatic attacks respond toEpinephrine (Adrenalin) and it may be used as a therapeutic
agent
in the treatment of some allergicconditions because it:
a. Improves cardiac output due to itspositive inotropic effect.
b. Actsas a hypertensive agent elevating BP.
c. Dilatesthe bronchi.
d. Antagonizeshistamine. - ANS c. Dilatesthe bronchi.
4. A 78-year-old-client is taking acombination of 3 drugs: Lasix Digoxin and Isordil. Which of
the followingwill be a desired accumulative effect of the drugs?
a. Constipation
b. Weight loss = lasix (diuretic)digoxin (improves cardiac output) isordil (vasodilator)
c. Postural hypotension
d. Dizziness - ANS b. Weight loss = lasix (diuretic),digoxin (improves cardiac output), isordil
(vasodilator)
5. Propanolol (Inderal) is used in thetreatment of clients with
a. heart block.
b. asthma.
c. hyperthyroid.—beta-blocker
d. pulmonaryedema - ANS c. hyperthyroid.—beta-blocker
6. Which of the following types of insulin is administered IV and during emergency?
a. NPH
b. Regular insulin
c. PZI
d. Combinationof Regular and NPH - ANS b. Regular insulin
, 7. A manic-depressive client was placed on MAO inhibitor therapy. Which of the following
foods will not be appropriate for the client?
a. Fatty foods
b. Coffee and tea
c. Salty foods
d. Vegetables - ANS b. Coffee and tea
8. A client who is suffering from Osteoarthritis is given Naprosyn (Naproxen) and asked the
nurse "How does this drug help me"? The PN's appropriate response would be:
a. "It relieves your spasm."
b. "It prevents demineralization of your bones."
c. "It strengthens bone structures."
d. "It relieves discomfort." - ANS d. "It relieves discomfort."
9. A client is receiving Kayexalate (Sodium Polystyrene). Which of the following statements
indicates that the client understands the teaching given?
a. "My stool will be hard."
b. "It will lessen the bacteria in my stomach."
c. "It will decrease the serum K⁺ level in my blood."
d. "It will decrease the Ca⁺⁺level in my blood." - ANS
c. "It will decrease the serum K⁺ level in my blood."
10. All of these infants attended an infant care class with their mothers. Who among these babies
can be given an oral polio vaccine?
a. Annie 5 months old - ANS who finished her 120 ml formula an hour ago.
b. Ronnie 3 months old who upon arriving to the clinic vomited 2X.
c. Jocelyn 6 months with oral thrush.
d. Larry 6 months teething and drooling., a. Annie 5 months old, who finished her 120 ml
formula an hour ago.
11. While the client is receiving Heparin therapy - ANS which of these should be readily
available?
a. Vitamin K
b. Protamine Sulfate
c. Calcium Gluconate
d. Magnesium Sulfate, b. Protamine Sulfate
12. Why Prednisone dosage is decreased gradually and not abruptly?
a. Triggers the adrenal cortex to release ACTH to function normally.
b. Costicosteroid suppression.
c. Adrenal insufficiency.
d. GI irritation. - ANS c. Adrenal insufficiency.
ANSWERS 2025 UPDATE.
Which of the following medicationsmay predispose the client to hearing loss?
a. Aspirin—ototoxic
b. Ampicillin
c. Demerol
d. Tylenol - ANS a. Aspirin—ototoxic
The typical acute asthmatic attackis usually due to a combination of bronchial spasm bronchial
edema and the presenceof mucoid secretions in the bronchial lumen. The client with asthma was
givenmucomyst for which of the following reasons?
a. Todecrease the viscosity of secretions.
b. Toencourage the movement of the secretions in the bronchi.
c. To stimulate the cough reflex.
d. Todilate the bronchi. - ANS a. Todecrease the viscosity of secretions.
3. Most asthmatic attacks respond toEpinephrine (Adrenalin) and it may be used as a therapeutic
agent
in the treatment of some allergicconditions because it:
a. Improves cardiac output due to itspositive inotropic effect.
b. Actsas a hypertensive agent elevating BP.
c. Dilatesthe bronchi.
d. Antagonizeshistamine. - ANS c. Dilatesthe bronchi.
4. A 78-year-old-client is taking acombination of 3 drugs: Lasix Digoxin and Isordil. Which of
the followingwill be a desired accumulative effect of the drugs?
a. Constipation
b. Weight loss = lasix (diuretic)digoxin (improves cardiac output) isordil (vasodilator)
c. Postural hypotension
d. Dizziness - ANS b. Weight loss = lasix (diuretic),digoxin (improves cardiac output), isordil
(vasodilator)
5. Propanolol (Inderal) is used in thetreatment of clients with
a. heart block.
b. asthma.
c. hyperthyroid.—beta-blocker
d. pulmonaryedema - ANS c. hyperthyroid.—beta-blocker
6. Which of the following types of insulin is administered IV and during emergency?
a. NPH
b. Regular insulin
c. PZI
d. Combinationof Regular and NPH - ANS b. Regular insulin
, 7. A manic-depressive client was placed on MAO inhibitor therapy. Which of the following
foods will not be appropriate for the client?
a. Fatty foods
b. Coffee and tea
c. Salty foods
d. Vegetables - ANS b. Coffee and tea
8. A client who is suffering from Osteoarthritis is given Naprosyn (Naproxen) and asked the
nurse "How does this drug help me"? The PN's appropriate response would be:
a. "It relieves your spasm."
b. "It prevents demineralization of your bones."
c. "It strengthens bone structures."
d. "It relieves discomfort." - ANS d. "It relieves discomfort."
9. A client is receiving Kayexalate (Sodium Polystyrene). Which of the following statements
indicates that the client understands the teaching given?
a. "My stool will be hard."
b. "It will lessen the bacteria in my stomach."
c. "It will decrease the serum K⁺ level in my blood."
d. "It will decrease the Ca⁺⁺level in my blood." - ANS
c. "It will decrease the serum K⁺ level in my blood."
10. All of these infants attended an infant care class with their mothers. Who among these babies
can be given an oral polio vaccine?
a. Annie 5 months old - ANS who finished her 120 ml formula an hour ago.
b. Ronnie 3 months old who upon arriving to the clinic vomited 2X.
c. Jocelyn 6 months with oral thrush.
d. Larry 6 months teething and drooling., a. Annie 5 months old, who finished her 120 ml
formula an hour ago.
11. While the client is receiving Heparin therapy - ANS which of these should be readily
available?
a. Vitamin K
b. Protamine Sulfate
c. Calcium Gluconate
d. Magnesium Sulfate, b. Protamine Sulfate
12. Why Prednisone dosage is decreased gradually and not abruptly?
a. Triggers the adrenal cortex to release ACTH to function normally.
b. Costicosteroid suppression.
c. Adrenal insufficiency.
d. GI irritation. - ANS c. Adrenal insufficiency.
