CPNRE Preparation YardStick for 2025/ 2026 Complete
Questions And Correct Answers With Rationales
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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" -
Answer-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.
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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 - Answer-
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
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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
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. -
Answer-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
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
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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. - Answer-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.