CPNRE Practice Questions 2023| graded A+

1. 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 med- ication 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. 2. 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 erythemato- sus (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 3. 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.: 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 medica- tion is effective. Application 4. 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 adminis- tered 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 5. 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