CPNRE PRACTICE QUESTIONS AND ANSWERS

Mrs. Anderson, 85, is admitted to the unit with a diagnosis of pneumonia. On assessment, the nurse observes that the client is demonstrating signs of dyspnea. She is also having difficulty expelling secretions. Auscultation of the lung fields reveals bronchial sounds in the left lower lobe. Which of the following nursing interventions is provided to the client first? a. Instruct bed rest. b. Administer oxygen. c. Increase fluid intake per hour. d. Administer antibiotics. - Answer-ANSWER: B Administration of oxygen is the first treatment provided with dyspnea due to pneumonia. They are at risk of becoming hypoxic. The other actions are instructed for a client with dyspnea due to pneumonia, but they are not the priority action. Mr. Campbell, 25 y/o construction worker, is admitted to a burn unit after a fire at a construction site. initial assessment reveals burn injuries involving the anterior and posterior aspects of the upper extremities. The injured surfaces are black and dry. Tissues with fat exposure and edema are noted. The patient reports minimal pain. The nurse assessing Mr. Campbell classifies these integumentary injuries as: a. Superficial-thickness burns. b. Partial-thickness superficial burns. c. Full-thickness burns. d. Deep full-thickness burns. - Answer-ANSWER: C Mr. Campbell sustained full-thickness burns. Full thickness burns are characterized by deep red, brown, or black burned sites, dry injured surfaces, edema, tissue disruption with fat exposure, and minimal or no pain. Bryan, 17, is rushed to the ER after he is found lying unconscious on the floor. Physical assessment reveals cherry-red skin, mucous membranes, and nails. Based on this finding, which is the most likely cause of Bryan's condition? a. Excessive aspirin ingestion. b. Hydrocarbon ingestion. c. Lead poisoning.d. Carbon monoxide poisoning. - Answer-ANSWER: D Bryan is most likely demonstrating a sign of carbon monoxide poisoning. A nurse is assigned to care for Amanda, a 39 y/o lawyer who was recently diagnosed with generalized anxiety disorder. Which of the following statements from Amanda would lead the nurse to suspect that Amanda's anxiety has been a long-standing problem? a. "My mother was also diagnosed with general anxiety disorder when she was in her early 40's." b. "Adjusting to college life was difficult. I never thought I would even receive a degree." c. "I have always solved my problems on my own." d. "I've had nightmares since my husband left me a year ago." - Answer-ANSWER: B When a client reveals information about having difficulty adjusting to new stressors in life between 18- 24, a long-standing anxiety problem is suspected. A 23 y/o female at 35 weeks gestation comes to the emergency department complaining of severe abdominal pain. Moderate dark vaginal bleeding is noted. Physical assessment findings include increased uterine tone with orthostatic changes in the blood pressure. External fetal monitor reveals fetal distress. Based on these findings, the client is most likely diagnosed with which of the following conditions? a. Abruptio placenta. b. Placenta previa. c. Hydatidiform mole. d. Ectopic pregnancy. - Answer-ANSWER: A The client is most likely diagnosed with abruptio placenta.