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 genera...
CPNRE PRACTICE QUESTIONS
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: 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.
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: 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: D
Bryan is most likely demonstrating a sign of carbon monoxide poisoning.
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: A
The client is most likely diagnosed with abruptio placenta.
Rachel, G1P0 female at 30 weeks gestation, was admitted to the facility due to persistent headaches. On
assessment, a blood pressure of 180/130 was noted. Lab tests were conducted, revealing proteinuria of
more than 5 g in a 24h collection. History reveals that Rachel was diagnosed with pre-eclampsia. Her
physician orders the administration of magnesium sulfate IV to prevent convulsions. The nurse who is
tasked with preparing and administering the drug ensures that which of the following medications is
readily available as an antidote for magnesium sulfate toxicity?
a. Naloxone.
b. Calcium gluconate.
c. Protamine sulfate.
d. N-acetylcysteine. - ANSWER: B
Calcium gluconate is the antagonist or antidote for magnesium sulfate.
Which of the following should alert the labor nurse that her client has begun the second stage of labor?
a. The cervix is thin and fully dilated.
b. The amniotic membranes have ruptured.
c. The presenting part is below the ischial spines.
d. The woman tells you she needs to push. - ANSWER: A
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