CPN Practice Test

A caregiver faints while observing a preschooler undergoing an invasive sterile procedure. The most appropriate FIRST action is to A. stop the procedure and assess the caregiver. B. calm the child and complete the procedure quickly. C. call for a team member to take over the procedure. D. request a team member to assist with the caregiver. Correct Answer D. request a team member to assist with the caregiver. The reassessment phase of the pain management cycle is imperative for A. determining pain management satisfaction. B. ensuring an individualized plan of care is in place. C. confirming current pain management expectations. D. evaluating the location, intensity and quality of pain. Correct Answer A. determining pain management satisfaction. Which factor is used when assessing pain with the FLACC pain scale? A. child's rating of pain using cartoon faces B. parent's report based on a numeric score C. changes in vital signs from baseline D. observations of child's movement Correct Answer D. observations of child's movement A 3 month old has not been feeding well for 2 weeks and now has bilious vomiting with abdominal distention. There is a history of failing to pass meconium stool within 24 hours of birth. These symptoms are MOST suggestive of: A. anal stenosis B. cystic fibrosis C. Hirschsprung's disease D. pyloric stenosis Correct Answer C. Hirschsprung's disease Which laboratory test would be MOST clinically significant for assessing the health status of an adolescent with suspected bulimia nervosa? A. complete blood count with differential (CBC) B. lipid profile, including cholesterol C. serum electrolytes D. coagulation profile Correct Answer C. serum electrolytes Which of the following electrolyte abormalities is MOST concerning in a child being treated for diabetic ketoacidosis? A. hypercalcemia B. hyperphosphatemia C. hypochloremia D. hypokalemia Correct Answer D. hypokalemia Caregivers of a previously healthy 15 month old call the emergency department reporting a fever of 103° F (39.4° C), and describing a tonic clonic seizure lasting 7 minutes. Which is the MOST appropriate response? A. reassure that febrile seizures are usually benign B. administer acetaminophen around the clock C. seek immediate medical attention D. implement cooling measures Correct Answer C. seek immediate medical attention For an early school-age child who is dying, which approach would MOST likely be effective in facilitating communication? A. provide opportunities for the child to express feelings through play and art B. guide the conversation so the child is able to ask appropriate questions C. lead angry outbursts back to more adaptive forms of communication D. use developmentally-appropriate concrete explanations Correct Answer A. provide opportunities for the child to express feelings through play and art The effect of adolescents using multiple electronic media devices is associated with an increase in which of the following? A. attention-deficit/hyperactivity disorder (ADHD) B. antisocial personality disorder C. sleep deprivation D. depression Correct Answer C. sleep deprivation Parents are asking for strategies to support their school-age child who is working on weight management. Which of the following is MOST important? A. use a motivational chart to track progress B. eat meals together as a family C. set weekly nutrition goals D. ensure physical activity Correct Answer D. ensure physical activity Which of the following points is the MOST important to emphasize when teaching an adolescent with acne about cleansing the skin? A. astringents should be used following the cleansing B. scrubbing action should be avoided during cleansing C. concentrate cleansing efforts on areas with blackheads. D. skin cleansing systems are effective for eliminating acne Correct Answer B. scrubbing action should be avoided during cleansing Which of the following interventions is used to ensure a preschooler's cooperation during an MRI? A. allow caregiver in the scanner room B. administer pre-procedure sedation C. provide music during the procedure D. tour the scanner room pre-procedure Correct Answer B. administer pre-procedure sedation In a child who has had excision of a Wilms tumor, which of the following is a PRIORITY for post-operative monitoring? A. bowel sounds B. incision site C. emotional health D. chest tube site Correct Answer A. bowel sounds Which of the following statements by the nurse to a parent BEST supports family-centered care? A. "Are you comfortable giving your child a bath or would you like help?" B. "You do the bath and change the linen and I'll give the meds." C. "While I give your child's bath, would you like to get breakfast?" D. "I'll give your child a bath, so you can relax for a bit." Correct Answer A. "Are you comfortable giving your child a bath or would you like help?" The finding MOST commonly associated with positional plagiocephaly in infants is: A. developmental delays B. hydrocephalus C. microcephaly D. torticollis Correct Answer D. torticollis Which of the following actions is considered ethically sound when caring for an adolescent receiving end of life care? A. sharing personal perspectives about what happens during dying process and after death B. explaining reasons hospitalization should be considered for optimal end of life care C. administering medication for pain relief with the knowledge it could hasten death D. responding to questions about ways death can be accelerated Correct Answer C. administering medication for pain relief with the knowledge it could hasten death What is unique about management of a child with cystic fibrosis-related diabetes? A. continuous insulin pumps are contraindicated B. increased caloric intake is required including carbohydrates C. glucose monitoring is required only during pulmonary infections D. oral antihyperglycemic agents provide adequate glucose control Correct Answer B. increased caloric intake is required including carbohydrates Which is the PRIORITY nursing intervention for a 7 year old with suspected Meckel diverticulum? A. obtain blood for hematocrit and hemoglobin B. prepare for barium enema C. monitor vital signs and blood pressure D. prepare for arteriography Correct Answer C. monitor vital signs and blood pressure Which of the following is a potential complication associated with pediatric use of morphine sulfate? A. agitation B. bradypnea C. hypertension D. tachycardia Correct Answer B. bradypnea