CPNP-AC Review Questions with correct answers |\ |\ |\ |\ |\
1.A PICU PNP is on the patient safety committee and notes a rise in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
occurrence of urinary tract infections in children with foley catheters. She |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
does a literature review and determines an evidence based approach for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prevention. what is her next best step?: involve stakeholders to collect |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
data to identify the problem and the best method to put the EBP plan
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
into place |\
2.AN ACPNP feels strongly that injuries sustained on local school play-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
grounds could be prevented by using mulch as a base. the best way to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
advocate for this recommendation is to:: contact a local representative who
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
|\ can lobby for a bill and funding to support this effort
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3.the best evidence based management of a child with sickle cell disease who
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is diagnosed with ischemic stroke is:: exchange transfusion
|\ |\ |\ |\ |\ |\ |\
4.the most appropriate test to confirm the diagnosis of sickle cell anemia in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a newborn is: hemoglobin electrophoresis
|\ |\ |\ |\
5.you suspect a patient with sepsis is developing DIC. the diagnostic test of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
choice to confirm this diagnosis is: D dimer |\ |\ |\ |\ |\ |\ |\
6.a 16 year old female presents with obesity and acute shortness of breath.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
she has no significant past medical history and her only medication is oral
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
contraceptives. what is the most sensitive test for the suspected diagnpsis?- |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
: CT angiography
|\ |\
7.a cardiac patient underwent surgical intervention requiring cardiopul-
|\ |\ |\ |\ |\ |\ |\ |\
monary bypass last night and is currently bleeding. you suspect that there
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ | \
is a factor deficiency and appropriately order the following blood component
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
1 |\/ |\23
,to correct the underlying deficiency: FFP
|\ |\ |\ |\ |\
8.a school age child presents to the ED with bruising on his legs and ab-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
domen. his caregiver states he had a cold approximately 2 weeks ago, as did
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
he two older sisters. the CBC reveals a hemoglobin of 12.2, WBC 13,000, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
platelet count of 48,000. you know the most likely diagnosis in this child is: ITP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
9.the priority intervention for a patient with hemophilia B who has experi-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
enced an acute musculoskeletal bleed is: factor replacement therapy
|\ |\ |\ |\ |\ |\ |\ |\
10.a 2 year old who is receiving treatment for neuroblastoma develops fever
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to 38.9C, lethargy and has oxygen saturations to 95%. the most important, first
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
line management should include: obtain blood cultures from CVL and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |
administer antibiotics to include 4th gen cephs |\ |\ |\ |\ |\ |\
11.a 2 year old presents with opsocolonus-myoclonus. you know that you
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should include which malignancy in our differential?: neuroblastoma
|\ |\ |\ |\ |\ |\ |\
12.a child referred to the ER by the PCP for concerns of AML develops
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
dyspnea, hypoxia, and tachypnea. you are called by the nurse and find a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
school age child in impending respiratory failure. you suspect this child has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
developed: pulmonary complications of hyperleukocytosis |\ |\ |\ |\
2 |\/ |\23
, 13.a teen with a history of relapsed osteosarcoma presents with difficulty
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
voiding, lacking feeling with bladder fullness. what is the most likely cause?-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
: metastatic compression of the spinal cord
|\ |\ |\ |\ |\ |\
14.electrolyte disorders noted with a child with non-hodgkin lymphoma and |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tumor lysis syndrome include: hyperphosphatemia, hyperkalemia,
|\ |\ |\ |\ |\ |\
hyperuricemia
15.a 2 week old infant is noted by his parents to have an asymmetrical
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
red reflex, with one eye producing a normal red reflex while the other eye
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
demonstrates no reflection at all. a probable cause of this asymmetry is: - |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
retinoblastoma
16.a 4 year old girl has had blurry vision, ataxia, and has become increasingly
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
confused. she has vomited the past three mornings on arising. what study |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
could be done quickly and is effective in diagnosing her illness?: CT of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
brain
17.a child admitted for ARDS 8 days ago was extubated yesterday. the child
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
was placed on HFNC and morphine and midazolam infusions were stopped.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
today the child has excessive yawning, sweating, and had several loose stools.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
which of the following is an important next step in therapy?: administration
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of one dose of morphine
|\ |\ |\ |\
18.a 3.5 year old boy is admitted to the PICU with status asthmaticus. after
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
treatment with continuous albuterol, he has decreased wheezing, but is noted |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to be very quiet, using single words and sign language to communicate with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
his parents. the most appropriate evaluation and management of this situation
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
includes: asking parents what his baseline language is at home prior to |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3 |\/ |\23
1.A PICU PNP is on the patient safety committee and notes a rise in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
occurrence of urinary tract infections in children with foley catheters. She |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
does a literature review and determines an evidence based approach for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prevention. what is her next best step?: involve stakeholders to collect |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
data to identify the problem and the best method to put the EBP plan
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
into place |\
2.AN ACPNP feels strongly that injuries sustained on local school play-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
grounds could be prevented by using mulch as a base. the best way to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
advocate for this recommendation is to:: contact a local representative who
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
|\ can lobby for a bill and funding to support this effort
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3.the best evidence based management of a child with sickle cell disease who
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is diagnosed with ischemic stroke is:: exchange transfusion
|\ |\ |\ |\ |\ |\ |\
4.the most appropriate test to confirm the diagnosis of sickle cell anemia in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a newborn is: hemoglobin electrophoresis
|\ |\ |\ |\
5.you suspect a patient with sepsis is developing DIC. the diagnostic test of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
choice to confirm this diagnosis is: D dimer |\ |\ |\ |\ |\ |\ |\
6.a 16 year old female presents with obesity and acute shortness of breath.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
she has no significant past medical history and her only medication is oral
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
contraceptives. what is the most sensitive test for the suspected diagnpsis?- |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
: CT angiography
|\ |\
7.a cardiac patient underwent surgical intervention requiring cardiopul-
|\ |\ |\ |\ |\ |\ |\ |\
monary bypass last night and is currently bleeding. you suspect that there
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ | \
is a factor deficiency and appropriately order the following blood component
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
1 |\/ |\23
,to correct the underlying deficiency: FFP
|\ |\ |\ |\ |\
8.a school age child presents to the ED with bruising on his legs and ab-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
domen. his caregiver states he had a cold approximately 2 weeks ago, as did
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
he two older sisters. the CBC reveals a hemoglobin of 12.2, WBC 13,000, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
platelet count of 48,000. you know the most likely diagnosis in this child is: ITP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
9.the priority intervention for a patient with hemophilia B who has experi-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
enced an acute musculoskeletal bleed is: factor replacement therapy
|\ |\ |\ |\ |\ |\ |\ |\
10.a 2 year old who is receiving treatment for neuroblastoma develops fever
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to 38.9C, lethargy and has oxygen saturations to 95%. the most important, first
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
line management should include: obtain blood cultures from CVL and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |
administer antibiotics to include 4th gen cephs |\ |\ |\ |\ |\ |\
11.a 2 year old presents with opsocolonus-myoclonus. you know that you
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should include which malignancy in our differential?: neuroblastoma
|\ |\ |\ |\ |\ |\ |\
12.a child referred to the ER by the PCP for concerns of AML develops
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
dyspnea, hypoxia, and tachypnea. you are called by the nurse and find a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
school age child in impending respiratory failure. you suspect this child has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
developed: pulmonary complications of hyperleukocytosis |\ |\ |\ |\
2 |\/ |\23
, 13.a teen with a history of relapsed osteosarcoma presents with difficulty
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
voiding, lacking feeling with bladder fullness. what is the most likely cause?-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
: metastatic compression of the spinal cord
|\ |\ |\ |\ |\ |\
14.electrolyte disorders noted with a child with non-hodgkin lymphoma and |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tumor lysis syndrome include: hyperphosphatemia, hyperkalemia,
|\ |\ |\ |\ |\ |\
hyperuricemia
15.a 2 week old infant is noted by his parents to have an asymmetrical
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
red reflex, with one eye producing a normal red reflex while the other eye
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
demonstrates no reflection at all. a probable cause of this asymmetry is: - |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
retinoblastoma
16.a 4 year old girl has had blurry vision, ataxia, and has become increasingly
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
confused. she has vomited the past three mornings on arising. what study |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
could be done quickly and is effective in diagnosing her illness?: CT of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
brain
17.a child admitted for ARDS 8 days ago was extubated yesterday. the child
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
was placed on HFNC and morphine and midazolam infusions were stopped.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
today the child has excessive yawning, sweating, and had several loose stools.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
which of the following is an important next step in therapy?: administration
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of one dose of morphine
|\ |\ |\ |\
18.a 3.5 year old boy is admitted to the PICU with status asthmaticus. after
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
treatment with continuous albuterol, he has decreased wheezing, but is noted |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to be very quiet, using single words and sign language to communicate with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
his parents. the most appropriate evaluation and management of this situation
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
includes: asking parents what his baseline language is at home prior to |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3 |\/ |\23
