CPN PRACTICE QUESTIONS WITH
ACCURATE ANSWERS
A 10-month-old infant is nearing discharge. To best coordinate discharge teaching
from multiple disciplines, the healthcare team should:
A) Document all discharge teaching on one flow sheet in the patient record
B) Have a daily nursing review of the flow sheets of all disciplines during report
C) Distribute copies of each discipline's flow sheet to each team member
D) Conduct multidisciplinary conferences to discuss daily teaching correct answer
A.
Streamlining discharge teaching into one flow sheet promotes coordination and
reduces duplication of information to the parents.
A 10-year-old with chicken pox (varicella) is being discharged home. Which family
members is most appropriate to care for the child?
A) 22-year-old cousin with HIV
B) Their grandparent on chemotherapy
C) 37-year-old pregnant caregiver
D) 15-year-old sibling vaccinated against varicella correct answer D.
A 19-month-old patient with a history of Tetralogy of Fallot and a Blalock-Taussig
shunt (BTS) placement is brought to the pediatric cardiologist's office for
evaluation of increased shortness of breath. Which of the following should the
nurse avoid?
A) Intraosseous infusions
B) Administering liquids by mouth
C) Taking blood pressures in the affected arm
,D) Applying oxygen via nasal cannula correct answer C.
A traditional BTS diverts blood from a subclavian artery to the pulmonary system,
thus decreasing circulation to one arm. Even modified BTS procedures can alter
limb circulation. Blood pressures and IV access should be avoided in the affected
arm.
A 3-year-old male patient with history of ventriculoperitoneal (VP) shunt
placement is admitted to the pediatric care unit for treatment of fever and
lethargy. Which of the following findings should the nurse report to the
practitioner?
A) Positive Brudzinski's and Kernig's signs
B) Palpable bulge behind patient's ear
C) Head circumference of 52 cm
D) Preference to sit on parent's lap during exam correct answer A.
A 5-year-old patient with history of phenylketonuria is admitted for complications
related to bacterial pneumonia. Which of the following meal selections would be
MOST appropriate for this child?
A) Rice crackers, carrot sticks, fruit salad
B) Macaroni and cheese, steamed broccoli, and grapes
C) Hamburger, fried potatoes, and sugar-free gelatin
D) Chicken nuggets, yogurt, and an apple correct answer A.
Patients with phenylketonuria should avoid all high-protein foods and artificially
sweetened drinks and desserts. Good dietary choices include low-protein rice
pastas and crackers with limited amounts of fruits and low-protein vegetables.
Adequate dietary protein should be obtained by using a protein supplement
formula designed for people with phenylketonuria.
,A 6-year-old patient requires an intramuscular (IM) injection of ceftriaxone 750
mg (approximately 2mL). Which method of administration should the nurse use?
A) Administer as one shot in the deltoid muscle.
B) Administer as one shot in the vastus lateralis muscle.
C) Split into two 1 mL shots; administer in bilateral deltoid muscles.
D) Split into two 1 mL shots; administer in bilateral vastus lateralis (VL) muscles.
correct answer B.
A child had a cast placed on their right foot yesterday and is complaining today
that the cast feels tight. Which is the first intervention that should be done by the
nurse?
A) Check capillary refill in the foot.
B) Get an ultrasound of the leg.
C) Place ice packs distal to the cast.
D) Do nothing and monitor for one more hour. correct answer A.
A child is admitted to the pediatric floor with a diagnosis of pertussis (whooping
cough). After addressing the needs of the patient and family, which of the
following actions should be taken?
A) Prophylactic antivirals should be administered to personnel who have contact
with the patient.
B) The family members should all be vaccinated regardless of previous vaccination
status.
C) The health care provider should notify the state and CDC about the case.
D) No additional actions are necessary at this time. correct answer C.
Pertussis is a mandatory reportable disease in most (if not all) states in the USA
and is also reportable to the Centers for Disease Control (CDC).
, A child is recently diagnosed with Wilms tumor. The admission nurse knows that
the most important part of the assessment is which of the following.
A) Not reviewing the medical history with the parents so as to not cause them
more unnecessary emotional trauma
B) Not palpating the abdomen
C) Reviewing intake and output
D) Reviewing prior surgical history with the family correct answer B.
A child is recovering from injuries sustained from a motor vehicle accident 16 days
ago. The patient is transferred to the pediatric floor from the intensive care unit
after being extubated. The nurse should suspect opioid withdrawal if the patient
begins to display which of the following sets of signs and symptoms?
A) Skin scratching and hallucinations
B) Increased appetite, insomnia, manic behavior
C) Diarrhea and fever
D) Anxiety, tremors, tachycardia, diarrhea correct answer D.
Signs and symptoms of pediatric opioid withdrawal may include anxiety, agitation,
insomnia, tremors, nausea, vomiting, diarrhea, anorexia, tachycardia,
hypertension, and diaphoresis, among others.
A child returns to the ED two weeks after stubbing their great toe on a bench. The
child now presents with fever and pain at the previous injury site that isn't
relieved with rest or elevation. What test can the nurse anticipate will be ordered
for this child?
A) Magnetic resonance imaging (MRI)
B) A chest x-ray
ACCURATE ANSWERS
A 10-month-old infant is nearing discharge. To best coordinate discharge teaching
from multiple disciplines, the healthcare team should:
A) Document all discharge teaching on one flow sheet in the patient record
B) Have a daily nursing review of the flow sheets of all disciplines during report
C) Distribute copies of each discipline's flow sheet to each team member
D) Conduct multidisciplinary conferences to discuss daily teaching correct answer
A.
Streamlining discharge teaching into one flow sheet promotes coordination and
reduces duplication of information to the parents.
A 10-year-old with chicken pox (varicella) is being discharged home. Which family
members is most appropriate to care for the child?
A) 22-year-old cousin with HIV
B) Their grandparent on chemotherapy
C) 37-year-old pregnant caregiver
D) 15-year-old sibling vaccinated against varicella correct answer D.
A 19-month-old patient with a history of Tetralogy of Fallot and a Blalock-Taussig
shunt (BTS) placement is brought to the pediatric cardiologist's office for
evaluation of increased shortness of breath. Which of the following should the
nurse avoid?
A) Intraosseous infusions
B) Administering liquids by mouth
C) Taking blood pressures in the affected arm
,D) Applying oxygen via nasal cannula correct answer C.
A traditional BTS diverts blood from a subclavian artery to the pulmonary system,
thus decreasing circulation to one arm. Even modified BTS procedures can alter
limb circulation. Blood pressures and IV access should be avoided in the affected
arm.
A 3-year-old male patient with history of ventriculoperitoneal (VP) shunt
placement is admitted to the pediatric care unit for treatment of fever and
lethargy. Which of the following findings should the nurse report to the
practitioner?
A) Positive Brudzinski's and Kernig's signs
B) Palpable bulge behind patient's ear
C) Head circumference of 52 cm
D) Preference to sit on parent's lap during exam correct answer A.
A 5-year-old patient with history of phenylketonuria is admitted for complications
related to bacterial pneumonia. Which of the following meal selections would be
MOST appropriate for this child?
A) Rice crackers, carrot sticks, fruit salad
B) Macaroni and cheese, steamed broccoli, and grapes
C) Hamburger, fried potatoes, and sugar-free gelatin
D) Chicken nuggets, yogurt, and an apple correct answer A.
Patients with phenylketonuria should avoid all high-protein foods and artificially
sweetened drinks and desserts. Good dietary choices include low-protein rice
pastas and crackers with limited amounts of fruits and low-protein vegetables.
Adequate dietary protein should be obtained by using a protein supplement
formula designed for people with phenylketonuria.
,A 6-year-old patient requires an intramuscular (IM) injection of ceftriaxone 750
mg (approximately 2mL). Which method of administration should the nurse use?
A) Administer as one shot in the deltoid muscle.
B) Administer as one shot in the vastus lateralis muscle.
C) Split into two 1 mL shots; administer in bilateral deltoid muscles.
D) Split into two 1 mL shots; administer in bilateral vastus lateralis (VL) muscles.
correct answer B.
A child had a cast placed on their right foot yesterday and is complaining today
that the cast feels tight. Which is the first intervention that should be done by the
nurse?
A) Check capillary refill in the foot.
B) Get an ultrasound of the leg.
C) Place ice packs distal to the cast.
D) Do nothing and monitor for one more hour. correct answer A.
A child is admitted to the pediatric floor with a diagnosis of pertussis (whooping
cough). After addressing the needs of the patient and family, which of the
following actions should be taken?
A) Prophylactic antivirals should be administered to personnel who have contact
with the patient.
B) The family members should all be vaccinated regardless of previous vaccination
status.
C) The health care provider should notify the state and CDC about the case.
D) No additional actions are necessary at this time. correct answer C.
Pertussis is a mandatory reportable disease in most (if not all) states in the USA
and is also reportable to the Centers for Disease Control (CDC).
, A child is recently diagnosed with Wilms tumor. The admission nurse knows that
the most important part of the assessment is which of the following.
A) Not reviewing the medical history with the parents so as to not cause them
more unnecessary emotional trauma
B) Not palpating the abdomen
C) Reviewing intake and output
D) Reviewing prior surgical history with the family correct answer B.
A child is recovering from injuries sustained from a motor vehicle accident 16 days
ago. The patient is transferred to the pediatric floor from the intensive care unit
after being extubated. The nurse should suspect opioid withdrawal if the patient
begins to display which of the following sets of signs and symptoms?
A) Skin scratching and hallucinations
B) Increased appetite, insomnia, manic behavior
C) Diarrhea and fever
D) Anxiety, tremors, tachycardia, diarrhea correct answer D.
Signs and symptoms of pediatric opioid withdrawal may include anxiety, agitation,
insomnia, tremors, nausea, vomiting, diarrhea, anorexia, tachycardia,
hypertension, and diaphoresis, among others.
A child returns to the ED two weeks after stubbing their great toe on a bench. The
child now presents with fever and pain at the previous injury site that isn't
relieved with rest or elevation. What test can the nurse anticipate will be ordered
for this child?
A) Magnetic resonance imaging (MRI)
B) A chest x-ray
