CPN exam - Practice questions
. A mom calls the health center due to the fact she suspect that her
toddler as otitis media. The baby has been pulling at her
ear and crying all morning, but has these days comfortable and
is now not crying. The nurse gives which recommendation?
A) "Call returned if she starts offevolved crying once more."
b) "Don't worry. It appears like she's nice now."
c) "Give her acetaminophen and call the following day if she's
no longer better."
d) "Her eardrum might also have torn. Bring her in nowadays." - ANS-d) "Her eardrum may
have torn. Bring her in today."
The rupture of tympanic membrane affords release of fluid with relief of strain
and ache
. An infant with retinoblastoma will showcase which of the
following?
A) Absent pink reflex
b) Eyes that gaze in one course
c) Inability to visually tune an object
d) Nystagmus - ANS-a) Absent pink reflex
The crimson reflex in a baby with retinoblastoma can be absent or have an
ordinary look
. The father of a 2½ 12 months vintage female tells the nurse he is
pissed off by way of her temper tantrums and that she says "No"
to every query. Although the daddy realizes this is
commonplace conduct for toddlers, he doesn't apprehend the
purpose of the behavior. The nurse explains that infants
act this way as a everyday expression of their choice to:
a) Increase their independence
b) Gratify oral fixation
c) Develop a sense of consider
d) Assert how industrious they're - ANS-a) Increase their independence
• A four year antique boy become brought to the ED by way of his nanny, "he
become on the playground and that they had been all strolling around
and all of a surprising he was coughing and respiration
funny..." You note critical signs and symptoms T - 37.20C, P - one hundred ten, R - 32,
BP - one hundred ten/74, SpO2 - ninety% on room air, audible stridor,
intercostal retraction. The child asks between breaths,
"Am I in trouble?" You inform him he isn't in problem and that
you are going to try to make him sense higher. You ask him
if he has ever had problem respiratory like this earlier than and
,he says "no." The nanny says "he is a totally healthy and
lively boy." You practice oxygen and supply a dose of racemic
epinephrine, which has constrained impact at the stridor. You
shipping him to get a chest x-ray.
• What is the maximum likely cause of this baby's respiration
problem?
1. Asthma exacerbation
2. Pneumothorax
3. Epiglottitis
four. Croup
5. Foreign body aspiration - ANS-four. Croup
• A child with croup is receiving a nebulized dose of
racemic epinephrine. The mom is involved due to the fact
the child is nervous, always crying and pulling the
mask off. The great nursing action could be to:
1. Put the kid in restraints so that they do no longer pull the mask off
2. Call the medical doctor and obtain an order for a slight sedative
three. Use a dinosaur fashioned mask to deliver the medication
4. Let the mother hold the child on her lap for the duration of the remedy - ANS-4. Let the
mother keep the kid on her lap during the remedy
• A health facility nurse is presenting commands to the mom of a
preschool baby with cystic fibrosis concerning the
immunization time table for her infant. Which declaration
might the nurse make to the mom?
1. The immunization time table will need to be altered
2. The baby have to no longer get hold of any hepatitis vaccines
3. The toddler will get hold of all of the immunizations besides for the polio
series
four. The child will acquire the encouraged fundamental collection for
immunizations along side a every year influenza vaccine and excessive
threat pneumococcal vaccine - ANS-4. The toddler will receive the recommended primary
collection for
immunizations together with a yearly influenza vaccine and high
threat pneumococcal vaccine
• The major pharmacologic movement of albuterol (Proventil)
is:
1. Decreasing airway reactivity
2. Decreasing infection and airway obstruction
three. Improving the movement of cilia to sweep trapped mucous upward
four. Relaxing constricted bronchial clean muscle - ANS-4. Relaxing constricted bronchial
clean muscle
• The nurse recommends which of the following to save you
otitis media?
1. Cleaning the ear canals with hydrogen peroxide
, 2. Administering non-stop, small dose antibiotic remedy
three. Instilling ear drops often
4. Holding the infant upright whilst feeding with a bottle - ANS-four. Holding the toddler
upright whilst feeding with a bottle
• The pediatric nurse read the consequences of a Mantoux check on
a three 12 months vintage child. The outcomes suggest an area of
induration measuring 10 mm. The nurse might interpret
these outcomes as:
1. Positive
2. Negative
three. Inconclusive
4. Definitive and requiring a repeat test - ANS-1. Positive
• Which of the subsequent, whilst defined by way of the dad and mom of
a infant with CF, suggest they understand the underlying
trouble of this disorder?
1. An abnormality in the body's mucous secreting glands
2. Formation of fibrous cysts in various body organs
3. Failure of the pancreatic ducts to develop well
four. Reaction of the formation of antibodies in opposition to streptococcus - ANS-1. An
abnormality in the body's mucous secreting glands
A 10 12 months old child is treated for acute exacerbation of
bronchial asthma. A nurse reports which of the subsequent, understanding
that it suggests a worsening of the situation?
1. Decreased wheezing
2. Warm, dry pores and skin
3. Pulse of 90 beats/minute
four. Respirations of 30 breaths/minute - ANS-1. Decreased wheezing
A 12 yr vintage with Down Syndrome is admitted for your
unit. When planning care, what's maximum essential for the
nurse to keep in mind?
A) This patient ought to be spoken to with language
appropriate for a preschool baby
b) The infant's highbrow disability may additionally require a huge crib
for the kid's safety
c) It is important to evaluate the child's adaptive functioning
as well as their cognitive stage before care is deliberate
d) The parents are possibly older and will need a fantastic
deal of support. - ANS-c) It is important to evaluate the child's adaptive functioning
in addition to their cognitive degree earlier than care is deliberate
A 14 year vintage boy has been prescribed amphetamine
and dextroamphetamine (Adderall) for ADHD. The
nurse explains that the affected person should be alert for which
of the subsequent adverse drug outcomes?
. A mom calls the health center due to the fact she suspect that her
toddler as otitis media. The baby has been pulling at her
ear and crying all morning, but has these days comfortable and
is now not crying. The nurse gives which recommendation?
A) "Call returned if she starts offevolved crying once more."
b) "Don't worry. It appears like she's nice now."
c) "Give her acetaminophen and call the following day if she's
no longer better."
d) "Her eardrum might also have torn. Bring her in nowadays." - ANS-d) "Her eardrum may
have torn. Bring her in today."
The rupture of tympanic membrane affords release of fluid with relief of strain
and ache
. An infant with retinoblastoma will showcase which of the
following?
A) Absent pink reflex
b) Eyes that gaze in one course
c) Inability to visually tune an object
d) Nystagmus - ANS-a) Absent pink reflex
The crimson reflex in a baby with retinoblastoma can be absent or have an
ordinary look
. The father of a 2½ 12 months vintage female tells the nurse he is
pissed off by way of her temper tantrums and that she says "No"
to every query. Although the daddy realizes this is
commonplace conduct for toddlers, he doesn't apprehend the
purpose of the behavior. The nurse explains that infants
act this way as a everyday expression of their choice to:
a) Increase their independence
b) Gratify oral fixation
c) Develop a sense of consider
d) Assert how industrious they're - ANS-a) Increase their independence
• A four year antique boy become brought to the ED by way of his nanny, "he
become on the playground and that they had been all strolling around
and all of a surprising he was coughing and respiration
funny..." You note critical signs and symptoms T - 37.20C, P - one hundred ten, R - 32,
BP - one hundred ten/74, SpO2 - ninety% on room air, audible stridor,
intercostal retraction. The child asks between breaths,
"Am I in trouble?" You inform him he isn't in problem and that
you are going to try to make him sense higher. You ask him
if he has ever had problem respiratory like this earlier than and
,he says "no." The nanny says "he is a totally healthy and
lively boy." You practice oxygen and supply a dose of racemic
epinephrine, which has constrained impact at the stridor. You
shipping him to get a chest x-ray.
• What is the maximum likely cause of this baby's respiration
problem?
1. Asthma exacerbation
2. Pneumothorax
3. Epiglottitis
four. Croup
5. Foreign body aspiration - ANS-four. Croup
• A child with croup is receiving a nebulized dose of
racemic epinephrine. The mom is involved due to the fact
the child is nervous, always crying and pulling the
mask off. The great nursing action could be to:
1. Put the kid in restraints so that they do no longer pull the mask off
2. Call the medical doctor and obtain an order for a slight sedative
three. Use a dinosaur fashioned mask to deliver the medication
4. Let the mother hold the child on her lap for the duration of the remedy - ANS-4. Let the
mother keep the kid on her lap during the remedy
• A health facility nurse is presenting commands to the mom of a
preschool baby with cystic fibrosis concerning the
immunization time table for her infant. Which declaration
might the nurse make to the mom?
1. The immunization time table will need to be altered
2. The baby have to no longer get hold of any hepatitis vaccines
3. The toddler will get hold of all of the immunizations besides for the polio
series
four. The child will acquire the encouraged fundamental collection for
immunizations along side a every year influenza vaccine and excessive
threat pneumococcal vaccine - ANS-4. The toddler will receive the recommended primary
collection for
immunizations together with a yearly influenza vaccine and high
threat pneumococcal vaccine
• The major pharmacologic movement of albuterol (Proventil)
is:
1. Decreasing airway reactivity
2. Decreasing infection and airway obstruction
three. Improving the movement of cilia to sweep trapped mucous upward
four. Relaxing constricted bronchial clean muscle - ANS-4. Relaxing constricted bronchial
clean muscle
• The nurse recommends which of the following to save you
otitis media?
1. Cleaning the ear canals with hydrogen peroxide
, 2. Administering non-stop, small dose antibiotic remedy
three. Instilling ear drops often
4. Holding the infant upright whilst feeding with a bottle - ANS-four. Holding the toddler
upright whilst feeding with a bottle
• The pediatric nurse read the consequences of a Mantoux check on
a three 12 months vintage child. The outcomes suggest an area of
induration measuring 10 mm. The nurse might interpret
these outcomes as:
1. Positive
2. Negative
three. Inconclusive
4. Definitive and requiring a repeat test - ANS-1. Positive
• Which of the subsequent, whilst defined by way of the dad and mom of
a infant with CF, suggest they understand the underlying
trouble of this disorder?
1. An abnormality in the body's mucous secreting glands
2. Formation of fibrous cysts in various body organs
3. Failure of the pancreatic ducts to develop well
four. Reaction of the formation of antibodies in opposition to streptococcus - ANS-1. An
abnormality in the body's mucous secreting glands
A 10 12 months old child is treated for acute exacerbation of
bronchial asthma. A nurse reports which of the subsequent, understanding
that it suggests a worsening of the situation?
1. Decreased wheezing
2. Warm, dry pores and skin
3. Pulse of 90 beats/minute
four. Respirations of 30 breaths/minute - ANS-1. Decreased wheezing
A 12 yr vintage with Down Syndrome is admitted for your
unit. When planning care, what's maximum essential for the
nurse to keep in mind?
A) This patient ought to be spoken to with language
appropriate for a preschool baby
b) The infant's highbrow disability may additionally require a huge crib
for the kid's safety
c) It is important to evaluate the child's adaptive functioning
as well as their cognitive stage before care is deliberate
d) The parents are possibly older and will need a fantastic
deal of support. - ANS-c) It is important to evaluate the child's adaptive functioning
in addition to their cognitive degree earlier than care is deliberate
A 14 year vintage boy has been prescribed amphetamine
and dextroamphetamine (Adderall) for ADHD. The
nurse explains that the affected person should be alert for which
of the subsequent adverse drug outcomes?
