1|Page
CPN exam - Practice questions With Well Elaborated
Solutions| Updated 2026/2027|
.
• The nurse recommends which of the following to prevent otitis media?
1. Cleaning the ear canals with hydrogen peroxide
2. Administering continuous, small dose antibiotic therapy
3. Instilling ear drops regularly
4. Holding the infant upright when feeding with a bottle - . .
ANSWER ✓✓ 4. Holding the infant upright when feeding with a bottle
• The pediatric nurse read the results of a Mantoux test on a 3
year old child. The results indicate an area of induration
measuring 10 mm. The nurse would interpret these results as:
1. Positive
2. Negative
3. Inconclusive
4. Definitive and requiring a repeat test - . . ANSWER ✓✓ 1. Positive
,2|Page
• Which of the following, when described by the parents of a child
with CF, indicate they understand the underlying problem of this
disease?
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 properly
4. Reaction of the formation of antibodies against streptococcus - . .
ANSWER ✓✓ 1. An abnormality in the body's mucous secreting
glands
A 10 year old child is treated for acute exacerbation of asthma. A
nurse reports which of the following, knowing that it indicates a
worsening of the condition?
1. Decreased wheezing
2. Warm, dry skin
3. Pulse of 90 beats/minute
4. Respirations of 30 breaths/minute - . . ANSWER ✓✓ 1. Decreased
wheezing
,3|Page
A 12 year old with Down Syndrome is admitted to your unit.
When planning care, what is most important for the nurse to keep
in mind?
a) This patient should be spoken to with language
appropriate for a preschool child
b) The child's intellectual disability may require a large crib for the
child's protection
c) It is essential to assess the child's adaptive functioning as well as
their cognitive level before care is planned
d) The parents are probably older and will need a great deal of support.
- . . ANSWER ✓✓ c) It is essential to assess the child's adaptive
functioning
as well as their cognitive level before care is planned
A 14 year old boy has been prescribed amphetamine and
dextroamphetamine (Adderall) for ADHD. The nurse explains
that the patient should be alert for which of the following
adverse drug effects? a) Weight gain
b) Depression
c) Somnolence
, 4|Page
d) Bradycardia - . . ANSWER ✓✓ b) Depression
Children with ADD/ADHD are at greater risk for conduct disorder,
oppositional
defiant disorder, depression, anxiety disorders, and development
disorders
such as speech and language delays and leaning disabilities
A 16 year old male comes into the school nurse and says, "My
chest had a sudden, sharp pain and it still hurts." The school
nurse examines an anxious appearing, tachypneic young man and
notes decreased, possibly absent breath sounds to the left lower
lobe.
The most likely diagnosis is:
1. Cystic Fibrosis
2. Anxiety Disorder
3. Pneumothorax
4. Asthma - . . ANSWER ✓✓ 3. Pneumothorax
A 2 month old infant is brought to the pediatrician's office for a
well-baby visit. During the examination, congenital subluxation
CPN exam - Practice questions With Well Elaborated
Solutions| Updated 2026/2027|
.
• The nurse recommends which of the following to prevent otitis media?
1. Cleaning the ear canals with hydrogen peroxide
2. Administering continuous, small dose antibiotic therapy
3. Instilling ear drops regularly
4. Holding the infant upright when feeding with a bottle - . .
ANSWER ✓✓ 4. Holding the infant upright when feeding with a bottle
• The pediatric nurse read the results of a Mantoux test on a 3
year old child. The results indicate an area of induration
measuring 10 mm. The nurse would interpret these results as:
1. Positive
2. Negative
3. Inconclusive
4. Definitive and requiring a repeat test - . . ANSWER ✓✓ 1. Positive
,2|Page
• Which of the following, when described by the parents of a child
with CF, indicate they understand the underlying problem of this
disease?
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 properly
4. Reaction of the formation of antibodies against streptococcus - . .
ANSWER ✓✓ 1. An abnormality in the body's mucous secreting
glands
A 10 year old child is treated for acute exacerbation of asthma. A
nurse reports which of the following, knowing that it indicates a
worsening of the condition?
1. Decreased wheezing
2. Warm, dry skin
3. Pulse of 90 beats/minute
4. Respirations of 30 breaths/minute - . . ANSWER ✓✓ 1. Decreased
wheezing
,3|Page
A 12 year old with Down Syndrome is admitted to your unit.
When planning care, what is most important for the nurse to keep
in mind?
a) This patient should be spoken to with language
appropriate for a preschool child
b) The child's intellectual disability may require a large crib for the
child's protection
c) It is essential to assess the child's adaptive functioning as well as
their cognitive level before care is planned
d) The parents are probably older and will need a great deal of support.
- . . ANSWER ✓✓ c) It is essential to assess the child's adaptive
functioning
as well as their cognitive level before care is planned
A 14 year old boy has been prescribed amphetamine and
dextroamphetamine (Adderall) for ADHD. The nurse explains
that the patient should be alert for which of the following
adverse drug effects? a) Weight gain
b) Depression
c) Somnolence
, 4|Page
d) Bradycardia - . . ANSWER ✓✓ b) Depression
Children with ADD/ADHD are at greater risk for conduct disorder,
oppositional
defiant disorder, depression, anxiety disorders, and development
disorders
such as speech and language delays and leaning disabilities
A 16 year old male comes into the school nurse and says, "My
chest had a sudden, sharp pain and it still hurts." The school
nurse examines an anxious appearing, tachypneic young man and
notes decreased, possibly absent breath sounds to the left lower
lobe.
The most likely diagnosis is:
1. Cystic Fibrosis
2. Anxiety Disorder
3. Pneumothorax
4. Asthma - . . ANSWER ✓✓ 3. Pneumothorax
A 2 month old infant is brought to the pediatrician's office for a
well-baby visit. During the examination, congenital subluxation
