CPN PRACTICE EXAM NEWEST 2026/ 2027 ACTUAL
EXAM TEST BANK| COMPLETE 600 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH RATIONALES
ALREADY GRADED A+
1. A mother brings her 10-month-old son to the pediatrician's office. When
the nurse approaches to measure the child's vital signs, he clings to his
mother tightly and starts to cry. The mother says, "He used to smile at
everyone. I don't know why he's acting this way." Which response by the
nurse would help the mother understand her child's behavior?
A) "Your baby's behavior indicates stranger anxiety, which is common at his age."
B) "Children who behave that way are developing shy personalities."
C) "Children at this age begin to fear pain."
D) "Your baby's having a temper tantrum, which is common at his age."
Answer A: "Your baby's behavior indicates stranger anxiety, which is
common at his age."
Rationale: Stranger anxiety is a normal developmental milestone that typically
appears between 6-12 months of age. It is a sign of healthy attachment and
cognitive development.
2. A mother of a 2-year-old male expresses concern that her child is
nonverbal. Which response is most appropriate?
,A) "Try not to worry, language milestones vary, and boys tend to lag behind girls."
B) "Given your son's age, we should probably test his hearing to be sure there are
no deficits."
C) "He will probably start talking soon; just be patient."
D) "You should start speaking to him in simpler words."
Answer B: "Given your son's age, we should probably test his hearing to be
sure there are no deficits."
Rationale: Hearing assessment is essential when a child presents with delayed
speech. While language milestones vary, hearing deficits must be ruled out before
considering other causes.
3. A 5-year-old child is brought to the pediatrician's office for a routine visit.
When inspecting the child's mouth, the nurse expects to find how many
teeth?
A) Up to 10
B) Up to 15
C) Up to 20
D) Up to 32
Answer C: Up to 20
Rationale: By age 5, children typically have 20 primary teeth. Permanent teeth
begin to erupt around age 6.
,4. The nurse should expect a 3-year-old child to be able to perform which
action?
A) Roller-skate
B) Tie shoe laces
C) Ride a tricycle
D) Jump rope
Answer C: Ride a tricycle
Rationale: A 3-year-old typically has the gross motor skills to ride a tricycle. Tying
shoelaces and jumping rope are skills expected at older ages.
5. When performing a physical assessment on a girl, age 10, the nurse keeps
in mind that the first sign of sexual maturity in girls is:
A) Axillary hair
B) Pubic hair
C) Breast bud development
D) Menarche
Answer C: Breast bud development
Rationale: The first sign of sexual maturity in girls is breast bud development
(thelarche), typically occurring between ages 8-13.
6. What is the most important consideration when telling a 4-year-old child
about an upcoming procedure?
A) Use simple terms
, B) Speak loudly and clearly
C) Offer a toy to keep the child happy
D) Include every detail
Answer A: Use simple terms
Rationale: When preparing a preschooler for a procedure, the nurse should use
simple, concrete terms that the child can understand. Providing too many details
can be confusing and lead to increased fear and anxiety.
7. A 4-year-old child is hospitalized for treatment of a brain tumor. The child
tells the nurse that she "got sick because she was a bad girl." Which of the
following would the nurse identify as the underlying rationale for this
statement?
A) Magical thinking
B) Egocentrism
C) Self-blame
D) Conservation
Answer A: Magical thinking
Rationale: Preschoolers commonly engage in magical thinking, believing that
thoughts or actions can cause events. This is developmentally appropriate and
reflects Piaget's preoperational stage thinking.
8. The nurse recommends which of the following to prevent otitis media?
A) Cleaning the ear canals with hydrogen peroxide
EXAM TEST BANK| COMPLETE 600 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH RATIONALES
ALREADY GRADED A+
1. A mother brings her 10-month-old son to the pediatrician's office. When
the nurse approaches to measure the child's vital signs, he clings to his
mother tightly and starts to cry. The mother says, "He used to smile at
everyone. I don't know why he's acting this way." Which response by the
nurse would help the mother understand her child's behavior?
A) "Your baby's behavior indicates stranger anxiety, which is common at his age."
B) "Children who behave that way are developing shy personalities."
C) "Children at this age begin to fear pain."
D) "Your baby's having a temper tantrum, which is common at his age."
Answer A: "Your baby's behavior indicates stranger anxiety, which is
common at his age."
Rationale: Stranger anxiety is a normal developmental milestone that typically
appears between 6-12 months of age. It is a sign of healthy attachment and
cognitive development.
2. A mother of a 2-year-old male expresses concern that her child is
nonverbal. Which response is most appropriate?
,A) "Try not to worry, language milestones vary, and boys tend to lag behind girls."
B) "Given your son's age, we should probably test his hearing to be sure there are
no deficits."
C) "He will probably start talking soon; just be patient."
D) "You should start speaking to him in simpler words."
Answer B: "Given your son's age, we should probably test his hearing to be
sure there are no deficits."
Rationale: Hearing assessment is essential when a child presents with delayed
speech. While language milestones vary, hearing deficits must be ruled out before
considering other causes.
3. A 5-year-old child is brought to the pediatrician's office for a routine visit.
When inspecting the child's mouth, the nurse expects to find how many
teeth?
A) Up to 10
B) Up to 15
C) Up to 20
D) Up to 32
Answer C: Up to 20
Rationale: By age 5, children typically have 20 primary teeth. Permanent teeth
begin to erupt around age 6.
,4. The nurse should expect a 3-year-old child to be able to perform which
action?
A) Roller-skate
B) Tie shoe laces
C) Ride a tricycle
D) Jump rope
Answer C: Ride a tricycle
Rationale: A 3-year-old typically has the gross motor skills to ride a tricycle. Tying
shoelaces and jumping rope are skills expected at older ages.
5. When performing a physical assessment on a girl, age 10, the nurse keeps
in mind that the first sign of sexual maturity in girls is:
A) Axillary hair
B) Pubic hair
C) Breast bud development
D) Menarche
Answer C: Breast bud development
Rationale: The first sign of sexual maturity in girls is breast bud development
(thelarche), typically occurring between ages 8-13.
6. What is the most important consideration when telling a 4-year-old child
about an upcoming procedure?
A) Use simple terms
, B) Speak loudly and clearly
C) Offer a toy to keep the child happy
D) Include every detail
Answer A: Use simple terms
Rationale: When preparing a preschooler for a procedure, the nurse should use
simple, concrete terms that the child can understand. Providing too many details
can be confusing and lead to increased fear and anxiety.
7. A 4-year-old child is hospitalized for treatment of a brain tumor. The child
tells the nurse that she "got sick because she was a bad girl." Which of the
following would the nurse identify as the underlying rationale for this
statement?
A) Magical thinking
B) Egocentrism
C) Self-blame
D) Conservation
Answer A: Magical thinking
Rationale: Preschoolers commonly engage in magical thinking, believing that
thoughts or actions can cause events. This is developmentally appropriate and
reflects Piaget's preoperational stage thinking.
8. The nurse recommends which of the following to prevent otitis media?
A) Cleaning the ear canals with hydrogen peroxide
