CPN CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ Foramen Ovale.
Answer: A shunt that connects the right atrium to the left atrium in order to
bypass the fetal lung.
◍ bow legs (genu varus).
Answer: common from birth to toddlerhood, often with out-toeing, most
resolve by 18mo-1yr
◍ Which of the following types of play would the nurseexpect to see when
assessing a toddler?a. Cooperativeb. Associativec. Solitaryd. Parallel.
Answer: d. Parallel
◍ When telling a 4 year old about an upcoming procedure, thenurse's most
important consideration is to:a. Tell the child immediately before the
procedure is tooccurb. Prepare the child at least 24 hours in advance so that
thechild has time to emotionally adjustc. Offer a toy to keep the child happy
and distractedd. Wait to tell the child until you are doing the procedure.
Answer: a. Tell the child immediately before the procedure is tooccur
◍ poliomylelitis(polio).
Answer: fecal-oral enterovirus that replicated in the GI tract and then enters
the blood
◍ Four year old Juan is being admitted today for atonsillectomy. You know
that Juan is in whichdevelopmental stage according to Erikson:a. Initiative
vs. guiltb. Identity vs. role confusionc. Industry vs. inferiorityd. Autonomy
vs. shame and doubt.
Answer: a. Initiative vs. guilt
◍ potential complications of phototherapy.
, Answer: visual problems, thermoregulation,evaporative water loss,
hypoglycemia, bronze baby syndrome
◍ Post operative interventions for cheiloplasty.
Answer: -Maintain airway, observe for cyanosis-maintain an intact suture
line-anticipate needs to prevent crying-do not place in prone position to
avoid pressure on face-clean suture line after each feeding
◍ macular rash.
Answer: a flat rash with color changes in circumscibed areas
◍ Influences of Cerebral perfusion pressure.
Answer: Mean arterial pressureintracranial pressure
◍ What medication is often used to maintain apatent ductus arteriosus?1.
Prostaglandin E2. D51/2 NS3. Fentanyl4. Esmolol.
Answer: 1. Prostaglandin E
◍ the primary electrolyte in extracellular fluid.
Answer: sodium
◍ A 9 month old infant is hospitalized for treatment of inorganicfailure to
thrive. Which nursing action is most appropriatefor this child?a.
Encouraging the infant to hold his bottleb. Keeping the infant on bed rest to
conserve energyc. Rotating caregivers to provide more stimulationd.
Maintaining a consistent, structured environment.
Answer: d. Maintaining a consistent, structured environment
◍ Lead Posioning treatment.
Answer: chelation therapy,fluids
◍ Peak action time of Novolog/Humolog short acting insulin.
Answer: Between 30-90 minutes
◍ cerebral palsy.
Answer: neuromuscular disorder resulting from damage to area in brain that
controls motor fxn
◍ Thomas is a 6 month old who weighed 6 lbs at birth.Based on your
, knowledge of pediatric growth, youknow that his weight today should be at
leasta. 9 lbsb. 12 lbsc. 16 lbsd. 18 lbs.
Answer: b. 12 lbs
◍ Which of the following assessments may indicate a childis in respiratory
distress?1. Nasal flaring and bradycardia2. Sitting up, leaning forward with
chin thrust out3. Low grade fever and complaint of sore throat4. Leaning
backward supporting themselves with hands and arms.
Answer: 2. Sitting up, leaning forward with chin thrust out
◍ Ortolani maneuver.
Answer: checks for congenital hip dislocation; performed every visit until 1
year old
◍ Cheiloplasty.
Answer: Surgical repair of the cleft lip
◍ Symptoms of mumps.
Answer: swelling in the parotid glands and painful swallowing
◍ ataxic.
Answer: inability to control balance and coordination
◍ An 8 year old patient has neutropenia. What isimportant information that
will guide the care youprovide:a) Lab reports will show a deficiency in
protectiveantibodiesb) You may not see signs of inflammation even when
itis presentc) The child is at risk for autoimmune diseased) The child is at
risk for anemia and platelet deficiency.
Answer: b) You may not see signs of inflammation even when itis present
◍ acute renal failure.
Answer: sudden loss of kidney function that results in nitrogenous waste and
deregulation of extracellular water & electrolytes
◍ What is the first sign of puberty in females?.
Answer: breast development at age 7-13yo
◍ Aplastic anemia.
, Answer: a bone marrow failure condition in which formed elements of the
blood are simultaneously depressed
◍ Systolic murmurs are considered abnormal if Grade.
Answer: III or greater
◍ Toddlers perception of death.
Answer: Fears death only as extension of the primary fear of seperation
from parents-no concept of time or space
◍ Erikson Psychosocial development Infancy (0-12 mo).
Answer: Trust vs mistrust
◍ prodromal sxs of measles.
Answer: fever, malaise, harsh raspy cough, conjunctivitis, stuffy nose
◍ Acromegaly.
Answer: Excess GH AFTER closure of epiphyseal plates
◍ tonic clonic seizure.
Answer: most serious seizure, accompanied by violent convulsions. causes
brain damage if lasts too long
◍ Piagets Cognitive Development7-11 yrs.
Answer: Concrete operations stage- logical, tangible thinking-masters,
collects, sorts facts
◍ intussusception.
Answer: invagination or telescoping of the bowel segment
◍ Phenytoin (Dilantin).
Answer: keeps neuron excitability below the seizure thresholdSide effects:
gum hyperplasia, hirsutism, ataxia, gastric distress, nystagmus, anemia
◍ RBC lifespan in sickle cell.
Answer: Decreases from 120 to 20 days
◍ treatment of GERD.
Answer: positioning upright, thickened feeding with rice
QUESTIONS WITH SOLUTIONS GRADED A+
◍ Foramen Ovale.
Answer: A shunt that connects the right atrium to the left atrium in order to
bypass the fetal lung.
◍ bow legs (genu varus).
Answer: common from birth to toddlerhood, often with out-toeing, most
resolve by 18mo-1yr
◍ Which of the following types of play would the nurseexpect to see when
assessing a toddler?a. Cooperativeb. Associativec. Solitaryd. Parallel.
Answer: d. Parallel
◍ When telling a 4 year old about an upcoming procedure, thenurse's most
important consideration is to:a. Tell the child immediately before the
procedure is tooccurb. Prepare the child at least 24 hours in advance so that
thechild has time to emotionally adjustc. Offer a toy to keep the child happy
and distractedd. Wait to tell the child until you are doing the procedure.
Answer: a. Tell the child immediately before the procedure is tooccur
◍ poliomylelitis(polio).
Answer: fecal-oral enterovirus that replicated in the GI tract and then enters
the blood
◍ Four year old Juan is being admitted today for atonsillectomy. You know
that Juan is in whichdevelopmental stage according to Erikson:a. Initiative
vs. guiltb. Identity vs. role confusionc. Industry vs. inferiorityd. Autonomy
vs. shame and doubt.
Answer: a. Initiative vs. guilt
◍ potential complications of phototherapy.
, Answer: visual problems, thermoregulation,evaporative water loss,
hypoglycemia, bronze baby syndrome
◍ Post operative interventions for cheiloplasty.
Answer: -Maintain airway, observe for cyanosis-maintain an intact suture
line-anticipate needs to prevent crying-do not place in prone position to
avoid pressure on face-clean suture line after each feeding
◍ macular rash.
Answer: a flat rash with color changes in circumscibed areas
◍ Influences of Cerebral perfusion pressure.
Answer: Mean arterial pressureintracranial pressure
◍ What medication is often used to maintain apatent ductus arteriosus?1.
Prostaglandin E2. D51/2 NS3. Fentanyl4. Esmolol.
Answer: 1. Prostaglandin E
◍ the primary electrolyte in extracellular fluid.
Answer: sodium
◍ A 9 month old infant is hospitalized for treatment of inorganicfailure to
thrive. Which nursing action is most appropriatefor this child?a.
Encouraging the infant to hold his bottleb. Keeping the infant on bed rest to
conserve energyc. Rotating caregivers to provide more stimulationd.
Maintaining a consistent, structured environment.
Answer: d. Maintaining a consistent, structured environment
◍ Lead Posioning treatment.
Answer: chelation therapy,fluids
◍ Peak action time of Novolog/Humolog short acting insulin.
Answer: Between 30-90 minutes
◍ cerebral palsy.
Answer: neuromuscular disorder resulting from damage to area in brain that
controls motor fxn
◍ Thomas is a 6 month old who weighed 6 lbs at birth.Based on your
, knowledge of pediatric growth, youknow that his weight today should be at
leasta. 9 lbsb. 12 lbsc. 16 lbsd. 18 lbs.
Answer: b. 12 lbs
◍ Which of the following assessments may indicate a childis in respiratory
distress?1. Nasal flaring and bradycardia2. Sitting up, leaning forward with
chin thrust out3. Low grade fever and complaint of sore throat4. Leaning
backward supporting themselves with hands and arms.
Answer: 2. Sitting up, leaning forward with chin thrust out
◍ Ortolani maneuver.
Answer: checks for congenital hip dislocation; performed every visit until 1
year old
◍ Cheiloplasty.
Answer: Surgical repair of the cleft lip
◍ Symptoms of mumps.
Answer: swelling in the parotid glands and painful swallowing
◍ ataxic.
Answer: inability to control balance and coordination
◍ An 8 year old patient has neutropenia. What isimportant information that
will guide the care youprovide:a) Lab reports will show a deficiency in
protectiveantibodiesb) You may not see signs of inflammation even when
itis presentc) The child is at risk for autoimmune diseased) The child is at
risk for anemia and platelet deficiency.
Answer: b) You may not see signs of inflammation even when itis present
◍ acute renal failure.
Answer: sudden loss of kidney function that results in nitrogenous waste and
deregulation of extracellular water & electrolytes
◍ What is the first sign of puberty in females?.
Answer: breast development at age 7-13yo
◍ Aplastic anemia.
, Answer: a bone marrow failure condition in which formed elements of the
blood are simultaneously depressed
◍ Systolic murmurs are considered abnormal if Grade.
Answer: III or greater
◍ Toddlers perception of death.
Answer: Fears death only as extension of the primary fear of seperation
from parents-no concept of time or space
◍ Erikson Psychosocial development Infancy (0-12 mo).
Answer: Trust vs mistrust
◍ prodromal sxs of measles.
Answer: fever, malaise, harsh raspy cough, conjunctivitis, stuffy nose
◍ Acromegaly.
Answer: Excess GH AFTER closure of epiphyseal plates
◍ tonic clonic seizure.
Answer: most serious seizure, accompanied by violent convulsions. causes
brain damage if lasts too long
◍ Piagets Cognitive Development7-11 yrs.
Answer: Concrete operations stage- logical, tangible thinking-masters,
collects, sorts facts
◍ intussusception.
Answer: invagination or telescoping of the bowel segment
◍ Phenytoin (Dilantin).
Answer: keeps neuron excitability below the seizure thresholdSide effects:
gum hyperplasia, hirsutism, ataxia, gastric distress, nystagmus, anemia
◍ RBC lifespan in sickle cell.
Answer: Decreases from 120 to 20 days
◍ treatment of GERD.
Answer: positioning upright, thickened feeding with rice
