CPN Exam Questions With Complete Solutions 2023

Weight at 6 months ______ birth weight. - Correct Answer- Double Weight at 1 year ______ birth weight. - Correct Answer- Triples BMI - Obese - Correct Answer- > 95%, 30 or more BMI - Overweight - Correct Answer- 85%-95%, 25-29.9 BMI - Healthy Weight - Correct Answer- 5%-<85%, 18.6-24.9 BMI - Underweight - Correct Answer- <5%, <18.5 Average Birth Length - Correct Answer- 20 Inches First year rate of growth in inches. - Correct Answer- 10 inches Second year rate of growth in inches. - Correct Answer- 5 inches Each year from 3rd to puberty rate of growth in inches. - Correct Answer- 2.5 inches Birth length _____ at 4 years? - Correct Answer- Doubles (so if 20 now 40 inches) 12 month old says how many words? - Correct Answer- 5 words 18 month old says how many words? - Correct Answer- 50 words 24 month old says how many words? - Correct Answer- 400 words How many word phrases? - Correct Answer- "Age to 1 more than my age = sentences" Ex. 3 year old says 3-4 words per sentence. Contraindication for live vaccines. - Correct Answer- Immunosuppression - including chemotherapy. Live Vaccine are MMR, Varicella, Rotavirus, and Nasal Influenza. What live vaccines do children with HIV still receive? - Correct Answer- MMR and Varicella Mild side effects of vaccines. - Correct Answer- Fever or soreness at the injection site. How to treat mild side effects of vaccines. - Correct Answer- Treat as it occurs! Antipyretic and comfort measures as needed. DO NOT PREMEDICATE (ATC Tylenol and Motrin) Live Vaccine Side Effects - Correct Answer- Mimic the actual disease they are designed to protect against. Occur 2-4 WEEKS after administration. Live Varicella Vaccine Side Effects/Management - Correct Answer- Vaccine induced rash - can be contagious, avoid immunocompromised people. Live Rotavirus Vaccine Side Effects/Management - Correct Answer- Mild, temporary diarrhea or vomiting, fussiness/irritability, cough/runny nose, fever, loss of appetite. Wash hands with diaper changes as always - avoid contact with immunocompromised people. Contraindications for MMR. - Correct Answer- Immunocompromised, < 12 mo of age due to maternal antibodies. EXCEPTION = measles outbreak. Normal Hemoglobin Levels - Correct Answer- 11.5-14.5 g/dl When to transfuse? - Correct Answer- Acute Anemia - less than 7.0-8.0 Chronic Anemia - less than 6.0 Normal Platelet Count - Correct Answer- 150,000-400,000 Normal pH Range - Correct Answer- 7.35-7.45 Acidosis - pH - Correct Answer- pH < 7.35 Alkalosis -pH - Correct Answer- pH > 7.45 Normal Pediatric PaCO2 - Correct Answer- 35-45 mmHg Alkalosis - PaCO2 - Correct Answer- losing CO2 therefore < 35 (normal 35-45) Acidosis - PaCO2 - Correct Answer- gaining CO2 therefore >45 (normal 35-45) Normal Serum HCO3 - Correct Answer- 22-26 mEq/L Alkalosis - HCO3 - Correct Answer- gaining base therefore > 26 (normal 22-26) Acidosis - HCO3 - Correct Answer- losing base therefore < 22 (normal 22-26) Analyzing Acid-Base Imbalances - Correct Answer- The label that matches the pH is the system responsible for the imbalance, also called the "source." CO2 - respiratory, HCO3 - metabolic