CPNP-AC REVIEW
QUESTIONS &
ANSWERS RATED TO
SCORE A+
CPNP-AC
Evatee 9/2/24 CPNP-AC
,CPNP-AC REVIEW QUESTIONS & ANSWERS
RATED TO SCORE A+
A PICU PNP is on the patient safety committee and notes a rise in the
occurrence of urinary tract infections in children with foley catheters. She does
a literature review and determines an evidence based approach for prevention.
what is her next best step? Answer - involve stakeholders to collect data to
identify the problem and the best method to put the EBP plan into place
AN ACPNP feels strongly that injuries sustained on local school playgrounds
could be prevented by using mulch as a base. the best way to advocate for this
recommendation is to: Answer - contact a local representative who can lobby
for a bill and funding to support this effort
the best evidence based management of a child with sickle cell disease who is
diagnosed with ischemic stroke is: Answer - exchange transfusion
the most appropriate test to confirm the diagnosis of sickle cell anemia in a
newborn is Answer - hemoglobin electrophoresis
you suspect a patient with sepsis is developing DIC. the diagnostic test of
choice to confirm this diagnosis is Answer - D dimer
a 16 year old female presents with obesity and acute shortness of breath. she
has no significant past medical history and her only medication is oral
contraceptives. what is the most sensitive test for the suspected diagnpsis?
Answer - CT angiography
, a cardiac patient underwent surgical intervention requiring cardiopulmonary
bypass last night and is currently bleeding. you suspect that there is a factor
deficiency and appropriately order the following blood component to correct
the underlying deficiency Answer - FFP
a school age child presents to the ED with bruising on his legs and abdomen.
his caregiver states he had a cold approximately 2 weeks ago, as did he two
older sisters. the CBC reveals a hemoglobin of 12.2, WBC 13,000, and platelet
count of 48,000. you know the most likely diagnosis in this child is Answer - ITP
the priority intervention for a patient with hemophilia B who has experienced
an acute musculoskeletal bleed is Answer - factor replacement therapy
a 2 year old who is receiving treatment for neuroblastoma develops fever to
38.9C, lethargy and has oxygen saturations to 95%. the most important, first
line management should include Answer - obtain blood cultures from CVL and
administer antibiotics to include 4th gen cephs
a 2 year old presents with opsocolonus-myoclonus. you know that you should
include which malignancy in our differential? Answer - neuroblastoma
a child referred to the ER by the PCP for concerns of AML develops dyspnea,
hypoxia, and tachypnea. you are called by the nurse and find a school age child
in impending respiratory failure. you suspect this child has developed Answer -
pulmonary complications of hyperleukocytosis
a teen with a history of relapsed osteosarcoma presents with difficulty voiding,
lacking feeling with bladder fullness. what is the most likely cause? Answer -
metastatic compression of the spinal cord
QUESTIONS &
ANSWERS RATED TO
SCORE A+
CPNP-AC
Evatee 9/2/24 CPNP-AC
,CPNP-AC REVIEW QUESTIONS & ANSWERS
RATED TO SCORE A+
A PICU PNP is on the patient safety committee and notes a rise in the
occurrence of urinary tract infections in children with foley catheters. She does
a literature review and determines an evidence based approach for prevention.
what is her next best step? Answer - involve stakeholders to collect data to
identify the problem and the best method to put the EBP plan into place
AN ACPNP feels strongly that injuries sustained on local school playgrounds
could be prevented by using mulch as a base. the best way to advocate for this
recommendation is to: Answer - contact a local representative who can lobby
for a bill and funding to support this effort
the best evidence based management of a child with sickle cell disease who is
diagnosed with ischemic stroke is: Answer - exchange transfusion
the most appropriate test to confirm the diagnosis of sickle cell anemia in a
newborn is Answer - hemoglobin electrophoresis
you suspect a patient with sepsis is developing DIC. the diagnostic test of
choice to confirm this diagnosis is Answer - D dimer
a 16 year old female presents with obesity and acute shortness of breath. she
has no significant past medical history and her only medication is oral
contraceptives. what is the most sensitive test for the suspected diagnpsis?
Answer - CT angiography
, a cardiac patient underwent surgical intervention requiring cardiopulmonary
bypass last night and is currently bleeding. you suspect that there is a factor
deficiency and appropriately order the following blood component to correct
the underlying deficiency Answer - FFP
a school age child presents to the ED with bruising on his legs and abdomen.
his caregiver states he had a cold approximately 2 weeks ago, as did he two
older sisters. the CBC reveals a hemoglobin of 12.2, WBC 13,000, and platelet
count of 48,000. you know the most likely diagnosis in this child is Answer - ITP
the priority intervention for a patient with hemophilia B who has experienced
an acute musculoskeletal bleed is Answer - factor replacement therapy
a 2 year old who is receiving treatment for neuroblastoma develops fever to
38.9C, lethargy and has oxygen saturations to 95%. the most important, first
line management should include Answer - obtain blood cultures from CVL and
administer antibiotics to include 4th gen cephs
a 2 year old presents with opsocolonus-myoclonus. you know that you should
include which malignancy in our differential? Answer - neuroblastoma
a child referred to the ER by the PCP for concerns of AML develops dyspnea,
hypoxia, and tachypnea. you are called by the nurse and find a school age child
in impending respiratory failure. you suspect this child has developed Answer -
pulmonary complications of hyperleukocytosis
a teen with a history of relapsed osteosarcoma presents with difficulty voiding,
lacking feeling with bladder fullness. what is the most likely cause? Answer -
metastatic compression of the spinal cord
