CPN PRACTICE EXAM QUESTIONS AND CORRECT ANSEWRS 2024-2025 LATEST
UPDATES ALREADY GRADED A+
The parents of a 2 year old child with chronic otitis media are concerned that the disorder has affected
the child's hearing. Which behavior suggests the child has developed hearing impairment due to OM?
A) stuttering
B)gestures to express desires
C) babbling continuously
D) playing alongside friends without talking - answer-C) babbling continuously
at 2, a kid should say 2-3 words; stuttering/gesturing doesn't necessarily indicate hearing impairment;
kids at this age often have parallel play
A 10 month old is brought in with recurrent OM. To help determine the cause, what question should the
nurse ask the parents?
A) "does water get in the ears when shampooing hair?"
B) "do you give the baby a bottle to take to bed?"
C) "have you noticed a lot of wax in the ears?"
D) can the baby combine 2 words when speaking?" - answer-B - bottle propping and drinking in a
recumbent position are HUGE causes of OM
A school age child has CF. What sport would be most appropriate for them to try?
A) basketball
B) golf
C) swimming
D) baseball - answer-C swimming - promotes deep breathing & pulmonary toilet
When should the nurse instruct the child with CF to take their pancreatic enzymes?
A) 30 minutes before a meal
B) directly after eating their snack
C) immediately before eating a snack
,D) in the middle of their meal - answer-C) immediately before eating - they help improve absorption of
fats & nutrients
Epiglottitis is caused by what organism
--> haemophilus Influenza B (HiB) - answer-*** Good to know**
since the development of the HiB immunization, the incidence of epiglottis has drastically decreased
(rarely see this)
What are the nursing interventions for a child with epiglottis?
A) panic
B) remain calm
C) suction airway intermittently
D) keep patient calm
E) prep for tracheotomy/intubation - answer-B, D, E
have supplies for tracheotomy/intubation at bedside, do NOT suction or assess airway, keep child & self
calm
How long can RSV exist outside the body on surfaces? - answer-up to 6 hours
incubation period for RSV - answer-5-8 days
Laryngotracheobronchitis = ? - answer-croup
what is LTB most likely caused by? - answer-influenza A & B
What is bronchiolitis most likely caused by? - answer-RSV
,What is epiglottitis most likely caused by? - answer-H. influenza
A child comes to the clinic & mom says the kid has been coughing in the middle of the night. Kid says
they are tired & havent been sleeping well. The nurse expects the kid may have which respiratory
disease? - answer-asthma - nighttime coughing fits for newly dx patients
goal # stools / day for a kid with CF?
if kid is stooling over the recommended number, what should the nurse do? - answer-2-3 stools
if having >3 stools/ day, the nurse should give more pancreatic enzymes
males or females become infertile with CF? - answer-most males are infertile due to the blocked vas
deferens
females may have conception issues, but arent always infertile
A child chokes on an object. The nurse knows there is a higher likelihood for the object to be in the R or
L bronchus? - answer-R bronchus - it is straighter & wider
(R lung has 3 lobes; L has 2)
Which of the following are early symptoms of Carbon monoxide poisoning?
headache
chest pain
dizziness
Loss of consciousness
death
weakness/fatique
nausea - answer-headache
, dizziness
weakness/fatigue
nausea
Chest pain, loss of consciousness, death - late signs
What is the leading cause of chronic illness/school absenteeism in pediatrics? - answer-asthma
Should a child with chronic asthma receive the flu vaccine?
If so, which vaccine should the use:
livenasal flu vaccine?
IM injection? - answer-yes they should
IM injection
Child with chronic asthma should AVOID live nasal influenza vaccination - will exacerbate
How long is a kid with bronchiolitis infectious?
1 week
2 weeks
2-3 days - answer-14 days after sx onset
*incubation = 5-8 days*
remember - caused by RSV (same incubation/infectious time periods :) )
A child comes in with a barky, brassy cough & inspiratory stridor. The nurse is expecting a diagnosis of
what respiratory issue?
asthma
epiglottitis
laryngotracheobronchitis/croup
bronchopulmonary dyspoasiam - answer-laryngotracheobronchitis (LTB) (aka croup)
UPDATES ALREADY GRADED A+
The parents of a 2 year old child with chronic otitis media are concerned that the disorder has affected
the child's hearing. Which behavior suggests the child has developed hearing impairment due to OM?
A) stuttering
B)gestures to express desires
C) babbling continuously
D) playing alongside friends without talking - answer-C) babbling continuously
at 2, a kid should say 2-3 words; stuttering/gesturing doesn't necessarily indicate hearing impairment;
kids at this age often have parallel play
A 10 month old is brought in with recurrent OM. To help determine the cause, what question should the
nurse ask the parents?
A) "does water get in the ears when shampooing hair?"
B) "do you give the baby a bottle to take to bed?"
C) "have you noticed a lot of wax in the ears?"
D) can the baby combine 2 words when speaking?" - answer-B - bottle propping and drinking in a
recumbent position are HUGE causes of OM
A school age child has CF. What sport would be most appropriate for them to try?
A) basketball
B) golf
C) swimming
D) baseball - answer-C swimming - promotes deep breathing & pulmonary toilet
When should the nurse instruct the child with CF to take their pancreatic enzymes?
A) 30 minutes before a meal
B) directly after eating their snack
C) immediately before eating a snack
,D) in the middle of their meal - answer-C) immediately before eating - they help improve absorption of
fats & nutrients
Epiglottitis is caused by what organism
--> haemophilus Influenza B (HiB) - answer-*** Good to know**
since the development of the HiB immunization, the incidence of epiglottis has drastically decreased
(rarely see this)
What are the nursing interventions for a child with epiglottis?
A) panic
B) remain calm
C) suction airway intermittently
D) keep patient calm
E) prep for tracheotomy/intubation - answer-B, D, E
have supplies for tracheotomy/intubation at bedside, do NOT suction or assess airway, keep child & self
calm
How long can RSV exist outside the body on surfaces? - answer-up to 6 hours
incubation period for RSV - answer-5-8 days
Laryngotracheobronchitis = ? - answer-croup
what is LTB most likely caused by? - answer-influenza A & B
What is bronchiolitis most likely caused by? - answer-RSV
,What is epiglottitis most likely caused by? - answer-H. influenza
A child comes to the clinic & mom says the kid has been coughing in the middle of the night. Kid says
they are tired & havent been sleeping well. The nurse expects the kid may have which respiratory
disease? - answer-asthma - nighttime coughing fits for newly dx patients
goal # stools / day for a kid with CF?
if kid is stooling over the recommended number, what should the nurse do? - answer-2-3 stools
if having >3 stools/ day, the nurse should give more pancreatic enzymes
males or females become infertile with CF? - answer-most males are infertile due to the blocked vas
deferens
females may have conception issues, but arent always infertile
A child chokes on an object. The nurse knows there is a higher likelihood for the object to be in the R or
L bronchus? - answer-R bronchus - it is straighter & wider
(R lung has 3 lobes; L has 2)
Which of the following are early symptoms of Carbon monoxide poisoning?
headache
chest pain
dizziness
Loss of consciousness
death
weakness/fatique
nausea - answer-headache
, dizziness
weakness/fatigue
nausea
Chest pain, loss of consciousness, death - late signs
What is the leading cause of chronic illness/school absenteeism in pediatrics? - answer-asthma
Should a child with chronic asthma receive the flu vaccine?
If so, which vaccine should the use:
livenasal flu vaccine?
IM injection? - answer-yes they should
IM injection
Child with chronic asthma should AVOID live nasal influenza vaccination - will exacerbate
How long is a kid with bronchiolitis infectious?
1 week
2 weeks
2-3 days - answer-14 days after sx onset
*incubation = 5-8 days*
remember - caused by RSV (same incubation/infectious time periods :) )
A child comes in with a barky, brassy cough & inspiratory stridor. The nurse is expecting a diagnosis of
what respiratory issue?
asthma
epiglottitis
laryngotracheobronchitis/croup
bronchopulmonary dyspoasiam - answer-laryngotracheobronchitis (LTB) (aka croup)
