CPN PRACTICE EXAM 210 QUESTIONS AND CORRECT ANSWERS 2024-2025 LATEST
UPDATES ALREADY GRADED A+
Which is an example of cephalocaudal development?
A. Child crawls before he walks, walks before he runs and runs before he jumps
B. Child lifts his head before lifting his shoulders, sits with support before sitting without support
C. A child rakes before developing pincer grasp, develops pincher grasp before feeding himself with a
spoon
D. A child first develops reflexive behaviors then develops imitative behaviors - answer-B. Child lifts his
head before lifting his shoulders, sits with support before sitting without support
When assessing a school age child's development the nurse understands that a primary development
task of this age group is:
A. Developing friends
B. Learning to read
C. Learning to trust
D. Developing independence - answer-A. Developing friends
Which nursing action would be most important in the psychosocial support of a 2 year old who is having
an invasive procedure performed?
A. Assuring her that it is not her fault
B. Providing for parental presence
C. Providing adequate pain control
D. Performing the procedure quickly - answer-B. Providing for parental presence
(Heightened separation anxiety at this age)
Which of the following would be most helpful when assessing a child's bone age?
A. Birth date
B. Body mass index
C. Blood test
,D. Xray - answer-D. Xray
Which is the following assessments would be the most concerning in a 3 month old?
A. Closed posterior fontanel
B. Inability to roll over
C. Failure to track objects through visual fields
D. Failure to laugh - answer-C. Failure to track objects through visual fields
- posterior fontanel closes at 2-3 months, roll over at 4 months and starts laughing at 4 months
Which of the following developmental milestones of the 5 month old best reflects the principle of
proximodistal growth and development
A. Babbling
B. Raking objects
C. Rolling over
D. Eating solid foods - answer-B. Raking objects
Principle states that children develop from the trunk to the tips of the extremities. Raking objects
develops at 4 months and involves the use of the hands to "rake" objects prior to the development of
the more specific pincher grasp which occurs at 9 months
You are a nurse at a community health clinic. The mother of a 2 year old male expresses concern to you
that her previously healthy child is non-verbal. Which of the following responses is most appropriate?
A. Try not to worry. Language milestones vary. Boys have a tendency to lag behind girls
B. Given your son's age, we should probably test his hearing to be sure that is not the source of his
delayed language skills
C. Autism is the most frequent reason why children as old as 2 are non-verbal. We will likely consult a
developmental pediatrician for an evaluation
D. Let's look at your son's birth order as this is a significant predictor of language skills development -
answer-B. Given your son's age, we should probably test his hearing to be sure that is not the source of
his delayed language skills
,(Should be speaking 2-3 words)
The 5 year old uses how many words in a sentence?
A. 3-4
B. 4-5
C. 5-6
D. 6-7 - answer-C. 5-6
The nurse would expect a 4 month old to:
A. Sit alone
B. Attempt to roll over
C. Begin to crawl
D. Grasp feet and pull them to mouth - answer-B. Attempt to roll over
(Sit alone at 5 months with support, crawl at 9 months, grasp feet at 5 months)
A healthy 6 month old infant brought to the well-baby clinic for a checkup. When assessing the infant's
anterior fontanel, the nurse expects it to be
A. Open
B. Sunken
C. Closed
D. Bulging - answer-A. Open
(Closes at 12-18 months)
The nurse notes that an infant develops arm movements before fine-motor skills and interprets this as
an example of which pattern of development
A. Cephalocaudal
B. Proximodistal
, C. Differentiation
D. Mass-to-specific - answer-B. Proximodistal
(Trunk to extremities —> gross to fine—> raking (4m) to fine pincher grasp (9m)
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 ever detail - answer-A. Use simple terms
When assessing a toddlers growth and development, the nurse understands that a child in this age
group displays behavior that fosters which developmental task?
A. Initiative
B. Autonomy
C. Trust
D. Industry - answer-B. Autonomy
(Initiative = preschool, trust = infant, industry = school age)
The nurse should expect a 3 year old child to be able to perform which action?
A. Ride a tricycle
B. Tie his shoelaces
C. Roller-skate
D. Jump rope - answer-A. Ride a tricycle
(Then tie their shoes at school age, then roller skate, then jump rope)
UPDATES ALREADY GRADED A+
Which is an example of cephalocaudal development?
A. Child crawls before he walks, walks before he runs and runs before he jumps
B. Child lifts his head before lifting his shoulders, sits with support before sitting without support
C. A child rakes before developing pincer grasp, develops pincher grasp before feeding himself with a
spoon
D. A child first develops reflexive behaviors then develops imitative behaviors - answer-B. Child lifts his
head before lifting his shoulders, sits with support before sitting without support
When assessing a school age child's development the nurse understands that a primary development
task of this age group is:
A. Developing friends
B. Learning to read
C. Learning to trust
D. Developing independence - answer-A. Developing friends
Which nursing action would be most important in the psychosocial support of a 2 year old who is having
an invasive procedure performed?
A. Assuring her that it is not her fault
B. Providing for parental presence
C. Providing adequate pain control
D. Performing the procedure quickly - answer-B. Providing for parental presence
(Heightened separation anxiety at this age)
Which of the following would be most helpful when assessing a child's bone age?
A. Birth date
B. Body mass index
C. Blood test
,D. Xray - answer-D. Xray
Which is the following assessments would be the most concerning in a 3 month old?
A. Closed posterior fontanel
B. Inability to roll over
C. Failure to track objects through visual fields
D. Failure to laugh - answer-C. Failure to track objects through visual fields
- posterior fontanel closes at 2-3 months, roll over at 4 months and starts laughing at 4 months
Which of the following developmental milestones of the 5 month old best reflects the principle of
proximodistal growth and development
A. Babbling
B. Raking objects
C. Rolling over
D. Eating solid foods - answer-B. Raking objects
Principle states that children develop from the trunk to the tips of the extremities. Raking objects
develops at 4 months and involves the use of the hands to "rake" objects prior to the development of
the more specific pincher grasp which occurs at 9 months
You are a nurse at a community health clinic. The mother of a 2 year old male expresses concern to you
that her previously healthy child is non-verbal. Which of the following responses is most appropriate?
A. Try not to worry. Language milestones vary. Boys have a tendency to lag behind girls
B. Given your son's age, we should probably test his hearing to be sure that is not the source of his
delayed language skills
C. Autism is the most frequent reason why children as old as 2 are non-verbal. We will likely consult a
developmental pediatrician for an evaluation
D. Let's look at your son's birth order as this is a significant predictor of language skills development -
answer-B. Given your son's age, we should probably test his hearing to be sure that is not the source of
his delayed language skills
,(Should be speaking 2-3 words)
The 5 year old uses how many words in a sentence?
A. 3-4
B. 4-5
C. 5-6
D. 6-7 - answer-C. 5-6
The nurse would expect a 4 month old to:
A. Sit alone
B. Attempt to roll over
C. Begin to crawl
D. Grasp feet and pull them to mouth - answer-B. Attempt to roll over
(Sit alone at 5 months with support, crawl at 9 months, grasp feet at 5 months)
A healthy 6 month old infant brought to the well-baby clinic for a checkup. When assessing the infant's
anterior fontanel, the nurse expects it to be
A. Open
B. Sunken
C. Closed
D. Bulging - answer-A. Open
(Closes at 12-18 months)
The nurse notes that an infant develops arm movements before fine-motor skills and interprets this as
an example of which pattern of development
A. Cephalocaudal
B. Proximodistal
, C. Differentiation
D. Mass-to-specific - answer-B. Proximodistal
(Trunk to extremities —> gross to fine—> raking (4m) to fine pincher grasp (9m)
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 ever detail - answer-A. Use simple terms
When assessing a toddlers growth and development, the nurse understands that a child in this age
group displays behavior that fosters which developmental task?
A. Initiative
B. Autonomy
C. Trust
D. Industry - answer-B. Autonomy
(Initiative = preschool, trust = infant, industry = school age)
The nurse should expect a 3 year old child to be able to perform which action?
A. Ride a tricycle
B. Tie his shoelaces
C. Roller-skate
D. Jump rope - answer-A. Ride a tricycle
(Then tie their shoes at school age, then roller skate, then jump rope)
