CPN - EXAM LATEST
A twelve year old female presents to the Emergency Department with
the following symptoms. What condition would you suspect?
fever increased WBC rebound tenderness
nausea vomiting abdominal distention
diffuse abdominal pain which then localizes in the lower right quadrant
to McBurney's point - ANSWERS-Answer: appendicitis
Toddlers exhibit what type of thinking?
A. linear
B. magical
C. cause and effect
D. abstract - ANSWERS-Answer: B
At what age does an infant's social smile develop? - ANSWERS-
Answer: The instinctual smile appears at 2 months, with the social smile
developing at 3 months. The social smile is the infant's first social
response. The social smile indicates memory and the beginning of
thought processes.
END OF
PAGE
1
, CPN - EXAM LATEST
You notice a child having a scissor-like gait. What disorder would you
suspect?
A. Meningitis
B. Neural tube defect
C. Duchenne muscular dystrophy
D. Cerebral palsy - ANSWERS-Answer: D - Cerebral Palsy is a
neuromuscular disorder caused by damage to the area of the brain that
controls motor function. It is most common in children born
prematurely.
The parent of a 3 year old who has been treated for hydrocephalus at
birth calls saying the child has severe headaches and is irritable and
vomiting. What should you tell the parent?
A. Give the child acetaminophen
B. This is a reaction to the medication administered for hydrocephalus
C. Give the child an aspirin
D. Bring the child to the doctor's office immediately - ANSWERS-
Answer: D - Hydrocephalus is a syndrome related to the dynamics of
cerebral spinal fluid. Symptoms include an increased head
circumference, full, tense or bulging fontanel and signs of increased
intracranial pressure. As headache, irritability and vomiting are all signs
END OF
PAGE
2
, CPN - EXAM LATEST
of increased intracranial pressure, and with a history of hydrocephalus -
this child should be seen ASAP.
You are caring for a child with a hip spica cast. All of the following are
appropriate interventions when caring for this patient except:
A. When turning the child, always use the cast crossbar for stability
B. Perform skin assessments for pressure points and skin breakdown
C. Keep the cast level and unbent, but on a slant with the head of the bed
raised
D. Reposition the child frequently - ANSWERS-Answer: A - the
crossbar should never be used to turn or lift the child.
Immune suppression is a contraindication for all live vaccines. Which of
the following is not a live vaccine?
A. MMR
B. nasal influenza
C. rotavirus
D. Tdap
E. varicella - ANSWERS-Answer: D
END OF
PAGE
3
, CPN - EXAM LATEST
What is the physiologic difference between an esophageal atresia (EA)
and a tracheoesophageal fistula (TEF)? - ANSWERS-Esophageal atresia
occurs when the proximal end of the esophagus ends in a blind pouch.
As a result, no food/fluids can enter the stomach. TEF occurs when there
is a connection between the esophagus and the trachea. These two
conditions occur singularly, or together with other congenital
abnormalities
What is proximodistal development? - ANSWERS-Answer:
development from the trunk out to the extremities
A length board should be used for children of what age range? -
ANSWERS-Answer: 0 up to 36 months. The growth chart for this age
group requires a length not a height. Children under 36 months who are
measured standing up and then plotted on a length (lying down) growth
chart will appear proportionally shorter. Likewise, children over 24
months whose length is measured (lying down) then plotted on a height
(standing) growth chart will appear taller as this ages has an exaggerated
lumbar curvature (lordosis) that straightens when they lie down.
Which of the following is not true regarding hypospadias?
a. a congenital anomaly where the urethral opening is along the dorsal
side of the penis
END OF
PAGE
4
A twelve year old female presents to the Emergency Department with
the following symptoms. What condition would you suspect?
fever increased WBC rebound tenderness
nausea vomiting abdominal distention
diffuse abdominal pain which then localizes in the lower right quadrant
to McBurney's point - ANSWERS-Answer: appendicitis
Toddlers exhibit what type of thinking?
A. linear
B. magical
C. cause and effect
D. abstract - ANSWERS-Answer: B
At what age does an infant's social smile develop? - ANSWERS-
Answer: The instinctual smile appears at 2 months, with the social smile
developing at 3 months. The social smile is the infant's first social
response. The social smile indicates memory and the beginning of
thought processes.
END OF
PAGE
1
, CPN - EXAM LATEST
You notice a child having a scissor-like gait. What disorder would you
suspect?
A. Meningitis
B. Neural tube defect
C. Duchenne muscular dystrophy
D. Cerebral palsy - ANSWERS-Answer: D - Cerebral Palsy is a
neuromuscular disorder caused by damage to the area of the brain that
controls motor function. It is most common in children born
prematurely.
The parent of a 3 year old who has been treated for hydrocephalus at
birth calls saying the child has severe headaches and is irritable and
vomiting. What should you tell the parent?
A. Give the child acetaminophen
B. This is a reaction to the medication administered for hydrocephalus
C. Give the child an aspirin
D. Bring the child to the doctor's office immediately - ANSWERS-
Answer: D - Hydrocephalus is a syndrome related to the dynamics of
cerebral spinal fluid. Symptoms include an increased head
circumference, full, tense or bulging fontanel and signs of increased
intracranial pressure. As headache, irritability and vomiting are all signs
END OF
PAGE
2
, CPN - EXAM LATEST
of increased intracranial pressure, and with a history of hydrocephalus -
this child should be seen ASAP.
You are caring for a child with a hip spica cast. All of the following are
appropriate interventions when caring for this patient except:
A. When turning the child, always use the cast crossbar for stability
B. Perform skin assessments for pressure points and skin breakdown
C. Keep the cast level and unbent, but on a slant with the head of the bed
raised
D. Reposition the child frequently - ANSWERS-Answer: A - the
crossbar should never be used to turn or lift the child.
Immune suppression is a contraindication for all live vaccines. Which of
the following is not a live vaccine?
A. MMR
B. nasal influenza
C. rotavirus
D. Tdap
E. varicella - ANSWERS-Answer: D
END OF
PAGE
3
, CPN - EXAM LATEST
What is the physiologic difference between an esophageal atresia (EA)
and a tracheoesophageal fistula (TEF)? - ANSWERS-Esophageal atresia
occurs when the proximal end of the esophagus ends in a blind pouch.
As a result, no food/fluids can enter the stomach. TEF occurs when there
is a connection between the esophagus and the trachea. These two
conditions occur singularly, or together with other congenital
abnormalities
What is proximodistal development? - ANSWERS-Answer:
development from the trunk out to the extremities
A length board should be used for children of what age range? -
ANSWERS-Answer: 0 up to 36 months. The growth chart for this age
group requires a length not a height. Children under 36 months who are
measured standing up and then plotted on a length (lying down) growth
chart will appear proportionally shorter. Likewise, children over 24
months whose length is measured (lying down) then plotted on a height
(standing) growth chart will appear taller as this ages has an exaggerated
lumbar curvature (lordosis) that straightens when they lie down.
Which of the following is not true regarding hypospadias?
a. a congenital anomaly where the urethral opening is along the dorsal
side of the penis
END OF
PAGE
4
