CPN Practice Questions & Facts Guaranteed Correct Answers With Multiple Choices.

Which one of the following would be most helpful when assessing a child's bone age? BMI weight height x-ray of hand/wrist - Correct Answersx-ray of hand/wrist A baby's length is 20 inches at birth. You approximate her height at 4 years of age to be: 30 in 35 in 40 in 45 in - Correct Answers40 inches birth length doubles at 4 years Sam is a 2 month old who weighed 8 lbs at birth. His weight at 1 year should be at least: 16 lbs 20 lbs 24 lbs 32 lbs - Correct Answers24 lbs birth weight minimally doubles at 6 months & triples at 1 yr normal BMI - Correct Answers18.5-24.9 overweight BMI - Correct Answers25-29.9 Obese BMI - Correct Answers30 or greater underweight BMI - Correct Answers<18.5 Babinski reflex - Correct AnswersReflex in which a newborn fans out the toes when the sole of the foot is touched tonic neck reflex - Correct Answerselicited when baby head turned to a side, the extremities on that side extend ( birth to 4 months) Moro (startle) reflex - Correct Answersan infant will startle in response to a loud sound or sudden movement parachute reflex - Correct Answersextension of both arms when thrust downward in the prone position rooting reflex - Correct Answersa baby's tendency, when touched on the cheek, to turn toward the touch, open the mouth, and search for the nipple Developmentally the nurse would expect a 4 month old to do which of the following? sit alone begin to roll over begin to crawl exhibit continuous babbling - Correct Answersbegin to roll over When performing physical assessment of a 10-year-old girl, the nurse keeps in mind that the first sign of puberty in girls is: breast bud development pubic hair axillary hair menarche - Correct Answersbreast bud development Which of the following developmental milestones would you expect the 9 month old infant to be developing? pincer grasp walking speaking intelligible words sitting without support - Correct Answerspincer grasp You are performing a developmental assessment on a 2 yr old in clinic. You know to expect which of the following? toilet training cooperative play 2 to 3 word sentences sharing willingly - Correct Answers2 to 3 word sentences # of words = age + 1 How many words are in a 12 month olds vocabulary? - Correct Answers5 words How many words should a toddler speak by 18 months? - Correct Answers50 words An 18-month-old is admitted for surgery to repair his cleft palate. What is most likely his biggest fear? pain separation anxiety death body integrity - Correct Answersseparation anxiety Discussing the consequences of actions is most important appropriate for which age group? school age preschooler toddler infant - Correct Answersschool age You are the nurse teaching a group of teens in a community health center about safety. You keep in mind that among the following behaviors, which would be the highest risk for teens? texting & driving raiding their parents liquor cabinet swimming alone in backyard pool smoking marijuana - Correct Answerstexting & driving *highest risk behavior for an adolescent is multi tasking while operating a motor vehicle* You are caring for a 4-year-old Maggie who was newly diagnosed with diabetes & having difficulty coping w/ frequent finger sticks. Which of the following should the nurse focus on in the plan of care? -allow Maggie to hold her favorite stuffed animal during the finger sticks -encourage maggie's mother to coach her during finger sticks -encourage maggie to count backward from 10 during finger sticks -encourage maggie to play w/ the equipment & "practice" on her dolls - Correct Answers-encourage maggie to play w/ the equipment & "practice" on her dolls *pre schoolers and young school age children cope well w/ play therapy & practicing on dolls* Which vitamins are required as part of the daily diet for a child w/ cystic fibrosis? A, B, C, D A, D, E, K B12, C, D, E C, D, E, K - Correct AnswersA, D, E, K *fat soluble vitamins (A, D, E, and K) are part of the daily diet for children w/ cystic fibrosis* Since the advent of the immunization for Haemophilus influenza (the HIB vaccine), there has been a decrease in the incidence of: -laryngotracheobronchitis -epiglottitis -reye's syndrome -bronchitis - Correct Answersepiglottitis HIB vaccine irradicated epiglottitis Select the appropriate screening tool for a 7 year old's visual acuity assessment: -Allen pictures -LEA symbols -Sloan letters -slit lamp examination - Correct AnswersSloan letters *sloan letters visual acuity test is appropriate from 6 years of age through adulthood* A child w/ difficulty breathing and a "barking cough" is displaying signs associated w/ which condition? a) cystic fibrosis b) asthma c) epiglottitis d) laryngotracheobronchitis (croup) - Correct Answersd) laryngotracheobronchitis (croup) An infant undergoes surgery to repair a myelomeningocele. To detect increased intracranial pressure (ICP) as early as possible, the nurse should stay alert for which postoperative finding? -decreased urine output -increased heart rate -bulging fontanel -sunken eyeballs - Correct Answersbulging fontanel *bulging fontanel & irritability & high-pitched cry are symptoms associated w/ increased ICP* The nurse is working in an adolescent clinic caring for a 16 year old female who was surgically repaired for meningocele as an infant. What is the highest priority for teaching? -avoiding latex condoms -avoiding peanuts -avoiding contact sport -avoiding strawberries - Correct Answersavoiding latex condoms spina bifida is associated w/ latex allergy You are caring for a 4 week old infant diagnosed w/ hydrocephalus. While reviewing his history & assessing the infant, the nurse would expect to find which of the following? -head circumference of 50th percentile -dull cry when stimulated -high pitched cry -depressed fontanel - Correct Answershigh pitched cry *infant w/ hydrocephalus will show signs of increased ICP - high pitched, irritable cry & bulging fontanel* You are caring for a 22 month old recently diagnosed w/ lead poisoning. His blood lead level 70 and he is symptomatic. Which of the following would you expect for his course of treatment? -admin oral lead chelation & follow up w/ PCP for serum blood lead levels -admin both oral & IM lead chelation & follow up w/ PCP for serum blood lead levels -provide a 2 week course of abx & follow up w/ PCP for serum blood lead levels -hospitalize immediately for inpatient lead chelation therapy - Correct Answershospitalize immediately for inpatient lead chelation therapy *a lead level of 45 or greater w/ accompanying symptoms of lead poisoning, requires immediate hospitalization* Alex is a 4 year old w/ amblyopia in the left eye. His parents want to know about the treatment. The nurse's best response is: -"Alex's eye condition will be treated w/ prescription eye glasses." -"Alex will most likely outgrow this condition/ We will evaluate his condition again before he starts school." -"Alex will need to wear a patch on his right eye." -"Alex will need to wear a patch on his left eye" - Correct Answers"Alex will need to wear a patch on his right eye." *the treatment for amblyopia (lazy eye) is to patch the healthy eye & make the eye w/ amblyopia work* amblyopia - Correct Answersa dimness of vision or the partial loss of sight, especially in one eye, without detectable disease of the eye (lazy eye) As the nurse performing routine diabetic teaching w/ the child and family, you know that it is important to reinforce that the body's need for insulin decreases in the presence of: overeating increased physical activity acute infections increased emotional strains - Correct Answersincreased physical activity *As activity level increases, glucose decreases and therefore the need for insulin also decreases* clavicular fracture - Correct AnswersFracture of the collar bone occurs during vaginal birth d/t width of shoulders greenstick fracture - Correct Answersbending and incomplete break of a bone; most often seen in children occurs in long bones d/t flexibility of growing bones compound fracture - Correct Answersbone breaks through the skin comminuted fracture - Correct Answersbone breaks into many fragments, splintered or crushed spiral fracture - Correct Answersassociated w/ a twisting force closely associated w/ child abuse but also seen in sports injuries like skiing Which of the following assessments would the nurse expect to see in an infant w/ developmental hip dysplasia? ortolani click negative barlow test symmetric gluteal folds tredelenburg's sign - Correct Answersortolani click Developmental Hip Dysplasia - Correct Answersbirth defect of the hip joint in which the newborn's hips easily become dislocated; also called congenital hip dysplasia (CHD) -associated w/ ortolani click, asymmetric gluteal folds and shortened limb on affected side Barlow test - Correct AnswersTest for a hip that is dislocatable but not dislocated in infants. With infant supine and hip and knees flexed, push posteriorly in line with the shaft of femur. An unstable femoral head will dislocate posteriorly from acetabulum. treatment for developmental hip dysplasia - Correct Answerstreated w/ Pavlik harness continuously for 6-12 weeks (95% effective) -0-6 mo: Pavlik Harness for 3-5 mo (resize every few weeks) -6-18 mo: Traction or surgical reduction w/ 3-4 mo cast - >18 mo-4 yrs: Invasive surgery - >6 yrs: impossible to fix Samuel is an 18 month old w/ sickle cell disease. He was admitted to your unit yesterday w/ a complaint of pain & swelling in hands/feet (dactylitis) w/ a low greade temp of 100 F. Today you are the nurse caring for Samuel. Which of the following assessments is most concerning and warrants immediate notification of the provider? cardiac murmur scleral icterus temp of 101.5 all of the above - Correct Answerstemp of 101.5 *child w/ sickle cell disease needs further evaluation w/ a new onset fever due to splenic failure associated with the disease* Sickle Cell Disease (SCD) - Correct Answersan inherited disease in which patients have a genetic defect in their hemoglobin that results in an abnormal structure of the red blood cell You are caring for a preschooler w/ osteogenesis imperfecta. In addition to her history of bone fractures, what additional assessments would you expect in her H&P assessment? scleral icterus brittle teeth increased linear growth hyperactivity - Correct Answersbrittle teeth *osteogenesis imperfecta is associated w/ bones that break easily, brittle teeth & a blue tint to the sclera* Which of the following instructions would the nurse include in a teaching plan that focuses on initial prevention of rheumatic fever?