CPN Study Questions 1-100
. Diuretic medicines are used to manipulate edema in pediatric patients with coronary heart
failure. Which
of the subsequent medications is NOT a diuretic medication?
A. Furosemide (Lasix).
B. Enalapril (Vasotec).
C. Spironolactone (Aldactone).
D. Bumetanide (Bumex). - ANS-B: Enalapril is an angiotensin-changing enzyme inhibitor and
isn't always a diuretic.
Furosemide, spironolactone, and bumetanide are usually-used diuretics
***A affected person is experiencing dizziness, shortness of breath, lightheadedness, and
nausea resulting from
encephalitis. Which of the following descriptions maximum as it should be describes the
affected person's
situation?***
A. Metabolic acidosis
B. Breathing alkalosis
C. Metabolic alkalosis
D. Respiratory acidosis - ANS-B: Respiratory alkalosis results from hyperventilation, at some
stage in which greater CO2 is excreted,
causing a decrease in carbonic acid (H2CO3) awareness in the plasma. Symptoms
encompass
tachycardia, arrhythmias, lightheadedness, nausea, and vomiting.
***Which of the following sufferers will probably need surgical correction of his/her
fracture?***
A. 10-yr-antique with humeral head fracture.
B. 5-12 months-antique with tuft fracture of the distal phalanx.
C. 4-year-antique with tuft fracture of the toe.
D. Sixteen-year-antique with radial head fracture. - ANS-A: Humeral head fractures normally
want open reduction and internal fixation to maintain
proper destiny functioning. Distal phalanx and toe fractures are dealt with with splints and
fracture of
the radial head with a sling.
10-year-old is by chance shot in the forearm by a small quality firearm. The wound enters
the
dorsum of the forearm and exits on the ventral facet. The patient is ambulatory and has
minor
pain at the site. What check is probable wanted for assessment of the harm?
A. Arteriogram.
B. CT of arm.
C. MRI of arm.
,D. Ultrasound of arm - ANS-A: An arteriogram is wanted to evaluate the vascular supply
inside the arm after a gunshot wound
to make certain that no harm to the ulnar and radial artery has took place.
10-yr-antique male with sickle cellular ailment comes into the ED complaining of pain in his
legs due
to a vaso-occlusive crisis. In addition to IV fluids, what's the opposite initial treatment for this
patron?
A. Elevate legs.
B. Ace wrap to legs.
C. Nitroglycerine paste.
D. Pain remedy. - ANS-D: In addition to IV fluids, the alternative number one initial remedy
for sickle mobile disaster resulting
in vascular occlusion is ache medication because ache is regularly extreme. Other
treatments consist of
oxygen, hydroxyurea (anti-sickling medicine), blood transfusions if anemia is suggested, and
antibiotics if the disaster turned into brought on by an contamination.
14-12 months-old male with renal failure is given an arteriovenous fistula (shunt) for future
dialysis.
How does the nurse examine the shunt put up-operatively for patency?
A. Assess for bruit and thrill.
B. Monitor blood stress on that arm.
C. Ease of venipuncture at shunt web page.
D. Rate of flow all through dialysis. - ANS-A: The patency of an AV shunt is assured by
assessing for bruit and thrill. Continuous wave
Doppler ultrasound can also check patency. Venipuncture and blood pressure
measurements
ought to in no way be executed at the arm with an AV shunt.
A 12-yr-antique girl immigrant from the Philippines has a advantageous PPD (Mantoux) skin
take a look at.
What vaccine given automatically in her native united states of america can motive false
fantastic PPD exams?
A. Varicella.
B. Yellow fever.
C. Influenza.
D. BCG. - ANS-D: BCG (Bacille Calmette-Guérin) is a tuberculosis vaccine robotically
administered to
children in countries with high incidences of adolescence tuberculous meningitis. PPD can
show false
advantageous despite the fact that PPD can also nonetheless be used.
QuantiFERON-TB®-TB Gold take a look at isn't stricken by earlier
BCG vaccination
A 13-yr-vintage female has the development of breast buds and sparse lengthy, downy pubic
hair.
What Tanner stage does this development advise?
, A. Tanner 1.
B. Tanner 2.
C. Tanner 3.
D. Tanner 4. - ANS-B: Breast buds and sparse downy pubic hair are traits of Tanner level 2.
Tanner's
5 tiers verify adulthood of each women and men based on direct commentary of breasts and
genitals. Females are evaluated on breast improvement, onset of menses, and pubic hair
distribution. Males are assessment on penis and testes improvement and pubic hair
distribution
A 13-yr-vintage girl is recognized with Clostridium difficile colitis. What is the maximum
probable
motive of this contamination?
A. Recent antibiotic use.
B. Travel to Central America.
C. Drinking from a circulation.
D. Eating undercooked pork - ANS-A: The maximum not unusual reason for C. Difficile colitis
is latest antibiotic use that disrupts the
normal colonic flora, allowing overgrowth of the offending bacteria. C. Difficile produces a
deadly
cytotoxin (Toxin B) and an endotoxin with cytotoxic movement (Toxin A), which reason fluid
to
accumulate in the colon and extreme damage to mucous membranes.
A 14-yr-vintage boy with leukemia is receiving an IV infusion of packed red blood cells. The
consumer
reviews that he's feeling anxious and quick of breath even though his respiration charge is
24.
What ought to the nurse do in this example?
A. Give a dose of ibuprofen (Motrin).
B. Give a dose of acetaminophen (Tylenol).
C. Give a dose of diphenhydramine (Benadryl).
D. Stop infusion and notify doctor. - ANS-D: Anxiety and the sensation of breathlessness are
symptoms of possible anaphylactic shock, a
response to the packed crimson blood cells, so the nurse should prevent the infusion
immediately and notify
the doctor.
A 14-yr-antique male is suspected of getting infectious mononucleosis. What Point of Care
Testing
(POCT) tool may be used to affirm this diagnosis?
A. Urine dip.
B. Monospot.
C. Rapid strep test.
D. Rapid influenza test - ANS-B: A Monospot test for Epstein-Barr virus is used to affirm
infectious mononucleosis. The
take a look at calls for one drop of serum combined with a special solution. The take a look
at can verify mononucleosis
. Diuretic medicines are used to manipulate edema in pediatric patients with coronary heart
failure. Which
of the subsequent medications is NOT a diuretic medication?
A. Furosemide (Lasix).
B. Enalapril (Vasotec).
C. Spironolactone (Aldactone).
D. Bumetanide (Bumex). - ANS-B: Enalapril is an angiotensin-changing enzyme inhibitor and
isn't always a diuretic.
Furosemide, spironolactone, and bumetanide are usually-used diuretics
***A affected person is experiencing dizziness, shortness of breath, lightheadedness, and
nausea resulting from
encephalitis. Which of the following descriptions maximum as it should be describes the
affected person's
situation?***
A. Metabolic acidosis
B. Breathing alkalosis
C. Metabolic alkalosis
D. Respiratory acidosis - ANS-B: Respiratory alkalosis results from hyperventilation, at some
stage in which greater CO2 is excreted,
causing a decrease in carbonic acid (H2CO3) awareness in the plasma. Symptoms
encompass
tachycardia, arrhythmias, lightheadedness, nausea, and vomiting.
***Which of the following sufferers will probably need surgical correction of his/her
fracture?***
A. 10-yr-antique with humeral head fracture.
B. 5-12 months-antique with tuft fracture of the distal phalanx.
C. 4-year-antique with tuft fracture of the toe.
D. Sixteen-year-antique with radial head fracture. - ANS-A: Humeral head fractures normally
want open reduction and internal fixation to maintain
proper destiny functioning. Distal phalanx and toe fractures are dealt with with splints and
fracture of
the radial head with a sling.
10-year-old is by chance shot in the forearm by a small quality firearm. The wound enters
the
dorsum of the forearm and exits on the ventral facet. The patient is ambulatory and has
minor
pain at the site. What check is probable wanted for assessment of the harm?
A. Arteriogram.
B. CT of arm.
C. MRI of arm.
,D. Ultrasound of arm - ANS-A: An arteriogram is wanted to evaluate the vascular supply
inside the arm after a gunshot wound
to make certain that no harm to the ulnar and radial artery has took place.
10-yr-antique male with sickle cellular ailment comes into the ED complaining of pain in his
legs due
to a vaso-occlusive crisis. In addition to IV fluids, what's the opposite initial treatment for this
patron?
A. Elevate legs.
B. Ace wrap to legs.
C. Nitroglycerine paste.
D. Pain remedy. - ANS-D: In addition to IV fluids, the alternative number one initial remedy
for sickle mobile disaster resulting
in vascular occlusion is ache medication because ache is regularly extreme. Other
treatments consist of
oxygen, hydroxyurea (anti-sickling medicine), blood transfusions if anemia is suggested, and
antibiotics if the disaster turned into brought on by an contamination.
14-12 months-old male with renal failure is given an arteriovenous fistula (shunt) for future
dialysis.
How does the nurse examine the shunt put up-operatively for patency?
A. Assess for bruit and thrill.
B. Monitor blood stress on that arm.
C. Ease of venipuncture at shunt web page.
D. Rate of flow all through dialysis. - ANS-A: The patency of an AV shunt is assured by
assessing for bruit and thrill. Continuous wave
Doppler ultrasound can also check patency. Venipuncture and blood pressure
measurements
ought to in no way be executed at the arm with an AV shunt.
A 12-yr-antique girl immigrant from the Philippines has a advantageous PPD (Mantoux) skin
take a look at.
What vaccine given automatically in her native united states of america can motive false
fantastic PPD exams?
A. Varicella.
B. Yellow fever.
C. Influenza.
D. BCG. - ANS-D: BCG (Bacille Calmette-Guérin) is a tuberculosis vaccine robotically
administered to
children in countries with high incidences of adolescence tuberculous meningitis. PPD can
show false
advantageous despite the fact that PPD can also nonetheless be used.
QuantiFERON-TB®-TB Gold take a look at isn't stricken by earlier
BCG vaccination
A 13-yr-vintage female has the development of breast buds and sparse lengthy, downy pubic
hair.
What Tanner stage does this development advise?
, A. Tanner 1.
B. Tanner 2.
C. Tanner 3.
D. Tanner 4. - ANS-B: Breast buds and sparse downy pubic hair are traits of Tanner level 2.
Tanner's
5 tiers verify adulthood of each women and men based on direct commentary of breasts and
genitals. Females are evaluated on breast improvement, onset of menses, and pubic hair
distribution. Males are assessment on penis and testes improvement and pubic hair
distribution
A 13-yr-vintage girl is recognized with Clostridium difficile colitis. What is the maximum
probable
motive of this contamination?
A. Recent antibiotic use.
B. Travel to Central America.
C. Drinking from a circulation.
D. Eating undercooked pork - ANS-A: The maximum not unusual reason for C. Difficile colitis
is latest antibiotic use that disrupts the
normal colonic flora, allowing overgrowth of the offending bacteria. C. Difficile produces a
deadly
cytotoxin (Toxin B) and an endotoxin with cytotoxic movement (Toxin A), which reason fluid
to
accumulate in the colon and extreme damage to mucous membranes.
A 14-yr-vintage boy with leukemia is receiving an IV infusion of packed red blood cells. The
consumer
reviews that he's feeling anxious and quick of breath even though his respiration charge is
24.
What ought to the nurse do in this example?
A. Give a dose of ibuprofen (Motrin).
B. Give a dose of acetaminophen (Tylenol).
C. Give a dose of diphenhydramine (Benadryl).
D. Stop infusion and notify doctor. - ANS-D: Anxiety and the sensation of breathlessness are
symptoms of possible anaphylactic shock, a
response to the packed crimson blood cells, so the nurse should prevent the infusion
immediately and notify
the doctor.
A 14-yr-antique male is suspected of getting infectious mononucleosis. What Point of Care
Testing
(POCT) tool may be used to affirm this diagnosis?
A. Urine dip.
B. Monospot.
C. Rapid strep test.
D. Rapid influenza test - ANS-B: A Monospot test for Epstein-Barr virus is used to affirm
infectious mononucleosis. The
take a look at calls for one drop of serum combined with a special solution. The take a look
at can verify mononucleosis
