CPN exam - Practice questions
When performing a well-child assessment of a 4
month old, which one of the following represents a
normal assessment finding?
a. Closed anterior and posterior fontanel
b. Open anterior and posterior fontanel
c. Closed anterior and open posterior fontanel
d. Open anterior and closed posterior fontanel
d. Open anterior and closed posterior fontanel
A bottle-fed infant, age 3 months, is brought to the
pediatrician's office for a well-child visit. During the
previous visit, the nurse taught the mother about infant
nutritional needs. Which statement by the mother during
the current visit indicates effective teaching?
a. "I started the baby on cereals and fruits because he wasn't sleeping
through the night."
b. "I started putting cereal in the bottle with formula because the baby
kept spitting it out when I gave it with a spoon."
c. "I'm giving the baby iron-fortified formula and a fluoride supplement
because our water isn't fluoridated."
d. "I'm giving the baby skim milk because he was getting so chubby."
c. "I'm giving the baby iron-fortified formula and a fluoride supplement
because our water isn't fluoridated."
When assessing the development of a 3 month old,
which of the following would be most concerning?
a. Failure to look for the objects when they are no
longer in the visual field
b. Failure to smile
c. Failure to roll over
d. Failure to pull feet to mouth
b. Failure to smile
When assessing the 7 month old, which of the
following is the most likely to be developing?
a. Rocking back and forth on hands and knees
b. Standing while holding onto an object for support
c. Waving bye-bye
d. Rolling over
a. Rocking back and forth on hands and knees
Which of the following is not well developed in a newborn
infant?
a. Hearing
b. Vision
c. Touch
d. Pain sensation
b. Vision
11/23/2025 4:07 PM1
,Introduction of a cup to drink fluids can begin as
early as what age?
a. 3 months
b. 6 months
c. 9 months
d. 12 months
b. 6 months
You are educating the mother of an infant about growth
and nutrition. You know that the earliest age at which
the infant should be changed from formula or breast milk
to whole milk is:
a. 6 months
b. 9 months
c. 12 months
d. 15 months
c. 12 months
Which of the following types of play would the nurse
expect to see when assessing a toddler?
a. Cooperative
b. Associative
c. Solitary
d. Parallel
d. Parallel
A four year old who is blind is hospitalized. You bring in her
dinner tray. How do you tell her where her food is?
a. Set the food up like a clock
b. Tell her which food is on the left and right
c. Tell her you will feed her to make it easier for her to eat
d. Place one food at a time in front of her
d. Place one food at a time in front of her
When developing a plan of care for adolescent, the nurse
considers the child's psychosocial needs. During
adolescence, psychosocial development focuses on:
a. Becoming industrious
b. Establishing an identity
c. Achieving intimacy
d. Developing initiative
b. Establishing an identity
A 9 month old infant is hospitalized for treatment of inorganic
failure to thrive. Which nursing action is most appropriate
for this child?
a. Encouraging the infant to hold his bottle
b. Keeping the infant on bed rest to conserve energy
c. Rotating caregivers to provide more stimulation
d. Maintaining a consistent, structured environment
d. Maintaining a consistent, structured environment
11/23/2025 4:07 PM2
, A child, age 15 months, is recovering from surgery to remove
a Wilms' tumor. Which finding best indicates that the child
is experiencing pain, even though the child is denying it?
a. Increased appetite
b. Increased heart rate
c. Decreased urine output
d. Increased interest in television
b. Increased heart rate
You are the nurse in a community health center and are responsible for
reviewing anticipatory guidance and safety education with parents who
bring young children for health assessments.
You are educating the parents of 12 month old Alyssa who weighs 18
pounds. Which if the following is the most accurate anticipatory
guidance for Alyssa's parents regarding car seat installation?
Alyssa should sit in a:
a. Forward facing car seat in the rear of the automobile
b. Forward facing car seat in the passenger seat of the automobile
c. Rear facing car seat in the rear of the automobile
d. Rear facing car safety seat in the passenger seat of the automobile
c. Rear facing car seat in the rear of the automobile
Four year old Rebecca, who is hospitalized for treatment of a
brain tumor, tells her nurse that she got sick because she
was a bad girl. Which of the following would the nurse
identify as the underlying rationale for this statement?
a. Magical thinking
b. Egocentrism
c. Self-blame
d. Conservation
a. Magical thinking
A mother brings her 10 month old son to the pediatrician's office. When
the nurse approaches to measure the child's vital signs, he clings to
his mother tightly and starts to cry. The mother says, "He used to
smile at everyone. I don't know why he's acting this way." Which
response by the nurse would help the mother understand her child's
behavior?
a. "Your baby's behavior indicates stranger anxiety, which is
common at his age."
a. "Children who behave that way are developing shy personalities."
b. "Children at this age begin to fear pain."
c. "Your baby's having a temper tantrum, which is common at his age."
a. "Your baby's behavior indicates stranger anxiety, which is
common at his age."
When telling a 4 year old about an upcoming procedure, the
nurse's most important consideration is to:
a. Tell the child immediately before the procedure is to
occur
11/23/2025 4:07 PM3
When performing a well-child assessment of a 4
month old, which one of the following represents a
normal assessment finding?
a. Closed anterior and posterior fontanel
b. Open anterior and posterior fontanel
c. Closed anterior and open posterior fontanel
d. Open anterior and closed posterior fontanel
d. Open anterior and closed posterior fontanel
A bottle-fed infant, age 3 months, is brought to the
pediatrician's office for a well-child visit. During the
previous visit, the nurse taught the mother about infant
nutritional needs. Which statement by the mother during
the current visit indicates effective teaching?
a. "I started the baby on cereals and fruits because he wasn't sleeping
through the night."
b. "I started putting cereal in the bottle with formula because the baby
kept spitting it out when I gave it with a spoon."
c. "I'm giving the baby iron-fortified formula and a fluoride supplement
because our water isn't fluoridated."
d. "I'm giving the baby skim milk because he was getting so chubby."
c. "I'm giving the baby iron-fortified formula and a fluoride supplement
because our water isn't fluoridated."
When assessing the development of a 3 month old,
which of the following would be most concerning?
a. Failure to look for the objects when they are no
longer in the visual field
b. Failure to smile
c. Failure to roll over
d. Failure to pull feet to mouth
b. Failure to smile
When assessing the 7 month old, which of the
following is the most likely to be developing?
a. Rocking back and forth on hands and knees
b. Standing while holding onto an object for support
c. Waving bye-bye
d. Rolling over
a. Rocking back and forth on hands and knees
Which of the following is not well developed in a newborn
infant?
a. Hearing
b. Vision
c. Touch
d. Pain sensation
b. Vision
11/23/2025 4:07 PM1
,Introduction of a cup to drink fluids can begin as
early as what age?
a. 3 months
b. 6 months
c. 9 months
d. 12 months
b. 6 months
You are educating the mother of an infant about growth
and nutrition. You know that the earliest age at which
the infant should be changed from formula or breast milk
to whole milk is:
a. 6 months
b. 9 months
c. 12 months
d. 15 months
c. 12 months
Which of the following types of play would the nurse
expect to see when assessing a toddler?
a. Cooperative
b. Associative
c. Solitary
d. Parallel
d. Parallel
A four year old who is blind is hospitalized. You bring in her
dinner tray. How do you tell her where her food is?
a. Set the food up like a clock
b. Tell her which food is on the left and right
c. Tell her you will feed her to make it easier for her to eat
d. Place one food at a time in front of her
d. Place one food at a time in front of her
When developing a plan of care for adolescent, the nurse
considers the child's psychosocial needs. During
adolescence, psychosocial development focuses on:
a. Becoming industrious
b. Establishing an identity
c. Achieving intimacy
d. Developing initiative
b. Establishing an identity
A 9 month old infant is hospitalized for treatment of inorganic
failure to thrive. Which nursing action is most appropriate
for this child?
a. Encouraging the infant to hold his bottle
b. Keeping the infant on bed rest to conserve energy
c. Rotating caregivers to provide more stimulation
d. Maintaining a consistent, structured environment
d. Maintaining a consistent, structured environment
11/23/2025 4:07 PM2
, A child, age 15 months, is recovering from surgery to remove
a Wilms' tumor. Which finding best indicates that the child
is experiencing pain, even though the child is denying it?
a. Increased appetite
b. Increased heart rate
c. Decreased urine output
d. Increased interest in television
b. Increased heart rate
You are the nurse in a community health center and are responsible for
reviewing anticipatory guidance and safety education with parents who
bring young children for health assessments.
You are educating the parents of 12 month old Alyssa who weighs 18
pounds. Which if the following is the most accurate anticipatory
guidance for Alyssa's parents regarding car seat installation?
Alyssa should sit in a:
a. Forward facing car seat in the rear of the automobile
b. Forward facing car seat in the passenger seat of the automobile
c. Rear facing car seat in the rear of the automobile
d. Rear facing car safety seat in the passenger seat of the automobile
c. Rear facing car seat in the rear of the automobile
Four year old Rebecca, who is hospitalized for treatment of a
brain tumor, tells her nurse that she got sick because she
was a bad girl. Which of the following would the nurse
identify as the underlying rationale for this statement?
a. Magical thinking
b. Egocentrism
c. Self-blame
d. Conservation
a. Magical thinking
A mother brings her 10 month old son to the pediatrician's office. When
the nurse approaches to measure the child's vital signs, he clings to
his mother tightly and starts to cry. The mother says, "He used to
smile at everyone. I don't know why he's acting this way." Which
response by the nurse would help the mother understand her child's
behavior?
a. "Your baby's behavior indicates stranger anxiety, which is
common at his age."
a. "Children who behave that way are developing shy personalities."
b. "Children at this age begin to fear pain."
c. "Your baby's having a temper tantrum, which is common at his age."
a. "Your baby's behavior indicates stranger anxiety, which is
common at his age."
When telling a 4 year old about an upcoming procedure, the
nurse's most important consideration is to:
a. Tell the child immediately before the procedure is to
occur
11/23/2025 4:07 PM3
