CERTIFIED PEDRIATRIC NURSE
PRACTITIONER {CPNP-PC} ACTUAL
EXAM 500 QUESTIONS AND CORRECT
ANSWERS AREADY GRADED A+
The mother of a 2 month old pt says that their family is relocating to Japan to pursue a long-term
business opportunity. You know that the majority of Japan does not practice water fluoridation. You
recommend that the mother incorporate fluoride supplementation of 0.25 mg/day into her child's
diet, starting at what age?
A. 3 months
B. 6 months
C. 1 year
D. 3 years
B. 6 months
(The AAP recommends that in areas w/little to no water fluoridation, children s/be started on
fluoride supplementation @ 6 months, w/a daily dose of 0.25 mg. Supplementation is not required
for the 1st 6 months of life, meaning 3 months of age is too early to introduce fluoride. By 1 year of
age, the patient should already be receiving 0.25 mg/day. From 3-6 years of age, children should
receive 0.50 mg/day of fluoride.)
When treating a child prone to seizures an NP should primarily keep which childhood anatomical
feature in mind?
A. Smaller circulating blood volume
B. Large tongue compared to the oropharynx
C. A thin cranium
D. Large head in comparison to body proportion
B. Large tongue compared to the oropharynx
(Developmentally, the tongue of a child is often comparatively > than the oropharynx, which can
protectively cause obstruction during a SZ & may lead to severe repercussions attributed to O2 loss.
Children have a smaller circulating blood volume in absolute terms, but this is primarily a concern in
cases of blood loss or bacterial infection no SZ. Children have thinner craniums, which would place
them @ > risk of head injury if the skill is penetrated' this may present a concern during convulsions,
but is < of a concern that the risk of obstruction. Lastly, a child's large head, in comparison to the
,child's body, accounts for a smaller body surface area when compared w/an adult, but this doesn't
greatly influence potential complications from SZ)
A newborn is born weighing 9lb. After 2 weeks, what would be the expected weight of the newborn?
A. Eight lb
B. Eight lb 5 oz
C. Nine lb
D. Nine lb 10 oz
C. Nine lb
(The normal weight game progression of an infant indicates that, @ 1-2 weeks mark, the weight will
be approx the same as birth. The infant will typically lose 10% of the BW in the days after birth,
weighing a little over 8 lb, & then gain that weight back w/in 7-14 days. By 5 months, will double, &
by 1 year triple, by 2 years quadruple.)
The Denver II assessment test commonly measures a child for all of the following except:
A. Personal-social development
B. Language
C. Fine motor development
D. Intelligence
D. Intelligence
(Although the Denver II assessment test measures several aspects of child development, it is NOT an
intelligence test. It measures language, personal-social dev, fine motor, & gross motor dev.)
Kasey, age 7 months, is bought to the clinic by her concerned parents. They have been talking to
other parents in their parenting group & need reassurance that Kasey is keeping up
developmentally. As you observe Kasey, you notice that she responds to her name, consistently
babbles, crawls around on the floor, & is able to pick up objects. Which of the following additional
milestones would also be expected in a child her age?
A. Supports weight on feet
B. Holds head steady
C. Equal coordination of hands
,D. Plays independently
A. Supports weight on feet
(A child exhibiting the milestones of a 6-9 month old, as evidenced by crawling, babbling, picking up
objects, & responding to her name, is likely to be able to support her weight on her feet. The ability
to hold her head steady by 2-5 months; play independently & exhibit equal coordination in her
hands by 10-12 months.)
Isaac age 6 months, has been brought to your practice by his parents for a routine check-up. As you
enter the interview phase, you would know all of these methods would be well-suited for the
interview except:
A. Carefully phrasing potential health & safety concerns to respect the cultural practices of Isaac's
parents
B. Breaking from the assessment regularly to ensure the parents have accurately expressed their
concerns
C. Phrasing your questions in an open-ended fashion to ensure a nonjudgemental approach
D. Using play to keep the patient engaged, regularly putting the assessment on hold to ensure a
proper response
C. Phrasing your questions in an open-ended fashion to ensure a nonjudgemental approach
(Although a non-judgmental approach s/be utilized @ all times, questions s/be directed &
purposeful, not open-ended, to ensure key details of the patient's hx are not missed. Other proper
techniques to utilize during an interview include ensuring cultural sensitivity, ensuring accurate
perception of the parents' concerns, using lay to enhance the patient's comfort, & pausing to allow
adequate time for a response.)
Which of the following does not commonly impact temperature stability & regulation in a child?
A. Increased subcutaneous tissue w/increased evaporative heat loss
B. Decreased body surface area to mass ratio
C. Thinner skin
D. Increased energy expenditure
A. Increased subcutaneous tissue w/increased evaporative heat loss
(Temp stability in children is commonly impacted by their limited, no increased, SQ tissue
w/evaporative heat loss, as well as a smaller BSA to mass ratio, thinner skin, & increased energy
expenditure. D/t the fact that more energy is needed to facilitate proper growth, less energy is
available for thermoregulation. These factors are important b/c they put children @ an increased
risk of hypothermia.)
, You ask Samuel, a toddler, to point to one body part & he points directly to his elbow. Samuel's
mother states that he just started correctly pointing to body parts last week. If Samuel is properly
reaching expected developmental milestones, he would most likely be:
A. About 13 months old
B. About 18 months old
C. About 20 months old
D. About 2 years old
B. About 18 months old
(A properly developing toddler would be expected to point to his body parts @ 15-18 months old. A
13 month old can typically walk & understand a few words, but would not be expected to point to
body parts. A 20 month old & a 2 year old would already be expected to be able to properly indicate
parts of their body.)
Holly, age 4, is at a WCE. During the visit, her weight is recorded as being 40 lb. Assuming expected
growth parameters, how much will Holly most likely weigh in 2 years?
A. 60 lb
B. 52 lb
C. 45 lb
D. 42 lb
B. 52 lb
(School age children typically gain around 5-7 lbs annually. Therefore 40 + 10 = 50 & 40 + 12 = 52 so
closest answer is B - 52 lbs.)
All of the following accurately reflect the typical WCE except:
A. After age 4 years, a child should have a WCE yearly
B. Children on ADHD medication should see a physician or NP q6m
C. WCE are arranged around immunizations schedules, which are the key purpose of the visit
D. If the parents are experienced, their newborn does not commonly need to have a check-up until
1-2 weeks after birth
C. WCE are arranged around immunizations schedules, which are the key purpose of the visit
PRACTITIONER {CPNP-PC} ACTUAL
EXAM 500 QUESTIONS AND CORRECT
ANSWERS AREADY GRADED A+
The mother of a 2 month old pt says that their family is relocating to Japan to pursue a long-term
business opportunity. You know that the majority of Japan does not practice water fluoridation. You
recommend that the mother incorporate fluoride supplementation of 0.25 mg/day into her child's
diet, starting at what age?
A. 3 months
B. 6 months
C. 1 year
D. 3 years
B. 6 months
(The AAP recommends that in areas w/little to no water fluoridation, children s/be started on
fluoride supplementation @ 6 months, w/a daily dose of 0.25 mg. Supplementation is not required
for the 1st 6 months of life, meaning 3 months of age is too early to introduce fluoride. By 1 year of
age, the patient should already be receiving 0.25 mg/day. From 3-6 years of age, children should
receive 0.50 mg/day of fluoride.)
When treating a child prone to seizures an NP should primarily keep which childhood anatomical
feature in mind?
A. Smaller circulating blood volume
B. Large tongue compared to the oropharynx
C. A thin cranium
D. Large head in comparison to body proportion
B. Large tongue compared to the oropharynx
(Developmentally, the tongue of a child is often comparatively > than the oropharynx, which can
protectively cause obstruction during a SZ & may lead to severe repercussions attributed to O2 loss.
Children have a smaller circulating blood volume in absolute terms, but this is primarily a concern in
cases of blood loss or bacterial infection no SZ. Children have thinner craniums, which would place
them @ > risk of head injury if the skill is penetrated' this may present a concern during convulsions,
but is < of a concern that the risk of obstruction. Lastly, a child's large head, in comparison to the
,child's body, accounts for a smaller body surface area when compared w/an adult, but this doesn't
greatly influence potential complications from SZ)
A newborn is born weighing 9lb. After 2 weeks, what would be the expected weight of the newborn?
A. Eight lb
B. Eight lb 5 oz
C. Nine lb
D. Nine lb 10 oz
C. Nine lb
(The normal weight game progression of an infant indicates that, @ 1-2 weeks mark, the weight will
be approx the same as birth. The infant will typically lose 10% of the BW in the days after birth,
weighing a little over 8 lb, & then gain that weight back w/in 7-14 days. By 5 months, will double, &
by 1 year triple, by 2 years quadruple.)
The Denver II assessment test commonly measures a child for all of the following except:
A. Personal-social development
B. Language
C. Fine motor development
D. Intelligence
D. Intelligence
(Although the Denver II assessment test measures several aspects of child development, it is NOT an
intelligence test. It measures language, personal-social dev, fine motor, & gross motor dev.)
Kasey, age 7 months, is bought to the clinic by her concerned parents. They have been talking to
other parents in their parenting group & need reassurance that Kasey is keeping up
developmentally. As you observe Kasey, you notice that she responds to her name, consistently
babbles, crawls around on the floor, & is able to pick up objects. Which of the following additional
milestones would also be expected in a child her age?
A. Supports weight on feet
B. Holds head steady
C. Equal coordination of hands
,D. Plays independently
A. Supports weight on feet
(A child exhibiting the milestones of a 6-9 month old, as evidenced by crawling, babbling, picking up
objects, & responding to her name, is likely to be able to support her weight on her feet. The ability
to hold her head steady by 2-5 months; play independently & exhibit equal coordination in her
hands by 10-12 months.)
Isaac age 6 months, has been brought to your practice by his parents for a routine check-up. As you
enter the interview phase, you would know all of these methods would be well-suited for the
interview except:
A. Carefully phrasing potential health & safety concerns to respect the cultural practices of Isaac's
parents
B. Breaking from the assessment regularly to ensure the parents have accurately expressed their
concerns
C. Phrasing your questions in an open-ended fashion to ensure a nonjudgemental approach
D. Using play to keep the patient engaged, regularly putting the assessment on hold to ensure a
proper response
C. Phrasing your questions in an open-ended fashion to ensure a nonjudgemental approach
(Although a non-judgmental approach s/be utilized @ all times, questions s/be directed &
purposeful, not open-ended, to ensure key details of the patient's hx are not missed. Other proper
techniques to utilize during an interview include ensuring cultural sensitivity, ensuring accurate
perception of the parents' concerns, using lay to enhance the patient's comfort, & pausing to allow
adequate time for a response.)
Which of the following does not commonly impact temperature stability & regulation in a child?
A. Increased subcutaneous tissue w/increased evaporative heat loss
B. Decreased body surface area to mass ratio
C. Thinner skin
D. Increased energy expenditure
A. Increased subcutaneous tissue w/increased evaporative heat loss
(Temp stability in children is commonly impacted by their limited, no increased, SQ tissue
w/evaporative heat loss, as well as a smaller BSA to mass ratio, thinner skin, & increased energy
expenditure. D/t the fact that more energy is needed to facilitate proper growth, less energy is
available for thermoregulation. These factors are important b/c they put children @ an increased
risk of hypothermia.)
, You ask Samuel, a toddler, to point to one body part & he points directly to his elbow. Samuel's
mother states that he just started correctly pointing to body parts last week. If Samuel is properly
reaching expected developmental milestones, he would most likely be:
A. About 13 months old
B. About 18 months old
C. About 20 months old
D. About 2 years old
B. About 18 months old
(A properly developing toddler would be expected to point to his body parts @ 15-18 months old. A
13 month old can typically walk & understand a few words, but would not be expected to point to
body parts. A 20 month old & a 2 year old would already be expected to be able to properly indicate
parts of their body.)
Holly, age 4, is at a WCE. During the visit, her weight is recorded as being 40 lb. Assuming expected
growth parameters, how much will Holly most likely weigh in 2 years?
A. 60 lb
B. 52 lb
C. 45 lb
D. 42 lb
B. 52 lb
(School age children typically gain around 5-7 lbs annually. Therefore 40 + 10 = 50 & 40 + 12 = 52 so
closest answer is B - 52 lbs.)
All of the following accurately reflect the typical WCE except:
A. After age 4 years, a child should have a WCE yearly
B. Children on ADHD medication should see a physician or NP q6m
C. WCE are arranged around immunizations schedules, which are the key purpose of the visit
D. If the parents are experienced, their newborn does not commonly need to have a check-up until
1-2 weeks after birth
C. WCE are arranged around immunizations schedules, which are the key purpose of the visit
