CPN UPDATED 2026 EXAMINERS QUESTIONS
AND ANSWERS SURE A+
✔✔• A child with croup is receiving a nebulized dose of
racemic epinephrine. The mother is concerned because
the child is frightened, consistently crying and pulling the
mask off. The best nursing action would be to:
1. Put the child in restraints so they do not pull the mask off
2. Call the physician and obtain an order for a mild sedative
3. Use a dinosaur shaped mask to deliver the medication
4. Let the mother hold the child on her lap during the treatment - ✔✔4. Let the mother
hold the child on her lap during the treatment
✔✔A 16 year old male comes into the school nurse and
says, "My chest had a sudden, sharp pain and it still
hurts." The school nurse examines an anxious
appearing, tachypneic young man and notes decreased,
possibly absent breath sounds to the left lower lobe.
The most likely diagnosis is:
1. Cystic Fibrosis
2. Anxiety Disorder
3. Pneumothorax
4. Asthma - ✔✔3. Pneumothorax
, ✔✔What is the most appropriate equipment to have
available for the child admitted with epiglottitis?
1. Bag-mask and bronchodilators
2. Tracheotomy set up and oxygen
3. Suction set up and oxygen
4. Antibiotics and suction - ✔✔2. Tracheotomy set up and oxygen
✔✔• The nurse recommends which of the following to prevent
otitis media?
1. Cleaning the ear canals with hydrogen peroxide
2. Administering continuous, small dose antibiotic therapy
3. Instilling ear drops regularly
4. Holding the infant upright when feeding with a bottle - ✔✔4. Holding the infant upright
when feeding with a bottle
✔✔Mom says her 5 year old daughter has been home from
school sick for the past three days, with a fever of 38.90
C that decreases to 37.20 C with acetaminophen. Mom
states she has not had any energy. She has be
coughing and complaining that her chest hurts. The
most likely diagnosis is:
1. Bronchiolitis
2. Asthma exacerbation
3. Pneumonia
4. None of the above - ✔✔3. Pneumonia
✔✔Mom calls you to assess her 4 month old child. She tells
you he keeps crying and she cannot seem to console
him. You note head bobbing, intercostal retractions, and
decreased breath sound on the left and rhonchi
bilaterally. Your first priority is to:
1. Calm mom down as the infant will pick up on her anxiety
2. Call the pediatrician to come examine the child
3. Suction the nares, if no improvement nasopharyngeal suction
4. Manage the airway, increase oxygen, suction - ✔✔4. Manage the airway, increase
oxygen, suction
✔✔• Which of the following, when described by the parents of
a child with CF, indicate they understand the underlying
problem of this disease?
1. An abnormality in the body's mucous secreting glands
2. Formation of fibrous cysts in various body organs
3. Failure of the pancreatic ducts to develop properly
AND ANSWERS SURE A+
✔✔• A child with croup is receiving a nebulized dose of
racemic epinephrine. The mother is concerned because
the child is frightened, consistently crying and pulling the
mask off. The best nursing action would be to:
1. Put the child in restraints so they do not pull the mask off
2. Call the physician and obtain an order for a mild sedative
3. Use a dinosaur shaped mask to deliver the medication
4. Let the mother hold the child on her lap during the treatment - ✔✔4. Let the mother
hold the child on her lap during the treatment
✔✔A 16 year old male comes into the school nurse and
says, "My chest had a sudden, sharp pain and it still
hurts." The school nurse examines an anxious
appearing, tachypneic young man and notes decreased,
possibly absent breath sounds to the left lower lobe.
The most likely diagnosis is:
1. Cystic Fibrosis
2. Anxiety Disorder
3. Pneumothorax
4. Asthma - ✔✔3. Pneumothorax
, ✔✔What is the most appropriate equipment to have
available for the child admitted with epiglottitis?
1. Bag-mask and bronchodilators
2. Tracheotomy set up and oxygen
3. Suction set up and oxygen
4. Antibiotics and suction - ✔✔2. Tracheotomy set up and oxygen
✔✔• The nurse recommends which of the following to prevent
otitis media?
1. Cleaning the ear canals with hydrogen peroxide
2. Administering continuous, small dose antibiotic therapy
3. Instilling ear drops regularly
4. Holding the infant upright when feeding with a bottle - ✔✔4. Holding the infant upright
when feeding with a bottle
✔✔Mom says her 5 year old daughter has been home from
school sick for the past three days, with a fever of 38.90
C that decreases to 37.20 C with acetaminophen. Mom
states she has not had any energy. She has be
coughing and complaining that her chest hurts. The
most likely diagnosis is:
1. Bronchiolitis
2. Asthma exacerbation
3. Pneumonia
4. None of the above - ✔✔3. Pneumonia
✔✔Mom calls you to assess her 4 month old child. She tells
you he keeps crying and she cannot seem to console
him. You note head bobbing, intercostal retractions, and
decreased breath sound on the left and rhonchi
bilaterally. Your first priority is to:
1. Calm mom down as the infant will pick up on her anxiety
2. Call the pediatrician to come examine the child
3. Suction the nares, if no improvement nasopharyngeal suction
4. Manage the airway, increase oxygen, suction - ✔✔4. Manage the airway, increase
oxygen, suction
✔✔• Which of the following, when described by the parents of
a child with CF, indicate they understand the underlying
problem of this disease?
1. An abnormality in the body's mucous secreting glands
2. Formation of fibrous cysts in various body organs
3. Failure of the pancreatic ducts to develop properly
