CPN Practice Test 2
Which of the following points is the MOST important to emphasize when teaching
an adolescent with acne about cleansing the skin?
A. astringents should be used following the cleansing
B. scrubbing action should be avoided during cleansing
C. concentrate cleansing efforts on areas with blackheads.
D. skin cleansing systems are effective for eliminating acne - CORRECT
ANSWER-B. scrubbing action should be avoided during cleansing
Which of the following interventions is used to ensure a preschooler's
cooperation during an MRI?
A. allow caregiver in the scanner room
B. administer pre-procedure sedation
C. provide music during the procedure
D. tour the scanner room pre-procedure - CORRECT ANSWER-B. administer
pre-procedure sedation
In a child who has had excision of a Wilms tumor, which of the following is a
PRIORITY for post-operative monitoring?
A. bowel sounds
B. incision site
C. emotional health
D. chest tube site - CORRECT ANSWER-A. bowel sounds
Which of the following statements by the nurse to a parent BEST supports
family-centered care?
A. "Are you comfortable giving your child a bath or would you like help?"
B. "You do the bath and change the linen and I'll give the meds."
C. "While I give your child's bath, would you like to get breakfast?"
D. "I'll give your child a bath, so you can relax for a bit." - CORRECT
ANSWER-A. "Are you comfortable giving your child a bath or would you like
help?"
The finding MOST commonly associated with positional plagiocephaly in infants
is:
,A. developmental delays
B. hydrocephalus
C. microcephaly
D. torticollis - CORRECT ANSWER-D. torticollis
Which of the following actions is considered ethically sound when caring for an
adolescent receiving end of life care?
A. sharing personal perspectives about what happens during dying process and
after death
B. explaining reasons hospitalization should be considered for optimal end of life
care
C. administering medication for pain relief with the knowledge it could hasten
death
D. responding to questions about ways death can be accelerated - CORRECT
ANSWER-C. administering medication for pain relief with the knowledge it could
hasten death
What is unique about management of a child with cystic fibrosis-related
diabetes?
A. continuous insulin pumps are contraindicated
B. increased caloric intake is required including carbohydrates
C. glucose monitoring is required only during pulmonary infections
D. oral antihyperglycemic agents provide adequate glucose control - CORRECT
ANSWER-B. increased caloric intake is required including carbohydrates
Which is the PRIORITY nursing intervention for a 7 year old with suspected
Meckel diverticulum?
A. obtain blood for hematocrit and hemoglobin
B. prepare for barium enema
C. monitor vital signs and blood pressure
D. prepare for arteriography - CORRECT ANSWER-C. monitor vital signs and
blood pressure
Which of the following is a potential complication associated with pediatric use of
morphine sulfate?
A. agitation
B. bradypnea
, C. hypertension
D. tachycardia - CORRECT ANSWER-B. bradypnea
To gain the cooperation of a preschooler when administering medication, which
of the following approaches is likely to be MOST effective?
A. "It's time for your medicine. Do you want your favorite apple juice or water this
time?"
B. "This medicine is sure to get you home soon. What will you do first when you
get home?"
C. "I bet you are going to be as brave as your roommate when you take your
medicine today!"
D. "You get 10 extra minutes in the playroom if you take your medicine for me
now." - CORRECT ANSWER-A. "It's time for your medicine. Do you want your
favorite apple juice or water this time?"
A child was casted 5 days ago for a fractured radius and is now experiencing
severe pain and decreased sensation in the fingers, and nail beds are pale. What
is the MOST likely cause?
A. osteomyelitis
B. fat embolism
C. compartment syndrome
D. ineffective pain management - CORRECT ANSWER-C. compartment
syndrome
To be granted emancipation status, a minor must
A. exhibit the ability to make legal and health decisions.
B. follow federal laws that include filing a court petition.
C. demonstrate financial independence and maturity.
D. have consent of parent(s) or guardian. - CORRECT ANSWER-C. demonstrate
financial independence and maturity.
Which of the following is the BEST response to a parent's requests that a child
be allowed to die at home?
A. "Have you considered how this might impact your child's quality of life?"
B. "What are your wishes and desires for the child's last days?"
C. "Do you think that you will be able to provide this care?"
Which of the following points is the MOST important to emphasize when teaching
an adolescent with acne about cleansing the skin?
A. astringents should be used following the cleansing
B. scrubbing action should be avoided during cleansing
C. concentrate cleansing efforts on areas with blackheads.
D. skin cleansing systems are effective for eliminating acne - CORRECT
ANSWER-B. scrubbing action should be avoided during cleansing
Which of the following interventions is used to ensure a preschooler's
cooperation during an MRI?
A. allow caregiver in the scanner room
B. administer pre-procedure sedation
C. provide music during the procedure
D. tour the scanner room pre-procedure - CORRECT ANSWER-B. administer
pre-procedure sedation
In a child who has had excision of a Wilms tumor, which of the following is a
PRIORITY for post-operative monitoring?
A. bowel sounds
B. incision site
C. emotional health
D. chest tube site - CORRECT ANSWER-A. bowel sounds
Which of the following statements by the nurse to a parent BEST supports
family-centered care?
A. "Are you comfortable giving your child a bath or would you like help?"
B. "You do the bath and change the linen and I'll give the meds."
C. "While I give your child's bath, would you like to get breakfast?"
D. "I'll give your child a bath, so you can relax for a bit." - CORRECT
ANSWER-A. "Are you comfortable giving your child a bath or would you like
help?"
The finding MOST commonly associated with positional plagiocephaly in infants
is:
,A. developmental delays
B. hydrocephalus
C. microcephaly
D. torticollis - CORRECT ANSWER-D. torticollis
Which of the following actions is considered ethically sound when caring for an
adolescent receiving end of life care?
A. sharing personal perspectives about what happens during dying process and
after death
B. explaining reasons hospitalization should be considered for optimal end of life
care
C. administering medication for pain relief with the knowledge it could hasten
death
D. responding to questions about ways death can be accelerated - CORRECT
ANSWER-C. administering medication for pain relief with the knowledge it could
hasten death
What is unique about management of a child with cystic fibrosis-related
diabetes?
A. continuous insulin pumps are contraindicated
B. increased caloric intake is required including carbohydrates
C. glucose monitoring is required only during pulmonary infections
D. oral antihyperglycemic agents provide adequate glucose control - CORRECT
ANSWER-B. increased caloric intake is required including carbohydrates
Which is the PRIORITY nursing intervention for a 7 year old with suspected
Meckel diverticulum?
A. obtain blood for hematocrit and hemoglobin
B. prepare for barium enema
C. monitor vital signs and blood pressure
D. prepare for arteriography - CORRECT ANSWER-C. monitor vital signs and
blood pressure
Which of the following is a potential complication associated with pediatric use of
morphine sulfate?
A. agitation
B. bradypnea
, C. hypertension
D. tachycardia - CORRECT ANSWER-B. bradypnea
To gain the cooperation of a preschooler when administering medication, which
of the following approaches is likely to be MOST effective?
A. "It's time for your medicine. Do you want your favorite apple juice or water this
time?"
B. "This medicine is sure to get you home soon. What will you do first when you
get home?"
C. "I bet you are going to be as brave as your roommate when you take your
medicine today!"
D. "You get 10 extra minutes in the playroom if you take your medicine for me
now." - CORRECT ANSWER-A. "It's time for your medicine. Do you want your
favorite apple juice or water this time?"
A child was casted 5 days ago for a fractured radius and is now experiencing
severe pain and decreased sensation in the fingers, and nail beds are pale. What
is the MOST likely cause?
A. osteomyelitis
B. fat embolism
C. compartment syndrome
D. ineffective pain management - CORRECT ANSWER-C. compartment
syndrome
To be granted emancipation status, a minor must
A. exhibit the ability to make legal and health decisions.
B. follow federal laws that include filing a court petition.
C. demonstrate financial independence and maturity.
D. have consent of parent(s) or guardian. - CORRECT ANSWER-C. demonstrate
financial independence and maturity.
Which of the following is the BEST response to a parent's requests that a child
be allowed to die at home?
A. "Have you considered how this might impact your child's quality of life?"
B. "What are your wishes and desires for the child's last days?"
C. "Do you think that you will be able to provide this care?"
