CPN Practice Test with Answers

Based on the details provided for the four following school-age children during shift report, the PRIORITY is the child with A. leukemia scheduled for chemotherapy but complaining of a sore throat. B. asthma with moderate retractions and an SaO2 of 90% on room air. C. postoperative pain reported as 7 out of 10 after an appendectomy. D. diabetes requesting insulin before eating breakfast. Correct Answer B. asthma with moderate retractions and an SaO2 of 90% on room air. Children have a GREATER vulnerability for environmental exposure to contaminants because of developing bodies, metabolism, and A. their smaller size that keeps them closer to the ground. B. the lack of regulations on products marketed to children. C. their cognitive and developmental abilities. D. the retention of toxins in fat stores. Correct Answer A. their smaller size that keeps them closer to the ground. Which of the following hospitalized children is at GREATEST risk of falling? A. a toddler with an atrial septal defect who is impatient to get out of the hospital bed B. a preschooler with cystic fibrosis who is riding a tricycle in the unit C. a school-age child receiving long-term antibiotics for osteomyelitis D. an adolescent administered midazolam for a procedure that was just canceled Correct Answer D. an adolescent administered midazolam for a procedure that was just canceled When a parent caring for a dying child at home states, "Sometimes I wonder if I am doing what is right for my child," it is MOST likely A. a sign that the parent is in the bargaining stage of grief. B. an invitation to open discussions and explore feelings. C. a reason to review options including treatment. D. an indication of the need for respite support. Correct Answer B. an invitation to open discussions and explore feelings. Opportunities for a preschooler to work through feelings or fears about an inpatient procedure is BEST facilitated by A. drawing or painting pictures. B. putting together large-piece puzzles. C. enacting with safe hospital equipment. D. having one-to-one play time with the nurse. Correct Answer C. enacting with safe hospital equipment. The recommended dairy intake in a 1 year old's nutritional plan includes: A. iron fortified formula B. 1% cow's milk C. 2% cow's milk D. whole cow's milk Correct Answer D. whole cow's milk Behavioral and emotional responses MOST typical of young school-age children whose parents are divorcing include A. eating and sleeping disturbances. B. conflicts about parental loyalties. C. withdrawing from friends. D. blaming self. Correct Answer D. blaming self. When delivering patient and caregiver education that is culturally sensitive, it is important to A. use relatives or friends familiar with the situation to interpret. B. determine the value of non-traditional health practices. C. consider their reading and speaking preferences. D. evaluate perceptions about the authority of female nurses. Correct Answer C. consider their reading and speaking preferences. For children experiencing chronic pain, a criteria used to evaluate role functioning is their A. school attendance. B. level of depression. C. amount of sleep disruption. D. pain intensity. Correct Answer A. school attendance Parents of a child on life-support after a traumatic brain injury need to be approached about transitioning to end-of-life care. Which of the following is MOST appropriate when introducing this transition? A. ensure a clergy member of their faith is present B. reassure that the change in care does not mean abandonment C. discuss the need to confirm a Do-Not-Resuscitate (DNR) status D. share the value of organ or tissue donation Correct Answer B. reassure that the change in care does not mean abandonment Which of the following is the MOST appropriate guidance for a caregiver asking about discipline for a preschooler? A. "Mimic the child's behavior; if he raises his voice, then you raise yours." B. "Offer explanations such as, 'I'm sorry you can't color, we need to run errands.'" C. "Provide incentives to get him to do what you need him to do." D. "Use 'you' statements such as, 'You are mean when you hit your brother.'" Correct Answer B. "Offer explanations such as, 'I'm sorry you can't color, we need to run errands.'" A disparaging remark is made by another nurse about the frequently absent caregivers of a child with a chronic illness. Which is the MOST appropriate response? A. "Have the caregiver's support system and resources been assessed?" B. "It is hard to care for a child whose caregivers are difficult or absent." C. "Have you called child protective services to discuss your concerns?" D. "Let's notify social services so we can establish visiting rules for the family." Correct Answer A. "Have the caregiver's support system and resources been assessed?" Which of the following should be the INITIAL response when there is concern that a family may have given uninformed consent? A. relay concerns to the unit manager B. confirm the caregivers' understanding C. explain the risks related to the procedure D. suggest the caregivers list questions for the healthcare provider Correct Answer B. confirm the caregivers' understanding A 3 year old has a poor appetite, documented weight loss, and diminished energy. Which lab result would indicate a need for lead exposure screening? A. decreased platelet B. increased magnesium C. decreased hemoglobin D. increased neutrophil Correct Answer C. decreased hemoglobin Which of the following symptoms would be MOST critical to report when a 16 year old is being evaluated after a recent respiratory infection? A. recurrent headaches B. chest wall pain C. lower extremity weakness D. productive cough Correct Answer C. lower extremity weakness Which statement about the use of social media by an adolescent MOST indicates a need for further clarification? A. "I can tell people what I think." B. "I get to talk to other kids like me." C. "I know what I post has lasting power." D. "It's easy to be up late when I'm on the computer." Correct Answer A. "I can tell people what I think." Despite compliance with the prescribed treatment plan, a child with type 1 diabetes has a hemoglobin A1C consistently above 8%. The BEST treatment option is: A. continuous subcutaneous insulin infusion device B. continuous blood glucose monitoring device C. long-acting insulin (Lantus) plus a rapid-acting insulin (Humalog) used prn D. rapid-acting insulin (Humalog) and intermediate-acting insulin (NPH) Correct Answer A. continuous subcutaneous insulin infusion device In which situation is it appropriate to provide teaching about the principle of double effect for a family of a terminally ill child? A. child is receiving multiple antibiotics B. parents disagree about appropriate supportive measures C. child wishes to stop treatment and parents disagree D. parents are concerned that pain medications will cause child's death Correct Answer D. parents are concerned that pain medications will cause child's death The caregiver of a child with chronic illness, who is frequently hospitalized, expresses frustration with the healthcare team. The MOST appropriate response is to A. encourage the caregiver to continue trusting the team. B. offer instruction on bedside care the caregiver can provide. C. rotate staff assignments as possible to reduce staff burnout. D. organize a team meeting with the caregiver to discuss concerns. Correct Answer D. organize a team meeting with the caregiver to discuss concerns.