CPNP-PC 2025 REAL EXAM Questions | ALL
YEAR TESTED |175 MULTIPLE CHOICE
QUESTIONS ANSWERED (3 VERSIONS)
The NP is reading an interesting article that outlines a new protocol for the mgmt
of COPD. She notices that the article was published in a well-known, peer-
reviewed journal. Concerning the efficacy of the new protocol, which of the
following is most important to consider before the NP adapts this new protocol to
her practice?
A. R-value
B. T-test
C. P-value
D. Standard deviation
C. P-value
(In this case, the NP should pay attention to the P-value. A high value such as 0.1, for
example, would indicate the proposed protocol did not produce the desired results in
1/10 tests, whereas a p-value of 0.001 would indicate that the desired results did not
occur in 1/1000 tests. The t-test compares the means of 2 groups, e.g., whether DBP
differs between a control & treated group, between men & women, or any other 2
groups. While standard deviation can help determine if the results are indeed valid, this
does not help in deciding whether a new protocol will produce significant results in
practice. Lastly, R-value is not a measurement in statistical analysis.)
When should the rotavirus not be administered to an infant?
A. 24 weeks of age
B. 16 weeks of age
C. 8 weeks of age
D. 32 weeks of age
D. 32 weeks of age
,You have just administered the human papillomavirus vaccine to a 12yo pt.
Regarding post vaccination mgmt, which of the following is recommended?
A. Have the pt sit for @ least 15 min after vaccination
B. Test for antibodies to the human papilloma virus
C. Massage the injection site
D. Follow up with a 2nd vaccine 2 months after the 1st dose
A. Have the pt sit for @ least 15 min after vaccination
The parents of 9mo Kent comes to your office, hurried & during the middle of the
night. The parents state that their child is lethargic & constantly cries out despite
all attempts to comfort him. Upon exam, the NP notes palpable sausage-shaped
mass in the RUQ & abdominal distention. When asked about the child's stool, the
parents stated that his diapers were jelly like. Of the following, which is the most
likely diagnosis?
A. Appendicitis
B. Pyloric stenosis
C. Malabsorption
D. Intussusception
D. Intussusception
Autism in children is generally identified by 3 years of age. Alice is 30 months of
age, & her mother mentions that she is not playing w/others at preschool, is
unable to pretend play, & has a very limited vocabulary. Her only interest is
stacking blocks, at which she is very good. When considering the disorders in
the spectrum of pervasive development disorders, which of the following should
be your initial consideration in your ddx?
A. Down's Syndrome
B. Fragile X
C. Autism
D. Asperger's Syndrome
,C. Autism
(Children w/autism have problems with social interaction, pretend play, &
communication. They also have a limited range of activities & interests. Nearly 75% of
children w/autism also have some degree of mental retardation. Children w/Asperger's
syndrome display a relatively good grasp of language, unlike children w/suspected
autism. Fragile X syndrome is not as prominent in female patients as male patients, as
this condition severely affects those w/a single X chromosome. Thus, although this
disorder causes similar symptoms, it is not an initial consideration for female patients.
Children with Down syndrome present with a whole array of physical findings not seen
in this patient; their findings usually include microcephaly, a flat nose, protruding tongue,
among others.)
The measles, mumps, and rubella (MMR) vaccine must be administered in two
doses. When should the MMR vaccines typically be given?
A. Both doses given between the ages of 13 - 18 years old
B. First dose: 1 - 2 yo; Second dose: 15 yo
C. First dose: 12 - 15 mo; second dose: 6yo
D. First dose: 1 - 4 yo; second dose: 10 yo
C. First dose: 12 - 15 mo; second dose: 6yo
Kevin, 3yo male, is brought to your clinic. Upon evaluation, you determine that he
has poor motor, language, & social skills. His parents state, however, that until
very recently, Kevin's communication skills & social relationships were much
better & age-appropriate. Which of the following disorders does he most likely
have?
A. Asperger's syndrome
B. Rett syndrome
C. Down syndrome
D. Childhood disintegrative disorder
D. Childhood disintegrative disorder
A patient of yours has a tall stature. His arm span is greater than his height. He
also has thin extremities with a long narrow face. When you look into his mouth,
you notice that he has a high arched, narrow palate. The patient wants to know if
he has some sort of growth problem. According to the findings above, you know
that the patient most likely has:
A. Marfan syndrome
B. DiGeorge syndrome
C. Turner's syndrome
D. Tay-Sachs disease
, A. Marfan syndrome
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)
YEAR TESTED |175 MULTIPLE CHOICE
QUESTIONS ANSWERED (3 VERSIONS)
The NP is reading an interesting article that outlines a new protocol for the mgmt
of COPD. She notices that the article was published in a well-known, peer-
reviewed journal. Concerning the efficacy of the new protocol, which of the
following is most important to consider before the NP adapts this new protocol to
her practice?
A. R-value
B. T-test
C. P-value
D. Standard deviation
C. P-value
(In this case, the NP should pay attention to the P-value. A high value such as 0.1, for
example, would indicate the proposed protocol did not produce the desired results in
1/10 tests, whereas a p-value of 0.001 would indicate that the desired results did not
occur in 1/1000 tests. The t-test compares the means of 2 groups, e.g., whether DBP
differs between a control & treated group, between men & women, or any other 2
groups. While standard deviation can help determine if the results are indeed valid, this
does not help in deciding whether a new protocol will produce significant results in
practice. Lastly, R-value is not a measurement in statistical analysis.)
When should the rotavirus not be administered to an infant?
A. 24 weeks of age
B. 16 weeks of age
C. 8 weeks of age
D. 32 weeks of age
D. 32 weeks of age
,You have just administered the human papillomavirus vaccine to a 12yo pt.
Regarding post vaccination mgmt, which of the following is recommended?
A. Have the pt sit for @ least 15 min after vaccination
B. Test for antibodies to the human papilloma virus
C. Massage the injection site
D. Follow up with a 2nd vaccine 2 months after the 1st dose
A. Have the pt sit for @ least 15 min after vaccination
The parents of 9mo Kent comes to your office, hurried & during the middle of the
night. The parents state that their child is lethargic & constantly cries out despite
all attempts to comfort him. Upon exam, the NP notes palpable sausage-shaped
mass in the RUQ & abdominal distention. When asked about the child's stool, the
parents stated that his diapers were jelly like. Of the following, which is the most
likely diagnosis?
A. Appendicitis
B. Pyloric stenosis
C. Malabsorption
D. Intussusception
D. Intussusception
Autism in children is generally identified by 3 years of age. Alice is 30 months of
age, & her mother mentions that she is not playing w/others at preschool, is
unable to pretend play, & has a very limited vocabulary. Her only interest is
stacking blocks, at which she is very good. When considering the disorders in
the spectrum of pervasive development disorders, which of the following should
be your initial consideration in your ddx?
A. Down's Syndrome
B. Fragile X
C. Autism
D. Asperger's Syndrome
,C. Autism
(Children w/autism have problems with social interaction, pretend play, &
communication. They also have a limited range of activities & interests. Nearly 75% of
children w/autism also have some degree of mental retardation. Children w/Asperger's
syndrome display a relatively good grasp of language, unlike children w/suspected
autism. Fragile X syndrome is not as prominent in female patients as male patients, as
this condition severely affects those w/a single X chromosome. Thus, although this
disorder causes similar symptoms, it is not an initial consideration for female patients.
Children with Down syndrome present with a whole array of physical findings not seen
in this patient; their findings usually include microcephaly, a flat nose, protruding tongue,
among others.)
The measles, mumps, and rubella (MMR) vaccine must be administered in two
doses. When should the MMR vaccines typically be given?
A. Both doses given between the ages of 13 - 18 years old
B. First dose: 1 - 2 yo; Second dose: 15 yo
C. First dose: 12 - 15 mo; second dose: 6yo
D. First dose: 1 - 4 yo; second dose: 10 yo
C. First dose: 12 - 15 mo; second dose: 6yo
Kevin, 3yo male, is brought to your clinic. Upon evaluation, you determine that he
has poor motor, language, & social skills. His parents state, however, that until
very recently, Kevin's communication skills & social relationships were much
better & age-appropriate. Which of the following disorders does he most likely
have?
A. Asperger's syndrome
B. Rett syndrome
C. Down syndrome
D. Childhood disintegrative disorder
D. Childhood disintegrative disorder
A patient of yours has a tall stature. His arm span is greater than his height. He
also has thin extremities with a long narrow face. When you look into his mouth,
you notice that he has a high arched, narrow palate. The patient wants to know if
he has some sort of growth problem. According to the findings above, you know
that the patient most likely has:
A. Marfan syndrome
B. DiGeorge syndrome
C. Turner's syndrome
D. Tay-Sachs disease
, A. Marfan syndrome
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)
