CPN ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ What equipment should be used to measure a 24 to 36 month old child's
height?.
Answer: length board or standiometer
◍ At what age does an infant walk with support?.
Answer: 10 - 12 months
◍ How long is a child with bronchiolitis contagious?.
Answer: When secretions are present, up to 14 days after start of symptoms
◍ At what age does an infant babble in response to sounds in a conversation?.
Answer: 6 months
◍ What are the clinical manifestations of pyloric stenosis?.
Answer: Projectile vomiting (may be heme+, but no bile)Olive-like mass in
abdomenVisible peristaltic waves across epigastrumMalnutrition &
Dehydration
◍ What is the treatment of hemolytic disease of the newborn?.
Answer: PhototherapyExchange transfusion
◍ Which layers of the bowel does Chrons' Disease affect?.
Answer: ALL layers of the bowel
◍ Head circumference should be assessed until what age?.
Answer: 3 years old
◍ True/False: The majority of children with CP have some degree of
intellectual disability..
Answer: False. Less than half of children with CP have some degree of of
intellectual disability.
,◍ What precaution measures are encouraged to prevent otitis media?.
Answer: Breast feed for the first 6 months of lifeFeed in an upright
positionDo not bottle propDiscontinue pacifier after 6 monthsAvoid
exposure to passive smoke
◍ What is the pathophysiology of nephrotic syndrome?.
Answer: Increased glomerular permeability to protein, especially
ALBUMIN
◍ How soon will a nephrectomy be done once a Wilms' Tumor is diagnosed?.
Answer: 24 - 48 hours
◍ What is naturally acquired passive immunity?.
Answer: Immunity that is conferred to an individual through placental
transfer during pregnancy and through breast feeding.
◍ What is the fluid replacement protocol for mild to moderate dehydration?.
Answer: Oral rehydration therapy using an oral rehydration solution.2-5 ml
every 2-3 min OR5-10 ml every 5 min
◍ What is Tracheoesophageal Fistula (TEF)?.
Answer: Occurs when there is a connection between the esophagus and the
trachea
◍ What are reticulocytes?.
Answer: Immature red blood cells
◍ What is pyelonephritis?.
Answer: Kidney infection
◍ Is iron conserved when normal red blood cells die?.
Answer: yes
◍ What cognitive developmental stage are toddlers in?.
Answer: sensorimotor
◍ When is activated charcoal most effective for acetaminophen overdose?.
Answer: Within 1 hour of ingestion
,◍ Which inflammatory bowel disease involves any part of the GI tract?.
Answer: Chrons' Disease
◍ At what age should an Iron supplement be added in the diet?.
Answer: 4 months
◍ What sport would be most appropriate for a child with cystic fibrosis?.
Answer: SwimmingBenefit from exercises that promote deep breathing and
adequate pulmonary toilet
◍ How long is the adjusted/corrected age calculation used?.
Answer: for the first two years of life
◍ Which age group is when egocentricity decreases and awareness of others
increases?.
Answer: preschool
◍ What is the ANC level of someone who is at a severe risk of life-threatening
infection?.
Answer: < 500
◍ What order should you introduce new foods?.
Answer: rice cereal, other cerealsyellow & green veggiesnon-citrus fruits,
citrus fruits
◍ PPN (peripheral parenteral nutrition) is.
Answer: hypertonic with glucose concentrations up to 10%Can be
administered through smaller peripheral catheters
◍ What does Standards of Care consist of?.
Answer: Nursing process components and provides guidelines for a nurse
◍ What is the most important nursing intervention for a newborn with an
imperforate anus?.
Answer: Maintain NPORequires surgical correction of condition soon after
birth
◍ True/False: When the bowel dies in NEC, more mucus invades the bowel..
, Answer: False: Protective mucus is decreased when the bowel becomes
necrotic.
◍ What is the treat of a bleed in hemophilia?.
Answer: IV factor replacementphysical therapy r/t hemarthrosis
◍ 1 ____ per year of age of each food type is recommended for preschoolers..
Answer: tablespoon
◍ When does the seizure occur in a child who has febrile seizures?.
Answer: During the temperature rise not during a prolonged elevation
(>38.8C)
◍ At what age does an infant push up on knees and hands and rocks back and
forth?.
Answer: 5 - 6 months
◍ What part of the body grows the fastest in infancy?.
Answer: the head
◍ What is the pathophysiology of cystic fibrosis?.
Answer: Increased viscosity of mucous gland secretionsElevation of sweat
electrolytesAbnormalities in ANSIncrease in organic & enzymatic
constituents of saliva
◍ Why is an infant born to an HIV+ woman started on Bactrim and for how
long?.
Answer: Trimethoprim-sulfamethozazole during the 1st year of life to
prevent PCP pneumonia.
◍ What is NEC?.
Answer: Necrotizing enterocolitis: acute inflammatory disease characterized
by variable damage to the intestinal tract ranging from mucosal injury to
full-thickness necrosis and perforation.
◍ At what age can a child dress him/herself?.
Answer: 3 years
◍ What is naturally acquired active immunity?.
QUESTIONS WITH ANSWERS GRADED A+
◍ What equipment should be used to measure a 24 to 36 month old child's
height?.
Answer: length board or standiometer
◍ At what age does an infant walk with support?.
Answer: 10 - 12 months
◍ How long is a child with bronchiolitis contagious?.
Answer: When secretions are present, up to 14 days after start of symptoms
◍ At what age does an infant babble in response to sounds in a conversation?.
Answer: 6 months
◍ What are the clinical manifestations of pyloric stenosis?.
Answer: Projectile vomiting (may be heme+, but no bile)Olive-like mass in
abdomenVisible peristaltic waves across epigastrumMalnutrition &
Dehydration
◍ What is the treatment of hemolytic disease of the newborn?.
Answer: PhototherapyExchange transfusion
◍ Which layers of the bowel does Chrons' Disease affect?.
Answer: ALL layers of the bowel
◍ Head circumference should be assessed until what age?.
Answer: 3 years old
◍ True/False: The majority of children with CP have some degree of
intellectual disability..
Answer: False. Less than half of children with CP have some degree of of
intellectual disability.
,◍ What precaution measures are encouraged to prevent otitis media?.
Answer: Breast feed for the first 6 months of lifeFeed in an upright
positionDo not bottle propDiscontinue pacifier after 6 monthsAvoid
exposure to passive smoke
◍ What is the pathophysiology of nephrotic syndrome?.
Answer: Increased glomerular permeability to protein, especially
ALBUMIN
◍ How soon will a nephrectomy be done once a Wilms' Tumor is diagnosed?.
Answer: 24 - 48 hours
◍ What is naturally acquired passive immunity?.
Answer: Immunity that is conferred to an individual through placental
transfer during pregnancy and through breast feeding.
◍ What is the fluid replacement protocol for mild to moderate dehydration?.
Answer: Oral rehydration therapy using an oral rehydration solution.2-5 ml
every 2-3 min OR5-10 ml every 5 min
◍ What is Tracheoesophageal Fistula (TEF)?.
Answer: Occurs when there is a connection between the esophagus and the
trachea
◍ What are reticulocytes?.
Answer: Immature red blood cells
◍ What is pyelonephritis?.
Answer: Kidney infection
◍ Is iron conserved when normal red blood cells die?.
Answer: yes
◍ What cognitive developmental stage are toddlers in?.
Answer: sensorimotor
◍ When is activated charcoal most effective for acetaminophen overdose?.
Answer: Within 1 hour of ingestion
,◍ Which inflammatory bowel disease involves any part of the GI tract?.
Answer: Chrons' Disease
◍ At what age should an Iron supplement be added in the diet?.
Answer: 4 months
◍ What sport would be most appropriate for a child with cystic fibrosis?.
Answer: SwimmingBenefit from exercises that promote deep breathing and
adequate pulmonary toilet
◍ How long is the adjusted/corrected age calculation used?.
Answer: for the first two years of life
◍ Which age group is when egocentricity decreases and awareness of others
increases?.
Answer: preschool
◍ What is the ANC level of someone who is at a severe risk of life-threatening
infection?.
Answer: < 500
◍ What order should you introduce new foods?.
Answer: rice cereal, other cerealsyellow & green veggiesnon-citrus fruits,
citrus fruits
◍ PPN (peripheral parenteral nutrition) is.
Answer: hypertonic with glucose concentrations up to 10%Can be
administered through smaller peripheral catheters
◍ What does Standards of Care consist of?.
Answer: Nursing process components and provides guidelines for a nurse
◍ What is the most important nursing intervention for a newborn with an
imperforate anus?.
Answer: Maintain NPORequires surgical correction of condition soon after
birth
◍ True/False: When the bowel dies in NEC, more mucus invades the bowel..
, Answer: False: Protective mucus is decreased when the bowel becomes
necrotic.
◍ What is the treat of a bleed in hemophilia?.
Answer: IV factor replacementphysical therapy r/t hemarthrosis
◍ 1 ____ per year of age of each food type is recommended for preschoolers..
Answer: tablespoon
◍ When does the seizure occur in a child who has febrile seizures?.
Answer: During the temperature rise not during a prolonged elevation
(>38.8C)
◍ At what age does an infant push up on knees and hands and rocks back and
forth?.
Answer: 5 - 6 months
◍ What part of the body grows the fastest in infancy?.
Answer: the head
◍ What is the pathophysiology of cystic fibrosis?.
Answer: Increased viscosity of mucous gland secretionsElevation of sweat
electrolytesAbnormalities in ANSIncrease in organic & enzymatic
constituents of saliva
◍ Why is an infant born to an HIV+ woman started on Bactrim and for how
long?.
Answer: Trimethoprim-sulfamethozazole during the 1st year of life to
prevent PCP pneumonia.
◍ What is NEC?.
Answer: Necrotizing enterocolitis: acute inflammatory disease characterized
by variable damage to the intestinal tract ranging from mucosal injury to
full-thickness necrosis and perforation.
◍ At what age can a child dress him/herself?.
Answer: 3 years
◍ What is naturally acquired active immunity?.
