CPN exam - Practice questions Latest Update 2024 -2025 100 Questions and 100% Verified Correct Answers Guaranteed A+ . A mother calls the clinic because she suspect that her baby as otitis media. The baby has been pulling at her ear and crying all morning, but has recently relaxed and is no longer crying. The nurse offers which advice? a) "Call back if she starts crying again." b) "Don't worry. It sounds like she's fine now." c) "Give her acetaminophen and call tomorrow if she's not better." d) "Her eardrum may have torn. Bring her in today." - CORRECT ANSWER: d) "Her eardrum may have torn. Bring her in today." The rupture of tympanic membrane provides release of fluid with relief of pressure and pain . An infant with retinoblastoma will exhibit which of the following? a) Absent red reflex b) Eyes that gaze in one direction c) Inability to visually track an object d) Nystagmus - CORRECT ANSWER: a) Absent red reflex The red reflex in a child with retinoblastoma may be absent or have an abnormal appearance . The father of a 2½ year old girl tells the nurse he is frustrated by her temper tantrums and that she says "No" to every question. Although the father realizes this is common behavior for toddlers, he doesn't understand the reason of the behavior. The nurse explains that toddlers act this way as a normal expression of their desire to: a) Increase their independence b) Gratify oral fixation c) Develop a sense of trust d) Assert how industrious they are - CORRECT ANSWER: a) Increase their independence • A 4 year old boy was brought to the ED by his nanny, "he was at the playground and they were all running around and all of a sudden he was coughing and breathing funny..." You note vital signs T - 37.20C, P - 110, R - 32, BP - 110/74, SpO2 - 90% on room air, audible stridor, intercostal retraction. The child asks between breaths, "Am I in trouble?" You tell him he is not in trouble and that you are going to try to make him feel better. You ask him if he has ever had trouble breathing like this before and he says "no." The nanny says "he is a very healthy and active boy." You apply oxygen and give a dose of racemic epinephrine, which has limited effect on the stridor. You transport him to get a chest x -ray. • What is the most likely cause of this child's breathing trouble? 1. Asthma exacerbation 2. Pneumothorax 3. Epiglottitis 4. Croup 5. Foreign body aspiration - CORRECT ANSWER: 4. Croup • 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 - CORRECT ANSWER: 4. Let the mother hold the child on her lap during the treatment • A clinic nurse is providing instructions to the mother of a preschool child with cystic fibrosis regarding the immunization schedule for her child. Which statement would the nurse make to the mother? 1. The immunization schedule will need to be altered 2. The child should not receive any hepatitis vaccines 3. The child will receive all the immunizations except for the polio series 4. The child will receive the recommended basic series for immunizations along with a yearly influenza vaccine and high risk pneumococcal vaccine - CORRECT ANSWER: 4. The child will receive the recommended basic series for immunizations along with a yearly influenza vaccine and high risk pneumococcal vaccine • The major pharmacologic action of albuterol (Proventil) is: 1. Decreasing airway reactivity 2. Decreasing inflammation and airway obstruction 3. Improving the action of cilia to sweep trapped mucous upward 4. Relaxing constricted bronchial smooth muscle - CORRECT ANSWER: 4. Relaxing constricted bronchial smooth muscle • 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 - CORRECT ANSWER: 4. Holding the infant upright when feeding with a bottle • The pediatric nurse read the results of a Mantoux test on a 3 year old child. The results indicate an area of induration measuring 10 mm. The nurse would interpret these results as: 1. Positive 2. Negative 3. Inconclusive 4. Definitive and requiring a repeat test - CORRECT ANSWER: 1. Positive • 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
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