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CPN Review Questions And Answers With Verified Solutions Already Passed Rated A+
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CPN Review Questions And Answers With Verified Solutions Already Passed Rated A+
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CPN Review Questions And AnswersWith Verified Solutions Already Passed
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The nurse is caring for a pediatric patient admitted to the hospital. Which of the
following practices best promotes family centered care for this patient?
A) Allowing the child to sleep through vital signs.
B) Delaying interdisciplinary rounds until the family is available.
C) Encouraging the family to bring the child's comfort items from home.
D) Retiming medications to match the child's home routine. - ANSWER✔✔ B)
Delaying interdisciplinary rounds until the family is available.
Rationale: Having the family attend rounds promotes information sharing and
collaboration, two key components of family centered care. Domain: Growth &
Development
The nurse is teaching a parenting group about patterns of growth & development.
What is the best example to use to explain cephalocaudal development?
A) After sitting independently, the baby will begin to reach for objects.
B) First the baby will play with sounds, like babbling, then say simple words.
C) Learning to run and jump comes after mastering walking.
D) The baby gets control of their head before their arms and hands. - ANSWER✔✔
D) The baby gets control of their head before their arms and hands.
Rationale: Cephalocaudal means head to toe therefore head control develops
before control of the arms and hands. Domain: Growth & Development
An experienced nurse is teaching newly hired nurses in an orientation program.
An orientee asks, "Why do we have to listen to the heart and lungs for a minute?"
What is the experienced nurse's best response?
,A) Breathing may be irregular and pulse varies with inspiration and expiration.
B) Children may move during assessment requiring a longer listening time.
C) Counting for one minute eliminates mathematical errors.
D) Listening that long allows the nurse to assess lung and heart sounds while
counting. - ANSWER✔✔ A) Breathing may be irregular and pulse varies with
inspiration and expiration.
Rationale: Infant breathing is irregular and the heart rate increases and decreases
with inspiration and expiration. Because of the irregularity, counting for less than
60 seconds and multiplying may result in inaccurate rates.
Domain: Growth & Development
An 8 year old is diagnosed with chicken pox. At what stage may the child return to
school?
A) Immediately, as chicken pox are not contagious
B) When all the lesions have scabbed over
C) 4-6 days from diagnose
D) When fever free for 24 hours - ANSWER✔✔ B) When all the lesions have
scabbed over
Rationale: Keep the child home and away from susceptible individuals until
vesicles have dried (usually 1 week after onset of disease). Notify school or
daycare of child's illness
(Hockenberry & Wilson, 2015). Domain: Infectious Disease
You are bathing a 2-year-old when you notice a red area on their back that
resembles a bulls-eye with a red outer ring, a central area of clearing, and a red
center. You know that this is caused by:
A) Tick bite
,B) Black widow spider
C) Mosquito
D) Brown recluse spider - ANSWER✔✔ A) Tick bite
Rationale: A painless red rash that starts as a red macule or papule and expands
over days or weeks. It may have a bull's eye appearance or it may look like a
bruise in a darker skin person
(Ball, Bindle, & Cowan, 2015). Domain: Infectious Disease
A general contraindication for all immunizations is:
A) Vomiting
B) Headache
C) Common Cold
D) Febrile illness - ANSWER✔✔ D) Febrile illness
Rationale: This precaution avoids adding the risk of adverse side effects from the
vaccine to an already ill child or mistakenly identifying a symptom of the disease
as having been caused by the vaccine (Hockenberry & Wilson, 2015). Domain:
Infectious Disease
Which laboratory finding is most concerning in the child with sickle cell disease,
who reports that they have recently had a viral illness?
A) Hemoglobin- 8.8 g/dL
B) Reticulocyte Count- 0.3%
C) BUN- 7 mg/dL
D) Urinalysis- bilirubin - ANSWER✔✔ B) Reticulocyte Count- 0.3%
Rationale: patients with sickle cell disease may develop aplastic crisis follow
infection (particularly with Parvovirus), which typically initially presents with a low
reticulocyte count. Without treatment and supportive care, the patient can
, become significantly anemic since the bone marrow ceases RBC production,
which is exacerbated by the hemolytic nature of sickle cell disease. A hemoglobin
of 8.8 may be considered at patient's baseline for children with sickle cell disease.
BUN is normal, and bilirubin present in the urine, while not considered a normal
finding, may occur in patients with more severe sickle cell disease (due to
hemolysis) and is not the most concerning at this time given the reticulocyte
count. Domain: Hematologic Conditions
April, a 12 year old female with sickle cell disease is admitted with a pain crisis.
Your nursing interventions include all of the following except
A) Promoting pain management with ice packs to affected area
B) Administering IV hydration
C) Promoting ambulation
D) Encouraging deep breathing and use of an incentive spirometer - ANSWER✔✔
A) Promoting pain management with icepacks to affected area
Rationale: Ice may promote vaso-occlusion which may exacerbate the sickling
process and worsen the vaso-occlusive crisis. Hydration, ambulation, and
encouraging deep breathing and incentive spirometer use are all appropriate
interventions to maximize patient outcomes and prevent complications including
acute chest syndrome. Domain: Hematologic Conditions
You are a nurse in a pediatric clinic and are performing teaching with a patient
and parents of a child with sickle cell disease who is taking hydroxyurea. Which of
the following statements by the patient's parents indicate that more teaching is
needed?
A) "Supplementation with iron will not help to decrease my child's sickle cell
anemia"
B) "I will ensure my child is dressed appropriately when the weather is cool and
they are dried off quickly after getting out of the pool"
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