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CPN Study Questions 1-100 WITH CORRECT SOLUTIONS ALREADY GRADED A+
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CPN Study Questions 1-100 WITH CORRECT SOLUTIONS ALREADY GRADED A+
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CPN Study Questions 1-100 WITH CORRECTSOLUTIONS ALREADY GRADED A+
A .6-week-old .male .infant .is .brought .into .the .ED .by .his .mother. .He .has .a .weeklong .history .of
progressively .worsening .emesis .that .is .projectile .in .nature. .What .is .his .most .likely .diagnosis?
A. .Intussusception.
B. .Appendicitis.
C. .Pyloric .stenosis.
D. .Pancreatitis. .- .correct .answers .✔✔ .-C: .Projectile .vomiting .in .a .6 .week-
old .male .is .the .classic .presentation .for .pyloric .stenosis,
obstruction .of .the .pyloric .sphincter .between .the .gastric .pylorus .and .the .small .intestine, .caused .by
hypertrophy .and .hyperplasia .of .the .circular .muscle .of .the .pylorus, .which .obstructs .the .sphincter.
An .8-year-old .male .has .contracted .chicken .pox .(varicella .virus). .With .which .of .the .following
family .members .can .the .child .have .contact?
A. .20-year-old .aunt .on .chemotherapy.
B. .35-year-old .uncle .with .HIV.
C. .95-year-old .grandfather .on .long-term .steroid .therapy.
D. .2-year-old .brother .who .has .never .had .varicella .but .has .had .the .vaccine .- .correct .answers .✔✔ .-
D: .The .2-year-old .brother, .who .has .had .the .vaccine, .is .likely .immune .to .varicella, .so .contact
is .safe. .All .of .the .other .relatives .have .some .form .of .immunosuppression .from .infection .(HIV) .or
medications .(chemotherapy .and .steroids) .and .should .avoid .contact .with .the .patient
A .5-year-old .girl .has .a .fever, .headache, .and .complaints .of .a .stiff .neck. .The .physician .suspects
,bacterial .meningitis. .What .is .the .best .test .culture .site .to .detect .the .bacteria?
A. .Lumbar .puncture.
B. .Clean .catch .urine.
C. .Blood .culture.
D. .Nasal .swab. .- .correct .answers .✔✔ .-
A: .Lumbar .puncture .is .the .method .of .choice .for .detecting .the .bacteria .causing .bacterial
meningitis .and .sending .a .sample .for .culture, .as .meningitis .infects .the .meninges .and .bacteria .is
present .in .the .cerebrospinal .fluid.
A .2-year-old .child .has .severe .dental .caries .in .the .upper .and .lower .front .teeth, .posterior .aspects.
What .is .the .most .likely .cause .for .this .type .of .caries?
A. .Lack .of .fluoridation .in .the .water.
B. .Sleeping .with .water .in .a .nighttime .bottle.
C. .Low .carbohydrate .diet.
D. .Sleeping .with .sugared .liquid .in .nighttime .bottle .- .correct .answers .✔✔ .-
D: .Caries .in .the .posterior .front .teeth .is .a .sign .of .sleeping .with .sugared .drinks .in .the
nighttime .bottle .(such .as .juice) .because .fluid .pools .in .the .mouth .when .the .child .falls .to .sleep.
***Which .of .the .following .patients .will .likely .need .surgical .correction .of .his/her .fracture?***
A. .10-year-old .with .humeral .head .fracture.
B. .5-year-old .with .tuft .fracture .of .the .distal .phalanx.
C. .4-year-old .with .tuft .fracture .of .the .toe.
D. .16-year-old .with .radial .head .fracture. .- .correct .answers .✔✔ .-
A: .Humeral .head .fractures .usually .need .open .reduction .and .internal .fixation .to .maintain
proper .future .functioning. .Distal .phalanx .and .toe .fractures .are .treated .with .splints .and .fracture .of
the .radial .head .with .a .sling.
An .infant .with .a .chronic .respiratory .condition .should .be .offered .all .of .the .following .vaccines
EXCEPT:
A. .Hepatitis .A.
,B. .Hepatitis .B.
C. .Hepatitis .C.
D. .Influenza. .- .correct .answers .✔✔ .-
C: .A .vaccine .for .Hepatitis .C .does .not .currently .exist. .Hepatitis .A, .hepatitis .B .and .influenza
vaccines .are .all .recommended .for .the .infant
A .14-year-old .boy .with .leukemia .is .receiving .an .IV .infusion .of .packed .red .blood .cells. .The .client
reports .that .he .is .feeling .anxious .and .short .of .breath .even .though .his .respiratory .rate .is .24.
What .should .the .nurse .do .in .this .situation?
A. .Give .a .dose .of .ibuprofen .(Motrin).
B. .Give .a .dose .of .acetaminophen .(Tylenol).
C. .Give .a .dose .of .diphenhydramine .(Benadryl).
D. .Stop .infusion .and .notify .physician. .- .correct .answers .✔✔ .-
D: .Anxiety .and .the .sensation .of .breathlessness .are .signs .of .possible .anaphylactic .shock, .a
reaction .to .the .packed .red .blood .cells, .so .the .nurse .should .stop .the .infusion .immediately .and .notify
the .physician.
As .part .of .counseling .for .a .7-year-old .child .with .mild .persistent .asthma, .the .nurse .tells .the
client's .family .that .the .most .reliable .indicator .of .worsening .asthma .is:
A. .Coughing.
B. .Fever.
C. .Decreased .peak .flow.
D. .Fatigue. .- .correct .answers .✔✔ .-
C: .A .decreased .peak .flow .is .the .most .reliable .indicator .that .asthma .may .be .worsening. .It .is
therefore .vital .that .the .client's .family .know .what .the .baseline .is .so .that .any .deviation .can .be .quickl
y
addressed. .Coughing .and .fever .may .trigger .asthma, .so .peak .flows .should .be .monitored. .Fatigue
may .result .from .poor .oxygenation .but .alone .it .is .not .a .reliable .indicator .of .worsening .asthma.
***A .patient .is .experiencing .dizziness, .shortness .of .breath, .lightheadedness, .and .nausea .caused .by
, encephalitis. .Which .of .the .following .descriptions .most .accurately .describes .the .patient's
condition?***
A. .metabolic .acidosis
B. .respiratory .alkalosis
C. .metabolic .alkalosis
D. .respiratory .acidosis .- .correct .answers .✔✔ .-
B: .Respiratory .alkalosis .results .from .hyperventilation, .during .which .extra .CO2 .is .excreted,
causing .a .decrease .in .carbonic .acid .(H2CO3) .concentration .in .the .plasma. .Symptoms .include
tachycardia, .arrhythmias, .lightheadedness, .nausea, .and .vomiting.
10-year-old .male .with .sickle .cell .disease .comes .into .the .ED .complaining .of .pain .in .his .legs .due
to .a .vaso-occlusive .crisis. .In .addition .to .IV .fluids, .what .is .the .other .initial .treatment .for .this
client?
A. .Elevate .legs.
B. .Ace .wrap .to .legs.
C. .Nitroglycerine .paste.
D. .Pain .medication. .- .correct .answers .✔✔ .-
D: .In .addition .to .IV .fluids, .the .other .primary .initial .treatment .for .sickle .cell .crisis .resulting
in .vascular .occlusion .is .pain .medication .because .pain .is .often .severe. .Other .treatments .include
oxygen, .hydroxyurea .(anti-sickling .medication), .blood .transfusions .if .anemia .is .pronounced, .and
antibiotics .if .the .crisis .was .triggered .by .an .infection.
14-year-old .male .with .renal .failure .is .given .an .arteriovenous .fistula .(shunt) .for .future .dialysis.
How .does .the .nurse .assess .the .shunt .post-operatively .for .patency?
A. .Assess .for .bruit .and .thrill.
B. .Monitor .blood .pressure .on .that .arm.
C. .Ease .of .venipuncture .at .shunt .site.
D. .Rate .of .flow .during .dialysis. .- .correct .answers .✔✔ .-
A: .The .patency .of .an .AV .shunt .is .assured .by .assessing .for .bruit .and .thrill. .Continuous .wave
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