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CPN STUDY QUESTIONS 1-100 QUESTIONS AND ANSWERS
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CPN STUDY QUESTIONS 1-100 QUESTIONS AND ANSWERS
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CPN STUDY QUESTIONS 1-100QUESTIONS AND ANSWERS
As6-week-
oldsmalesinfantsissbroughtsintosthesEDsbyshissmother.sHeshassasweeklongshistorysof
progressivelysworseningsemesissthatsissprojectilesinsnature.sWhatsisshissmostslikelysdiagno
sis?
A.sIntussusception.
B.sAppendicitis.
C.sPyloricsstenosis.
D.sPancreatitis.s-sans✔✔C:sProjectilesvomitingsinsas6sweek-
oldsmalesissthesclassicspresentationsforspyloricsstenosis,
obstructionsofsthespyloricssphinctersbetweensthesgastricspylorussandsthessmallsintestine,sc
ausedsby
hypertrophysandshyperplasiasofsthescircularsmusclesofsthespylorus,swhichsobstructssthessp
hincter.
Ans8-year-
oldsmaleshasscontractedschickenspoxs(varicellasvirus).sWithswhichsofsthesfollowing
familysmembersscanstheschildshavescontact?
A.s20-year-oldsauntsonschemotherapy.
B.s35-year-oldsuncleswithsHIV.
C.s95-year-oldsgrandfathersonslong-termssteroidstherapy.
D.s2-year-oldsbrotherswhoshassnevershadsvaricellasbutshasshadsthesvaccines-
sans✔✔D:sThes2-year-
oldsbrother,swhoshasshadsthesvaccine,sisslikelysimmunestosvaricella,ssoscontact
isssafe.sAllsofsthesothersrelativesshavessomesformsofsimmunosuppressionsfromsinfections(H
IV)sor
medicationss(chemotherapysandssteroids)sandsshouldsavoidscontactswithsthespatient
As5-year-
oldsgirlshassasfever,sheadache,sandscomplaintssofsasstiffsneck.sThesphysicianssuspects
bacterialsmeningitis.sWhatsissthesbeststestsculturessitestosdetectsthesbacteria?
A.sLumbarspuncture.
B.sCleanscatchsurine.
C.sBloodsculture.
D.sNasalsswab.s-
sans✔✔A:sLumbarspuncturesissthesmethodsofschoicesforsdetectingsthesbacteriascausingsba
cterial
,meningitissandssendingsassamplesforsculture,sassmeningitissinfectssthesmeningessandsbact
eriasis
presentsinsthescerebrospinalsfluid.
As2-year-
oldschildshassseveresdentalscariessinsthesuppersandslowersfrontsteeth,sposteriorsaspects.
Whatsissthesmostslikelyscausesforsthisstypesofscaries?
A.sLacksofsfluoridationsinstheswater.
B.sSleepingswithswatersinsasnighttimesbottle.
C.sLowscarbohydratesdiet.
D.sSleepingswithssugaredsliquidsinsnighttimesbottles-
sans✔✔D:sCariessinsthesposteriorsfrontsteethsissassignsofssleepingswithssugaredsdrinkssinsth
e
nighttimesbottles(suchsassjuice)sbecausesfluidspoolssinsthesmouthswhenstheschildsfallsstossl
eep.
***Whichsofsthesfollowingspatientsswillslikelysneedssurgicalscorrectionsofshis/hersfracture?**
*
A.s10-year-oldswithshumeralsheadsfracture.
B.s5-year-oldswithstuftsfracturesofsthesdistalsphalanx.
C.s4-year-oldswithstuftsfracturesofsthestoe.
D.s16-year-oldswithsradialsheadsfracture.s-
sans✔✔A:sHumeralsheadsfracturessusuallysneedsopensreductionsandsinternalsfixationstosm
aintain
propersfuturesfunctioning.sDistalsphalanxsandstoesfracturessarestreatedswithssplintssandsfra
cturesof
thesradialsheadswithsassling.
Ansinfantswithsaschronicsrespiratorysconditionsshouldsbesofferedsallsofsthesfollowingsvaccin
es
EXCEPT:
A.sHepatitissA.
B.sHepatitissB.
C.sHepatitissC.
D.sInfluenza.s-
sans✔✔C:sAsvaccinesforsHepatitissCsdoessnotscurrentlysexist.sHepatitissA,shepatitissBsandsi
nfluenza
vaccinessaresallsrecommendedsforsthesinfant
As14-year-
oldsboyswithsleukemiasissreceivingsansIVsinfusionsofspackedsredsbloodscells.sThesclient
reportssthatshesissfeelingsanxioussandsshortsofsbreathsevensthoughshissrespiratorysratesiss2
4.
Whatsshouldsthesnursesdosinsthisssituation?
A.sGivesasdosesofsibuprofens(Motrin).
B.sGivesasdosesofsacetaminophens(Tylenol).
, C.sGivesasdosesofsdiphenhydramines(Benadryl).
D.sStopsinfusionsandsnotifysphysician.s-
sans✔✔D:sAnxietysandsthessensationsofsbreathlessnesssaressignssofspossiblesanaphylacti
csshock,sa
reactionstosthespackedsredsbloodscells,ssosthesnursesshouldsstopsthesinfusionsimmediatelys
andsnotify
thesphysician.
Asspartsofscounselingsforsas7-year-
oldschildswithsmildspersistentsasthma,sthesnursestellssthe
client'ssfamilysthatsthesmostsreliablesindicatorsofsworseningsasthmasis:
A.sCoughing.
B.sFever.
C.sDecreasedspeaksflow.
D.sFatigue.s-
sans✔✔C:sAsdecreasedspeaksflowsissthesmostsreliablesindicatorsthatsasthmasmaysbeswors
ening.sItsis
thereforesvitalsthatsthesclient'ssfamilysknowswhatsthesbaselinesisssosthatsanysdeviationscans
besquickly
addressed.sCoughingsandsfeversmaystriggersasthma,ssospeaksflowssshouldsbesmonitored.s
Fatigue
maysresultsfromspoorsoxygenationsbutsalonesitsissnotsasreliablesindicatorsofsworseningsasth
ma.
***Aspatientsissexperiencingsdizziness,sshortnesssofsbreath,slightheadedness,sandsnausea
scausedsby
encephalitis.sWhichsofsthesfollowingsdescriptionssmostsaccuratelysdescribessthespatient's
condition?***
A.smetabolicsacidosis
B.srespiratorysalkalosis
C.smetabolicsalkalosis
D.srespiratorysacidosiss-
sans✔✔B:sRespiratorysalkalosissresultssfromshyperventilation,sduringswhichsextrasCO2siss
excreted,
causingsasdecreasesinscarbonicsacids(H2CO3)sconcentrationsinsthesplasma.sSymptomssin
clude
tachycardia,sarrhythmias,slightheadedness,snausea,sandsvomiting.
10-year-
oldsmaleswithssicklescellsdiseasescomessintosthesEDscomplainingsofspainsinshisslegssdue
tosasvaso-occlusivescrisis.sInsadditionstosIVsfluids,swhatsissthesothersinitialstreatmentsforsthis
client?
A.sElevateslegs.
B.sAceswrapstoslegs.
C.sNitroglycerinespaste.
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