CPN Exam Practice 91 Questions with Verified Answers
The principles of growth and development include all
of the following except:
a. Each child
... [Show More] grows and develops according to a general
orderly pattern that tends to resemble that of others of the
same age, sex and nationality
b. Development proceeds in a cephalocaudal and
proximodistal manner
c. Development proceeds from the specific to the general
d. Growth and development are interrelated and
interdependent - CORRECT ANSWER c. Development proceeds from the specific to the general
The period of greatest growth is from:
a. Birth to one year
b. Toddlerhood to preschool years
c. School age to preadolescence
d. The beginning to the end of adolescence - CORRECT ANSWER a. Birth to one year
A developmentally appropriate 3 ½ year old child is
likely to be most fearful of which of the following
activities:
a. Chest x-ray
b. Rectal temperature
c. Bed bath by the nurse
d. Blood pressure - CORRECT ANSWER b. Rectal temperature
The neonatal period begins at birth and lasts for 4
weeks. During this time, the infant adapts to the
extrauterine environment. Which one of the
following is true about the neonate?
a. The sense of hearing is immature
b. Myelinization of the brain is complete
c. The anterior fontanel will close within a month
d. Temperature-regulating mechanisms are
immature - CORRECT ANSWER d. Temperature-regulating mechanisms are
immature
Four year old Juan is being admitted today for a
tonsillectomy. You know that Juan is in which
developmental stage according to Erikson:
a. Initiative vs. guilt
b. Identity vs. role confusion
c. Industry vs. inferiority
d. Autonomy vs. shame and doubt - CORRECT ANSWER a. Initiative vs. guilt
Which of the following criteria is used in assessing
readiness for toilet training?
a. The child should be at least 2 years old before toilet
training
b. The child can demonstrate an awareness that she is
urinating and defecating
c. The child should have a dry diaper through the night
d. The child should have resolved her fears about what
might happen when she flushes the toilet - CORRECT ANSWER b. The child can demonstrate an awareness that she is
urinating and defecating
Thomas is a 6 month old who weighed 6 lbs at birth.
Based on your knowledge of pediatric growth, you
know that his weight today should be at least
a. 9 lbs
b. 12 lbs
c. 16 lbs
d. 18 lbs - CORRECT ANSWER b. 12 lbs
You are preparing to measure the length of 12-month-old
William. His mother tells you he was 20 inches at birth.
Based on your knowledge of normal growth parameters
you would expect his length to be approximately:
a. 25% greater than his birth length
b. 50% greater than his birth length
c. 75% greater than his birth length
d. Double his birth length - CORRECT ANSWER b. 50% greater than his birth length
Dana is a 30-month-old female whose length you are
plotting. You measured her using a length board. Which
growth chart would you choose?
a. Girls: 0-36 months
b. Girls: 2-18 years
c. Either a girls 0-36 months or a 2-18 years growth chart;
it does not matter
d. You must plot on both charts since she's in the
transitional period - CORRECT ANSWER a. Girls: 0-36 months
When performing a well-child assessment of a 4
month old, which one of the following represents a
normal assessment finding?
a. Closed anterior and posterior fontanel
b. Open anterior and posterior fontanel
c. Closed anterior and open posterior fontanel
d. Open anterior and closed posterior fontanel - CORRECT ANSWER d. Open anterior and closed posterior fontanel
A bottle-fed infant, age 3 months, is brought to the
pediatrician's office for a well-child visit. During the
previous visit, the nurse taught the mother about infant
nutritional needs. Which statement by the mother during
the current visit indicates effective teaching?
a. "I started the baby on cereals and fruits because he wasn't sleeping
through the night."
b. "I started putting cereal in the bottle with formula because the baby
kept spitting it out when I gave it with a spoon."
c. "I'm giving the baby iron-fortified formula and a fluoride supplement
because our water isn't fluoridated."
d. "I'm giving the baby skim milk because he was getting so chubby." - CORRECT ANSWER c. "I'm giving the baby iron-fortified formula and a fluoride supplement
because our water isn't fluoridated."
When assessing the development of a 3 month old,
which of the following would be most concerning?
a. Failure to look for the objects when they are no
longer in the visual field
b. Failure to smile
c. Failure to roll over
d. Failure to pull feet to mouth - CORRECT ANSWER b. Failure to smile
When assessing the 7 month old, which of the
following is the most likely to be developing?
a. Rocking back and forth on hands and knees
b. Standing while holding onto an object for support
c. Waving bye-bye
d. Rolling over - CORRECT ANSWER a. Rocking back and forth on hands and knees
Which of the following is not well developed in a newborn
infant?
a. Hearing
b. Vision
c. Touch
d. Pain sensation - CORRECT ANSWER b. Vision
Introduction of a cup to drink fluids can begin as
early as what age?
a. 3 months
b. 6 months
c. 9 months
d. 12 months - CORRECT ANSWER b. 6 months
You are educating the mother of an infant about growth
and nutrition. You know that the earliest age at which
the infant should be changed from formula or breast milk
to whole milk is:
a. 6 months
b. 9 months
c. 12 months
d. 15 months - CORRECT ANSWER c. 12 months
Which of the following types of play would the nurse
expect to see when assessing a toddler?
a. Cooperative
b. Associative
c. Solitary
d. Parallel - CORRECT ANSWER d. Parallel
A four year old who is blind is hospitalized. You bring in her
dinner tray. How do you tell her where her food is?
a. Set the food up like a clock
b. Tell her which food is on the left and right
c. Tell her you will feed her to make it easier for her to eat
d. Place one food at a time in front of her - CORRECT ANSWER d. Place one food at a time in front of her
When developing a plan of care for adolescent, the nurse
considers the child's psychosocial needs. During
adolescence, psychosocial development focuses on:
a. Becoming industrious
b. Establishing an identity
c. Achieving intimacy
d. Developing initiative - CORRECT ANSWER b. Establishing an identity
A 9 month old infant is hospitalized for treatment of inorganic
failure to thrive. Which nursing action is most appropriate
for this child?
a. Encouraging the infant to hold his bottle
b. Keeping the infant on bed rest to conserve energy
c. Rotating caregivers to provide more stimulation
d. Maintaining a consistent, structured environment - CORRECT ANSWER d. Maintaining a consistent, structured environment
A child, age 15 months, is recovering from surgery to remove
a Wilms' tumor. Which finding best indicates that the child
is experiencing pain, even though the child is denying it?
a. Increased appetite
b. Increased heart rate
c. Decreased urine output
d. Increased interest in television - CORRECT ANSWER b. Increased heart rate
You are the nurse in a community health center and are responsible for
reviewing anticipatory guidance and safety education with parents who
bring young children for health assessments.
You are educating the parents of 12 month old Alyssa who weighs 18
pounds. Which if the following is the most accurate anticipatory
guidance for Alyssa's parents regarding car seat installation?
Alyssa should sit in a:
a. Forward facing car seat in the rear of the automobile
b. Forward facing car seat in the passenger seat of the automobile
c. Rear facing car seat in the rear of the automobile
d. Rear facing car safety seat in the passenger seat of the automobile - CORRECT ANSWER c. Rear facing car seat in the rear of the automobile
Four year old Rebecca, who is hospitalized for treatment of a
brain tumor, tells her nurse that she got sick because she
was a bad girl. Which of the following would the nurse
identify as the underlying rationale for this statement?
a. Magical thinking
b. Egocentrism
c. Self-blame
d. Conservation - CORRECT ANSWER a. Magical thinking
A mother brings her 10 month old son to the pediatrician's office. When
the nurse approaches to measure the child's vital signs, he clings to
his mother tightly and starts to cry. The mother says, "He used to
smile at everyone. I don't know why he's acting this way." Which
response by the nurse would help the mother understand her child's
behavior?
a. "Your baby's behavior indicates stranger anxiety, which is
common at his age."
a. "Children who behave that way are developing shy personalities."
b. "Children at this age begin to fear pain."
c. "Your baby's having a temper tantrum, which is common at his age." - CORRECT ANSWER a. "Your baby's behavior indicates stranger anxiety, which is
common at his age."
When telling a 4 year old about an upcoming procedure, the
nurse's most important consideration is to:
a. Tell the child immediately before the procedure is to
occur
b. Prepare the child at least 24 hours in advance so that the
child has time to emotionally adjust
c. Offer a toy to keep the child happy and distracted
d. Wait to tell the child until you are doing the procedure - CORRECT ANSWER a. Tell the child immediately before the procedure is to
occur
An 18 month old child, immobilized with traction to the legs,
has a nursing diagnosis of diversional activity deficit
related to immobility. The nurse should include playing
with which diversional activity in the plan of care?
a. Tinkertoys
b. A pounding board
c. A pull toy
d. Board games - CORRECT ANSWER b. A pounding board
A parent calls the clinic to express concern over her child's
eating habits. She says the child eats very little and
consumes only a single type of food for weeks on end.
The nurse knows that this behavior is characteristic of
children ages:
a. 2-4 years
b. 5-8 years
c. 9-12 years
d. 13-17 years - CORRECT ANSWER a. 2-4 years
When assessing a toddler's growth and development, the
nurse understands that a child in this age group displays
behavior that fosters which developmental task?
a. Initiative
b. Autonomy
c. Trust
d. Industry - CORRECT ANSWER b. Autonomy
A school age child with a chronic condition is hospitalized for
the fourth time this year. What would be the most
appropriate strategy related to contact with the school?
a. Have her mother go to the school to get her missed
homework
b. Have the school nurse come to visit
c. Make arrangements for the child to be homeschooled so
that she does not fall behind in her studies
d. Have her classmates send her letters wishing her a
good recovery - CORRECT ANSWER d. Have her classmates send her letters wishing her a
good recovery
A child, age 5, is brought to the pediatrician's office for a
routine visit. When inspecting the child's mouth, the
nurse expects to find how many teeth?
a. Up to 10
b. Up to 15
c. Up to 20
d. Up to 32 - CORRECT ANSWER c. Up to 20
The nurse should expect a 3-year-old child to be able to
perform which action?
a. Roller-skate
b. Tie shoe laces
c. Ride a tricycle
d. Jump rope - CORRECT ANSWER c. Ride a tricycle
When performing a physical assessment on a girl, age 10,
the nurse keeps in mind that the first sign of sexual
maturity in girls is...
a. Axillary hair
b. Pubic hair
c. Breast bud development
d. Menarche - CORRECT ANSWER c. Breast bud development
The nurse suspects that a child, age 4, is being neglected
physically. To best assess the child's nutritional status,
the nurse should start by asking the parents which of the
following questions?
a. "Has your child always been so thin?"
b. "Is your child a picky eater?"
c. "What did your child eat for breakfast today?"
d. "Do you have difficulty buying nutritious food at the
supermarket? - CORRECT ANSWER c. "What did your child eat for breakfast today?"
A 2-year-old who is chronically ill is being admitted to the
inpatient unit for pain control. Her mother tells you that
she feels guilty leaving her in the hospital because she
cries so much. As the nurse caring for this child, the
most appropriate explanation to the mother would be...
a. The child will stop crying as soon as you leave
b. Crying is a sign of attachment, but you need time for yourself too
c. It's always hard to leave your child, but once you do you will feel
much better
d. She is crying because she is uncomfortable, not because you are leaving - CORRECT ANSWER b. Crying is a sign of attachment, but you need time for yourself
too
A mother of a 3 ½-year-old cannot stay in the hospital with
her child today. The nurse suggests the mother do
which of the following:
a. The mother visit at the same time daily for the same
amount of time
b. The mother explain that she'll be right back
c. The mother leave while the child is distracted or
sleeping
d. The mother leave one of her possessions behind for
the child - CORRECT ANSWER d. The mother leave one of her possessions behind
for the child
An emergency room nurse is caring for an 3 year old
child who presents with irritability, fever, sore throat,
drooling, painful swallowing and refusal to talk. Which of
the following is an appropriate intervention?
1. Start IV antibiotics immediately
2. Assess the throat for tonsillar swelling and exudate
3. Defer inspecting the throat until staff and equipment present
for emergency tracheotomy
4. Tell parents to use cool mist humidifier - CORRECT ANSWER 3. Defer inspecting the throat until staff and equipment present
for emergency tracheotomy
Which of the following assessments may indicate a child
is in respiratory distress?
1. Nasal flaring and bradycardia
2. Sitting up, leaning forward with chin thrust out
3. Low grade fever and complaint of sore throat
4. Leaning backward supporting themselves with hands and arms - CORRECT ANSWER 2. Sitting up, leaning forward with chin thrust out
A nurse is caring for an infant with confirmed RSV
bronchiolitis. Which of the following is the most
appropriate nursing action?
1. Initiate strict enteric precautions
2. If necessary, may cohort with another child with RSV
3. No isolation is necessary, as RSV is not contagious
4. Inform the staff that they must wear gloves, a gown and N95
mask when caring for the child - CORRECT ANSWER 2. If necessary, may cohort with another child with RSV
A 10 year old child is treated for acute exacerbation of
asthma. A nurse reports which of the following, knowing
that it indicates a worsening of the condition?
1. Decreased wheezing
2. Warm, dry skin
3. Pulse of 90 beats/minute
4. Respirations of 30 breaths/minute - CORRECT ANSWER 1. Decreased wheezing
The mother of an 8 year old being treated for right lower
lobe pneumonia at home calls the clinic nurse. The
mother tells the nurse that the child complains of
discomfort on the right side and that acetaminophen is
not effective. The nurse should tell the mother to:
1. Increase the dose of acetaminophen
2. Encourage the child to lie on the left side
3. Encourage the child to lie on the right side
4. Increase the frequency of acetaminophen - CORRECT ANSWER 3. Encourage the child to lie on the right side
Which of the following describes the defective process
that occurs in cystic fibrosis?
1. A defective gene inhibits the body's ability to move salt and
water in and out of cells
2. The body produces clear, thin mucus
3. The glands throughout the body are swollen and enlarged
4. Scar tissue develops around all major organs - CORRECT ANSWER 1. A defective gene inhibits the body's ability to move salt and
water in and out of cells
A new mother expresses concern to the nurse about
SIDS. She asks the nurse how to position her infant
when putting him down to sleep. The nurse
appropriately tells the mother that the infant should be
placed on the:
1. Side or prone
2. Back or prone
3. Stomach with face turned
4. Back or supine - CORRECT ANSWER 4. Back or supine
• 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 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
Isoniazid is prescribed for a child with HIV who has a
positive Mantoux test result. The mother of the child
asks the nurse how long the child will need to take the
medication. The nurse tells the mother that the
mediation will need to be taken for:
1. 4 months
2. 6 months
3. 9 months
4. 12 months - CORRECT ANSWER 4. 12 months
A hospitalized 2 year old with croup is receiving
corticosteroid therapy and the mother asks a nurse why
the physician did not prescribe antibiotics. The
appropriate response would be:
1. The child may be allergic to antibiotics
2. The child is too young to receive antibiotics
3. Antibiotics are not indicated unless a bacterial infection is
present
4. The child still has the maternal antibodies from birth and
doesn't need antibiotics - CORRECT ANSWER 3. Antibiotics are not indicated unless a bacterial infection is
present
• 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 16 year old male comes into the school nurse and
says, "My chest had a sudden, sharp pain and it still
hurts." The school nurse examines an anxious
appearing, tachypneic young man and notes decreased,
possibly absent breath sounds to the left lower lobe.
The most likely diagnosis is:
1. Cystic Fibrosis
2. Anxiety Disorder
3. Pneumothorax
4. Asthma - CORRECT ANSWER 3. Pneumothorax
What is the most appropriate equipment to have
available for the child admitted with epiglottitis?
1. Bag-mask and bronchodilators
2. Tracheotomy set up and oxygen
3. Suction set up and oxygen
4. Antibiotics and suction - CORRECT ANSWER 2. Tracheotomy set up and oxygen
• 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
Mom says her 5 year old daughter has been home from
school sick for the past three days, with a fever of 38.90
C that decreases to 37.20 C with acetaminophen. Mom
states she has not had any energy. She has be
coughing and complaining that her chest hurts. The
most likely diagnosis is:
1. Bronchiolitis
2. Asthma exacerbation
3. Pneumonia
4. None of the above - CORRECT ANSWER 3. Pneumonia
Mom calls you to assess her 4 month old child. She tells
you he keeps crying and she cannot seem to console
him. You note head bobbing, intercostal retractions, and
decreased breath sound on the left and rhonchi
bilaterally. Your first priority is to:
1. Calm mom down as the infant will pick up on her anxiety
2. Call the pediatrician to come examine the child
3. Suction the nares, if no improvement nasopharyngeal suction
4. Manage the airway, increase oxygen, suction - CORRECT ANSWER 4. Manage the airway, increase oxygen, suction
• 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
4. Reaction of the formation of antibodies against streptococcus - CORRECT ANSWER 1. An abnormality in the body's mucous secreting glands
• 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
• 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 mother of a 3 year old boy with cystic fibrosis is
interested in having another child. What genetic
counseling can you give regarding her chances of having
another child with the disease with her next pregnancy?
1. 100%
2. 75%
3. 25%
4. 50% - CORRECT ANSWER 4. 50%
What are the abnormal changes in heart
structures in Tetralogy of Fallot?
1. Stenosis of the pulmonary vein, hypertrophy of the right
ventricle, overriding aorta, and a ventricular septal
defect
2. Hypertrophy of the left ventricle, stenosis of the
pulmonary vein, atrial septa defect and overriding aorta
3. Stenosis of the pulmonary artery, hypertrophy of the
right ventricle, ventricular septal defect and overriding
aorta
4. Stenosis of the pulmonary artery, hypertrophy of the left
ventricle, a patent ductus arteriosus and overriding
aorta - CORRECT ANSWER 3. Stenosis of the pulmonary artery, hypertrophy of the right ventricle, ventricular septal defect and overriding aorta
What medication is often used to maintain a
patent ductus arteriosus?
1. Prostaglandin E
2. D51/2 NS
3. Fentanyl
4. Esmolol - CORRECT ANSWER 1. Prostaglandin E
Which of the following are priority assessments
for a 10 year old child receiving digoxin?
1. Apical pulse prior to administration
2. Blood pressure prior to administration
3. Temperature prior to administration
4. Ensure adequate hydration prior to administration - CORRECT ANSWER 1. Apical pulse prior to administration
A child with a cyanotic heart defect has an elevated
hemoglobin level, hematocrit and RBC count. What do
these suggest?
1. Anemia
2. Dehydration
3. Jaundice
4. Compensation for hypoxia - CORRECT ANSWER 4. Compensation for hypoxia
What is the best response to a 12 year old
child who asks about rheumatic fever?
1. "Your immune system has mistaken your heart valves
as bacteria and is attacking your own heart."
2. "You have an infection in your heart."
3. "Your heart is having trouble handling an infection that is
in your bloodstream."
4. "This is a condition that can easily be treated with
antibiotics. - CORRECT ANSWER
A 7 year old child was recently hospitalized with a
respiratory infection and has a special need related to
her autism. She lives with her mother, two sisters, and
grandmother. Which of the following describes the
family's composition?
a) Blended family
b) Nuclear family
c) Same-gender family
d) Extended family - CORRECT ANSWER d) Extended family
When conducting an initial assessment of a 5 year old
child, which of the following would be the best approach
for the nurse to take?
a) Ask the child if she is allergic to anything
b) Request the child's mother step out of the room
c) Ask the child's mother what approach would work best
d) Ask the child's grandmother to explain the child's
behaviors - CORRECT ANSWER c) Ask the child's mother what approach would work best
An infant weighed 2.90 kg at birth, Now at her 6 month
well-child checkup, she weighs 12.75 lbs. How would
you describe her weight gain?
a) Normal for her age
b) Small for her age
c) Large for her age
d) Excessive for her age - CORRECT ANSWER a) Normal for her age
Parents of a 4 month old infant bring their blue and nonbreathing
baby to the emergency room where she is
diagnosed with sudden infant death syndrome. Which of
the following is most appropriate to say to the parents?
a) Do you know how to do CPR?
b) Tell me more about how you found her.
c) Why did you put the pillow in bed with her?
d) What did you do after you put her in bed for the
evening? - CORRECT ANSWER b) Tell me more about how you found her.
. 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
Parents of an 18 month old are worried about their child's
behaviors and propensity to have accidents and get hurt.
Which of the following recommendations should the nurse
make to this parent?
a) Allow your child to learn by trial and error
b) Reward your child's good behaviors, and ignore the bad
behavior
c) Punish your child when he does something wrong
d) Consistently enforce well-defined limits, such as no
playing on the stairs - CORRECT ANSWER d) Consistently enforce well-defined limits, such as no
playing on the stairs
. 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
Which visual disorder is characterized by an abnormal
growth of blood vessels, resulting in their death and
formation of scar tissue?
a) Amblyopia
b) Cerebral visual impairment
c) Optic nerve hypoplasia
d) Retinopathy of prematurity - CORRECT ANSWER d) Retinopathy of prematurity
. 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
Which nursing intervention is the highest priority when
caring for an infant awaiting surgery for Wilms tumor?
a) Meticulous skin care for edema that characterizes
this condition
b) Posting a sign on the crib stating "no abdominal
palpation"
c) Scheduled administration of morphine for this painful
tumor
d) Strict adherence to protective infection prevention
precautions - CORRECT ANSWER b) Posting a sign on the crib stating "no abdominal
palpation"
Abdominal palpations may rupture the tumor
A 3 year old is hospitalized for treatment of Kawasaki
disease. During the acute phase of this disease, the
nurse must asses the child for:
a) Level of consciousness
b) Kidney failure
c) Desquamation of the hands and feet
d) Hepatitis - CORRECT ANSWER c) Desquamation of the hands and feet
The child's hands and feet become edematous and the palms and feet become
erythematous. Areas affected by the rash may desquamate.
An 8 year old patient has neutropenia. What is
important information that will guide the care you
provide:
a) Lab reports will show a deficiency in protective
antibodies
b) You may not see signs of inflammation even when it
is present
c) The child is at risk for autoimmune disease
d) The child is at risk for anemia and platelet deficiency - CORRECT ANSWER b) You may not see signs of inflammation even when it
is present
What is the most appropriate equipment to have
available for the child arriving in the ED with suspected
Epiglottitis?
a) Bag-mask and bronchodilators
b) Tracheostomy setup and oxygen
c) Suction set up and oxygen
d) Antibiotics and suction - CORRECT ANSWER b) Tracheostomy setup and oxygen
Stridor is most commonly heard when assessing which
of the following conditions?
a) Croup
b) Asthma
c) Cystic Fibrosis
d) Pneumonia - CORRECT ANSWER a) Croup
A preschool-age child underwent a tonsillectomy 4
hours ago. Which assessment finding would make the
nurse suspect postoperative hemorrhage?
a) Vomiting of dark brown emesis
b) Refusal to drink clear fluids
c) Decreased heart rate
d) Frequent swallowing - CORRECT ANSWER d) Frequent swallowing
The mother of a 10 year old complains that her
daughter "zones out frequently and just seems to be
daydreaming." She denies any concurrent movement
changes or loss of consciousness. This behavior may
be indicative of which type of seizure?
a) Absence seizures
b) Complex partial seizures
c) Myoclonic seizures
d) Simple partial seizures - CORRECT ANSWER a) Absence seizures
A nurse is confronted with an ethical dilemma. Which of
the following documents will probably be most beneficial
in helping resolve the concern?
a) ANA Code of Ethics
b) Health Insurance Portability and Accountability Act
(HIPAA)
c) Patient Care Partnership
d) The Joint Commission - CORRECT ANSWER a) ANA Code of Ethics
The nurse notices a line of dark, thick, velvety skin
along the back neck crease of an adolescent boy. This
find is often present with which condition?
a) Diabetes insipidus
b) Hyperthyroidism
c) Type 1 diabetes
d) Type 2 diabetes - CORRECT ANSWER d) Type 2 diabetes
Acanthosis nigricans is often found in children with type 2 diabetes
Which diagnostic study is performed periodically to
monitor potential medication side effects in children with
juvenile idiopathic arthritis (JIA)?
a) Antinuclear antibiotics
b) Liver enzymes
c) Rheumatoid factor
d) White blood cells - CORRECT ANSWER b) Liver enzymes
Liver enzymes are check to monitor for liver disease a side effect
of medications used for JIA.
Research has identified which of the following as a
protective factor against sudden infant death
syndrome?
a) Avoidance of pacifier at bedtime
b) Breastfeeding
c) Consistent use of video monitoring device
d) Well-supported side-sleeping position - CORRECT ANSWER b) Breastfeeding
Breastfeeding is a protective factor, although use of a pacifier and
back sleeping position are also considered protective
A 12 year old with Down Syndrome is admitted to your
unit. When planning care, what is most important for the
nurse to keep in mind?
a) This patient should be spoken to with language
appropriate for a preschool child
b) The child's intellectual disability may require a large crib
for the child's protection
c) It is essential to assess the child's adaptive functioning
as well as their cognitive level before care is planned
d) The parents are probably older and will need a great
deal of support. - CORRECT ANSWER c) It is essential to assess the child's adaptive functioning
as well as their cognitive level before care is planned
The child with a fractured left femur receives a cast. A
short time later, the nurse notices that the toes on the
child's left foot are edematous. Which nursing action
would be most important?
a) Applying ice to the foot
b) Messaging the toes
c) Elevating the foot of the bed
d) Placing the child on the right side - CORRECT ANSWER c) Elevating the foot of the bed
A 3 month old child accompanies her parents to a
seasonal flu clinic. Assuming that the child does not
have a fever, can the nurse give the child a flu shot?
a) Yes, if regular immunizations are up to date
b) No, because the child is not old enough
c) Yes, because the child won't get sick later
d) No, because it would interfere with regular
immunizations - CORRECT ANSWER b) No, because the child is not old enough
Infants must be 6 months old to have a flu shot
A first time parent is discussing developmental
milestones with the nurse. the nurse tells the client that
she can reasonably expect her child to achieve which of
the following by the time the child is 1 year old? Select
all that apply
a) Walking
b) Rolling from tummy to side
c) Transferring toys from hand to hand
d) Beginning to respond selectively to words
e) Vocalizing sounds (coos) - CORRECT ANSWER b) Rolling from tummy to side
c) Transferring toys from hand to hand
d) Beginning to respond selectively to words
e) Vocalizing sounds (coos)
A teenage client is admitted to the hospital with
anorexia nervosa. Which of the following statements by
the client requires immediate follow-up by the nurse?
a) My gums were bleeding this morning
b) I'm getting fatter every day
c) Nobody likes me because I'm so ugly
d) I'm feeling dizzy and weak today - CORRECT ANSWER d) I'm feeling dizzy and weak today
A 14 year old boy has been prescribed amphetamine
and dextroamphetamine (Adderall) for ADHD. The
nurse explains that the patient should be alert for which
of the following adverse drug effects?
a) Weight gain
b) Depression
c) Somnolence
d) Bradycardia - CORRECT ANSWER b) Depression
Children with ADD/ADHD are at greater risk for conduct disorder, oppositional
defiant disorder, depression, anxiety disorders, and development disorders
such as speech and language delays and leaning disabilities
A 2 month old infant is brought to the pediatrician's
office for a well-baby visit. During the examination,
congenital subluxation of the left hip is suspected. The
nurse would expect to see which of the following
symptoms?
a) Lengthening of the limb on the affected side
b) Deformities of the foot and ankle
c) Asymmetry of the gluteal and thigh folds
d) Planter flexion of the foot - CORRECT ANSWER c) Asymmetry of the gluteal and thigh folds
C: restricted movement of affected side
A 4 week old is suspected of having pyloric stenosis.
Which of the following symptoms would you expect?
a) Olive-sized bulge in the abdomen
b) Projectile vomiting of bile-tinged vomitus
c) Malnutrition
d) Inability to pass an NG Tube - CORRECT ANSWER a) Olive-sized bulge in the abdomen
The hypertrophied pylorus may be palpable as an olive-like mass in the upper
abdomen, most easily felt when the stomach is empty and the infant is quiet.
What statement by a child's parent would be revealing
about an abusing parent's personality?
a) My kid cries all the time
b) My kid never smiles at me; he doesn't like me
c) She's such a fussy eater
d) I can't wait until this kid sleeps at night - CORRECT ANSWER b) My kid never smiles at me; he doesn't like me
After the birth of a son with hypospadias, parents need
to know that this condition:
a) Can be prevented in the future by earlier prenatal
care
b) Is easily correctable with one simple surgical
procedure
c) May require a temporary urinary catheter after repair
d) Requires prompt circumcision to prevent urinary tract
infection - CORRECT ANSWER c) May require a temporary urinary catheter after repair
A catheter may be used after surgical intervention, hypospadias is not related to prenatal
care, several surgeries may be required, and the foreskin may be used during the repair [Show Less]