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CPN EXAM - PRACTICE UPDATED
EXAM WITH VERIFIED SOLUTIONS.
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
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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
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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
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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.
CPN EXAM - PRACTICE UPDATED
EXAM WITH VERIFIED SOLUTIONS.
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
, Page | 2
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
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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
, Page | 4
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.
