CPN (Certified Pediatric Nurse) Examination | 2026/2027 | Certified Pediatric Nurse Focus | Exam-Aligned Format | Complete Exam Paper with Questions and Verified Answers

CPN (Certified Pediatric Nurse) Examination | 2026/2027 | Certified Pediatric Nurse Focus | Exam-Aligned Format | Complete Exam Paper with Questions and Verified Answers Certified Pediatric Nurse (CPN) National Certification Examination | Core Domains: Health Promotion & Maintenance, Assessment & Diagnosis of Pediatric Conditions, Clinical Management & Therapeutic Interventions, Psychosocial & Family-Centered Care, Growth & Development, Safety & Infection Control, Pharmacology in Pediatrics, and Professional Pediatric Nursing Practice | Comprehensive Pediatric Nurse Exam Preparation ________________________________________ Exam Structure The Certified Pediatric Nurse (CPN) Examination for the 2026/2027 certification cycle is a 175-question comprehensive assessment covering essential components of pediatric nursing practice. The exam integrates clinical judgment questions, scenario-based pediatric care applications, and evidence-based practice principles, ensuring readiness for certification standards set by the Pediatric Nursing Certification Board (PNCB). ________________________________________ Introduction This CPN 2026/2027 Exam Guide provides a fully updated and exam-aligned resource containing 175 verified questions and correct answers across all pediatric nursing domains. It reinforces pediatric assessment skills, developmental milestones, acute and chronic pediatric conditions, therapeutic interventions, communication with children and families, and safety principles essential for high-quality pediatric care. Each question has been selected to reflect real exam expectations and support strong clinical performance in pediatric nursing practice. ________________________________________ Answer Format All correct answers appear in YELLOW, followed by clear rationales that explain pediatric assessment findings, nursing priorities, clinical management decisions, and developmental considerations. Rationales emphasize safe, evidence-based pediatric practice and align with current PNCB pediatric nursing competencies. The principles of growth and development include all of the following except: a. Each child 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 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 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 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 d. Temperature-regulating mechanisms are immature Four year old Juan is being admitted a. Initiative vs. guilt 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 Which of the following criteria is used b. The child can demonstrate an awareness that she in assessing is readiness for toilet training? urinating and defecating 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 Thomas is a 6 month old who b. 12 lbs 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 You are preparing to measure the b. 50% greater than his birth length 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 Dana is a 30-month-old female whose a. Girls: 0-36 months 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 When performing a well-child d. Open anterior and closed posterior fontanel 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 A bottle-fed infant, age 3 months, is c. "I'm giving the baby iron-fortified formula and a brought to the fluoride supplement pediatrician's office for a well-child because our water isn't fluoridated." 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." When assessing the development of b. Failure to smile 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 When assessing the 7 month old, a. Rocking back and forth on hands and knees 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 Which of the following is not well b. Vision developed in a newborn infant? a. Hearing b. Vision c. Touch d. Pain sensation Introduction of a cup to drink fluids b. 6 months can begin as early as what age? a. 3 months b. 6 months c. 9 months d. 12 months You are educating the mother of an c. 12 months 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 Which of the following types of play d. Parallel would the nurse expect to see when assessing a toddler? a. Cooperative b. Associative c. Solitary d. Parallel A four year old who is blind is d. Place one food at a time in front of her 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 When developing a plan of care for b. Establishing an identity 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 A 9 month old infant is hospitalized for d. Maintaining a consistent, structured environment 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 A child, age 15 months, is recovering b. Increased heart rate 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 You are the nurse in a community c. Rear facing car seat in the rear of the automobile 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 Four year old Rebecca, who is a. Magical thinking 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 A mother brings her 10 month old son a. "Your baby's behavior indicates stranger anxiety, to the pediatrician's office. When which is the nurse approaches to measure the common at his age." 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." When telling a 4 year old about an a. Tell the child immediately before the procedure is upcoming procedure, the to nurse's most important consideration occur 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 An 18 month old child, immobilized b. A pounding board 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 A parent calls the clinic to express a. 2-4 years 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 When assessing a toddler's growth b. Autonomy 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 A school age child with a chronic d. Have her classmates send her letters wishing her condition is hospitalized for a the fourth time this year. What would good recovery 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 A child, age 5, is brought to the c. Up to 20 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 The nurse should expect a 3-year-old c. Ride a tricycle child to be able to perform which action? a. Roller-skate b. Tie shoe laces c. Ride a tricycle d. Jump rope When performing a physical c. Breast bud development 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 The nurse suspects that a child, age c. "What did your child eat for breakfast today?" 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? A 2-year-old who is chronically ill is b. Crying is a sign of attachment, but you need time being admitted to the for yourself inpatient unit for pain control. Her too 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 A mother of a 3 ½-year-old cannot d. The mother leave one of her possessions behind stay in the hospital with for the child 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 An emergency room nurse is caring 3. Defer inspecting the throat until staff and for an 3 year old equipment present child who presents with irritability, for emergency tracheotomy 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 Which of the following assessments 2. Sitting up, leaning forward with chin thrust out 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 A nurse is caring for an infant with 2. If necessary, may cohort with another child with confirmed RSV 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 A 10 year old child is treated for acute 1. Decreased wheezing 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 The mother of an 8 year old being 3. Encourage the child to lie on the right side 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 Which of the following describes the 1. A defective gene inhibits the body's ability to defective process move salt and that occurs in cystic fibrosis? water in and out of cells 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 A new mother expresses concern to 4. Back or supine 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 • A clinic nurse is providing 4. The child will receive the recommended basic instructions to the mother of a series for preschool child with cystic fibrosis immunizations along with a yearly influenza vaccine regarding the and high immunization schedule for her child. risk pneumococcal vaccine 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 • The pediatric nurse read the results 1. Positive 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 Isoniazid is prescribed for a child with 4. 12 months 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 A hospitalized 2 year old with croup is 3. Antibiotics are not indicated unless a bacterial receiving infection is corticosteroid therapy and the mother present 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 • A child with croup is receiving a 4. Let the mother hold the child on her lap during the nebulized dose of treatment 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 A 16 year old male comes into the 3. Pneumothorax 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 What is the most appropriate 2. Tracheotomy set up and oxygen 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 • The nurse recommends which of the 4. Holding the infant upright when feeding with a following to prevent bottle 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 Mom says her 5 year old daughter 3. Pneumonia 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 Mom calls you to assess her 4 month 4. Manage the airway, increase oxygen, suction 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 • Which of the following, when 1. An abnormality in the body's mucous secreting described by the parents of glands 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 • A 4 year old boy was brought to the 4. Croup 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 • The major pharmacologic action of 4. Relaxing constricted bronchial smooth muscle 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 The mother of a 3 year old boy with 4. 50% 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% What are the abnormal changes in 3. Stenosis of the pulmonary artery, hypertrophy of heart the right ventricle, ventricular septal defect and structures in Tetralogy of Fallot? overriding aorta 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 What medication is often used to 1. Prostaglandin E maintain a patent ductus arteriosus? 1. Prostaglandin E 2. D51/2 NS 3. Fentanyl 4. Esmolol Which of the following are priority 1. Apical pulse prior to administration 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 A child with a cyanotic heart defect 4. Compensation for hypoxia has an elevated hemoglobin level, hematocrit and RBC count. What do these suggest? 1. Anemia 2. Dehydration 3. Jaundice 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. A 7 year old child was recently d) Extended family 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 When conducting an initial c) Ask the child's mother what approach would work assessment of a 5 year old best 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 An infant weighed 2.90 kg at birth, a) Normal for her age 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 Parents of a 4 month old infant bring b) Tell me more about how you found her. 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? . The father of a 2½ year old girl tells a) Increase their independence 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 Parents of an 18 month old are d) Consistently enforce well-defined limits, such as worried about their child's no behaviors and propensity to have playing on the stairs 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 . An infant with retinoblastoma will a) Absent red reflex exhibit which of the The red reflex in a child with retinoblastoma may be following? absent or have an a) Absent red reflex abnormal appearance b) Eyes that gaze in one direction c) Inability to visually track an object d) Nystagmus Which visual disorder is characterized d) Retinopathy of prematurity 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 . A mother calls the clinic because d) "Her eardrum may have torn. Bring her in today." she suspect that her The rupture of tympanic membrane provides release baby as otitis media. The baby has of fluid with relief of pressure been pulling at her and pain 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." Which nursing intervention is the b) Posting a sign on the crib stating "no abdominal highest priority when palpation" caring for an infant awaiting surgery Abdominal palpations may rupture the tumor 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 A 3 year old is hospitalized for c) Desquamation of the hands and feet treatment of Kawasaki The child's hands and feet become edematous and disease. During the acute phase of the palms and feet become this disease, the erythematous. Areas affected by the rash may nurse must asses the child for: desquamate. a) Level of consciousness b) Kidney failure c) Desquamation of the hands and feet d) Hepatitis An 8 year old patient has b) You may not see signs of inflammation even neutropenia. What is when it important information that will guide is present 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 What is the most appropriate b) Tracheostomy setup and oxygen 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 Stridor is most commonly heard when a) Croup assessing which of the following conditions? a) Croup b) Asthma c) Cystic Fibrosis d) Pneumonia A preschool-age child underwent a d) Frequent swallowing 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 The mother of a 10 year old a) Absence seizures 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 A nurse is confronted with an ethical a) ANA Code of Ethics 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 The nurse notices a line of dark, thick, d) Type 2 diabetes velvety skin Acanthosis nigricans is often found in children with along the back neck crease of an type 2 diabetes adolescent boy. This find is often present with which condition? a) Diabetes insipidus b) Hyperthyroidism c) Type 1 diabetes d) Type 2 diabetes Which diagnostic study is performed b) Liver enzymes periodically to monitor potential medication side Liver enzymes are check to monitor for liver disease effects in children with a side effect juvenile idiopathic arthritis (JIA)? of medications used for JIA. a) Antinuclear antibiotics b) Liver enzymes c) Rheumatoid factor d) White blood cells Research has identified which of the b) Breastfeeding following as a protective factor against sudden Breastfeeding is a protective factor, although use of infant death a pacifier and syndrome? back sleeping position are also considered a) Avoidance of pacifier at bedtime protective b) Breastfeeding c) Consistent use of video monitoring device d) Well-supported side-sleeping position A 12 year old with Down Syndrome is c) It is essential to assess the child's adaptive admitted to your functioning unit. When planning care, what is as well as their cognitive level before care is most important for the planned 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. The child with a fractured left femur c) Elevating the foot of the bed 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 A 3 month old child accompanies her b) No, because the child is not old enough parents to a Infants must be 6 months old to have a flu shot 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 A first time parent is discussing b) Rolling from tummy to side developmental c) Transferring toys from hand to hand milestones with the nurse. the nurse d) Beginning to respond selectively to words tells the client that e) Vocalizing sounds (coos) 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) A teenage client is admitted to the d) I'm feeling dizzy and weak today 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 A 14 year old boy has been b) Depression prescribed amphetamine Children with ADD/ADHD are at greater risk for and dextroamphetamine (Adderall) for conduct disorder, oppositional ADHD. The defiant disorder, depression, anxiety disorders, and nurse explains that the patient should development disorders be alert for which such as speech and language delays and leaning of the following adverse drug effects? disabilities a) Weight gain b) Depression c) Somnolence d) Bradycardia A 2 month old infant is brought to the c) Asymmetry of the gluteal and thigh folds pediatrician's office for a well-baby visit. During the C: restricted movement of affected side 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 A 4 week old is suspected of having a) Olive-sized bulge in the abdomen pyloric stenosis. The hypertrophied pylorus may be palpable as an Which of the following symptoms olive-like mass in the upper would you expect? abdomen, most easily felt when the stomach is a) Olive-sized bulge in the abdomen empty and the infant is quiet. b) Projectile vomiting of bile-tinged vomitus c) Malnutrition d) Inability to pass an NG Tube What statement by a child's parent b) My kid never smiles at me; he doesn't like me 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 After the birth of a son with c) May require a temporary urinary catheter after hypospadias, parents need repair to know that this condition: a) Can be prevented in the future by A catheter may be used after surgical intervention, earlier prenatal hypospadias is not related to prenatal care care, several surgeries may be required, and the b) Is easily correctable with one foreskin may be used during the repair simple surgical procedure c) May require a temporary urinary catheter after repair d) Requires prompt circumcision to prevent urinary tract infection