CPN (CERTIFIED PEDIATRIC NURSE)
EXAM COMPLETE
CPN (CERTIFIED PEDIATRIC NURSE) EXAM
COMPLETE TEST BANK VERIFIED
QUESTIONS AND CORRECT ANSWERS with
DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
The nurse is teaching a parenting group about patterns of growth & development. What is the best
example to use to explain cephalocaudal development? A) After sitting independently, the baby will
A+ TEST BANK 1
, CPN (CERTIFIED PEDIATRIC NURSE)
EXAM COMPLETE
begin to reach for objects. B) First the baby will play with sounds, like babbling, then say simple words.
C) Learning to run and jump comes after mastering walking. D) The baby gets control of their head
before their arms and hands.
D
Rationale: Cephalocaudal means head to toe therefore head control develops before control of the
arms and hands. Domain: Growth & Development A
An experienced nurse is teaching newly hired nurses in an orientation program. An orientee asks,
"Why do we have to listen to the heart and lungs for a minute?" What is the experienced nurse's best
response? A) Breathing may be irregular and pulse varies with inspiration and expiration. B) Children
may move during assessment requiring a longer listening time. C) Counting for one minute eliminates
mathematical errors. D) Listening that long allows the nurse to assess lung and heart sounds while
counting.
A
Rationale: Infant breathing is irregular and the heart rate increases and decreases with inspiration and
expiration. Because of the irregularity, counting for less than 60 seconds and multiplying may result in
inaccurate rates. Domain: Growth & Development
An 8 year old is diagnosed with chicken pox. At what stage may the child return to school? A)
Immediately, as chicken pox are not contagious B) When all the lesions have scabbed over C)4-6 days
from diagnose D)When fever free for 24 hours
B
Rationale: Keep the child home and away from susceptible individuals until vesicles have dried (usually
1 week after onset of disease). Notify school or daycare of child's illness (Hockenberry & Wilson, 2015).
Domain: Infectious Disease
A+ TEST BANK 2
, CPN (CERTIFIED PEDIATRIC NURSE)
EXAM COMPLETE
You are bathing a 2-year-old when you notice a red area on their back that resembles a bulls-eye with a
red outer ring, a central area of clearing, and a red center. You know that this is caused by: A) Tick bite
B) Black widow spider C) Mosquito D) Brown recluse spider
A
Rationale: A painless red rash that starts as a red macule or papule and expands over days or weeks. It
may have a bull's eye appearance or it may look like a bruise in a darker skin person (Ball, Bindle, &
Cowan, 2015). Domain: Infectious Disease
A general contraindication for all immunizations is: A) Vomiting B) Headache C) Common Cold D)
Febrile illness
D
Rationale: This precaution avoids adding the risk of adverse side effects from the vaccine to an already
ill child or mistakenly identifying a symptom of the disease as having been caused by the vaccine
(Hockenberry & Wilson, 2015). Domain: Infectious Disease
Which laboratory finding is most concerning in the child with sickle cell disease, who reports that they
have recently had a viral illness A) Hemoglobin- 8.8 g/dL B) Reticulocyte Count- 0.3% C) BUN- 7 mg/dL
D) Urinalysis- bilirubin
B
Rationale: patients with sickle cell disease may develop aplastic crisis follow infection (particularly with
Parvovirus), which typically initially presents with a low reticulocyte count. Without treatment and
supportive care, the patient can become significantly anemic since the bone marrow ceases RBC
production, which is exacerbated by the hemolytic nature of sickle cell disease. A hemoglobin of 8.8
may be considered at patient's baseline for children with sickle cell disease. BUN is normal, and
bilirubin present in the urine, while not considered a normal finding, may occur in patients with more
A+ TEST BANK 3
, CPN (CERTIFIED PEDIATRIC NURSE)
EXAM COMPLETE
severe sickle cell disease (due to hemolysis) and is not the most concerning at this time given the
reticulocyte count. Domain: Hematologic Conditions
April, a 12 year old female with sickle cell disease is admitted with a pain crisis. Your nursing
interventions include all of the following except A) Promoting pain management with icepacks to
affected area B) Administering IV hydration C) Promoting ambulation D) Encouraging deep breathing
and use of an incentive spirometer
A
Rationale: Ice may promote vaso-occlusion which may exacerbate the sickling process and worsen the
vasoocclusive crisis. Hydration, ambulation, and encouraging deep breathing and incentive spirometer
use are all appropriate interventions to maximize patient outcomes and prevent complications
including acute chest syndrome. Domain: Hematologic Conditions
You are a nurse in a pediatric clinic and are performing teaching with a patient and parents of a child
with sickle cell disease who is taking hydroxyurea. Which of the following statements by the patient's
parents indicate that more teaching is needed? A) "Supplementation with iron will not help to
decrease my child's sickle cell anemia" B) "I will ensure my child is dressed appropriately when the
weather is cool and they are dried off quickly after getting out of the pool" C) "If my child has a fever, I
will call his/her hematologist immediately" D) "I will be sure not to give my child ibuprofen due to the
risk of bleeding"
D
Rationale: NSAIDS are an appropriate pharmacologic intervention for children with sickle cell disease.
The other statements are correct: in sickle cell disease, anemia is caused by hemolysis, not by a
deficiency of iron. In fact, some children may be at risk for iron overload if they have received multiple
transfusions. Drying off a child quickly and protecting from cool/cold weather can prevent a vaso-
occlusive crisis. Fevers require immediate attention in children with sickle cell disease due to their risk
for infection and functional asplenia as they progress through childhood. Domain: Hematologic
Conditions
A+ TEST BANK 4
EXAM COMPLETE
CPN (CERTIFIED PEDIATRIC NURSE) EXAM
COMPLETE TEST BANK VERIFIED
QUESTIONS AND CORRECT ANSWERS with
DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
The nurse is teaching a parenting group about patterns of growth & development. What is the best
example to use to explain cephalocaudal development? A) After sitting independently, the baby will
A+ TEST BANK 1
, CPN (CERTIFIED PEDIATRIC NURSE)
EXAM COMPLETE
begin to reach for objects. B) First the baby will play with sounds, like babbling, then say simple words.
C) Learning to run and jump comes after mastering walking. D) The baby gets control of their head
before their arms and hands.
D
Rationale: Cephalocaudal means head to toe therefore head control develops before control of the
arms and hands. Domain: Growth & Development A
An experienced nurse is teaching newly hired nurses in an orientation program. An orientee asks,
"Why do we have to listen to the heart and lungs for a minute?" What is the experienced nurse's best
response? A) Breathing may be irregular and pulse varies with inspiration and expiration. B) Children
may move during assessment requiring a longer listening time. C) Counting for one minute eliminates
mathematical errors. D) Listening that long allows the nurse to assess lung and heart sounds while
counting.
A
Rationale: Infant breathing is irregular and the heart rate increases and decreases with inspiration and
expiration. Because of the irregularity, counting for less than 60 seconds and multiplying may result in
inaccurate rates. Domain: Growth & Development
An 8 year old is diagnosed with chicken pox. At what stage may the child return to school? A)
Immediately, as chicken pox are not contagious B) When all the lesions have scabbed over C)4-6 days
from diagnose D)When fever free for 24 hours
B
Rationale: Keep the child home and away from susceptible individuals until vesicles have dried (usually
1 week after onset of disease). Notify school or daycare of child's illness (Hockenberry & Wilson, 2015).
Domain: Infectious Disease
A+ TEST BANK 2
, CPN (CERTIFIED PEDIATRIC NURSE)
EXAM COMPLETE
You are bathing a 2-year-old when you notice a red area on their back that resembles a bulls-eye with a
red outer ring, a central area of clearing, and a red center. You know that this is caused by: A) Tick bite
B) Black widow spider C) Mosquito D) Brown recluse spider
A
Rationale: A painless red rash that starts as a red macule or papule and expands over days or weeks. It
may have a bull's eye appearance or it may look like a bruise in a darker skin person (Ball, Bindle, &
Cowan, 2015). Domain: Infectious Disease
A general contraindication for all immunizations is: A) Vomiting B) Headache C) Common Cold D)
Febrile illness
D
Rationale: This precaution avoids adding the risk of adverse side effects from the vaccine to an already
ill child or mistakenly identifying a symptom of the disease as having been caused by the vaccine
(Hockenberry & Wilson, 2015). Domain: Infectious Disease
Which laboratory finding is most concerning in the child with sickle cell disease, who reports that they
have recently had a viral illness A) Hemoglobin- 8.8 g/dL B) Reticulocyte Count- 0.3% C) BUN- 7 mg/dL
D) Urinalysis- bilirubin
B
Rationale: patients with sickle cell disease may develop aplastic crisis follow infection (particularly with
Parvovirus), which typically initially presents with a low reticulocyte count. Without treatment and
supportive care, the patient can become significantly anemic since the bone marrow ceases RBC
production, which is exacerbated by the hemolytic nature of sickle cell disease. A hemoglobin of 8.8
may be considered at patient's baseline for children with sickle cell disease. BUN is normal, and
bilirubin present in the urine, while not considered a normal finding, may occur in patients with more
A+ TEST BANK 3
, CPN (CERTIFIED PEDIATRIC NURSE)
EXAM COMPLETE
severe sickle cell disease (due to hemolysis) and is not the most concerning at this time given the
reticulocyte count. Domain: Hematologic Conditions
April, a 12 year old female with sickle cell disease is admitted with a pain crisis. Your nursing
interventions include all of the following except A) Promoting pain management with icepacks to
affected area B) Administering IV hydration C) Promoting ambulation D) Encouraging deep breathing
and use of an incentive spirometer
A
Rationale: Ice may promote vaso-occlusion which may exacerbate the sickling process and worsen the
vasoocclusive crisis. Hydration, ambulation, and encouraging deep breathing and incentive spirometer
use are all appropriate interventions to maximize patient outcomes and prevent complications
including acute chest syndrome. Domain: Hematologic Conditions
You are a nurse in a pediatric clinic and are performing teaching with a patient and parents of a child
with sickle cell disease who is taking hydroxyurea. Which of the following statements by the patient's
parents indicate that more teaching is needed? A) "Supplementation with iron will not help to
decrease my child's sickle cell anemia" B) "I will ensure my child is dressed appropriately when the
weather is cool and they are dried off quickly after getting out of the pool" C) "If my child has a fever, I
will call his/her hematologist immediately" D) "I will be sure not to give my child ibuprofen due to the
risk of bleeding"
D
Rationale: NSAIDS are an appropriate pharmacologic intervention for children with sickle cell disease.
The other statements are correct: in sickle cell disease, anemia is caused by hemolysis, not by a
deficiency of iron. In fact, some children may be at risk for iron overload if they have received multiple
transfusions. Drying off a child quickly and protecting from cool/cold weather can prevent a vaso-
occlusive crisis. Fevers require immediate attention in children with sickle cell disease due to their risk
for infection and functional asplenia as they progress through childhood. Domain: Hematologic
Conditions
A+ TEST BANK 4
