CPN Exam – Practice Questions and Answers (2026 Updated) – 100% Solved
. 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." - ✔✔✔-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
. 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 - ✔✔✔-a) Absent red reflex
The red reflex in a child with retinoblastoma may be absent or have an
abnormal appearance
. 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
,CPN Exam – Practice Questions and Answers (2026 Updated) – 100% Solved
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 - ✔✔✔-a) Increase their independence
• 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
,CPN Exam – Practice Questions and Answers (2026 Updated) – 100% Solved
5. Foreign body aspiration - ✔✔✔-4. Croup
• 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 - ✔✔✔-4. Let the mother hold
the child on her lap during the treatment
• 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 - ✔✔✔-4. The child will receive the recommended basic series for
immunizations along with a yearly influenza vaccine and high
risk pneumococcal vaccine
, CPN Exam – Practice Questions and Answers (2026 Updated) – 100% Solved
• 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 - ✔✔✔-4. Relaxing constricted bronchial
smooth muscle
• 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 - ✔✔✔-4. Holding the infant upright
when feeding with a bottle
• 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 - ✔✔✔-1. Positive
• Which of the following, when described by the parents of
a child with CF, indicate they understand the underlying
. 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." - ✔✔✔-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
. 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 - ✔✔✔-a) Absent red reflex
The red reflex in a child with retinoblastoma may be absent or have an
abnormal appearance
. 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
,CPN Exam – Practice Questions and Answers (2026 Updated) – 100% Solved
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 - ✔✔✔-a) Increase their independence
• 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
,CPN Exam – Practice Questions and Answers (2026 Updated) – 100% Solved
5. Foreign body aspiration - ✔✔✔-4. Croup
• 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 - ✔✔✔-4. Let the mother hold
the child on her lap during the treatment
• 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 - ✔✔✔-4. The child will receive the recommended basic series for
immunizations along with a yearly influenza vaccine and high
risk pneumococcal vaccine
, CPN Exam – Practice Questions and Answers (2026 Updated) – 100% Solved
• 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 - ✔✔✔-4. Relaxing constricted bronchial
smooth muscle
• 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 - ✔✔✔-4. Holding the infant upright
when feeding with a bottle
• 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 - ✔✔✔-1. Positive
• Which of the following, when described by the parents of
a child with CF, indicate they understand the underlying
