2025 Certified Pediatric Nurse CPN
Certification Exam New Latest Version with All
175 Questions from Actual Exam with Answers
and Rationale
solitary play - <<<<ANSWERS>>>playing alone
Begins in infancy and common in toddlers
Toys are dissimilar if there are other children in room
Parallel play - <<<<ANSWERS>>>Children play side by side
Especially common in toddlers
Similar toys but lack interaction
12 Month Red Flags - <<<<ANSWERS>>>Not crawling
Not standing with support
Not using consonant sounds (dada mama)
Not using gestures
Anterior fontanel closure - <<<<ANSWERS>>>18mo
First steps - <<<<ANSWERS>>>12-15 mo
Red Flag Toddler - <<<<ANSWERS>>>Not walking at 15mo
Toe walking
Not using words
Car Seats - <<<<ANSWERS>>>Under 2- rear facing
2-3yrs forward facing
4-8yrs booster seat in rear
5 types of play - <<<<ANSWERS>>>solitary, onlooker, parallel, associative,
cooperative
Associative play - <<<<ANSWERS>>>Group play without group goals
Preschool period
Lack of formal organization
Acute Epiglottitis - <<<<ANSWERS>>>Obstruction of supraglottitis
2-5yrs old
Prevention: Hib vaccine
, 3 month Key Milestones - <<<<ANSWERS>>>Brings hands to mouth
Grasps and hold object- actively holds rattle but not reaching for it
Takes swipes at objects
Watches faces intently
Smiles at sound of your voice
begins to imitate some sounds
4 to 6 Months - <<<<ANSWERS>>>Demands and enjoys attention
Chuckles and laughs
Attachment begins discovers hands
6 Months - <<<<ANSWERS>>>Peak time of development
Good head support - no head lag
Rolling in both directions
Bares weight on legs
Sitting with support - tripod position
6 Months Red Flags - <<<<ANSWERS>>>Stiff of floppy tone
No affections or cuddling behavior
Does not track objects with eyes
Does not respond to sounds
Lack of social smile by 5 months
Acute Epiglottitis S&S - <<<<ANSWERS>>>Abrupt onset, night
Pain on swallowing
Fever
Tripod position
Drooling, excess secretions
Voice muffled
Restless/irrtatble
Froglike croaking on INSPIRATION
Cherry red edematous epiglottis
RSV x-ray - <<<<ANSWERS>>>Patchy atelectasis
Infiltration
Hyperinflation
RSV S&S - <<<<ANSWERS>>>Begins with URI
Bronchiolar mucosa swells, fill wit mucous and exudates
Rhinorrhea
Low grade temp
Otitis media
Conjunctivitis
Cough
Certification Exam New Latest Version with All
175 Questions from Actual Exam with Answers
and Rationale
solitary play - <<<<ANSWERS>>>playing alone
Begins in infancy and common in toddlers
Toys are dissimilar if there are other children in room
Parallel play - <<<<ANSWERS>>>Children play side by side
Especially common in toddlers
Similar toys but lack interaction
12 Month Red Flags - <<<<ANSWERS>>>Not crawling
Not standing with support
Not using consonant sounds (dada mama)
Not using gestures
Anterior fontanel closure - <<<<ANSWERS>>>18mo
First steps - <<<<ANSWERS>>>12-15 mo
Red Flag Toddler - <<<<ANSWERS>>>Not walking at 15mo
Toe walking
Not using words
Car Seats - <<<<ANSWERS>>>Under 2- rear facing
2-3yrs forward facing
4-8yrs booster seat in rear
5 types of play - <<<<ANSWERS>>>solitary, onlooker, parallel, associative,
cooperative
Associative play - <<<<ANSWERS>>>Group play without group goals
Preschool period
Lack of formal organization
Acute Epiglottitis - <<<<ANSWERS>>>Obstruction of supraglottitis
2-5yrs old
Prevention: Hib vaccine
, 3 month Key Milestones - <<<<ANSWERS>>>Brings hands to mouth
Grasps and hold object- actively holds rattle but not reaching for it
Takes swipes at objects
Watches faces intently
Smiles at sound of your voice
begins to imitate some sounds
4 to 6 Months - <<<<ANSWERS>>>Demands and enjoys attention
Chuckles and laughs
Attachment begins discovers hands
6 Months - <<<<ANSWERS>>>Peak time of development
Good head support - no head lag
Rolling in both directions
Bares weight on legs
Sitting with support - tripod position
6 Months Red Flags - <<<<ANSWERS>>>Stiff of floppy tone
No affections or cuddling behavior
Does not track objects with eyes
Does not respond to sounds
Lack of social smile by 5 months
Acute Epiglottitis S&S - <<<<ANSWERS>>>Abrupt onset, night
Pain on swallowing
Fever
Tripod position
Drooling, excess secretions
Voice muffled
Restless/irrtatble
Froglike croaking on INSPIRATION
Cherry red edematous epiglottis
RSV x-ray - <<<<ANSWERS>>>Patchy atelectasis
Infiltration
Hyperinflation
RSV S&S - <<<<ANSWERS>>>Begins with URI
Bronchiolar mucosa swells, fill wit mucous and exudates
Rhinorrhea
Low grade temp
Otitis media
Conjunctivitis
Cough