CPN multi choice practice Guide Questions with A level
solution version 2026/2027
A child experiencing hip pain would typically feel referred pain in which location?
A. back
B. foot
C. knee
D. opposite hip - correct answer C. knee
For a toddler who requires frequent intramuscular injections, which of the following sites
is MOST appropriate?
A. deltoid
B. dorsogluteal
C. vastus lateralis
D. ventrogluteal - correct answer D. ventrogluteal
Which is the BEST method to prepare a 10 year old for an IV insertion?
A. prepare the child immediately before beginning the procedure
B. explain the insertion process using simple diagrams
C. allow the child to play out the experience with a doll
D. encourage discussion regarding fears - correct answer B. explain the insertion
process using simple diagrams
When should a child who is to start kindergarten be told about the immunizations that
will be needed before beginning school?
A. a week before the immunization appointment
B. the day before the scheduled appointment
C. in the clinic waiting room
D. immediately before immunizations are given - correct answer D. immediately before
immunizations are given
,Which of the following responses is expected in a 2 year old experiencing pain?
A. generalized body movements and chin quivering
B. screams and cannot describe intensity of pain
C. clenched fists and emotional withdrawal
D. denies pain and strikes out physically - correct answer B. screams and cannot
describe intensity of pain
Which laboratory value in a child with anorexia nervosa is associated with poorer
outcomes?
A. decreased hemoglobin and hematocrit
B. increased white blood cell count
C. decreased albumin
D. increased creatinine - correct answer D. increased creatinine
During a history interview with the caregiver of a healthy 19 month old, which question
is of GREATEST significance?
A. "What does your child prefer to eat?"
B. "When did your child start to walk?"
C. "How is toilet training progressing?"
D. "How have you childproofed your home?" - correct answer D. "How have you
childproofed your home?"
The MOST important intervention when caring for an adolescent who has recently
disclosed same- gender attraction is to
A. ask about the reaction of family and friends.
B. test for sexually transmitted infections.
C. screen for suicidal thoughts.
D. teach safe sex practices. - correct answer C. screen for suicidal thoughts.
, To prevent ventilator-associated pneumonia, an appropriate nursing intervention is to
A. provide routine oral care.
B. administer chest physiotherapy.
C. implement a weekly "sedation vacation".
D. increase frequency of endotracheal suctioning. - correct answer A. provide routine
oral care.
When a toddler's behavior indicates a potential lack of cooperation before beginning a
physical exam, which of the following approaches is best to use INITIALLY?
A. introduce self, call child by name, and offer to shake hand
B. sit away from the child and speak directly to the caregiver
C. allow to play with the stethoscope, otoscope and tongue blade
D. position self at child's level, talking quietly to the child while touching arm - correct
answer B. sit away from the child and speak directly to the caregiver
Which of the following cardiovascular assessment findings is expected in a healthy 4
year old?
A. muffled heart sounds
B. sinus arrhythmia
C. fixed S2 splitting
D. apical heart rate of 150/min - correct answer B. sinus arrhythmia
The MOST important reason to have children with asthma demonstrate the use of their
peak expiratory device periodically is because
A. it is a way to monitor compliance.
B. how it works differs by manufacturer.
C. technique can affect measurements.
D. actions for each zone must be reinforced. - correct answer C. technique can affect
measurements.
solution version 2026/2027
A child experiencing hip pain would typically feel referred pain in which location?
A. back
B. foot
C. knee
D. opposite hip - correct answer C. knee
For a toddler who requires frequent intramuscular injections, which of the following sites
is MOST appropriate?
A. deltoid
B. dorsogluteal
C. vastus lateralis
D. ventrogluteal - correct answer D. ventrogluteal
Which is the BEST method to prepare a 10 year old for an IV insertion?
A. prepare the child immediately before beginning the procedure
B. explain the insertion process using simple diagrams
C. allow the child to play out the experience with a doll
D. encourage discussion regarding fears - correct answer B. explain the insertion
process using simple diagrams
When should a child who is to start kindergarten be told about the immunizations that
will be needed before beginning school?
A. a week before the immunization appointment
B. the day before the scheduled appointment
C. in the clinic waiting room
D. immediately before immunizations are given - correct answer D. immediately before
immunizations are given
,Which of the following responses is expected in a 2 year old experiencing pain?
A. generalized body movements and chin quivering
B. screams and cannot describe intensity of pain
C. clenched fists and emotional withdrawal
D. denies pain and strikes out physically - correct answer B. screams and cannot
describe intensity of pain
Which laboratory value in a child with anorexia nervosa is associated with poorer
outcomes?
A. decreased hemoglobin and hematocrit
B. increased white blood cell count
C. decreased albumin
D. increased creatinine - correct answer D. increased creatinine
During a history interview with the caregiver of a healthy 19 month old, which question
is of GREATEST significance?
A. "What does your child prefer to eat?"
B. "When did your child start to walk?"
C. "How is toilet training progressing?"
D. "How have you childproofed your home?" - correct answer D. "How have you
childproofed your home?"
The MOST important intervention when caring for an adolescent who has recently
disclosed same- gender attraction is to
A. ask about the reaction of family and friends.
B. test for sexually transmitted infections.
C. screen for suicidal thoughts.
D. teach safe sex practices. - correct answer C. screen for suicidal thoughts.
, To prevent ventilator-associated pneumonia, an appropriate nursing intervention is to
A. provide routine oral care.
B. administer chest physiotherapy.
C. implement a weekly "sedation vacation".
D. increase frequency of endotracheal suctioning. - correct answer A. provide routine
oral care.
When a toddler's behavior indicates a potential lack of cooperation before beginning a
physical exam, which of the following approaches is best to use INITIALLY?
A. introduce self, call child by name, and offer to shake hand
B. sit away from the child and speak directly to the caregiver
C. allow to play with the stethoscope, otoscope and tongue blade
D. position self at child's level, talking quietly to the child while touching arm - correct
answer B. sit away from the child and speak directly to the caregiver
Which of the following cardiovascular assessment findings is expected in a healthy 4
year old?
A. muffled heart sounds
B. sinus arrhythmia
C. fixed S2 splitting
D. apical heart rate of 150/min - correct answer B. sinus arrhythmia
The MOST important reason to have children with asthma demonstrate the use of their
peak expiratory device periodically is because
A. it is a way to monitor compliance.
B. how it works differs by manufacturer.
C. technique can affect measurements.
D. actions for each zone must be reinforced. - correct answer C. technique can affect
measurements.
