CPNP-AC Review
Comprehensive Questions
(Frequently Tested) with
Verified Answers Graded A+
A PICU PNP is on the patient safety committee and notes a rise in the occurrence of urinary
tract infections in children with foley catheters. She does a literature review and determines an
evidence based approach for prevention. what is her next best step? - Answer: involve
stakeholders to collect data to identify the problem and the best method to put the EBP plan
into place
AN ACPNP feels strongly that injuries sustained on local school playgrounds could be prevented
by using mulch as a base. the best way to advocate for this recommendation is to: - Answer:
contact a local representative who can lobby for a bill and funding to support this effort
the best evidence based management of a child with sickle cell disease who is diagnosed with
ischemic stroke is: - Answer: exchange transfusion
the most appropriate test to confirm the diagnosis of sickle cell anemia in a newborn is -
Answer: hemoglobin electrophoresis
you suspect a patient with sepsis is developing DIC. the diagnostic test of choice to confirm this
diagnosis is - Answer: D dimer
,a 16 year old female presents with obesity and acute shortness of breath. she has no significant
past medical history and her only medication is oral contraceptives. what is the most sensitive
test for the suspected diagnpsis? - Answer: CT angiography
a cardiac patient underwent surgical intervention requiring cardiopulmonary bypass last night
and is currently bleeding. you suspect that there is a factor deficiency and appropriately order
the following blood component to correct the underlying deficiency - Answer: FFP
a school age child presents to the ED with bruising on his legs and abdomen. his caregiver states
he had a cold approximately 2 weeks ago, as did he two older sisters. the CBC reveals a
hemoglobin of 12.2, WBC 13,000, and platelet count of 48,000. you know the most likely
diagnosis in this child is - Answer: ITP
the priority intervention for a patient with hemophilia B who has experienced an acute
musculoskeletal bleed is - Answer: factor replacement therapy
a 2 year old who is receiving treatment for neuroblastoma develops fever to 38.9C, lethargy and
has oxygen saturations to 95%. the most important, first line management should include -
Answer: obtain blood cultures from CVL and administer antibiotics to include 4th gen cephs
a 2 year old presents with opsocolonus-myoclonus. you know that you should include which
malignancy in our differential? - Answer: neuroblastoma
a child referred to the ER by the PCP for concerns of AML develops dyspnea, hypoxia, and
tachypnea. you are called by the nurse and find a school age child in impending respiratory
failure. you suspect this child has developed - Answer: pulmonary complications of
hyperleukocytosis
a teen with a history of relapsed osteosarcoma presents with difficulty voiding, lacking feeling
with bladder fullness. what is the most likely cause? - Answer: metastatic compression of the
spinal cord
, electrolyte disorders noted with a child with non-hodgkin lymphoma and tumor lysis syndrome
include - Answer: hyperphosphatemia, hyperkalemia, hyperuricemia
a 2 week old infant is noted by his parents to have an asymmetrical red reflex, with one eye
producing a normal red reflex while the other eye demonstrates no reflection at all. a probable
cause of this asymmetry is - Answer: retinoblastoma
a 4 year old girl has had blurry vision, ataxia, and has become increasingly confused. she has
vomited the past three mornings on arising. what study could be done quickly and is effective in
diagnosing her illness? - Answer: CT of the brain
a child admitted for ARDS 8 days ago was extubated yesterday. the child was placed on HFNC
and morphine and midazolam infusions were stopped. today the child has excessive yawning,
sweating, and had several loose stools. which of the following is an important next step in
therapy? - Answer: administration of one dose of morphine
a 3.5 year old boy is admitted to the PICU with status asthmaticus. after treatment with
continuous albuterol, he has decreased wheezing, but is noted to be very quiet, using single
words and sign language to communicate with his parents. the most appropriate evaluation and
management of this situation includes - Answer: asking parents what his baseline language is at
home prior to escalating treatment
an infant with trisomy 21 has a soft, mid systolic murmur audible along the left sternal boarder.
which of the following is most likely? - Answer: AV canal defect
a febrile 13 year old has had abdominal pain for one week, which is diffuse on palpation.
abdominal CT indicated ruptured appendicitis with areas of loculated fluid. what is the
immediate management? - Answer: broad spectrum antibiotics and hospitalization
Comprehensive Questions
(Frequently Tested) with
Verified Answers Graded A+
A PICU PNP is on the patient safety committee and notes a rise in the occurrence of urinary
tract infections in children with foley catheters. She does a literature review and determines an
evidence based approach for prevention. what is her next best step? - Answer: involve
stakeholders to collect data to identify the problem and the best method to put the EBP plan
into place
AN ACPNP feels strongly that injuries sustained on local school playgrounds could be prevented
by using mulch as a base. the best way to advocate for this recommendation is to: - Answer:
contact a local representative who can lobby for a bill and funding to support this effort
the best evidence based management of a child with sickle cell disease who is diagnosed with
ischemic stroke is: - Answer: exchange transfusion
the most appropriate test to confirm the diagnosis of sickle cell anemia in a newborn is -
Answer: hemoglobin electrophoresis
you suspect a patient with sepsis is developing DIC. the diagnostic test of choice to confirm this
diagnosis is - Answer: D dimer
,a 16 year old female presents with obesity and acute shortness of breath. she has no significant
past medical history and her only medication is oral contraceptives. what is the most sensitive
test for the suspected diagnpsis? - Answer: CT angiography
a cardiac patient underwent surgical intervention requiring cardiopulmonary bypass last night
and is currently bleeding. you suspect that there is a factor deficiency and appropriately order
the following blood component to correct the underlying deficiency - Answer: FFP
a school age child presents to the ED with bruising on his legs and abdomen. his caregiver states
he had a cold approximately 2 weeks ago, as did he two older sisters. the CBC reveals a
hemoglobin of 12.2, WBC 13,000, and platelet count of 48,000. you know the most likely
diagnosis in this child is - Answer: ITP
the priority intervention for a patient with hemophilia B who has experienced an acute
musculoskeletal bleed is - Answer: factor replacement therapy
a 2 year old who is receiving treatment for neuroblastoma develops fever to 38.9C, lethargy and
has oxygen saturations to 95%. the most important, first line management should include -
Answer: obtain blood cultures from CVL and administer antibiotics to include 4th gen cephs
a 2 year old presents with opsocolonus-myoclonus. you know that you should include which
malignancy in our differential? - Answer: neuroblastoma
a child referred to the ER by the PCP for concerns of AML develops dyspnea, hypoxia, and
tachypnea. you are called by the nurse and find a school age child in impending respiratory
failure. you suspect this child has developed - Answer: pulmonary complications of
hyperleukocytosis
a teen with a history of relapsed osteosarcoma presents with difficulty voiding, lacking feeling
with bladder fullness. what is the most likely cause? - Answer: metastatic compression of the
spinal cord
, electrolyte disorders noted with a child with non-hodgkin lymphoma and tumor lysis syndrome
include - Answer: hyperphosphatemia, hyperkalemia, hyperuricemia
a 2 week old infant is noted by his parents to have an asymmetrical red reflex, with one eye
producing a normal red reflex while the other eye demonstrates no reflection at all. a probable
cause of this asymmetry is - Answer: retinoblastoma
a 4 year old girl has had blurry vision, ataxia, and has become increasingly confused. she has
vomited the past three mornings on arising. what study could be done quickly and is effective in
diagnosing her illness? - Answer: CT of the brain
a child admitted for ARDS 8 days ago was extubated yesterday. the child was placed on HFNC
and morphine and midazolam infusions were stopped. today the child has excessive yawning,
sweating, and had several loose stools. which of the following is an important next step in
therapy? - Answer: administration of one dose of morphine
a 3.5 year old boy is admitted to the PICU with status asthmaticus. after treatment with
continuous albuterol, he has decreased wheezing, but is noted to be very quiet, using single
words and sign language to communicate with his parents. the most appropriate evaluation and
management of this situation includes - Answer: asking parents what his baseline language is at
home prior to escalating treatment
an infant with trisomy 21 has a soft, mid systolic murmur audible along the left sternal boarder.
which of the following is most likely? - Answer: AV canal defect
a febrile 13 year old has had abdominal pain for one week, which is diffuse on palpation.
abdominal CT indicated ruptured appendicitis with areas of loculated fluid. what is the
immediate management? - Answer: broad spectrum antibiotics and hospitalization
