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CPN Practice Test 2 100 QUESTIONS WITH COMPLETE SOLUTIONS 2024/2025, Exams of Nursing

CPN Practice Test 2 100 QUESTIONS WITH COMPLETE SOLUTIONS 2024/2025

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2023/2024

Available from 04/13/2024

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Download CPN Practice Test 2 100 QUESTIONS WITH COMPLETE SOLUTIONS 2024/2025 and more Exams Nursing in PDF only on Docsity! CPN Practice Test 2| 100 QUESTIONS| WITH COMPLETE SOLUTIONS Which of the following points is the MOST important to emphasize when teaching an adolescent with acne about cleansing the skin? A. astringents should be used following the cleansing B. scrubbing action should be avoided during cleansing C. concentrate cleansing efforts on areas with blackheads. D. skin cleansing systems are effective for eliminating acne Correct Answer: B. scrubbing action should be avoided during cleansing Which of the following interventions is used to ensure a preschooler's cooperation during an MRI? A. allow caregiver in the scanner room B. administer pre-procedure sedation C. provide music during the procedure D. tour the scanner room pre-procedure Correct Answer: B. administer pre-procedure sedation In a child who has had excision of a Wilms tumor, which of the following is a PRIORITY for post-operative monitoring? A. bowel sounds B. incision site C. emotional health D. chest tube site Correct Answer: A. bowel sounds Which of the following statements by the nurse to a parent BEST supports family-centered care? A. "Are you comfortable giving your child a bath or would you like help?" B. "You do the bath and change the linen and I'll give the meds." C. "While I give your child's bath, would you like to get breakfast?" D. "I'll give your child a bath, so you can relax for a bit." Correct Answer: A. "Are you comfortable giving your child a bath or would you like help?" The finding MOST commonly associated with positional plagiocephaly in infants is: A. developmental delays B. hydrocephalus C. microcephaly D. torticollis Correct Answer: D. torticollis Which of the following actions is considered ethically sound when caring for an adolescent receiving end of life care? A. sharing personal perspectives about what happens during dying process and after death B. explaining reasons hospitalization should be considered for optimal end of life care C. administering medication for pain relief with the knowledge it could hasten death D. responding to questions about ways death can be accelerated Correct Answer: C. administering medication for pain relief with the knowledge it could hasten death What is unique about management of a child with cystic fibrosis-related diabetes? A. continuous insulin pumps are contraindicated B. increased caloric intake is required including carbohydrates C. glucose monitoring is required only during pulmonary infections D. oral antihyperglycemic agents provide adequate glucose control Correct Answer: B. increased caloric intake is required including carbohydrates Which is the PRIORITY nursing intervention for a 7 year old with suspected Meckel diverticulum? A. obtain blood for hematocrit and hemoglobin B. prepare for barium enema C. monitor vital signs and blood pressure D. prepare for arteriography Correct Answer: C. monitor vital signs and blood pressure Which of the following is a potential complication associated with pediatric use of morphine sulfate? A. agitation B. bradypnea C. hypertension D. tachycardia Correct Answer: B. bradypnea To gain the cooperation of a preschooler when administering medication, which of the following approaches is likely to be MOST effective? A. "It's time for your medicine. Do you want your favorite apple juice or water this time?" B. "This medicine is sure to get you home soon. What will you do first when you get home?" C. "I bet you are going to be as brave as your roommate when you take your medicine today!" D. "You get 10 extra minutes in the playroom if you take your medicine for me now." Correct Answer: A. "It's time for your medicine. Do you want your favorite apple juice or water this time?" A child was casted 5 days ago for a fractured radius and is now experiencing severe pain and decreased sensation in the fingers, and nail beds are pale. What is the MOST likely cause? A. osteomyelitis B. fat embolism C. compartment syndrome D. ineffective pain management Correct Answer: C. compartment syndrome To be granted emancipation status, a minor must A. exhibit the ability to make legal and health decisions. B. follow federal laws that include filing a court petition. C. demonstrate financial independence and maturity. D. have consent of parent(s) or guardian. Correct Answer: C. demonstrate financial independence and maturity. A. stop the procedure and assess the caregiver. B. calm the child and complete the procedure quickly. C. call for a team member to take over the procedure. D. request a team member to assist with the caregiver. Correct Answer: D. request a team member to assist with the caregiver. The reassessment phase of the pain management cycle is imperative for A. determining pain management satisfaction. B. ensuring an individualized plan of care is in place. C. confirming current pain management expectations. D. evaluating the location, intensity and quality of pain. Correct Answer: A. determining pain management satisfaction. Which factor is used when assessing pain with the FLACC pain scale? A. child's rating of pain using cartoon faces B. parent's report based on a numeric score C. changes in vital signs from baseline D. observations of child's movement Correct Answer: D. observations of child's movement A 3 month old has not been feeding well for 2 weeks and now has bilious vomiting with abdominal distention. There is a history of failing to pass meconium stool within 24 hours of birth. These symptoms are MOST suggestive of: A. anal stenosis B. cystic fibrosis C. Hirschsprung's disease D. pyloric stenosis Correct Answer: C. Hirschsprung's disease Which laboratory test would be MOST clinically significant for assessing the health status of an adolescent with suspected bulimia nervosa? A. complete blood count with differential (CBC) B. lipid profile, including cholesterol C. serum electrolytes D. coagulation profile Correct Answer: C. serum electrolytes Which of the following electrolyte abormalities is MOST concerning in a child being treated for diabetic ketoacidosis? A. hypercalcemia B. hyperphosphatemia C. hypochloremia D. hypokalemia Correct Answer: D. hypokalemia Caregivers of a previously healthy 15 month old call the emergency department reporting a fever of 103° F (39.4° C), and describing a tonic clonic seizure lasting 7 minutes. Which is the MOST appropriate response? A. reassure that febrile seizures are usually benign B. administer acetaminophen around the clock C. seek immediate medical attention D. implement cooling measures Correct Answer: C. seek immediate medical attention For an early school-age child who is dying, which approach would MOST likely be effective in facilitating communication? A. provide opportunities for the child to express feelings through play and art B. guide the conversation so the child is able to ask appropriate questions C. lead angry outbursts back to more adaptive forms of communication D. use developmentally-appropriate concrete explanations Correct Answer: A. provide opportunities for the child to express feelings through play and art The effect of adolescents using multiple electronic media devices is associated with an increase in which of the following? A. attention-deficit/hyperactivity disorder (ADHD) B. antisocial personality disorder C. sleep deprivation D. depression Correct Answer: C. sleep deprivation Parents are asking for strategies to support their school-age child who is working on weight management. Which of the following is MOST important? A. use a motivational chart to track progress B. eat meals together as a family C. set weekly nutrition goals D. ensure physical activity Correct Answer: D. ensure physical activity An elevated blood pressure measurement in an adolescent taken at school should be A. dismissed because it is likely due to increased stress. B. considered potentially predictive of cardiovascular changes. C. dismissed because single readings are inconsequential. D. considered valid for prescribing antihypertensive medications. Correct Answer: B. considered potentially predictive of cardiovascular changes. Which of the following findings is MOST likely to indicate abuse? A. irregular hand burns B. bruising over the abdomen C. multiple shin bruises D. bite mark approximately 1.5 cm Correct Answer: B. bruising over the abdomen For pediatric pharmacological postoperative pain management, which of the following schedules is optimal? A. per caregiver's request B. intermittently, as needed C. routinely around the clock D. per the child's request Correct Answer: C. routinely around the clock 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. liver and pancreatic enzymes Correct Answer: C. prothrombin time Counseling regarding sudden infant death syndrome (SIDS) prevention includes A. limiting use of pacifiers. B. placing infant in a side-lying position. C. avoiding soft mattresses. D. positioning the infant prone. Correct Answer: C. avoiding soft mattresses. Voluntary stool retention is MOST often associated with A. a previously painful bowel movement. B. the mother-child relationship. C. the need to exert control. D. a learning disability. Correct Answer: A. a previously painful bowel movement. Which of the following findings would indicate the need to evaluate an 8 month old for a neuromuscular dysfunction? A. absent Moro reflex B. asymmetric tonic neck reflex C. diminished palmar grasp D. positive Babinski sign Correct Answer: B. asymmetric tonic neck reflex When a family is informed of their child's serious chronic condition, which of the following is initially MOST hindered thereby affecting their ability to learn important information? A. comprehension B. concentration C. motivation D. psychomotor skills Correct Answer: B. concentration A child undergoing chest physiotherapy with postural drainage has an episode of post-tussive emesis. The most appropriate INITIAL course of action is to A. initiate oral suctioning. B. administer blow-by oxygen. C. return to an upright position. D. resume airway clearance therapy Correct Answer: C. return to an upright position. Which of the following is the BEST advice regarding sun protection for a 4 month old? A. use sunscreen with an SPF > 45 B. wear sun-protective clothing C. use combination insect repellent and sunscreen D. wear polarized sunglasses Correct Answer: B. wear sun-protective clothing Which of the following responses is indicative of a caregiver giving her child's digoxin elixir correctly? A. "I give the digoxin twice a day at 8 AM and 8 PM." B. "I mix the digoxin with food or juice before giving it." C. "I give an extra partial dose if I accidently spill some from the spoon." D. "I keep the bottle on the kitchen counter to help me remember to give it." Correct Answer: A. "I give the digoxin twice a day at 8 AM and 8 PM." A hospitalized toddler with severe eczema is continuously scratching his face and arms. Which of the following methods of restraint would be MOST appropriate? A. hand mitts B. elbow immobilizers C. IV arm boards D. soft wrist restraints Correct Answer: B. elbow immobilizers A child is transferred to the unit with a cast, and findings include pallor, irritability, a temperature of 102.2° F (39° C), and capillary refill of 3 seconds. Which is the PRIORITY nursing intervention? A. administer acetaminophen B. anticipate an order for IV antibiotics C. contact the previous unit for baseline findings D. communicate findings to the health care provider Correct Answer: D. communicate findings to the health care provider A toddler is admitted for dehydration and is to receive an intravenous bolus of 0.9% sodium chloride solution. Over what amount of time should the fluid be administered? A. 20 minutes B. 45 minutes C. 1 hour D. 1.5 hours Correct Answer: A. 20 minutes Treatment with which of the following is MOST appropriate for a 5 month old with an upper respiratory infection? A. antihistamine B. decongenstant C. oral mucolytic agent D. saline nasal spray Correct Answer: D. saline nasal spray When coping with the care of a chronically ill child at home, normalization is recognized when the family A. expects the unexpected and views them as challenges to be conquered. B. demonstrates flexibility in adjusting treatment plans to consider family life. C. accepts that priorities center on accommodating for the child's unique needs. D. focuses on the impact of anticipated changes in the child's condition on the family Correct Answer: B. demonstrates flexibility in adjusting treatment plans to consider family life. A child with sickle cell disease is in vasoocclusive crisis with severe lower extremity pain and a fever of 102° F (39° C). Anticipated management should include A. administering ibuprofen to reduce the fever and decrease pain. B. applying ice packs to extremities to decrease inflammation. C. providing intravenous fluids to promote adequate hydration. D. administering oxygen to reverse the sickling process. Correct Answer: C. providing intravenous fluids to promote adequate hydration. Which of the following is the FIRST nursing intervention for an infant experiencing a brief unexplained event (formerly known as an apparent life-threatening event)? A. administer blow-by oxygen B. assess oxygen saturation C. begin rescue breathing D. stimulate the child Correct Answer: D. stimulate the child A child with hemophilia A sustains a knee injury with contusion and severe swelling. In addition to the administration of Factor VIII, which intervention is MOST appropriate? A. immobilization of the joint B. compression wrap C. warm compresses D. application of ice Correct Answer: A. immobilization of the joint Which of the following suctioning techniques constitutes best practice in caring for a child with a tracheotomy? A. insert the suction catheter until child coughs and then apply suction for no more than 10 seconds B. instill sterile normal saline into the tube to thin secretions before inserting the calibrated suction catheter C. insert a calibrated suction catheter to the premeasured depth of just to the tip of the tube and apply suction D. insert the suction catheter until it meets resistance, then withdraw slightly before applying suction Correct Answer: C. insert a calibrated suction catheter to the premeasured depth of just to the tip of the tube and apply suction A child was stung 30 hours ago on the hand by a yellow jacket, and now has localized pain, itching, marked erythema, and swelling that extends to the elbow. Which of the following is the MOST appropriate instruction for the caregiver? A. have the child evaluated promptly for potential cellulitis B. expect resolution within 10 days with symptomatic treatment C. obtain an appointment with allergist for venom immunotherapy D. anticipate that with future stings risk of anaphylaxis is the same Correct Answer: B. expect resolution within 10 days with symptomatic treatment For a well-child office visit, which of the following is the MOST effective approach to a child with autism? A. schedule the child for late afternoon when the waiting room is less crowded B. engage the child in a preferred activity such as watching a video during the exam C. consult with the parent while other staff get the child's height and weight D. encourage the child's cooperation by allowing participation in the physical exam Correct Answer: B. engage the child in a preferred activity such as watching a video during the exam A. nose to the earlobe and to the midpoint between the xiphoid process and umbilicus. B. nose to the earlobe and then to the 5th intercostal space. C. earlobe to the tip of the nose and then to the xiphoid process. D. earlobe to the tip of the nose and then to the umbilicus. Correct Answer: A. nose to the earlobe and to the midpoint between the xiphoid process and umbilicus. When teaching a self-help skill to a child with cognitive impairment, the FIRST step is to A. explain the purpose of the activity. B. demonstrate the skill multiple times for the child. C. separate the task into step-by-step components. D. reinforce current behaviors that approximate the desired action. Correct Answer: C. separate the task into step-by-step components. For children with cerebral palsy and epilepsy the primary factors in their higher risk of osteoporosis is related to: A. reduced sunlight exposure and use of bisphosphonate B. anticonvulsant drug use and impaired mobility C. decreased parathyroid levels and reduced sunlight exposure D. use of bisphosphonate and impaired mobility Correct Answer: B. anticonvulsant drug use and impaired mobility For a child with Kawasaki disease, administration of intravenous immunoglobulin (IVIG) should be initiated NO LATER THAN how many days after the onset of illness? A. 3 B. 5 C. 10 D. 14 Correct Answer: C. 10 Which factor is MOST important in obtaining consent for an adolescent to receive non-urgent medical care? A. parental marital status B. federal policies and guidelines C. adolescent's emancipation status D. presence of an adult family member Correct Answer: C. adolescent's emancipation status Which of the following symptoms is commonly observed in a child with complex regional pain syndrome? A. abdominal pain B. hyperreflexia C. increased sweating D. hypertonia Correct Answer: C. increased sweating When instructing parents about the risk of choking for their infant who recently started self- feeding, which guidance is MOST appropriate? A. "Offer soft foods while swallowing coordination is developing." B. "The risk of choking is greatest because your baby has fewer teeth." C. "Offer foods that are naturally smaller such as raisins and grapes." D. "Keep food cut into pieces no larger than one-half inch." Correct Answer: D. "Keep food cut into pieces no larger than one-half inch." Which anticipatory guidance regarding medication safety is appropriate for parents of a 2 year old? A. acetaminophen is an ingredient in many over-the-counter products B. vitamins are the most commonly reported pharmaceutical poisoning C. most poisonings occur in unfamiliar environments D. syrup of ipecac should be readily available Correct Answer: A. acetaminophen is an ingredient in many over-the-counter products When teaching parents about their child's use of inhaled corticosteroids as part of the asthma treatment plan, it is important to explain that A. it is used when prompt control is needed. B. it should be taken before physical activity of any kind. C. immunosuppression effects necessitate avoiding anyone ill. D. using a spacer device reduces yeast infections in the mouth. Correct Answer: D. using a spacer device reduces yeast infections in the mouth. Which parental strategy is MOST important to increase a child's physical activity? A. monitor any screen time B. participate in lifestyle changes C. require child to walk to friends' houses D. expect participation in team sports Correct Answer: B. participate in lifestyle changes Which of the following BEST describes the personal-social relationships of elementary school- age boys? A. joke about their interest in girls and show shy affection for them B. prefer to play with boys their own age rather than girls C. have an increased need for parental approval D. believe parents are all-knowing and all-powerful Correct Answer: B. prefer to play with boys their own age rather than girls Which caregiver behavior would be an indicator of factitious disorder imposed on another (formerly known as Münchausen syndrome by proxy)? A. appears timid and avoids eye contact B. ignores child's discomfort and is emotionally distant C. critical of medical care and blames staff for lack of improvement D. appears knowledgeable and keenly focused on interacting with the health team Correct Answer: D. appears knowledgeable and keenly focused on interacting with the health team A 13 year old who has received a life-threatening injury is accompanied by a grandparent to the emergency department. Legal precedent maintains that the child A. can receive care in the absence of parental consent. B. cannot be examined without consent from a legal guardian. C. may temporarily be declared an emancipated minor to obtain consent. D. may receive care if grandparents provide consent. Correct Answer: A. can receive care in the absence of parental consent.