CPN Exam Prep: Clinical Assessment, Growth, and Pediatric Safety

Test 01: Foundations of Pediatric Nursing

This initial module focuses on identifying Cyanosis, performing Neuro Checks, and understanding Developmental Tasks to ensure high-quality care for children.

Clinical Safety: Performing frequent neuro checks is the highest priority after brain surgery to detect early signs of swelling or bleeding.
Positioning: Placing a child with asthma in a High-Fowler’s position allows for maximum chest expansion and easier breathing during distress.
Family Education: Reassure parents that breast enlargement in newborns is a normal result of maternal hormones and will resolve naturally.
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Q:1Which of these is NOT true about blue skin (cyanosis) in kids?
Cyanosis is best seen in the lips, tongue, and nail beds where blood flow is high. It is not usually seen on the eyelids.
Q:2What is the most important safety check for a child after brain surgery?
Detailed neuro checks find brain swelling or bleeding early. This is the top priority after a craniotomy.
Q:3For which child is the High-Fowler’s (sitting up) position BEST?
Sitting upright lets the chest expand fully. This makes it easier for a child with asthma to breathe.
Q:4Which task is NOT a focus for a preschool child (age 3 to 5)?
Feeling useful and mastering hard skills is for school-age kids. Preschoolers focus on starting tasks and play.
Q:5Which is NOT a standard use for epinephrine in kids?
Epinephrine treats allergic reactions and shock. It is not used for fluid in the lungs (pulmonary edema).
Q:6Which group promotes "Safe Staffing Saves Lives" for nurses?
The ANA works to keep nurses safe and make sure there are enough nurses to care for patients.
Q:7A 10-year-old gets tight in the chest only when running. Which medicine is best?
A rescue inhaler (SABA) works fast. Using it before sports stops the chest from getting tight during exercise.
Q:8What should a nurse do for a newborn boy with enlarged breasts?
This is common in newborns due to the mother’s hormones. It goes away on its own in a few weeks.
Q:9Which of these is NOT usually in a clinical pathway (care guide)?
Clinical pathways track the patient’s care. Staff school records are kept in HR files.
Q:10What is true about "visceral" pain (pain from organs)?
Visceral pain comes from internal organs. It is usually dull and spread out rather than in one spot.
Q:11What is the most common lung infection in kids?
The common cold is the most frequent infection for children worldwide.
Q:12Which is NOT true about hay fever (allergies) in kids?
Allergies are very common in kids. Saying they are rare is wrong.
Q:13Using cocaine can cause which big health problem in teens?
Cocaine makes the heart beat too fast and shrinks blood vessels. This can lead to a stroke or heart attack.
Q:14A mother asks how to help her child feel better during a high fever. What is the best advice?
Comfort is the main goal for a fever. Giving fluids and medicine helps the child feel better without causing dangerous shivering or skin issues.
Q:15What is a common problem from long-term IV feeding (TPN)?
Feeding only through a vein can hurt the liver over time. This is a known risk of long-term TPN.
Q:16What is the first thing a nurse should do for a confused child?
Regularly telling the child the time and place helps them feel less confused and more safe.
Q:17What is the LEAST useful treatment for a child with Tay-Sachs?
Tay-Sachs has no cure. Care focuses on comfort. Enzyme therapy is not a standard part of comfort care yet.
Q:18Which is NOT true for a baby born to a mother with Hepatitis B?
Babies need the vaccine and a special shot (HBIG) at birth. They do not get the pills used for adults right away.
Q:19Which is NOT a sign of low thyroid (hypothyroidism) in a baby?
A baby with low thyroid is usually sleepy and quiet. Being active and cranky is a sign of high thyroid.
Q:20What is the best way to check if a child’s fluid level is changing fast?
Daily weight is the most accurate way to see if a child is losing or holding onto fluid.

Test 01 Pediatric Study Points

1. Pain Assessment: Visceral pain originates from internal organs and is typically described as a dull, diffuse sensation that is difficult to localize.
2. Fluid Monitoring: Obtaining a daily weight is the most reliable and accurate method for tracking rapid changes in a child's fluid status.
3. Developmental Focus: While preschoolers focus on initiative and play, school-age children center their development on mastering skills and feeling competent.

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