CPN Exam Prep: Milestones, Renal Health, and Clinical Interventions

Test 02: Clinical Indicators and Growth

This module is designed to help you identify Pyloric Stenosis, track Toddler Milestones, and manage Acute Infusion Reactions effectively.

Emergency Action: If a child develops itching or chest pain during an IV, stop the infusion immediately to ensure safety.
Diagnostic Tools: An abdominal ultrasound is the preferred first test for infants exhibiting projectile vomiting to check for muscle thickening.
Patient Education: Advise families that certain diarrhea medications containing bismuth can turn a child's stool black without indicating internal bleeding.
Edited by: Test-Questions.com
Last Updated:
Q:1A 3-week-old boy has projectile vomiting after eating. Which test should be done first?
An ultrasound is safe and fast. it is the best way to see the muscle thickening in pyloric stenosis.
Q:2Which of these is a normal gesture for a baby before they learn to talk?
Raising arms is a clear way for a baby to show what they want before they have words.
Q:3How can you help prevent vaginal irritation in young girls?
Bubble baths have chemicals that irritate sensitive skin. Stopping them helps prevent vulvovaginitis.
Q:4A child with a bladder infection (cystitis) needs which type of medicine?
Bladder infections are caused by germs. Antibiotics are anti-infectives that kill those germs.
Q:5What is the medical term for a birth defect where the joints between a baby’s skull bones close too early?
Craniosynostosis happens when the skull bones fuse too soon. This stops the brain from growing right and changes the shape of the head.
Q:6A family has pinworms. What is true about the medicine?
The second dose is needed to kill any new worms that hatched after the first dose.
Q:7How do you know if a bleeding child is getting enough IV fluid?
Urine output shows that the heart is pumping enough blood to the kidneys. This is a key safety sign.
Q:8What is used to treat Syphilis if a child is very allergic to penicillin?
These medicines are good second choices when penicillin cannot be used.
Q:9In an asthma plan, which color shows the child is doing great?
The Green Zone means the child’s breathing is at 80% to 100% of their best.
Q:10Which tool is used to look inside a child’s ear?
An otoscope has a light and a lens to help the nurse see the eardrum.
Q:11When should a child get medicine to stop vomiting from chemo?
Stopping nausea before it starts is much easier than trying to stop it once the child is sick.
Q:12At what age should a child be able to point to at least six body parts when asked?
By age two, a child’s language and brain skills grow fast. Pointing to six body parts is a key goal for a two-year-old.
Q:13A teen has black stools after taking medicine for diarrhea. What is the cause?
Bismuth reacts with sulfur in the gut. This turns the stool black, but it is not blood.
Q:14Which statement about ADHD is FALSE?
ADHD has nothing to do with how smart a child is. Kids with ADHD can be very intelligent.
Q:15How is severe obesity defined in kids?
Severe obesity is based on how a child’s BMI compares to other kids their age.
Q:16A child gets itchy and has chest pain during an IV. What do you do first?
These are signs of a bad reaction. Stopping the medicine right away is the safest move.
Q:17When is a fanned-out toe reflex (Babinski) normal?
Babies have this reflex because their nerves are still growing. It should go away by age 2.
Q:18Which is NOT a sign of a Magnet hospital?
Magnet hospitals are great places to work. They have low turnover, meaning nurses stay at their jobs.
Q:19What is most important when using a cooling blanket on a child?
Cooling blankets can hurt the skin or make the body too cold. You must check the child often.
Q:20What is a sign of a kidney infection vs a bladder infection?
Pain in the back over the kidneys is a clear sign the infection has moved up from the bladder.

Test 02 Pediatric Study Points

1. Renal Assessment: Measuring urine output is the most reliable way to confirm that a child is receiving adequate IV fluid replacement.
2. Reflex Development: A fanned-out toe reflex is a normal finding in one-year-olds but typically disappears by the age of two.
3. Oncology Support: Administering anti-emetic medications before chemotherapy starts is the most effective way to prevent severe nausea and vomiting.

How to Study for Your Test: