CPN Practice Test 2 Latest Update 2024 -2025 100 Questions and 100% Verified Correct Answers Guaranteed A+ 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. 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 A caregiver faints while observing a preschooler undergoing an invasive sterile procedure. The most appropriate FIRST action is to 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. 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 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 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. 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 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 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 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. 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
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