Exam (elaborations)
CPN STUDY QUESTIONS 1-100 PRACTICE QUESTIONS 2024 WITH COMPLETE SOLUTIONS
CPN STUDY QUESTIONS 1-100 PRACTICE QUESTIONS 2024 WITH COMPLETE SOLUTIONS
[Show more]
Preview 3 out of 26 pages
Uploaded on
September 12, 2024
Number of pages
26
Written in
2024/2025
Type
Exam (elaborations)
Contains
Unknown
Institution
CPN
Course
CPN
$12.99
100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached
CPN STUDY QUESTIONS 1-100
PRACTICE QUESTIONS 2024 WITH
COMPLETE SOLUTIONS
Al6-week-oldlmalelinfantlislbroughtlintolthelEDlbylhislmother.lHelhaslalweeklonglhistorylof
progressivelylworseninglemesislthatlislprojectilelinlnature.lWhatlislhislmostllikelyldiagnosis?
A.lIntussusception.
B.lAppendicitis.
C.lPyloriclstenosis.
D.lPancreatitis.l-lans--✔✔C:lProjectilelvomitinglinlal6lweek-
oldlmalelislthelclassiclpresentationlforlpyloriclstenosis,
obstructionloflthelpyloriclsphincterlbetweenlthelgastriclpyloruslandlthelsmalllintestine,lcause
dlby
hypertrophylandlhyperplasialoflthelcircularlmuscleloflthelpylorus,lwhichlobstructslthelsphinc
ter.
Anl8-year-oldlmalelhaslcontractedlchickenlpoxl(varicellalvirus).lWithlwhichloflthelfollowing
familylmemberslcanlthelchildlhavelcontact?
A.l20-year-oldlauntlonlchemotherapy.
B.l35-year-oldlunclelwithlHIV.
C.l95-year-oldlgrandfatherlonllong-termlsteroidltherapy.
D.l2-year-oldlbrotherlwholhaslneverlhadlvaricellalbutlhaslhadlthelvaccinel-lans--
✔✔D:lThel2-year-
oldlbrother,lwholhaslhadlthelvaccine,lisllikelylimmuneltolvaricella,lsolcontact
islsafe.lAllloflthelotherlrelativeslhavelsomelformloflimmunosuppressionlfromlinfectionl(HIV)lo
r
medicationsl(chemotherapylandlsteroids)landlshouldlavoidlcontactlwithlthelpatient
Al5-year-
oldlgirllhaslalfever,lheadache,landlcomplaintsloflalstifflneck.lThelphysicianlsuspects
bacteriallmeningitis.lWhatlislthelbestltestlculturelsiteltoldetectlthelbacteria?
A.lLumbarlpuncture.
B.lCleanlcatchlurine.
C.lBloodlculture.
,D.lNasallswab.l-lans--
✔✔A:lLumbarlpuncturelislthelmethodloflchoicelforldetectinglthelbacterialcausinglbacterial
meningitislandlsendinglalsamplelforlculture,laslmeningitislinfectslthelmeningeslandlbacterial
is
presentlinlthelcerebrospinallfluid.
Al2-year-
oldlchildlhaslsevereldentallcarieslinlthelupperlandllowerlfrontlteeth,lposteriorlaspects.
Whatlislthelmostllikelylcauselforlthisltypeloflcaries?
A.lLackloflfluoridationlinlthelwater.
B.lSleepinglwithlwaterlinlalnighttimelbottle.
C.lLowlcarbohydrateldiet.
D.lSleepinglwithlsugaredlliquidlinlnighttimelbottlel-lans--
✔✔D:lCarieslinlthelposteriorlfrontlteethlislalsignloflsleepinglwithlsugaredldrinkslinlthe
nighttimelbottlel(suchlasljuice)lbecauselfluidlpoolslinlthelmouthlwhenlthelchildlfallsltolsleep.
***Whichloflthelfollowinglpatientslwillllikelylneedlsurgicallcorrectionloflhis/herlfracture?***
A.l10-year-oldlwithlhumerallheadlfracture.
B.l5-year-oldlwithltuftlfracturelofltheldistallphalanx.
C.l4-year-oldlwithltuftlfracturelofltheltoe.
D.l16-year-oldlwithlradiallheadlfracture.l-lans--
✔✔A:lHumerallheadlfractureslusuallylneedlopenlreductionlandlinternallfixationltolmaintain
properlfuturelfunctioning.lDistallphalanxlandltoelfractureslareltreatedlwithlsplintslandlfractur
elof
thelradiallheadlwithlalsling.
Anlinfantlwithlalchroniclrespiratorylconditionlshouldlbelofferedlallloflthelfollowinglvaccines
EXCEPT:
A.lHepatitislA.
B.lHepatitislB.
C.lHepatitislC.
D.lInfluenza.l-lans--
✔✔C:lAlvaccinelforlHepatitislCldoeslnotlcurrentlylexist.lHepatitislA,lhepatitislBlandlinfluenza
vaccineslarelalllrecommendedlforlthelinfant
Al14-year-
oldlboylwithlleukemialislreceivinglanlIVlinfusionloflpackedlredlbloodlcells.lThelclient
reportslthatlhelislfeelinglanxiouslandlshortloflbreathlevenlthoughlhislrespiratorylratelisl24.
Whatlshouldlthelnurseldolinlthislsituation?
A.lGivelaldoseloflibuprofenl(Motrin).
B.lGivelaldoseloflacetaminophenl(Tylenol).
C.lGivelaldoselofldiphenhydraminel(Benadryl).
D.lStoplinfusionlandlnotifylphysician.l-lans--
✔✔D:lAnxietylandlthelsensationloflbreathlessnesslarelsignsloflpossiblelanaphylacticlshock,
la
, reactionltolthelpackedlredlbloodlcells,lsolthelnurselshouldlstoplthelinfusionlimmediatelylandl
notify
thelphysician.
Aslpartloflcounselinglforlal7-year-oldlchildlwithlmildlpersistentlasthma,lthelnurseltellslthe
client'slfamilylthatlthelmostlreliablelindicatorloflworseninglasthmalis:
A.lCoughing.
B.lFever.
C.lDecreasedlpeaklflow.
D.lFatigue.l-lans--
✔✔C:lAldecreasedlpeaklflowlislthelmostlreliablelindicatorlthatlasthmalmaylbelworsening.lItli
s
thereforelvitallthatlthelclient'slfamilylknowlwhatlthelbaselinelislsolthatlanyldeviationlcanlbelqu
ickly
addressed.lCoughinglandlfeverlmayltriggerlasthma,lsolpeaklflowslshouldlbelmonitored.lFati
gue
maylresultlfromlpoorloxygenationlbutlalonelitlislnotlalreliablelindicatorloflworseninglasthma.
***Alpatientlislexperiencingldizziness,lshortnessloflbreath,llightheadedness,landlnausealca
usedlby
encephalitis.lWhichloflthelfollowingldescriptionslmostlaccuratelyldescribeslthelpatient's
condition?***
A.lmetaboliclacidosis
B.lrespiratorylalkalosis
C.lmetaboliclalkalosis
D.lrespiratorylacidosisl-lans--
✔✔B:lRespiratorylalkalosislresultslfromlhyperventilation,lduringlwhichlextralCO2lislexcrete
d,
causinglaldecreaselinlcarboniclacidl(H2CO3)lconcentrationlinlthelplasma.lSymptomslinclud
e
tachycardia,larrhythmias,llightheadedness,lnausea,landlvomiting.
10-year-
oldlmalelwithlsicklelcellldiseaselcomeslintolthelEDlcomplainingloflpainlinlhisllegsldue
tolalvaso-occlusivelcrisis.lInladditionltolIVlfluids,lwhatlislthelotherlinitialltreatmentlforlthis
client?
A.lElevatellegs.
B.lAcelwrapltollegs.
C.lNitroglycerinelpaste.
D.lPainlmedication.l-lans--
✔✔D:lInladditionltolIVlfluids,lthelotherlprimarylinitialltreatmentlforlsicklelcelllcrisislresulting
inlvascularlocclusionlislpainlmedicationlbecauselpainlisloftenlsevere.lOtherltreatmentslinclu
de
oxygen,lhydroxyureal(anti-
sicklinglmedication),lbloodltransfusionsliflanemialislpronounced,land
antibioticsliflthelcrisislwasltriggeredlbylanlinfection.