PNCB CPN Exam: Questions & Accurate Answers
(100%)
Use of sterile saline for suctioning Right Ans - No longer used routinely as it
removes normal flora, but is still used for plugs or near-plugs
Evidenced Based Practice (EBP) Right Ans - answer to question can be
found in literature ie is has already been researched
QI Right Ans - making sure EBP is being following (monitoring)
research Right Ans - question without answer. answer to a question can
not be found in literature ie research has not yet been done. purpose is to
produce new knowledge. RN job is to identify clinical questions and collect
data
State nurse practice act Right Ans - defines what you can and can not do
(Scope of Practice).
HIPAA exceptions Right Ans - 3- danger to self, danger to others, actively
being harmed
Consent Right Ans - informed decision to accept treatment or participate in
research. Parents consent for children <18 years old
Assent Right Ans - in RESEARCH ONLY- children 7 or older must give
assent in adjunct to parents consent in order to participate
Growth Chart measurements 0-36 months Right Ans - measure in length
(laid down to measure) Under 2 years old MUST lay down to measure
Growth Chart measurements 2-18 years Right Ans - measure height (stand
up to measure)
Mental Age Right Ans - Should interact with patients based on mental age
Weight at 6 months Right Ans - double birth weight (minimum)
,weight at One year Right Ans - triple birth weight (minimum)
BMI 85% + Right Ans - overweight
BMI <85% Right Ans - Healthy Weight
BMI <5% Right Ans - underweight, cause for concern
Kids close to edge of healthy/overweight line Right Ans - focus on
prevention
average birth length Right Ans - 20 inches
Length at 4 years Right Ans - roughly double birth length
avg growth in 1st year Right Ans - 10 inches
avg growth in 2nd year Right Ans - 5 inches
Falling off the growth curve Right Ans - RED FLAG!! drop from established
growth % cure to a lower % plot
Red Flags followup Right Ans - recheck measurements accuracy, plotting
accuracy
notify MD, nutritionist
Patient-family edu
How many words can baby speak by end of 1st year Right Ans - 5
Baby Milestones: 2 months Right Ans - lifts head, posterior fontanel closes
baby milestones: 3 months Right Ans - raises head, notices hands
Baby milestones: 4 months Right Ans - rakes objects, begins to roll over
(front to back)
Baby Milestones: 5-6 months Right Ans - rolls back to front, sits with
support, pushes up to hands and knees and rocks back and forth
, Baby Milestones: 8 months Right Ans - sits without support
Baby Milestones: 9 months Right Ans - pincer grasp, crawl
Baby Milestones: 12-15 months Right Ans - Walking
Infant reflexes present at birth Right Ans - (disappear by 4 months)
rooting, moro
parachute reflex Right Ans - emerges at 5-6 months. when slowly lowering
infant face down, extends arms to protect from falling
Toddler- Social/emotional Right Ans - Egocentric. separation anxiety,
transitional objects provide security. encourage parent presence
Toddler- Language/Cognition Right Ans - 12 months- 5 words
18 months- 50 words
24 months- 400 words, uses 2-3 word phrases
3 yrs old- 3-4 word sentences
4 yrs old- 4-5 word sentences
Anterior fontanel closes Right Ans - 12-18 months
potty training Right Ans - 2-3 years old- daytime dryness
3-5 years old- night time dryness
Preschool age- social emotional Right Ans - 3-5 years old. People pleaser
sharing, taking turns, follow rules
fears body integrity- bandages help allay fear of losing blood
parent is most influential
Preschool age- Language/cognition Right Ans - tells long stories
Preschool- physical/motor Right Ans - 3 yr- builds a tower > 6 blocks
4 yr- throws ball overhead
5 yr- agile, does it all
Vision matures by what age? Right Ans - 6 years. fix issues before vision
matures
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