CPN EXAM 2026 -2026 250 QUESTIONS AND ( ANSWERS)

CPN EXAM 2026 -2026 250 QUESTIONS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES ( ANSWERS)

A mother brings her 10 month old son to the pediatrician's office. When

the nurse approaches to measure the child's vital signs, he clings to

his mother tightly and starts to cry. The mother says, "He used to

smile at everyone. I don't know why he's acting this way." Which

response by the nurse would help the mother understand her child's

behavior?

a. "Your baby's behavior indicates stranger anxiety, which is

common at his age."

a. "Children who behave that way are developing shy personalities."

b. "Children at this age begin to fear pain."

c. "Your baby's having a temper tantrum, which is common at his age." -

ANSWER- a. "Your baby's behavior indicates stranger anxiety, which is

common at his age."

When telling a 4 year old about an upcoming procedure, the

nurse's most important consideration is to:

a. Tell the child immediately before the procedure is to

occur

b. Prepare the child at least 24 hours in advance so that the

child has time to emotionally adjust

c. Offer a toy to keep the child happy and distracted

d. Wait to tell the child until you are doing the procedure - ANSWER- a. Tell the

child immediately before the procedure is to

occur

An 18 month old child, immobilized with traction to the legs,

has a nursing diagnosis of diversional activity deficit

related to immobility. The nurse should include playing

with which diversional activity in the plan of care?

a. Tinkertoys

b. A pounding board

c. A pull toy

d. Board games - ANSWER- b. A pounding board

A parent calls the clinic to express concern over her child's

eating habits. She says the child eats very little and

consumes only a single type of food for weeks on end.

The nurse knows that this behavior is characteristic of

children ages:

a. 2-4 years

b. 5-8 years

c. 9-12 years

d. 13-17 years - ANSWER- a. 2-4 years

When assessing a toddler's growth and development, the

nurse understands that a child in this age group displays

behavior that fosters which developmental task?

a. Initiative

b. Autonomy

c. Trust

d. Industry - ANSWER- b. Autonomy

A school age child with a chronic condition is hospitalized for

the fourth time this year. What would be the most

appropriate strategy related to contact with the school?

a. Have her mother go to the school to get her missed

homework

b. Have the school nurse come to visit

c. Make arrangements for the child to be homeschooled so

that she does not fall behind in her studies

d. Have her classmates send her letters wishing her a

good recovery - ANSWER- d. Have her classmates send her letters wishing her a

good recovery

A child, age 5, is brought to the pediatrician's office for a

routine visit. When inspecting the child's mouth, the

nurse expects to find how many teeth?

a. Up to 10

b. Up to 15

c. Up to 20

d. Up to 32 - ANSWER- c. Up to 20

The nurse should expect a 3-year-old child to be able to

perform which action?

a. Roller-skate

b. Tie shoe laces

c. Ride a tricycle

d. Jump rope - ANSWER- c. Ride a tricycle

When performing a physical assessment on a girl, age 10,

the nurse keeps in mind that the first sign of sexual

maturity in girls is...

a. Axillary hair

b. Pubic hair

c. Breast bud development

d. Menarche - ANSWER- c. Breast bud development

The nurse suspects that a child, age 4, is being neglected

physically. To best assess the child's nutritional status,

the nurse should start by asking the parents which of the

following questions?

a. "Has your child always been so thin?"

b. "Is your child a picky eater?"

c. "What did your child eat for breakfast today?"

d. "Do you have difficulty buying nutritious food at the

supermarket? - ANSWER- c. "What did your child eat for breakfast today?"