CPNP-AC Peds Nurse Exam Prep Exam Questions & Answers 2026 (11–20)

Question 1

Which assessment finding is most concerning in a 5-year-old post-tonsillectomy patient?

TheoryPractice · Accepted Answer

Fresh bright red blood from mouth or nose. Fresh bright red blood indicates active hemorrhage, a serious post-tonsillectomy complication requiring immediate attention.

Question 2

When assessing a 15-year-old with sickle cell crisis, which finding indicates severe disease?

TheoryPractice · Accepted Answer

Chest pain with decreased oxygen saturation. Chest pain with decreased oxygen saturation suggests acute chest syndrome, a serious complication of sickle cell disease.

Question 3

Which assessment finding requires immediate intervention in a 3-year-old with pneumonia?

TheoryPractice · Accepted Answer

Nasal flaring with intercostal retractions. Nasal flaring with intercostal retractions indicates significant respiratory distress requiring immediate intervention.

Question 4

In assessing a 7-year-old with new onset type 1 diabetes, which finding requires immediate attention?

TheoryPractice · Accepted Answer

Fruity breath with confusion. Fruity breath with confusion suggests diabetic ketoacidosis, requiring immediate medical intervention.

Question 5

When assessing a 10-year-old with severe head injury, which pupillary finding is most concerning?

TheoryPractice · Accepted Answer

Unilateral pupil dilation. Unilateral pupil dilation can indicate increasing intracranial pressure or brain herniation requiring immediate intervention.

Question 6

Which assessment finding is most concerning in a 6-year-old on mechanical ventilation?

TheoryPractice · Accepted Answer

Decreasing tidal volumes with increasing peak pressures. Decreasing tidal volumes with increasing peak pressures suggest worsening lung compliance or airway obstruction.

Question 7

When assessing a 4-month-old with bronchiolitis, which finding indicates need for hospitalization?

TheoryPractice · Accepted Answer

Respiratory rate >70 with poor feeding. Respiratory rate >70 with poor feeding indicates significant respiratory distress requiring hospitalization.

Question 8

Which assessment finding is most concerning in an 8-year-old post-appendectomy patient?

TheoryPractice · Accepted Answer

Severe abdominal pain with rigid abdomen. Severe abdominal pain with rigid abdomen may indicate postoperative complications like peritonitis requiring immediate evaluation.

Question 9

In assessing a 13-year-old with status epilepticus, which finding requires immediate intervention?

TheoryPractice · Accepted Answer

Duration of seizure activity >5 minutes. Seizure activity lasting >5 minutes meets criteria for status epilepticus and requires immediate medical intervention.

Question 10

When assessing a 1-year-old with suspected child abuse, which documentation is most critical?

TheoryPractice · Accepted Answer

Detailed description and photographs of injuries. Detailed documentation and photographs of injuries are crucial for legal purposes and appropriate intervention in suspected abuse cases.

CPNP-AC Peds Nurse Exam Prep Exam Questions & Answers 2026 (11–20)

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