These CPN practice questions target management — including AD, TCS. The complete CPN deck holds 1060 flashcards, 250 of them dedicated to this topic. Study the free samples below, then unlock the whole collection for a one-time $7.
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An exclusively breastfed 4-month-old infant is at a well-child visit. The mother asks if the infant needs iron supplements. According to evidence-based guidelines, what is the correct management?
Show answer →Exclusively breastfed full-term infants should begin 1 mg/kg/day of oral iron supplementation at 4 months of age. This should continue until iron-containing complementary foods (like iron-fortified cereals) are introduced. Rationale: Fetal iron stores are typically depleted by 4 months. Preterm infants require iron earlier (usually at 2 weeks of age). Exam Tip: Distinguish between full-term (4 months) and preterm (2 weeks) iron requirements. Distractors often suggest starting at birth or 6 months.
A 16-year-old female asks for the most effective method of reversible contraception to prevent pregnancy. According to current 2026 guidelines, which category of contraception should the nurse prioritize in the discussion?
Show answer →Long-Acting Reversible Contraception (LARC), specifically the subdermal implant (Nexplanon) or intrauterine devices (IUDs). Rationale: LARCs have a "typical use" failure rate of <1%, comparable to "perfect use" because they are not user-dependent. This makes them first-line for adolescents who may struggle with daily adherence. Exam Strategy: PNCB emphasizes LARC as the gold standard for adolescent pregnancy prevention. Distractors often include combined oral contraceptives (COCs), which have higher typical failure rates (7-9%) due to missed doses.
A 4-month-old with a VSD-related heart failure presents with poor feeding and 3 episodes of vomiting. The heart rate is 88 bpm (baseline 125 bpm). What is the priority nursing action?
Show answer →Hold the Digoxin dose and notify the provider immediately to obtain a serum digoxin level and ECG. In infants, bradycardia and vomiting are the most common signs of digoxin toxicity. Rational: The CPN exam often tests the ability to recognize that infant toxicity presents differently than adults (who see halos/yellow vision). Normal infant HR is 110-160; 88 is significant bradycardia. Clinical Pearl: Always check apical pulse for a full minute before administration and hold if HR is <90 in infants or <70 in older children.
A 4-month-old happy spitter gains weight well but vomits after every feed. What is the priority nursing education for the parents regarding management?
Show answer →This describes physiologic Gastroesophageal Reflux (GER). Management is conservative: frequent burping, smaller/frequent feeds, and keeping the infant upright for 20-30 mins post-feed. Crucially, emphasize Back to Sleep (supine) despite reflux to prevent SIDS. GER usually resolves by 12-18 months. PNCB tip: Distinguish GER (growth ok) from GERD (pathologic/FTT).
A 4-month-old with moderate atopic dermatitis (AD) on the trunk is prescribed a topical corticosteroid (TCS). What is the most critical education regarding the soak and seal technique to ensure maximum medication efficacy?
Show answer →Soak the child in lukewarm water for 10-15 mins. Pat dry lightly (leaving skin damp). Apply the TCS immediately to inflamed areas, then seal the entire body with a thick emollient (ointment preferred) within 3 minutes. Rationale: This traps moisture and enhances medication penetration. PNCB Strategy: Emphasize that emollients should be applied OVER the medication, not before, and that ointments are superior to creams for barrier repair in AD.
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Try 30 free CPN cards firstThe full CPN deck contains 1060 flashcards, and 250 of them focus on management. This page shows 5 free samples.
Our CPN deck dedicates 250 of 1060 cards (24%) to management — always cross-check the official PNCB exam outline for the current blueprint weighting.
Yes — the samples on this page are free, and the CPN preview page has 30 more free cards. Full access to all 1060 cards is a one-time $7.
Assessment
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Basics
90 cards
Dental
10 cards
Diagnostics
20 cards
Pathology
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Pharmacology
70 cards
Procedures
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