CPN Domain 1: Assessment and Diagnosis

A 6-month-old infant presents with irritability, poor feeding, and a bulging fontanelle. Which of the following should be the primary suspicion?

During an assessment of a 4-year-old, you notice asymmetrical shoulder heights. What is the most appropriate initial test to recommend?

A pediatric nurse assesses a child with suspected coarctation of the aorta. Which of the following findings is most likely?

Which clinical sign is most indicative of epiglottitis in a child presenting with acute onset of fever and sore throat?

A 3-year-old boy with no previous health issues suddenly develops a red, itchy rash after eating peanuts. What is the most appropriate first step in management?

You are assessing a child with suspected congenital heart disease. Which of the following symptoms would you expect?

In assessing a child with suspected acute lymphoblastic leukemia (ALL), which of the following would be an expected finding?

A pediatric nurse notes that a 2-year-old child has not met the developmental milestones for his age. Which of the following conditions is most likely associated with global developmental delay?

When assessing a child for dehydration, which of the following signs is most critical?

In examining a child with a suspected endocrine disorder, which symptom would you most likely associate with hypothyroidism?

A nurse is evaluating a 10-year-old child with abdominal pain. Which of the following findings would most strongly suggest appendicitis?

When assessing a pediatric patient with suspected type 1 diabetes, which of the following symptoms would be most indicative of diabetic ketoacidosis?

In evaluating a child with jaundice, which of the following conditions should be considered as a potential underlying cause?

A nurse is assessing a newborn for congenital hip dysplasia. Which clinical finding would most likely confirm this diagnosis?

Which symptom is most indicative of a brain tumor in a pediatric patient?

A child presents with a barking cough and stridor. Which of the following conditions is most likely?

When assessing a child who presents with excessive bruising and bleeding gums, which of the following conditions should be considered?

A nurse notes pallor and fatigue in a pediatric patient. Which lab test is most critical to determine the cause?

In a pediatric assessment, which sign is most indicative of rheumatic fever?

A 5-year-old with no past medical history presents with sudden onset of tachypnea, fever, and wheezing. Which condition should be primarily suspected?

A pediatric nurse notes that a child with a sore throat has petechiae on the soft palate. Which condition is most likely the cause?

In a child with known heart disease, which symptom would most likely suggest worsening heart failure?

A 3-year-old presents with a three-day history of fever, red eyes, and a red, swollen tongue. What is the most likely diagnosis?

During a routine examination, a pediatric nurse discovers a murmur in a 4-year-old child. Which additional finding would most suggest a congenital heart defect?

A child is brought to the emergency department with a sudden, severe asthma attack. What clinical finding would indicate the need for immediate intubation?

A nurse is evaluating a pediatric patient with a suspected metabolic disorder. Which symptom is most indicative of urea cycle disorder?

Which finding on a newborn's physical examination would most likely suggest a diagnosis of trisomy 21 (Down syndrome)?

A pediatric patient presents with crampy abdominal pain and bloody diarrhea. Which condition should be primarily suspected?

In assessing a child with palpitations and dizziness, which diagnostic test is most appropriate to evaluate for cardiac arrhythmias?

A child with a known history of severe allergies suddenly develops swelling of the lips and tongue after eating a new food. Which immediate intervention is most appropriate?