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CPNP-AC Exam Format | CPNP-AC Course Contents | CPNP-AC Course Outline | CPNP-AC Exam Syllabus | CPNP-AC Exam Objectives

Number of Questions: Approximately 200 multiple-choice questions.

Time Allotted: 3.5 hours.

Content Areas: Based on the above topics, weighted as follows:

Clinical Practice: 60%

Professional Role and Policy: 10%

Systems-Based Practice: 15%

Health Promotion and Disease Prevention: 10%

Special Populations: 5%



- Health History and Physical Exam:

- Comprehensive and focused health histories.

- Developmental exam

- Denver II

- Ages and Stages Questionnaire

- Physical examination techniques specific to pediatric populations.

- Interpretation of growth charts (e.g., WHO, CDC).



- Diagnostic Reasoning:

- Differential diagnosis development.

- Interpretation of diagnostic tests

- labs

- imaging

- EKG

- PFTs

- Use of clinical guidelines and evidence-based practice.



- Disease Management:

- Acute conditions

- respiratory distress

- sepsis

- dehydration

- Chronic conditions

- asthma

- diabetes

- cystic fibrosis

- Critical care

- shock

- traumatic injury

- cardiac arrest

- Pain management and palliative care.



- Pharmacology:

- Pediatric pharmacokinetics and pharmacodynamics.

- Common medications used in acute care

- antibiotics

- analgesics

- sedatives

- Medication dosing and safety

- weight-based dosing

- renal/hepatic adjustments



- Scope of Practice:

- State and federal regulations governing NP practice.

- Collaborative practice agreements and prescriptive authority.

- Ethical and Legal Issues:

- Informed consent and assent.

- Confidentiality and HIPAA compliance.

- End-of-life care and ethical dilemmas.



- Health Policy and Advocacy:

- Impact of healthcare policies on pediatric acute care.

- Advocacy for patients and families (e.g., access to care, health equity).



- Systems-Based Practice

- Care Coordination:

- Interdisciplinary collaboration

- with physicians

- social workers

- therapists

- Transition of care

- hospital to home

- pediatric to adult care



- Quality Improvement:

- Identifying and addressing gaps in care.

- Implementing evidence-based practice changes.

- Participating in quality improvement initiatives.



- Healthcare Systems:

- Understanding of healthcare financing

- Medicaid

- private insurance

- Utilization of healthcare resources

- telemedicine

- community resources



- Health Promotion and Disease Prevention

- Health Maintenance:

- Immunizations and vaccine schedules.

- Screening for developmental, behavioral, and mental health issues.

- Nutritional counseling and obesity prevention.



- Injury Prevention:

- Education on safety measures (e.g., car seats, helmet use).

- Prevention of accidental injuries (e.g., poisoning, burns).



- Family Education:

- Teaching families about disease management and prevention.

- Supporting families in coping with acute and chronic illnesses.



- Neonates and Infants:

- Management of prematurity, congenital anomalies, and neonatal emergencies.

- Developmental care in the NICU.



- Adolescents:

- Addressing risky behaviors (e.g., substance abuse, sexual health).

- Managing eating disorders and mental health issues.

- Children with Special Healthcare Needs:

- Care coordination for children with complex medical conditions.

- Supporting families of children with disabilities.



- Common Procedures:

- IV insertion, lumbar puncture, wound care, and suturing.

- Airway management (e.g., intubation, tracheostomy care).



- Use of ventilators, ECMO, and other life-support devices.

- Interpretation of monitoring data (e.g., hemodynamic monitoring, capnography).

- Acute Care: Short-term, intensive treatment for severe injuries or illnesses.

- Chronic Condition: A long-term health issue requiring ongoing management.



- Palliative Care: Focused on relieving symptoms and improving quality of life.

- Evidence-Based Practice: Integrating clinical expertise with the best available research.

- Pharmacokinetics: How the body processes medications.



- Health Equity: Ensuring all patients have access to quality care regardless of background.

- Interdisciplinary Team: Collaboration among healthcare professionals from different disciplines.

- Telemedicine: Use of technology to provide remote healthcare services.

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