CPN CPE CIS study materials
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CPN CPE CIS study plan

CPN CPE CIS · Give each week a clear focus.

8 weeks · About 8 hours per week

Week 1

Pediatric Assessment and Growth/Development

  • Build a one-page growth-and-development reference that lists expected gross motor, fine motor, language, and social milestones at 2, 4, 6, 9, 12, 18, and 24 months and at 3, 4, and 5 years, citing a single published schedule you can defend.

  • Explain in writing how to convert a plotted length, weight, and head circumference into a percentile and a z-score, and state the threshold that defines failure to thrive in an infant under 2 years.

  • Practice 15 developmental surveillance scenarios (e.g., a 9-month-old who does not sit unsupported, a 15-month-old with 3 words) and write the next-step referral or recheck interval for each with rationale.

  • Draft a 10-item checklist of age-specific assessment techniques (approach to the toddler, interview sequence for the school-age child, pubertal staging, and adolescent confidentiality) that you can apply at the bedside.

  • Compare primitive reflexes (Moro, palmar grasp, tonic neck, rooting) and their expected disappearance windows, and write two sentences on what persistence signals.

Your checkpoint

A single reference sheet covering milestone windows, growth-parameter interpretation with failure-to-thrive thresholds, and 15 worked surveillance scenarios with next steps.

Week 2

Acute and Chronic Illness Management

  • Map the assessment findings, first-line management, and family teaching points for the five highest-yield pediatric respiratory conditions (bronchiolitis, asthma exacerbation, croup, pneumonia, and foreign-body aspiration) into a comparison table.

  • Differentiate the dehydration classification (mild, moderate, severe) using weight loss, mental status, mucous membranes, tears, capillary refill, and urine output, and write the corresponding rehydration strategy for each tier.

  • Explain the pathophysiology and nursing priorities for two chronic conditions you find hardest (e.g., type 1 diabetes and sickle cell disease) in 300 words each, including the early signs of the most dangerous complication of each.

  • Interpret 10 sets of pediatric vital signs and basic laboratory values against age-specific normal ranges and flag which values require immediate escalation.

  • Write a script for teaching a caregiver to recognize and respond to respiratory distress at home, using plain language at roughly a sixth-grade reading level.

Your checkpoint

A five-condition respiratory comparison table plus a three-tier dehydration management guide with rehydration volumes and reassessment intervals.

Week 3

Emergency and Critical Care

  • Construct a one-page pediatric resuscitation quick-reference covering compression depth and rate by age, ventilation rate, and the sequence for a witnessed versus unwitnessed collapse.

  • Calculate and verify weight-based doses for epinephrine, defibrillation energy, and fluid boluses across 5, 10, 20, and 40 kg patients, showing your arithmetic for each.

  • Rank the immediate nursing actions for shock, respiratory failure, status epilepticus, and anaphylaxis in order of priority, and justify each ordering decision in one sentence.

  • Describe the recognition and first response for child maltreatment and for an infant with an apparent life-threatening event, including who to notify and what to document.

  • Explain the triage categories of a standard five-level pediatric emergency scale and assign a level to 10 short vignettes with rationale.

Your checkpoint

A laminated-style resuscitation and weight-based dosing card, plus 10 triage vignettes scored with assigned acuity levels and justifications.

Week 4

Pharmacology and Medication Safety & Infusion Therapy and Vascular Access

  • Demonstrate the full medication-safety chain for a pediatric dose: right patient identification, weight-based calculation, independent double-check, and high-alert drug handling, and write the steps as a checklist.

  • Calculate 20 practice doses involving mg/kg, unit/kg/hour infusions, and dilution of a concentrated stock solution, achieving at least 90 percent accuracy without a calculator for the arithmetic steps.

  • Compare the safe administration considerations for oral, intramuscular, subcutaneous, and intravenous routes in infants and children, including site selection and volume limits.

  • Identify compatibility, filtration, and concentration limits for common pediatric intravenous fluids and drugs, and list five situations that require central rather than peripheral access.

  • Describe the signs, prevention, and immediate management of infiltration, extravasation, phlebitis, and catheter-related bloodstream infection, and state what must be documented for each.

Your checkpoint

A completed 20-item dose-calculation set with a 90 percent or better score, plus a one-page medication-safety and vascular-access checklist covering high-alert drugs and extravasation response.

Week 5

Health Promotion and Anticipatory Guidance & Family-Centered Care and Communication

  • Build an age-banded anticipatory guidance grid (newborn, 2 months, 6 months, 12 months, 2 years, 5 years, adolescence) covering nutrition, sleep safety, injury prevention, immunization timing, and screen time, with one concrete teaching point per cell.

  • Write three role-play scripts demonstrating family-centered communication: delivering a new chronic diagnosis, addressing a vaccine-hesitant parent, and supporting a family with limited health literacy.

  • Explain how to conduct a family interview that maps the household structure, primary caregiver, cultural health beliefs, and social determinants, and list the questions you would ask.

  • Describe the principles of trauma-informed and developmentally appropriate communication with a child at three ages (preschool, school-age, adolescent) and give a sample sentence for each.

  • Identify the reporting and advocacy obligations for suspected neglect, and outline how to escalate a social-determinant barrier such as food insecurity or housing instability.

Your checkpoint

A one-page age-banded anticipatory guidance grid plus three written communication scripts with the exact phrasing you would use.

Week 6

Patient Safety, Quality, and Professional Practice

  • Explain the purpose and application of a pediatric early-warning scoring tool, and walk through how you would escalate a rising score on a busy unit.

  • Describe the components of a root-cause analysis and a plan-do-study-act improvement cycle, and outline how each would address a pediatric medication error or a fall.

  • Summarize the scope of practice, delegation rules, and mandatory reporting duties that apply to your licensure, and note where your state or province differs.

  • List the elements of informed consent and assent for a pediatric procedure and identify who can consent in situations involving separated or foster parents.

  • Analyze two short quality cases (a missed deterioration and a wrong-patient error) using a systems lens rather than individual blame, naming the latent conditions involved.

Your checkpoint

A two-case systems analysis written in root-cause format, each naming at least three contributing factors and one testable improvement idea.

Week 7

Pediatric Assessment and Growth/Development & Acute and Chronic Illness Management & Emergency and Critical Care

  • Revisit every item you flagged as uncertain during weeks 1 through 6 and resolve each one by writing the correct concept and why you missed it.

  • Complete two timed mixed-domain practice sets of at least 50 items each, and log the domain, error type (knowledge gap, misread, calculation, or priority-judgment), and the fix for every miss.

  • Redo all previously missed calculation and priority-ordering items until you reach 100 percent accuracy on a second attempt.

  • Teach two high-yield concepts aloud from memory, one from growth and development and one from emergency care, as if explaining to a new graduate.

Your checkpoint

A personal error log covering every missed item from two timed practice sets, with a written correction and error category for each.

Week 8

Pediatric Assessment and Growth/Development & Health Promotion and Anticipatory Guidance & Family-Centered Care and Communication & Acute and Chronic Illness Management & Emergency and Critical Care & Pharmacology and Medication Safety & Infusion Therapy and Vascular Access & Patient Safety, Quality, and Professional Practice

  • Take one full-length timed simulated examination under test-day conditions and score it by domain to identify your two weakest areas.

  • Spend the first half of the week rebuilding only those two weakest areas using your own reference sheets and error log.

  • Recite from memory the milestone windows, dehydration tiers, resuscitation parameters, and high-alert medication checks without notes.

  • Write a one-page test-day plan covering pacing per item, when to flag and move on, and how you will handle priority-style questions.

  • Review your error log one final time and confirm every entry has a resolved correction.

Your checkpoint

A full-length simulated exam score report with a per-domain breakdown and a written remediation summary for the two weakest domains.

Milestones

Week 2: You can state the dehydration tier and rehydration plan for any given set of pediatric assessment findings without looking at your notes.

Week 4: You score at least 90 percent on a fresh 20-item weight-based dose-calculation set and can list the high-alert medication double-check steps from memory.

Week 6: You have completed error logs or systems analyses for every domain and can name your three weakest domains with the specific concepts still unresolved.

Week 7: Your timed practice-set scores are trending upward and every missed item has a written correction and error category.

Week 8: Your full-length simulated exam shows no domain below your target threshold, and you can recite the core reference values (milestones, dehydration tiers, resuscitation parameters, high-alert checks) without notes.