CPN CPE CIS study plan
CPN CPE CIS · Give each week a clear focus.
8 weeks · About 8 hours per week
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.
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.
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.
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.
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.
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.
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.
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.