The Primary Care CPNP® Exam 2007 Role Delineation Study and Exam Updates for Fall 2008 The Pediatric Nursing Certification Board

Outline of Changes to the Primary Care CPNP Exam Content Outline Changes 2002 to 2008

The CPNP-PC Exam in items total, 180 scored (20 pre-test items) 2 Primary exam content Domains + sub-content areas:  Health Promotion  Health Restoration 5 Areas Reported to Candidate:  Health Promotion: Physiology  Health Promotion: Psychological  Health Promotion: Developmental  Health Restoration: Pathophysiological  Health Restoration: Pathopsychological

3 Dimensions of Practice:  Consultation  Teaching  Clinical Practice Integrated Concepts: Legal/Ethical Family Community Pharmacology Nutrition Age Groups Safety and Poisoning Therapeutic Modalities Genetics Research The CPNP-PC Exam in 2002

Role Delineation Analysis and Resulting Changes The New Primary Care CPNP Content Outline 2008

4 Main Topic Areas:  Health Promotion/Prevention/Anticipatory Guidance  Assessment – incorporates physiology & growth and development concepts  Management – includes focus on clinical problems, pathophysiology as well as pathopsychology  Professional Issues 175 items total, 150 scored (25 pre-test items) The CPNP-PC Exam in Fall 2008

CPNP – Primary Care Role Definition 2008 The CPNP primary care (CPNP-PC) role provides wellness and illness supervision of children and their families through the processes of health promotion, assessment of acute and chronic illness, and management of disease processes and involvement in professional issues. In the role of health promotion, the CPNP-PC provides anticipatory guidance, age-appropriate counseling and primary prevention of illness. The CPNP-PC determines appropriate screening and diagnostic testing, diagnoses and treatment of common and chronic illness conditions through the use of pharmacologic, nonpharmacologic, procedural and referral regimens. The CPNP-PC provides a comprehensive treatment plan and evaluates outcomes, ultimately reflecting current evidence and research findings with the goal of care to achieve optimum quality of life with the prevention of illness. All arenas of CPNP-PC practice focus on professionally-based goals and objectives. The CPNP-PC practices in a variety of health care settings including but not limited to the home, hospital, ambulatory and school-based clinics, private practice and sub-specialty clinics.

 Respiratory  EENT  Gastrointestinal  Behavioral/Psychological Problems  Dermatology  Musculoskeletal  Allergy  Nutrition  Neurology  Cardiovascular  Hematology  Endocrinology  Oncology  Immunology/Rheumatology  Environmental Health 2008: Clinical Problems

1. Additional and more contemporary health prevention content:  Sports safety  Environmental and home safety  Social situations 2. Additional Highlights:  Procedures performed by the PNP that facilitate management of health problems  Integration of guidelines into management/practice  Emergency Preparedness  Coordination of care for children with special needs The Exam in Fall 2008

New Area: Professional Practice  Benchmarking  Billing and Coding  Credentialing and Privileging  Research/Evidenced based practice  Leadership The Exam in Fall 2008

Primary Care CPNP Scope of Practice National organizations recently collaborated to develop a scope of practice for pediatric nursing, including the role of the advanced practice pediatric nurse. The data collected from our Primary Care CPNP practice analysis supports the scope outlined for advanced pediatric nurse practitioner practice. This publication, Pediatric Nursing: Scope and Standards of Practice (©2008), is available through the National Association of Pediatric Nurse Practitioners at

Visit our website at to view the new content outline. If you have questions, please contact us at or call The Exam in Fall 2008