Reply To: CPHON Prep: “Question of the Day”

  • Mary Lynn Rae

    September 24, 2013 at 4:37 pm

    Thanks so much Rebecca! 🙂

    Mary Lynn Rae, RN, MSN, CPON
    Ann & Robert Lurie Children’s Hospital of Chicago
    Chicago, IL
    United States

    Original Message:
    Sent: 09-24-2013 12:00 PM
    From: Rebecca Kolenik
    Subject: CPHON Prep: “Question of the Day”

    Good morning everyone,

    During the Town Hall for Nurse Educators at our APHON Conference this past weekend, I shared that I have been helping my nurses prepare for the CPHON exam by sending out a “CPHON Question of the Day” (in quotes because these emails are not truly sent daily, to avoid oversaturation).

    These brief emails, sent every Monday and Thursday, are meant to help nurses become familiar with the CPHON question format and to highlight areas that are less familiar or where the CPHON answer may differ from institution-specific practice.  Each email includes the question plus (much further down the page, so no one can peek) the answer and rationale.  Including the answer and rationale means nurses do not have to send their response back to me, removing any fear or embarrassment about potential wrong answers.  The nurses have reported that this is their favorite CPHON prep tool to date, because it doesn’t require scheduled time (like a review class) and is a non-threatening way to study (since no one sees their answer).

    As discussed on Saturday, this thread will be a place to share our “Questions of the Day” with each other – a sort of question bank.  I have quite a few questions written already and will post here regularly.  Contributions from any of you are more than welcome!

    Here’s a question to kick off the thread:

    Question: Fevers during the first three days following surgery are most often due to:

    1. Fluid shifts
    2. Paralytic ileus
    3. Atelectasis
    4. Wound infection

    Answer: C is the correct answer; atelectasis is a common post-operative complication related to airways becoming obstructed (usually by bronchial secretions) when the patient is not taking deep breaths and not fully expanding his/her lungs. Most cases are mild and resolve as the patient increases their activity, resulting in deeper breathing and increased lung expansion.


    A, B, and D are not correct answers, because these are not the most common cause of fever in the first three days after surgery.

    Rebecca Kolenik
    Clinical Nurse Specialist
    New York, NY
    United States