CPNRE - Canadian Practical Nurse Registration Examination Pediatric and Child Health Nursing Questions and Answers Flashcards

A nurse is teaching a parent about febrile seizure management at home. Which statement by the parent indicates understanding?

Answer: I will place my child on their side, protect them from injury, and time the seizure

Positioning the child on their side, ensuring safety, and timing the seizure are correct first aid responses to a febrile seizure.

A 10-year-old is admitted with suspected appendicitis. Which assessment finding is most consistent with this diagnosis?

Answer: Rebound tenderness at McBurney's point in the right lower quadrant

Rebound tenderness at McBurney's point in the right lower quadrant is a classic sign of appendicitis.

When performing a developmental assessment on a 12-month-old, which milestone would the nurse expect to find?

Answer: Pulling to stand and saying 1–2 words

At 12 months, infants typically pull to stand, cruise along furniture, and may say 1–2 meaningful words.

A child with asthma presents with audible wheezing and an oxygen saturation of 91%. What is the priority intervention?

Answer: Apply supplemental oxygen and administer a short-acting bronchodilator

Supplemental oxygen corrects hypoxemia while a short-acting bronchodilator (e.g., salbutamol) relieves acute bronchoconstriction.

A nurse is preparing to insert an IV in a pediatric client. Which statement about pediatric IV sites is correct?

Answer: Scalp veins may be used in infants when peripheral sites are unavailable

Scalp veins can be used in infants when peripheral limb access is difficult, as they are accessible and relatively stable.

Which action demonstrates family-centered care when a child is hospitalized?

Answer: Encouraging parents to participate in the child's care and remain at the bedside

Family-centered care encourages parents to be active participants in their child's care, which reduces anxiety and promotes healing.