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

A nurse is assessing a 2-year-old child. Which vital sign range is within normal limits for this age group?

Answer: Heart rate 80–130 bpm, RR 20–30 breaths/min

Normal heart rate for a toddler (2 years) is 80–130 bpm and respiratory rate is 20–30 breaths/min.

A child is brought to the clinic with a barking cough, inspiratory stridor, and low-grade fever. The nurse suspects:

Answer: Croup (laryngotracheobronchitis)

A barking seal-like cough with inspiratory stridor and low-grade fever are classic signs of croup caused by parainfluenza virus.

When administering oral medications to a toddler, which approach is most effective?

Answer: Administer with a syringe directed toward the inner cheek

Using a syringe directed toward the inner cheek delivers medication safely and helps prevent choking or aspiration.

A 6-month-old infant is showing signs of dehydration. Which finding indicates severe dehydration?

Answer: Sunken anterior fontanelle and absent tears

A sunken anterior fontanelle and absent tears are signs of severe dehydration in infants, requiring urgent intervention.

The nurse is caring for a child post-tonsillectomy. Which observation requires immediate action?

Answer: Frequent swallowing and restlessness

Frequent swallowing and restlessness post-tonsillectomy are signs of hemorrhage, which is a surgical emergency.

Which immunization is typically given to a healthy 2-month-old infant in Canada?

Answer: DTaP-IPV-Hib (diphtheria, tetanus, pertussis, polio, Hib)

DTaP-IPV-Hib is a standard immunization given at 2 months as part of the Canadian immunization schedule.