CPNRE CPNRE - Canadian Practical Nurse Registration Examination Pediatric and Child Health Nursing Questions and Answers 2

Question 1

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

Accepted Answer

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

Answer

I will put a spoon in my child's mouth during a seizure to prevent biting

Answer

I will apply cold water all over the body to stop the fever quickly

Answer

I will give extra doses of acetaminophen during the seizure

Question 2

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

Accepted Answer

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

Answer

Diffuse abdominal cramping relieved by eating

Answer

Left lower quadrant pain with diarrhea

Answer

Epigastric pain relieved by antacids

Question 3

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

Accepted Answer

Pulling to stand and saying 1–2 words

Answer

Speaking in 3-word sentences

Answer

Drawing simple shapes

Answer

Running steadily without falling

Question 4

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

Accepted Answer

Apply supplemental oxygen and administer a short-acting bronchodilator

Answer

Administer oral corticosteroids

Answer

Encourage the child to do deep breathing exercises

Answer

Position the child flat and monitor closely

Question 5

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

Accepted Answer

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

Answer

The antecubital fossa is always preferred in infants

Answer

The femoral vein is a first-line site in toddlers

Answer

IV lines are not recommended for children under 2 years

Question 6

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

Accepted Answer

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

Answer

Limiting parental involvement to decrease infection risk

Answer

Separating the child from parents during all procedures

Answer

Providing care only during scheduled nursing rounds