CPNRE CPNRE - Canadian Practical Nurse Registration Examination Pediatric and Child Health Nursing Questions and Answers 2 — Questions and Answers
Question 1: A nurse is teaching a parent about febrile seizure management at home. Which statement by the parent indicates understanding?
- I will put a spoon in my child's mouth during a seizure to prevent biting
- I will place my child on their side, protect them from injury, and time the seizure (Correct answer)
- I will apply cold water all over the body to stop the fever quickly
- I will give extra doses of acetaminophen during the seizure
Correct 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.
Question 2: A 10-year-old is admitted with suspected appendicitis. Which assessment finding is most consistent with this diagnosis?
- Diffuse abdominal cramping relieved by eating
- Rebound tenderness at McBurney's point in the right lower quadrant (Correct answer)
- Left lower quadrant pain with diarrhea
- Epigastric pain relieved by antacids
Correct 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.
Question 3: When performing a developmental assessment on a 12-month-old, which milestone would the nurse expect to find?
- Speaking in 3-word sentences
- Pulling to stand and saying 1–2 words (Correct answer)
- Drawing simple shapes
- Running steadily without falling
Correct 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.
Question 4: A child with asthma presents with audible wheezing and an oxygen saturation of 91%. What is the priority intervention?
- Administer oral corticosteroids
- Apply supplemental oxygen and administer a short-acting bronchodilator (Correct answer)
- Encourage the child to do deep breathing exercises
- Position the child flat and monitor closely
Correct 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.
Question 5: A nurse is preparing to insert an IV in a pediatric client. Which statement about pediatric IV sites is correct?
- The antecubital fossa is always preferred in infants
- Scalp veins may be used in infants when peripheral sites are unavailable (Correct answer)
- The femoral vein is a first-line site in toddlers
- IV lines are not recommended for children under 2 years
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.
Question 6: Which action demonstrates family-centered care when a child is hospitalized?
- Limiting parental involvement to decrease infection risk
- Encouraging parents to participate in the child's care and remain at the bedside (Correct answer)
- Separating the child from parents during all procedures
- Providing care only during scheduled nursing rounds
Correct 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.
CPNRE CPNRE - Canadian Practical Nurse Registration Examination Pediatric and Child Health Nursing Questions and Answers 2
A nurse is teaching a parent about febrile seizure management at home.
Which statement by the parent indicates understanding?