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

Question 1

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

Accepted Answer

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

Answer

Heart rate 140–160 bpm, RR 12–16 breaths/min

Answer

Heart rate 60–100 bpm, RR 12–20 breaths/min

Answer

Heart rate 100–160 bpm, RR 40–60 breaths/min

Question 2

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

Accepted Answer

Croup (laryngotracheobronchitis)

Answer

Epiglottitis

Answer

Bronchiolitis

Answer

Pneumonia

Question 3

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

Accepted Answer

Administer with a syringe directed toward the inner cheek

Answer

Mix the medication into a full bottle of formula

Answer

Tell the child the medication is candy

Answer

Hold the child's nose to ensure swallowing

Question 4

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

Accepted Answer

Sunken anterior fontanelle and absent tears

Answer

Slightly dry mucous membranes

Answer

One wet diaper in the past 6 hours

Answer

Mild fussiness with normal skin turgor

Question 5

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

Accepted Answer

Frequent swallowing and restlessness

Answer

Mild throat discomfort rated 3/10

Answer

Preference for cold fluids

Answer

Sleeping more than usual the first day

Question 6

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

Accepted Answer

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

Answer

MMR (measles, mumps, rubella)

Answer

Varicella vaccine

Answer

Hepatitis A vaccine