CPNRE CPNRE - Canadian Practical Nurse Registration Examination Pediatric and Child Health Nursing Questions and Answers 1 — 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?
- Heart rate 140–160 bpm, RR 12–16 breaths/min
- Heart rate 80–130 bpm, RR 20–30 breaths/min (Correct answer)
- Heart rate 60–100 bpm, RR 12–20 breaths/min
- Heart rate 100–160 bpm, RR 40–60 breaths/min
Correct 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.
Question 2: A child is brought to the clinic with a barking cough, inspiratory stridor, and low-grade fever. The nurse suspects:
- Epiglottitis
- Croup (laryngotracheobronchitis) (Correct answer)
- Bronchiolitis
- Pneumonia
Correct answer: Croup (laryngotracheobronchitis)
A barking seal-like cough with inspiratory stridor and low-grade fever are classic signs of croup caused by parainfluenza virus.
Question 3: When administering oral medications to a toddler, which approach is most effective?
- Mix the medication into a full bottle of formula
- Administer with a syringe directed toward the inner cheek (Correct answer)
- Tell the child the medication is candy
- Hold the child's nose to ensure swallowing
Correct 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.
Question 4: A 6-month-old infant is showing signs of dehydration. Which finding indicates severe dehydration?
- Slightly dry mucous membranes
- Sunken anterior fontanelle and absent tears (Correct answer)
- One wet diaper in the past 6 hours
- Mild fussiness with normal skin turgor
Correct answer: Sunken anterior fontanelle and absent tears
A sunken anterior fontanelle and absent tears are signs of severe dehydration in infants, requiring urgent intervention.
Question 5: The nurse is caring for a child post-tonsillectomy. Which observation requires immediate action?
- Mild throat discomfort rated 3/10
- Frequent swallowing and restlessness (Correct answer)
- Preference for cold fluids
- Sleeping more than usual the first day
Correct answer: Frequent swallowing and restlessness
Frequent swallowing and restlessness post-tonsillectomy are signs of hemorrhage, which is a surgical emergency.
Question 6: Which immunization is typically given to a healthy 2-month-old infant in Canada?
- MMR (measles, mumps, rubella)
- DTaP-IPV-Hib (diphtheria, tetanus, pertussis, polio, Hib) (Correct answer)
- Varicella vaccine
- Hepatitis A vaccine
Correct 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.
CPNRE CPNRE - Canadian Practical Nurse Registration Examination Pediatric and Child Health Nursing Questions and Answers 1
A nurse is assessing a 2-year-old child.
Which vital sign range is within normal limits for this age group?