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

A 4-year-old is admitted with epiglottitis. Which nursing intervention is the HIGHEST priority?

Answer: Keep the child calm and avoid agitating procedures

Agitation can cause complete airway obstruction in epiglottitis, so maintaining calm and avoiding invasive procedures until airway is secured is the priority.

A nurse is caring for a neonate with suspected hypoglycemia. Which finding would MOST support this diagnosis?

Answer: Jitteriness and poor feeding

Jitteriness, tremors, and poor feeding are classic clinical signs of neonatal hypoglycemia.

A child with sickle cell disease is in vaso-occlusive crisis. Which intervention takes priority?

Answer: Administer prescribed analgesics and IV fluids

Pain management with analgesics and IV hydration to reduce blood viscosity are the primary interventions during vaso-occlusive crisis.

The nurse is teaching parents about fever management in a 2-year-old. Which statement by the parent indicates correct understanding?

Answer: I will give acetaminophen or ibuprofen and ensure adequate fluids

Acetaminophen or ibuprofen with adequate hydration is the correct approach; ASA is contraindicated in children due to Reye syndrome risk.

A 7-year-old is brought in after ingesting an unknown number of iron tablets. Which early sign of iron toxicity should the nurse assess for?

Answer: Nausea, vomiting, and bloody diarrhea

Early iron toxicity manifests as severe GI symptoms including nausea, vomiting, abdominal pain, and bloody diarrhea within the first 6 hours.

A nurse is preparing to administer a vaccine to an 18-month-old. Which site is MOST appropriate for intramuscular injection?

Answer: Vastus lateralis muscle

The vastus lateralis (anterolateral thigh) is the preferred IM injection site for children under 3 years due to its large muscle mass and absence of major nerves.

A 10-year-old with type 1 diabetes presents with rapid deep breathing, fruity breath odor, and blood glucose of 28 mmol/L. The nurse recognizes this as:

Answer: Diabetic ketoacidosis requiring insulin and fluids

Kussmaul respirations, fruity breath, and severe hyperglycemia are hallmarks of diabetic ketoacidosis, treated with IV insulin and fluid replacement.