CPNRE CPNRE - Canadian Practical Nurse Registration Examination Pediatric and Child Health Nursing Questions and Answers 4

Question 1

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

Accepted Answer

Keep the child calm and avoid agitating procedures

Answer

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

Question 2

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

Accepted Answer

Jitteriness and poor feeding

Answer

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

Question 3

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

Accepted Answer

Administer prescribed analgesics and IV fluids

Answer

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

Question 4

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

Accepted Answer

I will give acetaminophen or ibuprofen and ensure adequate fluids

Answer

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

Question 5

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?

Accepted Answer

Nausea, vomiting, and bloody diarrhea

Answer

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

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE CPNRE - Canadian Practical Nurse Registration Examination Pediatric and Child Health Nursing Questions and Answers 4