CPNRE CPNRE - Canadian Practical Nurse Registration Examination Pediatric and Child Health Nursing Questions and Answers 5

Question 1

A 3-week-old presents with projectile vomiting after every feeding, visible gastric waves, and an olive-shaped mass in the epigastrium. The nurse suspects:

Accepted Answer

Pyloric stenosis

Answer

Projectile non-bilious vomiting, visible peristaltic waves, and an olive-shaped mass in the epigastrium are the classic triad of pyloric stenosis.

Question 2

Which developmental milestone would the nurse expect in a healthy 9-month-old infant?

Accepted Answer

Pincer grasp and object permanence

Answer

By 9 months, infants develop the pincer grasp and begin to understand object permanence (knowing an object exists when out of sight).

Question 3

A 6-year-old is recovering from tonsillectomy. Which finding requires IMMEDIATE nursing intervention?

Accepted Answer

Frequent swallowing and restlessness

Answer

Frequent swallowing in a post-tonsillectomy child is a sign of hemorrhage as the child swallows blood, requiring immediate assessment.

Question 4

A nurse is assessing a 4-year-old child's pain. Which tool is MOST appropriate?

Accepted Answer

FACES Pain Rating Scale

Answer

The FACES Pain Rating Scale is validated for children aged 3 and older who can self-report pain using pictures of facial expressions.

Question 5

An 8-month-old is diagnosed with RSV bronchiolitis. Which clinical feature is MOST concerning and warrants immediate intervention?

Accepted Answer

Oxygen saturation of 88% on room air

Answer

An oxygen saturation of 88% indicates significant hypoxemia requiring immediate supplemental oxygen and possible escalation of care.

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 5