Certified Pediatric Nurse Review 40 Questions with Verified Answers
Destiny is a 4 year old female who was admitted to your inpatient unit today with
... [Show More] acute lymphocytic leukemia. Which of the following symptoms would you expect to see?
a. weight loss, petechiae, high platelet count
b. weight gain, anemia, elevated white blood cell count
c. petechiae, anorexia, anemia
d. low platelet count, anemia, hunger - CORRECT ANSWER c. petechiae, anorexia, anemia
Lead poisoning is suspected in 21 month old Luke. What might be the source of his lead ingestion?
a. He lives near a paint factory.
b. He teethes on his 30 year old crib.
c. His home has asbestos ceiling in poor repair.
d. He ingested a crayon at age 19 months. - CORRECT ANSWER b. He teethes on his 30 year old crib.
How should the nurse instruct the parent of a child with chicken pox to limit the chances of developing a secondary infection?
a. keep hands clean and nails short.
b. use daily bicarbonate baths.
c. use calamine lotion liberally.
d. use antibiotic ointment. - CORRECT ANSWER a. keep hands clean and nails short.
Which of the following respiratory conditions is a medical emergency?
a. Asthma
b. cystic fibrosis
c. epiglottitis
d. Laryngotracheobronchitis - CORRECT ANSWER c. epiglottitis
Following the repair of a myelomeningocele, the nurse watches for symptoms of hydrocephalus. What symptoms indicate increased intracranial pressure?
a. sunset sign, increased pulse, lethargy
b. high shrill cry, decreased pulse, positive ortolani sign
c. vomiting, increased pulse, bulging fontanels
d. bulging fontanels, decreased pulse, irritability - CORRECT ANSWER d. bulging fontanels, decreased pulse, irritability
You are caring for a 3 yo who has just been diagnosed with nephritic syndrome. She is pale, edematous and has a poor appetite. Which one of the following laboratory findings would you expect?
a. glycosuria
b. gross hematuria
c. proteinuria
d. Hyperalbuminemia - CORRECT ANSWER c. proteinuria
You have just admitted a 4 yo with sickle cell disease crisis. You know that the primary aim of your treatment is to:
a. Decrease his fever.
b prevent the spread of infection
c. provide for hydration and oxygenation needs
d. prevent necrosis and gangrene of the ischemic body part. - CORRECT ANSWER c. provide for hydration and oxygenation needs
Which of the following is not a risk factor for iron deficiency anemia in infants?
a. prematurity
b. multiple birth
c. drinking whole milk at 9 months
d. introduction of baby foods - CORRECT ANSWER d. introduction of baby foods
You are caring for 3 yo amanda. You calculate her absolute neutrophil count (anc) to be 325. You know this means that she:
a. has a severe infection
b. is at severe risk for infection
c. is a moderate risk for infection
d. is a low risk for infection - CORRECT ANSWER b. is at severe risk for infection
Amy is a 5 yo admitted for cardiac surgery to repair tetralogy of fallot. She has developed polycythemia. What would be your best action because of the development of this condition?
a. allow rest periods
b. keep her hydrated
c. keep her in a semi-fowlers postition
d. perform passive range of motion - CORRECT ANSWER b. keep her hydrated
You are the nurse performing discharge teaching for an 8 yo who has epilepsy and her parents. You know that an important component of your discharge teaching are the side effects of dilantin (phenytoin) including:
a. respiratory acidosis
b. tachycardia
c. gum hyperplasia
d. hearing loss - CORRECT ANSWER c. gum hyperplasia
Which of the following instructions would the nurse include in a teaching plan that focuses on initial prevention of rheumatic fever?
a. using a corticosteroid to reduce inflammation
b. treating streptococcal throat infections with an antibiotic
c. providing an antibiotic before dental work
d. giving penicillin to clients with rheumatic fever - CORRECT ANSWER b. treating streptococcal throat infections with an antibiotic
You are the nurse caring for a newly diagnosed infant with cystic fibrosis. You are teaching the parents to properly administer pancreatic enzymes. You instruct the parents that the best medium to mix enzymes to feed the infant immediately prior to feeding is:
a. applesauce
b. pudding
c. baby cereal
d. mixed in formula in the baby's bottle - CORRECT ANSWER a. applesauce
An increased estimated serum sedimentation rate (esr) indicates which of the following?
a. red bone marrow activity is depressed
b. hyperactive bone marrow activity
c. an inflammatory process present in the body
d. increased hemolysis of red blood cells - CORRECT ANSWER c. an inflammatory process present in the body
You are teaching an adolescent who has been newly diagnosed with Diabetes about taking regular insulin. What is essential for her to know in relation to the insulin's effect?
a. give herself the injection 30 minutes before breakfast
b. have a mid-afternoon snack
c. check her urine after each meal
d. follow the american diabetic association menu carefully - CORRECT ANSWER a. give herself the injection 30 minutes before breakfast
Which of the following assessments would the nurse expect to see in an infant with development hip dysplasia?
a. asymmetric gluteal folds
b. symmetric gluteal folds
c. trendelenburg's sign
d. bone growth disruption - CORRECT ANSWER a. asymmetric gluteal folds
You are caring for a school age child with idiopathic thrombocytopenia purpura (ITP). Which of the following poses the greatest risk for this child?
a. infection
b. ibuprofen
c. steroids
d. trauma - CORRECT ANSWER d. trauma
Chemotherapy is used to treat acute lymphocytic leukemia. A side effect of this treatment is:
a. ischemia
b. alopecia
c cardiac toxicity
d. cerebral edema - CORRECT ANSWER b. alopecia
The nurse will do which of the following for the child with epiglottitis?
a. avoid using oropharyngeal suctioning due to the potential airway obstruction.
b. avoid using oropharyngeal suctioning due to contamination.
c. Use oropharyngeal suctioning to remove secreations.
d. prepare to use bag-mask ventilation. - CORRECT ANSWER a. avoid using oropharyngeal suctioning due to the potential airway obstruction.
Johnny is suspected of having hirschsprung's disease. The nurse would expect the child's history of present illness to include which of the following?
a. anemia, abdominal distention, fecal soiling
b. abdominal distention, delayed passage of meconium stool, foul smelling stools.
c. bloody diarrhea, fever, vomiting
d. irritability, sever abdominal cramps, fecal soiling - CORRECT ANSWER b. abdominal distention, delayed passage of meconium stool, foul smelling stools.
The urine specimen of a child with acute glomerulonephritis would probably be:
a. normal in color but very scant amount
b. normal in color but very cloudy due to loss of albumin
c. normal in color and amount
d. rusty brown color due to loss of blood. - CORRECT ANSWER d. rusty brown color due to loss of blood.
While playing in the playroom a 4 yo child stoops and squats down to the floor. The nurse should:
a. give oxygen
b. pick him up immediately and put him in the fowler's position in the bed.
c. Support the child in the position he assumes and observe
d. call the doctor - CORRECT ANSWER c. Support the child in the position he assumes and observe
What is the most important nursing intervention immediately following post-operative placement of a ventroculoperitoneal shunt?
a. place the child in reverse trendelenburg postion
b. place the child on his non-operative side
c. keep the child in a sitting position to assist drainage
d. pump the shunt intermittently for 8 hours - CORRECT ANSWER b. place the child on his non-operative side
The child who develops a case of pertussis will subsequently have what type of immunity against pertussis?
a. naturally acquired active
b. naturally acquired passive
c. artificially acquired active
d. artificially acquired passive - CORRECT ANSWER a. naturally acquired active
You are caring for a newborn that is being evaluated for imperforated anus. Which of the following nursing interventions would be most important?
a. maintaining npo status
b. taking axillary temperatures only
c. providing warm soaks to the anal area
d. maintaining the child in a supine position - CORRECT ANSWER a. maintaining npo status
You are caring for a 7 month old who is suspected of having intussusceptions. What clinical manifestations would most likely be present?
a. abdominal pain, vomiting, anemia
b. anorexia, fever, constipation
c. anorexia, fever, diarrhea
d. inconsolable crying, abdominal pain, currant-jelly appearing stool - CORRECT ANSWER d. inconsolable crying, abdominal pain, currant-jelly appearing stool
You are the nursing caring for a 3 yo who tests positive for HIV. His foster parents ask you how to prevent HIV transmission to other family members. How should you respond?
a. make sure the child uses disposable plates and utensils
b. use isopropyl alcohol to clean surfaces
c. do not let the child share toys with other children
d. wear gloves when you're likely to come in contact with the child's blood or bodily fluids. - CORRECT ANSWER d. wear gloves when you're likely to come in contact with the child's blood or bodily fluids.
Which of the following symptoms would you expect to see in the child with cushing's syndrome?
a. hypotension, muscle wasting and precocious puberty
b. moon face, obesity, and delayed puberty
c. muscle wasting, growth retardation and hypertension
d. muscle wasting, growth retardation and hypotension. - CORRECT ANSWER c. muscle wasting, growth retardation and hypertension
Which of the following is the most appropriate discharge teaching for the nurse caring for the child with celiac disease?
a. eliminating corn, rice, and millet from the diet
b. adding iron, folic acid and fat soluble vitamins to the diet
c. reinforcing the short term effects of the disease and the need to adhere to dietary restrictions until the disease is in remission.
d. eliminating wheat, rye, barley and oats from the diet. - CORRECT ANSWER d. eliminating wheat, rye, barley and oats from the diet.
What are the symptoms of insulin shock?
a. sweating and behavior changes
b. thirst and increased appetite
c. dry flushed skin
d. polyuria and polydipsia - CORRECT ANSWER a. sweating and behavior changes
You are the nurse performing a developmental assessment on 6 month old harry. Which of the following would be the most advanced developmental milestone for this child?
a. reaching for objects
b. rolling over from back to front
c. laughing out loud
d. sitting up for short periods - CORRECT ANSWER d. sitting up for short periods
Three year old Melissa is being admitted today for treatment of pyelonephritis. You know that Erica is in which developmental state according to Erikson:
a. Initiative vs. guilt
b identity vs. role confusion
c. industry vs. inferiority
d. autonomy vs. shame and debt - CORRECT ANSWER a. Initiative vs. guilt
You are caring for a 3 yo admitted with diarrhea and dehydration. She is NPO for bowel rest. She is ordered for IV maintenance fluids. Her weight is 13 kg. You calculate her hourly IV fluid rate to be approximately:
a. 52ml/hr
b. 46ml/hr
c. 36ml/hr
d. 26ml/hr - CORRECT ANSWER b. 46ml/hr
The mother of several young children calls the nurse when her school-age child develops chicken pox. The nurse provides instructions on communicability and home management of this disease. Which response by the mother indicates effective teaching?
a. I should keep my child at home until his fever is gone.
b. I should have my child soak in oatmeal bath twice daily
c. I should give my child aspirin every 4 hours until the fever is gone.
d. I should start checking my other children for lesions in - CORRECT ANSWER b. I should have my child soak in oatmeal bath twice daily
What is your best explanation to a 12 yo who has just asked you to explain why he has rheumatic fever?
a. your immune system has mistaken your heart valves as a bacteria and is attacking your own heart.
b. you have an infection in your heart
c. your heart is having trouble handling an infection that is in your bloodstream.
d. This condition that can easily be treated with antibiotics. - CORRECT ANSWER a. your immune system has mistaken your heart valves as a bacteria
You are caring for a 16 yo female with cystic fibrosis. Which of the following is true about the pathophysiology of this disease?
a. an autosomal dominant condition involving the reticuloendothelial system.
b. a gluten-induced enteropathy
c. increased mucus production of the endocrine glands
d. an autosomal recessive disease involving the exocrine gland - CORRECT ANSWER d. an autosomal recessive disease involving the exocrine gland
The nurse recommends all of the following to prevent otitis media except:
a. feeding in an upright position
b. administration of the pneumococcal vaccine
c. hand washing
d. swabbing the ear canals regularly with a cotton swab. - CORRECT ANSWER d. swabbing the ear canals regularly with a cotton swab.
You are the nurse providing guidance for the parents of a 4 yo with diarrhea. You recommend which of the following?
a. caffeinated fluids
b. carbonated colas
c. white rice
d. Chocolate milk - CORRECT ANSWER c. white rice
When assessing a child with juvenile hypothyroidism, the nurse expects which finding?
a. a high energy level
b. recent weight gain
c. diarrhea
d. tachycardia - CORRECT ANSWER b. recent weight gain
When assessing a toddles, age 18 months, the nurse interpret which of the following as a sign of neurologic dysfunction?
a. positive gag reflex
b positive tonic neck reflex
c. negative plantar grasp
d. positive corneal reflex - CORRECT ANSWER b positive tonic neck reflex [Show Less]