Certified Pediatric Nurse Exam Practice Questions

Certified Pediatric Nurse Exam Practice Questions Related

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A nurse is admitting a child to the hospital with a diagnosis of giardiasis. Which medication should the nurse expect to be prescribed?

  • A. Metronidazole (Flagyl)
  • B. Amoxicillin clavulanate (Augmentin)
  • C. Clarithromycin (Biaxin)
  • D. Prednisone (Orapred)
Correct Answer: A

Rationale: Giardiasis is an intestinal infection caused by a protozoan parasite called Giardia lamblia. Metronidazole (Flagyl) is the drug of choice for treating giardiasis in children and adults. It is an antibiotic that is effective against a wide range of anaerobic bacteria and protozoa, including Giardia lamblia. Metronidazole works by disrupting the DNA of the parasite, leading to its death. It is usually well-tolerated and has a high cure rate for giardiasis. Amoxicillin clavulanate (Augmentin) is a combination antibiotic used to treat bacterial infections, not parasitic infections like giardiasis. Clarithromycin (Biaxin) is primarily used for treating bacterial infections, such as respiratory tract infections. Prednisone (Orapred) is a corticosteroid used to reduce

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A female child, age 6, is brought to the health clinic for a routine checkup. To assess the child's vision, the nurse should ask:

  • A. "Do you have any problems seeing different colors?"
  • B. "Do you have trouble seeing at night?"
  • C. "Do you have problems with glare?"
  • D. "How are you doing in school?"
Correct Answer: A

Rationale: Asking the child if they have any problems seeing different colors is a suitable way to assess their vision during a routine checkup. Issues with colors can indicate potential color blindness or other vision problems. Asking about night vision (choice B) or glare (choice C) might be more relevant in specific situations or with older patients. Inquiring about their performance in school (choice D) could provide information related to vision but is not as direct and specific as asking about color vision.

A 10-mo-old boy has a left suprarenal mass. Surgery is accomplished with complete removal of the mass as well as the non-adherent lymph nodes; surgical biopsies are taken during surgery. The histology reveals poorly differentiated neuroblastoma with microscopic ipsilateral lymph nodes involvement. The contralateral lymph nodes are negative. Of the following, the BEST therapeutic approach for this infant is

  • A. chemotherapy
  • B. radiotherapy
  • C. concomitant chemo-radiotherapy
  • D. chemotherapy followed by radiotherapy
Correct Answer: A

Rationale: Complete resection with microscopic residual disease typically warrants adjuvant chemotherapy.

A patient is admitted for a splenectomy. Why is an injection of Vit. K ordered before surgery?

  • A. To correct clotting problems
  • B. To prevent postoperative infection
  • C. To promote healing
  • D. To dry secretions
Correct Answer: A

Rationale: Vitamin K plays a crucial role in the production of clotting factors in the liver. Patients undergoing a splenectomy may be at an increased risk of bleeding during and after surgery due to the decreased availability of these clotting factors. Administering Vitamin K before the surgery helps to correct any potential clotting problems, ensuring proper hemostasis and reducing the risk of excessive bleeding during the procedure. This preoperative intervention can help optimize the patient's coagulation status and improve their outcomes postoperatively.

In preparing a preschool-aged patient for an injection, the most appropriate nursing intervention is to:

  • A. allow the patient to administer an injection to a doll.
  • B. arrange for the patient to watch a peer receive an injection.
  • C. have the parents explain the process to the patient.
  • D. suggest diversionary activities like singing.
Correct Answer: A

Rationale: Allowing the child to practice on a doll can help reduce anxiety and prepare them for the procedure.

What should a nursing intervention to promote parent-newborn attachment include?

  • A. Delaying parent-newborn interactions until the second period of reactivity
  • B. Explaining individual differences among newborns to the parents
  • C. Alleviating stress for parents by decreasing their participation in the newborn's care
  • D. Allowing a newborn to fuss for a period of time before soothing by holding
Correct Answer: B

Rationale: A nursing intervention to promote parent-newborn attachment should include explaining individual differences among newborns to the parents. This is important because understanding a newborn's unique characteristics, behaviors, and needs can help parents feel more confident and responsive in caring for their baby. By educating parents about individual differences, nurses can empower them to create a strong bond with their newborn and provide appropriate care based on the baby's specific cues and signals. This can lead to a positive and nurturing parent-newborn relationship, which is crucial for the baby's development and well-being.

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