Certified Pediatric Nurse Exam Practice Questions

Certified Pediatric Nurse Exam Practice Questions Related

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The nurse is caring for a client with bronchogenic carcinoma. Which nursing diagnosis takes highest priority?

  • A. Disturbed body image related to changes in body functions
  • B. Ineffective airway clearance related to obstruction by a tumor or secretions
  • C. Anxiety related to actual threat to health status and changes in family dynamics
  • D. Imbalanced nutrition: Less than body requirements related to anorexia and vomiting secondary to chemotherapy
Correct Answer: B

Rationale: In caring for a client with bronchogenic carcinoma, the highest priority nursing diagnosis would be Ineffective airway clearance related to obstruction by a tumor or secretions. This is crucial because any blockage in the airway can lead to serious respiratory complications, such as respiratory distress or respiratory failure. Ensuring effective airway clearance is essential to maintain adequate oxygenation and ventilation for the client. Addressing this priority nursing diagnosis promptly can help prevent potential life-threatening situations and promote optimal respiratory function for the client.

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Antivenins should be considered in the treatment of all of the following EXCEPT

  • A. rattlesnake envenomations
  • B. scorpion envenomations
  • C. black widow envenomations
  • D. stonefish envenomations
Correct Answer: E

Rationale: Hymenoptera envenomations (e.g., bee stings) typically do not require antivenin, as they are managed with supportive care.

Hemangiomas are the most common benign tumors of infancy, occurring more in full-term infants. Of the following, the most common risk factor of development of hemangioma is

  • A. male infant
  • B. female infant
  • C. infant of diabetic mother
  • D. infant delivered by cesarean section
Correct Answer: B

Rationale: Female infants are at higher risk for developing hemangiomas.

Which type of leukemia has been MOST likely developed in a 2-year-old child with Down syndrome in the neonatal period?

  • A. ALL
  • B. CML
  • C. AML M1
  • D. AML M6
Correct Answer: D

Rationale: Transient myeloproliferative disorder in neonates with Down syndrome can evolve into AML M6.

A nurse is assessing a preterm newborn for the possibility of necrotizing enterocolitis (NEC). Which assessment findings should the nurse expect to find if NEC is confirmed? (Select all that apply.)

  • A. Minimal gastric residual
  • B. Abdominal distention
  • C. Apnea
  • D. Urinary output at 2 ml/kg/hr
Correct Answer: B

Rationale: Abdominal distention: NEC is characterized by abdominal distention due to gas and fluid accumulation in the intestines, leading to a bloated appearance of the abdomen.

Which of the following problems associated with anemia best explains why Aisa becomes dizzy during periods of physical activity?

  • A. A sudden drop in blood pressure
  • B. Insufficient cerebral oxygenation
  • C. Decreased level of serum glucose
Correct Answer: B

Rationale: Anemia is a condition characterized by a decreased number of red blood cells or hemoglobin, which can result in inadequate oxygen delivery to tissues and organs, including the brain. When Aisa engages in physical activity, her body's oxygen demand increases. However, due to her anemia, there is a reduced capacity to transport oxygen to meet the increased demand. This mismatch between oxygen supply and demand leads to insufficient oxygen reaching her brain, resulting in dizziness. This symptom is consistent with the explanation of insufficient cerebral oxygenation in the context of anemia.

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