Certified Pediatric Nurse Exam Practice Questions

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\What should the nurse teach an older client with TIA?

  • A. Not to worry about the symptoms that are part of the normal aging process
  • B. To admit oneself to a rehabilitation center or a nursing home for rehabilitation
  • C. To comply with the medication regimen
  • D. To observe any changes in the nails and skin
Correct Answer: C

Rationale: The nurse should teach an older client with a transient ischemic attack (TIA) to comply with the medication regimen. TIA is a warning sign of a potential stroke, and medication compliance is crucial in reducing the risk of a future stroke. Medications prescribed after a TIA may include blood thinners, antiplatelet agents, antihypertensives, and cholesterol-lowering drugs. It is essential for the client to take these medications as directed by their healthcare provider to prevent further cardiovascular events. Compliance with the medication regimen plays a significant role in managing the risk factors associated with stroke and promoting long-term health and well-being.

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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.

The nurse is preparing to administer a unit of blood to a client's who's anemic. After its removal from the refrigerator, the blood should be administered within:

  • A. 1 hour
  • B. 4 hours
  • C. 2 hours
  • D. 6 hours
Correct Answer: B

Rationale: After blood is removed from the refrigerator, it should be administered within 4 hours. Blood should be stored in a controlled temperature environment to prevent bacterial growth and to maintain its effectiveness. In order to minimize the risk of bacterial contamination, it is important for the nurse to adhere to the recommended time frame for administering blood products. Administering the blood within 4 hours helps ensure its safety and effectiveness for the client.

The MOST common behavioral sleep disorder in a 4-month-old baby who needs to be rocked to sleep is

  • A. early signs of ADHD
  • B. primary restless legs syndrome
  • C. sleep terrors
  • D. sleep-onset association disorder
Correct Answer: D

Rationale: Sleep-onset association disorder involves reliance on specific conditions to fall asleep.

The first permanent tooth to erupt is

  • A. central incisor at 6 yr
  • B. molar at 6 yr
  • C. premolar lower canine at 6-7 yr
  • D. upper canine at 6-7 yr
Correct Answer: B

Rationale: The first permanent molar typically erupts around 6 years.

The nurse is teaching the client about risk factors for diabetes mellitus. Which of the following risk factors for diabetes mellitus is nonmodifiable?

  • A. Poor control of blood glucose levels
  • B. Current of recent foot trauma
  • C. Inappropriate foot care
  • D. Advanced age
Correct Answer: D

Rationale: Advanced age is a nonmodifiable risk factor for diabetes mellitus. Nonmodifiable risk factors are characteristics or traits that cannot be changed or controlled. In this case, a person's age is a factor that continuously increases as time passes and cannot be altered. Other nonmodifiable risk factors for diabetes mellitus include family history of diabetes and certain ethnic backgrounds. On the other hand, poor control of blood glucose levels, current or recent foot trauma, and inappropriate foot care are examples of modifiable risk factors that can be managed through lifestyle changes and proper medical care.

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