CPN Domain 2: Planning and Implementation Welcome to your CPN Domain 2: Planning and Implementation 1. Pediatric Nurse: Planning and Implementation A 4-year-old child with moderate persistent asthma is not responding to low-dose inhaled corticosteroids. Which step is most appropriate to include next in the asthma management plan? Increase inhaled corticosteroids to a medium dose Add oral corticosteroids Discontinue inhaled corticosteroids Initiate rescue inhaler as a maintenance treatment None 2. Pediatric Nurse: Planning and Implementation A pediatric patient is diagnosed with juvenile idiopathic arthritis (JI Which intervention should be prioritized to manage joint pain and prevent deformities? A) Initiate high-dose systemic corticosteroids Apply hot packs to affected joints thrice daily Start nonsteroidal anti-inflammatory drugs (NSAIDs) and physical therapy Limit physical activities to decrease joint stress None 3. Pediatric Nurse: Planning and Implementation A nurse is planning care for a child with severe dehydration. Which fluid replacement strategy is most appropriate? Oral rehydration therapy with isotonic solution Intravenous isotonic fluids at maintenance rate Intravenous hypotonic fluids rapidly to restore fluid volume Intravenous hypertonic saline to correct electrolyte imbalance None 4. Pediatric Nurse: Planning and Implementation When planning post-operative care for a child who had a tonsillectomy, what is the most important intervention to prevent post-operative hemorrhage? Frequent throat inspections with a light source Encourage ice chips and cold fluids Administer antiemetics to prevent vomiting Position the child in a supine position None 5. Pediatric Nurse: Planning and Implementation A nurse is planning care for a child with suspected meningitis. Which of the following actions is essential for immediate implementation? Lumbar puncture to confirm diagnosis Administration of broad-spectrum antibiotics Initiation of antiviral therapy Application of cooling blankets to reduce fever None 6. Pediatric Nurse: Planning and Implementation For a pediatric patient undergoing chemotherapy, which nursing intervention is most effective in managing anticipatory nausea and vomiting? Administer antiemetics routinely before chemotherapy sessions Offer dietary modifications during chemotherapy cycles Provide psychological support through counseling Schedule chemotherapy sessions in the afternoon None 7. Pediatric Nurse: Planning and Implementation A child with cystic fibrosis is experiencing frequent pulmonary exacerbations. What intervention should be prioritized to improve lung function and reduce exacerbations? Increase calorie intake Intensify chest physiotherapy and airway clearance techniques Administer systemic corticosteroids regularly Limit exposure to physical activities None 8. Pediatric Nurse: Planning and Implementation In planning care for a child with severe peanut allergy, what is the most critical intervention to include in the emergency management plan? Educate on the avoidance of all nut products Have an epinephrine auto-injector readily available Conduct regular allergy testing Introduce small amounts of peanuts to build tolerance None 9. Pediatric Nurse: Planning and Implementation A 10-year-old child with Type 1 diabetes is on a fixed insulin regimen. What is the most appropriate nursing action to manage hypoglycemia during school hours? Instruct to skip morning insulin on school days Ensure the child has access to snacks with complex carbohydrates and protein Adjust the insulin dose based on daily food intake and activity level Encourage physical activities to lower blood sugar levels None 10. Pediatric Nurse: Planning and Implementation For a child post-appendectomy, what intervention should be included in the plan of care to prevent pulmonary complications? Encourage deep breathing and use of incentive spirometry Maintain NPO status for 24 hours Apply abdominal binders Administer high-dose intravenous antibiotics None 11. Pediatric Nurse: Planning and Implementation A pediatric nurse is planning care for a child with severe eczema. Which intervention is most effective in preventing skin infections associated with scratching? Apply topical corticosteroids twice daily Use mittens or cotton gloves at night Bathe the child twice daily with antibacterial soap Limit exposure to sunlight None 12. Pediatric Nurse: Planning and Implementation What is the priority nursing action for a child immediately after a liver transplant? Monitoring for signs of graft rejection Educating about long-term immunosuppression Implementing strict isolation procedures Ensuring adequate nutritional support None 13. Pediatric Nurse: Planning and Implementation In developing a plan of care for a child with a newly inserted central venous catheter 'CVC', which intervention is crucial to prevent catheter-related bloodstream infections? Regular flushing with heparin Daily site inspections and dressing changes Applying topical antibiotics around the insertion site Limiting the use of the CVC for medication administration only None 14. Pediatric Nurse: Planning and Implementation For a child with acute lymphoblastic leukemia (ALL) who is neutropenic, what is the most important intervention to incorporate into the care plan? Administer prophylactic antibiotics Encourage high-intensity physical activities Increase exposure to sunlight for vitamin D Initiate a neutropenic diet None 15. Pediatric Nurse: Planning and Implementation A nurse is planning care for a child with sickle cell disease during a vaso-occlusive crisis. Which intervention should be prioritized to manage pain and prevent complications? Administer oral iron supplements Encourage fluid intake and administer pain medication Perform daily blood transfusions Restrict physical activities and place in supine position None 16. Pediatric Nurse: Planning and Implementation In planning care for a pediatric patient with a recent diagnosis of type I diabetes, which intervention is critical for immediate education to prevent ketoacidosis? Instruction on low-glycemic diet planning Demonstration of proper insulin injection techniques Education on monitoring for signs of hypoglycemia Training in carbohydrate counting and insulin adjustment None 17. Pediatric Nurse: Planning and Implementation For a child with severe aplastic anemia, what is the most appropriate nursing intervention to reduce the risk of infection? Frequent red blood cell transfusions Implementation of protective isolation High dose corticosteroid administration Iron chelation therapy None 18. Pediatric Nurse: Planning and Implementation A nurse is planning care for a pediatric patient with epilepsy. Which intervention should be included to ensure safety during a seizure? Administer antiepileptic drugs intravenously at the onset of a seizure Provide a padded environment and supervise closely Restrict the child to bed during periods of frequent seizures Apply physical restraints to prevent injury None 19. Pediatric Nurse: Planning and Implementation When planning care for a child with a traumatic brain injury (TBI), which intervention is crucial to monitor and manage increased intracranial pressure (ICP)? Elevate the head of the bed to 30 degrees Administer high-dose barbiturates as a first-line therapy Perform frequent lumbar punctures to drain cerebrospinal fluid Encourage the child to cough and deep breathe every hour None 20. Pediatric Nurse: Planning and Implementation In the care plan for a child with cystic fibrosis, which intervention is most effective in managing digestive problems associated with the disease? Increase dietary fat intake Administer pancreatic enzyme supplements with meals Implement a gluten-free diet Introduce probiotic supplements daily None 21. Pediatric Nurse: Planning and Implementation What is the most appropriate intervention to manage chronic pain in a pediatric patient with juvenile idiopathic arthritis (JI A) Regular administration of narcotic analgesics Scheduled nonsteroidal anti-inflammatory drugs (NSAIDs) and physical therapy Use of heat therapy only during acute flare-ups Implementation of a strict rest regimen during active disease None 22. Pediatric Nurse: Planning and Implementation In developing a care plan for a child with severe food allergies, which of the following is a priority for preventing anaphylactic episodes at school? Regular allergy testing to update the allergen profile Comprehensive dietary restrictions documented in the school's health plan Daily administration of antihistamines before school Training school staff on the use of epinephrine auto-injectors None 23. Pediatric Nurse: Planning and Implementation When planning care for a child with attention deficit hyperactivity disorder 'ADHD' starting stimulant medication, which intervention should be included to monitor for potential side effects? Regular cardiovascular monitoring Biweekly liver function tests Monthly height and weight checks Weekly blood pressure and pulse assessments None 24. Pediatric Nurse: Planning and Implementation What is the most effective nursing intervention for a child with bronchiolitis to enhance airway clearance? Administer corticosteroids to reduce inflammation Use high-frequency chest wall oscillation (HFCWO) devices Provide supplemental oxygen through a high-flow nasal cannula Encourage fluid intake and perform nasal suctioning None 25. Pediatric Nurse: Planning and Implementation In planning care for a pediatric patient with acute renal failure, what is the most critical nursing action to manage fluid and electrolyte balance? Encourage high fluid intake to flush the kidneys Regular monitoring of serum electrolyte levels Administer diuretics as prescribed to increase urine output Restrict dietary potassium and sodium strictly None 26. Pediatric Nurse: Planning and Implementation For a child with severe hemophilia, what is the priority intervention to prevent bleeding episodes? Administration of routine factor VIII concentrates Application of ice to joints daily High-dose oral iron supplementation Frequent monitoring of hemoglobin levels None 27. Pediatric Nurse: Planning and Implementation In the care plan for a child diagnosed with depression, which intervention is essential to monitor treatment efficacy and safety? Daily psychological counseling sessions Weekly assessments of mood and behavior changes Biweekly weight monitoring and nutritional assessment Monthly neurologic examinations None 28. Pediatric Nurse: Planning and Implementation When planning post-operative care for a child who underwent cardiac surgery, which intervention is essential to prevent low cardiac output syndrome? Frequent temperature monitoring Continuous electrocardiogram (ECG) monitoring Strict intake and output measurement Early mobilization within 24 hours post-surgery None 29. Pediatric Nurse: Planning and Implementation For a pediatric patient undergoing chemotherapy, which nursing intervention is most effective in managing anticipatory nausea and vomiting? Administer antiemetics routinely before chemotherapy sessions Offer dietary modifications during chemotherapy cycles Provide psychological support through counseling Schedule chemotherapy sessions in the afternoon None 30. Pediatric Nurse: Planning and Implementation In planning care for a pediatric patient with a recent diagnosis of type I diabetes, which intervention is critical for immediate education to prevent ketoacidosis? Instruction on low-glycemic diet planning Demonstration of proper insulin injection techniques Education on monitoring for signs of hypoglycemia Training in carbohydrate counting and insulin adjustment None 1 out of 30 Time is Up! Time's up
