PCE CERTIFIED BREASTFEEDING
COUNSELOR EXAM 20232024 ACTUAL EXAM
150 QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
A 12-year-old involved in a house fire has full thickness, circumferential burns to
bilateral lower extremities. Fluid resuscitation is in progress on arrival at the ED. On
assessment the left pedal and posterior tibia is pulses are absent, with delayed capillary
refill. Which of the following is the priority intervention?
A. Application of compression dressings
B. Elevation of left lower extremity
C. Assist with escharotomy
D. Preparation for thrombectomy -answer- C. Assist with escharotomy
A 2-year-old arrives with parents stating the child may have ingested a button battery.
The patient initially choked and coughed and is now drooling with bloody sputum. Which
of the following is the priority intervention?
A. Prepare the patient for hospitalization
B. Administer 5 -10 ml of honey orally
C. Discharge with specific return instructions
D. Offer the child sips of water intermittently -answer- A. Prepare the patient for
hospitalization
When caring for a potential crime victim, what evidence collection principle is
imperative?
A. Evidence collection is prioritized over nursing assessment.
B. Suspicious clothing should be placed in separate, clean, clearly marked plastic bags.
C. Clothing should always be cut along seam lines to preserve evidence.
D. Clothing should not be placed on the floor in order to prevent contamination. -
Answer- D. Clothing should not be placed on the floor in order to prevent
contamination.
A child with an electrical injury is seen 1 hour post event. Which of the following types of
specimen samples would provide visual information regarding a potential complication
of this injury?
A. Serum
B. Urine
C. Stool
D. Sputum -answer- B. Urine
,A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately. After
several attempts, your team has been unsuccessful at establishing vascular access. Of
the following, which is the next best option for establishing access quickly?
A. Intraosseous in the patient's medial tibia.
B. Peripherally inserted central catheter
C. Assisting with central line placement.
D. Intraosseous in the patient's scapula. -answer- A. Intraosseous in the patient's
medial tibia.
A child has a no displaced fracture of the radius that has been splinted, with a sling in
place and NSAIDs given for pain. Prior to discharge home with follow-up at a pediatric
facility, what actions must be completed?
A. Discharge instructions including follow-up contact information.
B. Ensure the receiving facility has space and qualified personnel.
C. Certify that medical benefits of discharge outweigh risks.
D. Complete doctor-to-doctor communication with receiving facility. -answer- A.
Discharge instructions including follow-up contact information.
The nurse is triaging an infant brought to the emergency department by their caregiver.
Which finding by the nurse leads the infant to be placed in isolation?
A. Barking cough
B. Purpuric rash
C. High-pitched cry
D. Mottled skin -answer- B. Purpuric rash
Parents with an infant requiring multiple laboratory tests, radiographic studies, and
invasive procedures appear to be distressed and withdrawn. Which of the following
interventions would best ensure a sense of comfort and control for these parents?
A. Taking the child to the radiographic studies while the parents rest in the room
B. Providing frequent updates and re-educating them on the care that is being provided
C. Ensuring adequate lighting and keeping the door closed to provide privacy
D. Answering questions only when the parents ask them in order to reduce information
overload
-Answer- B. Providing frequent updates and re-educating them on the care that is
being provided
An infant presents to the emergency department with difficulty breathing. The patient is
pale and respirations appear rapid and shallow. Which location on the torso is the most
effective site for assessing bilateral breath sounds?
A. Bilateral posterior back
B. Over the epigastrium
C. Bilateral maxillary
D. Bilateral anterior chest -answer- C. Bilateral maxillary
A child was found unresponsive under the monkey bars during recess and arrives with
the following assessment: eyes open only with supraorbital pressure stimulus, no verbal
, response is elicited, and withdraws arms and legs when a swab is inserted in the nose.
Which of the following is the priority intervention for this child?
A. Infuse a bolus of crystalloid solution
B. Expose the child's body for full exam
C. Log roll to assess posterior aspect
D. Prepare for immediate intubation -answer- D. Prepare for immediate intubation
A 5-year-old presents with sudden onset nausea, vomiting, abdominal cramping, hives,
and hypotension after eating lunch. Which of the following is the priority intervention?
A. Intramuscular epinephrine
B. Inhaled albuterol
C. Oral diphenhydramine
D. Intravenous ondansetron -answer- A. Intramuscular epinephrine
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of
the following intravenous medication orders should the nurse question?
A. Morphine
B. Acetaminophen
C. Hydromorphone
D. Ketorolac -answer- D. Ketorolac
An 18-month-old is seen for fever, slight circumpolar cyanosis, and wheezing noted on
auscultation in the right upper lobe of the lung field after a choking event 4 days ago.
The white blood cell count is elevated and the patient noted to be tachypnea,
tachycardia, agitated, and has an increased respiratory effort. At the time of the event,
the patient was started on antibiotics with subsequent increasing manifestations instead
of improvement. Which of the following would be considered to be definitive treatment
for the suspected diagnosis?
A. Computed tomography
B. Magnetic resonance imaging
C. Bronchoscopy
D. Ultrasound -answer- C. Bronchoscopy
Parents report their 3-year-old child has developed noisy breathing. On assessment,
high-pitched wheezes are audible and auscultated on inspiration and expiration. What
medication would be appropriate to administer first?
A. Humidified oxygen
B. Inhaled beta-agonist
C. Oral steroids
D. Nebulized magnesium sulfate -answer- B. Inhaled beta-agonist
A 3-year-old child who was found in a pool unresponsive has return of spontaneous
circulation (ROSC) after prolonged resuscitation. Intubation was performed in the field.
Upon arrival to the ED, which intervention is of highest priority?
A. Administer sedation as ordered.
B. Utilize a length-based resuscitation tape to determine the approximate weight.
COUNSELOR EXAM 20232024 ACTUAL EXAM
150 QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
A 12-year-old involved in a house fire has full thickness, circumferential burns to
bilateral lower extremities. Fluid resuscitation is in progress on arrival at the ED. On
assessment the left pedal and posterior tibia is pulses are absent, with delayed capillary
refill. Which of the following is the priority intervention?
A. Application of compression dressings
B. Elevation of left lower extremity
C. Assist with escharotomy
D. Preparation for thrombectomy -answer- C. Assist with escharotomy
A 2-year-old arrives with parents stating the child may have ingested a button battery.
The patient initially choked and coughed and is now drooling with bloody sputum. Which
of the following is the priority intervention?
A. Prepare the patient for hospitalization
B. Administer 5 -10 ml of honey orally
C. Discharge with specific return instructions
D. Offer the child sips of water intermittently -answer- A. Prepare the patient for
hospitalization
When caring for a potential crime victim, what evidence collection principle is
imperative?
A. Evidence collection is prioritized over nursing assessment.
B. Suspicious clothing should be placed in separate, clean, clearly marked plastic bags.
C. Clothing should always be cut along seam lines to preserve evidence.
D. Clothing should not be placed on the floor in order to prevent contamination. -
Answer- D. Clothing should not be placed on the floor in order to prevent
contamination.
A child with an electrical injury is seen 1 hour post event. Which of the following types of
specimen samples would provide visual information regarding a potential complication
of this injury?
A. Serum
B. Urine
C. Stool
D. Sputum -answer- B. Urine
,A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately. After
several attempts, your team has been unsuccessful at establishing vascular access. Of
the following, which is the next best option for establishing access quickly?
A. Intraosseous in the patient's medial tibia.
B. Peripherally inserted central catheter
C. Assisting with central line placement.
D. Intraosseous in the patient's scapula. -answer- A. Intraosseous in the patient's
medial tibia.
A child has a no displaced fracture of the radius that has been splinted, with a sling in
place and NSAIDs given for pain. Prior to discharge home with follow-up at a pediatric
facility, what actions must be completed?
A. Discharge instructions including follow-up contact information.
B. Ensure the receiving facility has space and qualified personnel.
C. Certify that medical benefits of discharge outweigh risks.
D. Complete doctor-to-doctor communication with receiving facility. -answer- A.
Discharge instructions including follow-up contact information.
The nurse is triaging an infant brought to the emergency department by their caregiver.
Which finding by the nurse leads the infant to be placed in isolation?
A. Barking cough
B. Purpuric rash
C. High-pitched cry
D. Mottled skin -answer- B. Purpuric rash
Parents with an infant requiring multiple laboratory tests, radiographic studies, and
invasive procedures appear to be distressed and withdrawn. Which of the following
interventions would best ensure a sense of comfort and control for these parents?
A. Taking the child to the radiographic studies while the parents rest in the room
B. Providing frequent updates and re-educating them on the care that is being provided
C. Ensuring adequate lighting and keeping the door closed to provide privacy
D. Answering questions only when the parents ask them in order to reduce information
overload
-Answer- B. Providing frequent updates and re-educating them on the care that is
being provided
An infant presents to the emergency department with difficulty breathing. The patient is
pale and respirations appear rapid and shallow. Which location on the torso is the most
effective site for assessing bilateral breath sounds?
A. Bilateral posterior back
B. Over the epigastrium
C. Bilateral maxillary
D. Bilateral anterior chest -answer- C. Bilateral maxillary
A child was found unresponsive under the monkey bars during recess and arrives with
the following assessment: eyes open only with supraorbital pressure stimulus, no verbal
, response is elicited, and withdraws arms and legs when a swab is inserted in the nose.
Which of the following is the priority intervention for this child?
A. Infuse a bolus of crystalloid solution
B. Expose the child's body for full exam
C. Log roll to assess posterior aspect
D. Prepare for immediate intubation -answer- D. Prepare for immediate intubation
A 5-year-old presents with sudden onset nausea, vomiting, abdominal cramping, hives,
and hypotension after eating lunch. Which of the following is the priority intervention?
A. Intramuscular epinephrine
B. Inhaled albuterol
C. Oral diphenhydramine
D. Intravenous ondansetron -answer- A. Intramuscular epinephrine
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of
the following intravenous medication orders should the nurse question?
A. Morphine
B. Acetaminophen
C. Hydromorphone
D. Ketorolac -answer- D. Ketorolac
An 18-month-old is seen for fever, slight circumpolar cyanosis, and wheezing noted on
auscultation in the right upper lobe of the lung field after a choking event 4 days ago.
The white blood cell count is elevated and the patient noted to be tachypnea,
tachycardia, agitated, and has an increased respiratory effort. At the time of the event,
the patient was started on antibiotics with subsequent increasing manifestations instead
of improvement. Which of the following would be considered to be definitive treatment
for the suspected diagnosis?
A. Computed tomography
B. Magnetic resonance imaging
C. Bronchoscopy
D. Ultrasound -answer- C. Bronchoscopy
Parents report their 3-year-old child has developed noisy breathing. On assessment,
high-pitched wheezes are audible and auscultated on inspiration and expiration. What
medication would be appropriate to administer first?
A. Humidified oxygen
B. Inhaled beta-agonist
C. Oral steroids
D. Nebulized magnesium sulfate -answer- B. Inhaled beta-agonist
A 3-year-old child who was found in a pool unresponsive has return of spontaneous
circulation (ROSC) after prolonged resuscitation. Intubation was performed in the field.
Upon arrival to the ED, which intervention is of highest priority?
A. Administer sedation as ordered.
B. Utilize a length-based resuscitation tape to determine the approximate weight.
