LPN Pediatric Nursing Fundamentals 2 — Questions and Answers
Question 1: A 2-year-old is brought to the clinic with a fever of 103.2°F (39.6°C). Which action should the LPN prioritize first?
- Administer antipyretic medication immediately
- Assess the child's hydration status and level of consciousness (Correct answer)
- Apply a cooling blanket
- Notify the physician before any assessment
Correct answer: Assess the child's hydration status and level of consciousness
Assessment of hydration status and LOC guides safe, prioritized nursing care before interventions.
Question 2: Which fontanelle finding in a 4-month-old infant is most concerning and should be reported promptly?
- Soft and flat anterior fontanelle
- Bulging anterior fontanelle when the infant is crying
- Slightly sunken anterior fontanelle after feeding
- Bulging anterior fontanelle when the infant is calm and upright (Correct answer)
Correct answer: Bulging anterior fontanelle when the infant is calm and upright
A bulging fontanelle at rest and upright suggests increased intracranial pressure and requires immediate reporting.
Question 3: An LPN is caring for a child with croup. Which clinical sign indicates respiratory distress requiring immediate intervention?
- Barking cough
- Inspiratory stridor at rest (Correct answer)
- Low-grade fever
- Hoarse voice
Correct answer: Inspiratory stridor at rest
Inspiratory stridor at rest indicates significant upper airway obstruction and is an emergency.
Question 4: When calculating a pediatric medication dose, the order reads: amoxicillin 40 mg/kg/day divided every 8 hours. The child weighs 22 lbs. What is the correct dose per administration?
- 100 mg
- 133 mg (Correct answer)
- 200 mg
- 267 mg
Correct answer: 133 mg
22 lbs ÷ 2.2 = 10 kg; 40 mg/kg/day = 400 mg/day ÷ 3 doses = ~133 mg per dose.
Question 5: A toddler undergoing hospitalization is most likely to experience which type of stress according to developmental theory?
- Fear of body mutilation
- Separation anxiety (Correct answer)
- Loss of control over school performance
- Fear of death
Correct answer: Separation anxiety
Separation anxiety is the dominant stressor for toddlers (1–3 years) because they are strongly attached to caregivers.
Question 6: Which immunization is typically given at birth and again at 1–2 months of age?
- MMR
- Varicella
- Hepatitis B (Correct answer)
- DTaP
Correct answer: Hepatitis B
Hepatitis B vaccine is given at birth, 1–2 months, and 6–18 months per the recommended schedule.
Question 7: A school-age child with type 1 diabetes is found unresponsive in the classroom. After confirming hypoglycemia, which action should the LPN take first?
- Give oral glucose gel if the child can swallow
- Administer IM glucagon (Correct answer)
- Start an IV and give dextrose
- Call 911 and wait for EMS
Correct answer: Administer IM glucagon
An unresponsive child cannot safely swallow; IM glucagon is the appropriate first action outside a hospital setting.
LPN Pediatric Nursing Fundamentals 2
A 2-year-old is brought to the clinic with a fever of 103.2°F (39.6°C).
Which action should the LPN prioritize first?