LPN Pediatric Nursing Fundamentals 2

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?

Accepted Answer

Assess the child's hydration status and level of consciousness

Answer

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?

Accepted Answer

Bulging anterior fontanelle when the infant is calm and upright

Answer

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?

Accepted Answer

Inspiratory stridor at rest

Answer

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?

Accepted Answer

133 mg

Answer

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?

Accepted Answer

Separation anxiety

Answer

Separation anxiety is the dominant stressor for toddlers (1–3 years) because they are strongly attached to caregivers.

(LPN) Certified Practical Nurse Practice Test

(LPN) Certified Practical Nurse Practice Test

LPN Pediatric Nursing Fundamentals 2