LPN Pediatric Nursing Fundamentals 3 — Questions and Answers
Question 1: A 6-week-old infant presents with projectile vomiting after every feeding. Which condition does the LPN suspect?
- Gastroesophageal reflux
- Pyloric stenosis (Correct answer)
- Intussusception
- Hirschsprung disease
Correct answer: Pyloric stenosis
Pyloric stenosis classically presents with forceful projectile vomiting in infants 2–8 weeks old due to pyloric muscle hypertrophy.
Question 2: Which pain assessment tool is most appropriate for a 3-year-old child?
- Numeric Rating Scale (0–10)
- FLACC Scale
- Wong-Baker FACES Scale (Correct answer)
- Visual Analogue Scale
Correct answer: Wong-Baker FACES Scale
The Wong-Baker FACES Scale uses simple facial expressions and is validated for children ages 3 and older who can self-report.
Question 3: A neonate's Apgar score is assessed at 1 minute and 5 minutes. Which finding earns a score of 2 in the 'color' category?
- Blue all over
- Pink body with blue extremities
- Completely pink (Correct answer)
- Pale and mottled
Correct answer: Completely pink
A completely pink body and extremities earns a full score of 2 in the color (appearance) category of the Apgar.
Question 4: The LPN is teaching a parent about meningitis signs in a 10-month-old. Which sign is specific to infants and should prompt emergency evaluation?
- High-pitched cry and bulging fontanelle (Correct answer)
- Kernig sign
- Brudzinski sign
- Neck stiffness
Correct answer: High-pitched cry and bulging fontanelle
Infants cannot exhibit classic meningeal signs; a bulging fontanelle and high-pitched cry are infant-specific warning signs.
Question 5: A child with sickle cell disease is admitted in vaso-occlusive crisis. What is the priority nursing intervention?
- Apply warm compresses to painful areas
- Restrict fluids to prevent edema
- Administer pain medication as ordered and encourage oral hydration (Correct answer)
- Position the child in Trendelenburg
Correct answer: Administer pain medication as ordered and encourage oral hydration
Pain management and hydration are the cornerstones of vaso-occlusive crisis care to relieve sickling and restore perfusion.
Question 6: Which developmental milestone is expected of a 12-month-old child?
- Running without falling
- Speaking 50 words
- Standing alone or taking first steps (Correct answer)
- Building a tower of 6 blocks
Correct answer: Standing alone or taking first steps
Most infants pull to stand and may take first independent steps by 12 months of age.
Question 7: A child is admitted with epiglottitis. The LPN should avoid which action?
- Keeping the child calm and upright
- Preparing for emergency airway management
- Using a tongue blade to visualize the throat (Correct answer)
- Administering humidified oxygen
Correct answer: Using a tongue blade to visualize the throat
Examining the throat with a tongue blade can precipitate complete airway obstruction in epiglottitis and must be avoided.
LPN Pediatric Nursing Fundamentals 3
A 6-week-old infant presents with projectile vomiting after every feeding.
Which condition does the LPN suspect?