LPN Pediatric Nursing Fundamentals 3

Question 1

A 6-week-old infant presents with projectile vomiting after every feeding. Which condition does the LPN suspect?

Accepted Answer

Pyloric stenosis

Answer

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?

Accepted Answer

Wong-Baker FACES Scale

Answer

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?

Accepted Answer

Completely pink

Answer

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?

Accepted Answer

High-pitched cry and bulging fontanelle

Answer

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?

Accepted Answer

Administer pain medication as ordered and encourage oral hydration

Answer

Pain management and hydration are the cornerstones of vaso-occlusive crisis care to relieve sickling and restore perfusion.

(LPN) Certified Practical Nurse Practice Test