LPN Pediatric Nursing Fundamentals

Question 1

A 3-year-old child is admitted with suspected epiglottitis. Which nursing action is the priority?

Accepted Answer

Keep the child calm, do not agitate, and notify the charge nurse immediately

Answer

Epiglottitis can cause complete airway obstruction. Examination of the throat with a tongue depressor can trigger laryngospasm. The priority is maintaining a calm environment and preparing for emergency airway management.

Question 2

The LPN is caring for a 2-year-old child in a mist tent. Which nursing action is most important?

Accepted Answer

Change the child's clothing and bed linens frequently to prevent hypothermia

Answer

Mist tents create a cool, moist environment that can cause hypothermia in young children. Frequent changes of wet clothing and linens are essential to maintain temperature.

Question 3

A 7-month-old infant is brought to the emergency department. The parent reports the infant 'won't stop crying and is pulling at the right ear.' The infant has a temperature of 38.8°C (101.8°F). The LPN should expect the provider to order:

Accepted Answer

Assessment for otitis media and likely antibiotic therapy

Answer

Ear pulling combined with fever, irritability, and age less than 2 years are classic signs of acute otitis media (middle ear infection), treated with antibiotics in infants under 2 years.

Question 4

A child is admitted with suspected Reye's syndrome. Which historical finding in the chart most supports this diagnosis?

Accepted Answer

Aspirin use during a recent viral illness (chickenpox or influenza)

Answer

Reye's syndrome is strongly associated with aspirin (salicylate) use in children during viral illnesses, particularly varicella or influenza, causing acute hepatic encephalopathy.

Question 5

An LPN is assessing a 4-year-old with suspected intussusception. Which clinical finding is most characteristic of this condition?

Accepted Answer

Episodic severe abdominal cramping with periods of normal behavior and currant jelly stools

Answer

Intussusception classically presents with colicky abdominal pain (episodic with normal intervals), vomiting, and currant jelly stools (blood and mucus from intestinal ischemia).

(LPN) Certified Practical Nurse Practice Test

(LPN) Certified Practical Nurse Practice Test

LPN Pediatric Nursing Fundamentals