Pediatric Nursing Care Flashcards
7 cards from real LVN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pediatric Nursing Care flashcards as text
A child with sickle cell disease presents with severe bone pain and fever. The nurse anticipates this is which type of crisis?
Answer: Vaso-occlusive crisis
Vaso-occlusive (painful) crisis is the most common type, caused by sickling of RBCs obstructing blood flow to bones and tissues.
Which action is the nurse's highest priority when a 3-year-old is having a tonic-clonic seizure?
Answer: Place the child on their side and protect from injury
During a seizure, the priority is to prevent injury and maintain a patent airway by placing the child in the lateral position.
A 4-year-old with leukemia is receiving chemotherapy. The nurse notes an absolute neutrophil count (ANC) of 400/mm³. What is the priority intervention?
Answer: Initiate neutropenic precautions and reverse isolation
An ANC below 500/mm³ indicates severe neutropenia, requiring protective (reverse) isolation to prevent life-threatening infection.
When assessing a child using the Wong-Baker FACES Pain Scale, the nurse explains that the face showing the most distress corresponds to which numeric value?
Answer: 10
The Wong-Baker FACES scale ranges from 0 (no pain) to 10 (worst pain), with the crying face representing a score of 10.
An infant with pyloric stenosis is most likely to present with which electrolyte imbalance?
Answer: Hypokalemia and metabolic alkalosis
Persistent projectile vomiting of gastric contents causes loss of HCl, leading to hypokalemia and metabolic alkalosis.
A nurse is preparing to administer digoxin to a 6-month-old infant. Which assessment finding requires the nurse to withhold the dose and notify the provider?
Answer: Apical heart rate of 88 bpm
Digoxin should be withheld and the provider notified if the apical pulse is below 90–100 bpm in infants (per facility protocol).
Which congenital heart defect causes a 'boot-shaped' heart on chest X-ray and cyanosis that worsens with crying?
Answer: Tetralogy of Fallot (ToF)
Tetralogy of Fallot produces a boot-shaped heart (coeur en sabot) on X-ray due to right ventricular hypertrophy and decreased pulmonary vascularity.