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 toddler swallowed a button battery 30 minutes ago. Which nursing action is most urgent?
Answer: Prepare for emergency endoscopic removal
Button batteries lodged in the esophagus can cause tissue necrosis within 2 hours; emergency endoscopic removal is required.
The nurse is assessing a child with suspected meningitis. A positive Kernig's sign is identified by which finding?
Answer: Inability to extend the knee when the hip is flexed to 90°
Kernig's sign is positive when the patient cannot fully extend the knee while the hip is flexed at 90° due to meningeal irritation.
A 10-year-old with type 1 diabetes mellitus becomes diaphoretic, tremulous, and confused during recess. What should the nurse do first?
Answer: Give 15 g of fast-acting carbohydrate such as juice
Signs of hypoglycemia in a conscious child are treated with 15 g of fast-acting carbohydrate followed by reassessment in 15 minutes.
Which immunization is contraindicated in a child who is immunocompromised due to chemotherapy?
Answer: Varicella (VAR) vaccine
Varicella is a live attenuated vaccine and is contraindicated in immunocompromised children who cannot mount a safe immune response.
A premature infant in the NICU is receiving phototherapy for hyperbilirubinemia. Which nursing intervention is essential?
Answer: Shield the infant's eyes and genitals and monitor temperature
Eye protection prevents retinal damage and temperature monitoring prevents hyperthermia or hypothermia during phototherapy.
A nurse is caring for a child post-appendectomy. Which assessment finding suggests a ruptured appendix with peritonitis?
Answer: Sudden relief of pain followed by board-like abdominal rigidity
Sudden relief of pain followed by generalized rigidity and rebound tenderness indicates rupture and peritoneal contamination.
Which growth measurement is most reflective of long-term nutritional status in children?
Answer: Length/height for age
Height/length for age reflects chronic nutritional status because stunting (short stature) results from prolonged nutritional deficiency.