LVN Pediatric Nursing 2 — Questions and Answers
Question 1: A 2-year-old is brought to the clinic with a barking cough, inspiratory stridor, and low-grade fever. Which condition does the nurse suspect?
- Epiglottitis
- Croup (laryngotracheobronchitis) (Correct answer)
- Bronchiolitis
- Pertussis
Correct answer: Croup (laryngotracheobronchitis)
The classic 'barking' or 'seal-like' cough with inspiratory stridor and low-grade fever in a toddler indicates croup.
Question 2: The nurse is assessing a 3-month-old infant. Which finding would be considered a normal developmental milestone?
- Sitting without support
- Holding head steady when upright (Correct answer)
- Rolling from back to front
- Pincer grasp
Correct answer: Holding head steady when upright
Head control with steady head when held upright is a normal milestone achieved around 3–4 months of age.
Question 3: A child with sickle cell disease is admitted in vaso-occlusive crisis. What is the priority nursing intervention?
- Administer hydroxyurea
- Provide IV hydration and pain management (Correct answer)
- Perform bone marrow biopsy
- Restrict physical activity permanently
Correct answer: Provide IV hydration and pain management
IV hydration dilutes sickled cells and restores blood flow, while pain management addresses the primary symptom of vaso-occlusive crisis.
Question 4: A nurse is caring for a child with Wilms' tumor. Which nursing action is most important?
- Encourage vigorous abdominal palpation to locate the mass
- Post a sign prohibiting abdominal palpation (Correct answer)
- Apply warm compresses to the abdomen
- Increase dietary protein intake
Correct answer: Post a sign prohibiting abdominal palpation
Excessive palpation of a Wilms' tumor can cause rupture and spread of cancer cells, so the abdomen must not be palpated.
Question 5: Which immunization is recommended for all infants at 2, 4, and 6 months of age according to the US childhood immunization schedule?
- MMR
- Varicella
- DTaP (Correct answer)
- HPV
Correct answer: DTaP
DTaP (diphtheria, tetanus, acellular pertussis) is given at 2, 4, and 6 months as part of the primary immunization series.
Question 6: A 6-year-old is prescribed 250 mg of amoxicillin oral suspension (125 mg/5 mL). How many mL should the nurse administer per dose?
- 5 mL
- 10 mL (Correct answer)
- 15 mL
- 20 mL
Correct answer: 10 mL
250 mg ÷ 125 mg/5 mL = 10 mL per dose.
Question 7: A nurse is teaching the parents of a child with type 1 diabetes mellitus. Which statement by a parent indicates understanding of hypoglycemia management?
- 'I will give insulin if my child seems shaky.'
- 'I will give 15 grams of fast-acting carbohydrate if the blood sugar is below 70.' (Correct answer)
- 'I will restrict all sugar intake during an episode.'
- 'I will have my child rest until the episode passes.'
Correct answer: 'I will give 15 grams of fast-acting carbohydrate if the blood sugar is below 70.'
The '15-15 rule' states to give 15 g of fast-acting carbohydrate when blood glucose is below 70 mg/dL and recheck in 15 minutes.
LVN Pediatric Nursing 2
A 2-year-old is brought to the clinic with a barking cough, inspiratory stridor, and low-grade fever.
Which condition does the nurse suspect?