LVN Pediatric Nursing 2

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?

Accepted Answer

Croup (laryngotracheobronchitis)

Answer

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?

Accepted Answer

Holding head steady when upright

Answer

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?

Accepted Answer

Provide IV hydration and pain management

Answer

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?

Accepted Answer

Post a sign prohibiting abdominal palpation

Answer

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?

Accepted Answer

DTaP

Answer

DTaP (diphtheria, tetanus, acellular pertussis) is given at 2, 4, and 6 months as part of the primary immunization series.

(LVN) Licensed Vocational Nurse Practice Test