LVN Pediatric Nursing Care 2

Question 1

A 2-year-old is brought to the ER with stridor, drooling, and a high fever. The nurse suspects epiglottitis. What is the priority nursing action?

Accepted Answer

Prepare for immediate intubation and keep child calm

Answer

Epiglottitis is a life-threatening airway emergency; the priority is maintaining a patent airway while avoiding agitation that could cause complete obstruction.

Question 2

Which developmental milestone is expected for a healthy 6-month-old infant?

Accepted Answer

Sitting with support and rolling over

Answer

By 6 months, infants typically roll from front to back and back to front and can sit briefly with support.

Question 3

A nurse is caring for a child with Kawasaki disease. Which finding is most characteristic of this condition?

Accepted Answer

Prolonged fever lasting more than 5 days with strawberry tongue

Answer

Kawasaki disease presents with high fever lasting ≥5 days, strawberry tongue, conjunctival injection, rash, and lymphadenopathy.

Question 4

When calculating maintenance IV fluids for a 20 kg child using the Holliday-Segar method, how many mL/hr should the nurse infuse?

Accepted Answer

60 mL/hr

Answer

Using Holliday-Segar: 100 mL/kg for first 10 kg + 50 mL/kg for next 10 kg = 1500 mL/24hr ÷ 24 = 60 mL/hr.

Question 5

A 5-year-old scheduled for a tonsillectomy tells the nurse, 'The doctor is going to cut my throat.' Which response is most therapeutic?

Accepted Answer

The doctor will remove the tonsils inside your throat to help you feel better.

Answer

Using age-appropriate, honest language reduces anxiety and builds trust with preschool-age children.

(LVN) Licensed Vocational Nurses Certification Practice Test

(LVN) Licensed Vocational Nurses Certification Practice Test

LVN Pediatric Nursing Care 2