LVN Pediatric Nursing Care 3

Question 1

A child with sickle cell disease presents with severe bone pain and fever. The nurse anticipates this is which type of crisis?

Accepted Answer

Vaso-occlusive crisis

Answer

Vaso-occlusive (painful) crisis is the most common type, caused by sickling of RBCs obstructing blood flow to bones and tissues.

Question 2

Which action is the nurse's highest priority when a 3-year-old is having a tonic-clonic seizure?

Accepted Answer

Place the child on their side and protect from injury

Answer

During a seizure, the priority is to prevent injury and maintain a patent airway by placing the child in the lateral position.

Question 3

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?

Accepted Answer

Initiate neutropenic precautions and reverse isolation

Answer

An ANC below 500/mm³ indicates severe neutropenia, requiring protective (reverse) isolation to prevent life-threatening infection.

Question 4

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?

Accepted Answer

10

Answer

The Wong-Baker FACES scale ranges from 0 (no pain) to 10 (worst pain), with the crying face representing a score of 10.

Question 5

An infant with pyloric stenosis is most likely to present with which electrolyte imbalance?

Accepted Answer

Hypokalemia and metabolic alkalosis

Answer

Persistent projectile vomiting of gastric contents causes loss of HCl, leading to hypokalemia and metabolic alkalosis.

(LVN) Licensed Vocational Nurses Certification Practice Test

(LVN) Licensed Vocational Nurses Certification Practice Test

LVN Pediatric Nursing Care 3