LVN Pediatric Nursing Care 4

Question 1

A toddler swallowed a button battery 30 minutes ago. Which nursing action is most urgent?

Accepted Answer

Prepare for emergency endoscopic removal

Answer

Button batteries lodged in the esophagus can cause tissue necrosis within 2 hours; emergency endoscopic removal is required.

Question 2

The nurse is assessing a child with suspected meningitis. A positive Kernig's sign is identified by which finding?

Accepted Answer

Inability to extend the knee when the hip is flexed to 90°

Answer

Kernig's sign is positive when the patient cannot fully extend the knee while the hip is flexed at 90° due to meningeal irritation.

Question 3

A 10-year-old with type 1 diabetes mellitus becomes diaphoretic, tremulous, and confused during recess. What should the nurse do first?

Accepted Answer

Give 15 g of fast-acting carbohydrate such as juice

Answer

Signs of hypoglycemia in a conscious child are treated with 15 g of fast-acting carbohydrate followed by reassessment in 15 minutes.

Question 4

Which immunization is contraindicated in a child who is immunocompromised due to chemotherapy?

Accepted Answer

Varicella (VAR) vaccine

Answer

Varicella is a live attenuated vaccine and is contraindicated in immunocompromised children who cannot mount a safe immune response.

Question 5

A premature infant in the NICU is receiving phototherapy for hyperbilirubinemia. Which nursing intervention is essential?

Accepted Answer

Shield the infant's eyes and genitals and monitor temperature

Answer

Eye protection prevents retinal damage and temperature monitoring prevents hyperthermia or hypothermia during phototherapy.

(LVN) Licensed Vocational Nurses Certification Practice Test