LVN Pediatric Nursing Care 5

Question 1

A 7-year-old with nephrotic syndrome has periorbital edema and proteinuria. Which dietary modification should the nurse teach the parents?

Accepted Answer

Low sodium, adequate protein diet

Answer

In nephrotic syndrome, sodium restriction reduces edema, and adequate protein intake compensates for urinary protein losses.

Question 2

During auscultation, the nurse notes a harsh systolic murmur at the left sternal border in a 3-month-old. This finding is most consistent with which defect?

Accepted Answer

Ventricular septal defect (VSD)

Answer

A harsh holosystolic murmur best heard at the left lower sternal border is characteristic of a ventricular septal defect.

Question 3

An 8-year-old is admitted with Reye's syndrome. Which recent history finding is most significant?

Accepted Answer

Taking aspirin during a recent viral illness

Answer

Reye's syndrome is associated with aspirin use during viral illness (especially influenza or varicella), causing hepatic encephalopathy.

Question 4

The nurse is caring for a child with croup. Which intervention is the priority for managing mild croup at home?

Accepted Answer

Expose the child to cool mist or night air

Answer

Cool mist or cool night air reduces laryngeal edema and relieves mild croup symptoms; humidified air is the first-line home management.

Question 5

A nurse suspects shaken baby syndrome in a 4-month-old. Which clinical triad supports this suspicion?

Accepted Answer

Retinal hemorrhage, subdural hematoma, and encephalopathy

Answer

The classic triad of abusive head trauma includes retinal hemorrhages, subdural hematoma, and encephalopathy without an adequate explanation.

(LVN) Licensed Vocational Nurses Certification Practice Test

(LVN) Licensed Vocational Nurses Certification Practice Test

LVN Pediatric Nursing Care 5