LPN Child Nursing

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Sample questions from LPN Child Nursing

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At a pediatric clinic, the parent of a 7-year-old with asthma says the child has used a rescue inhaler every 3 hours since yesterday. Which response by the practical nurse is the priority?

   • A.Recommend that the parent schedule a routine appointment next month.
   • B.Tell the parent to stop the child's controller medication until symptoms improve.
   • C.Notify the RN or provider promptly about the increased rescue-inhaler use.
   • D.Ask the parent to demonstrate the child's inhaler technique at the next routine visit.

   Rationale: Rescue-inhaler use every 3 hours can indicate worsening asthma and requires prompt communication to the RN or provider. Checking technique is useful but should not delay reporting the change. A routine appointment is not timely, and stopping a prescribed controller medication is unsafe.

2. 2.Refer to the client's chart. Which findings should the practical nurse report promptly to the RN or provider? Select all that apply.

   • A.The temperature has decreased from 38.2 C to 37.8 C.
   • B.The child is more difficult to arouse at 1000 than at 0800.
   • C.The heart rate has increased from 118/min to 150/min.
   • D.The child has moist oral mucosa at 1000.
   • E.Urine output has decreased from 1.0 mL/kg/hr to 0.3 mL/kg/hr.

   Rationale: The urine output decrease to 0.3 mL/kg/hr, reduced arousability, and rising heart rate are concerning trends in a child with gastroenteritis and dehydration and should be promptly reported. Moist oral mucosa is a reassuring finding, and the decreasing temperature is also an improvement. Trending findings over time helps the practical nurse recognize deterioration and communicate it promptly.

3. 3.During a home visit, the parent of a 2-year-old says the child has a new prescription for an antibiotic but cannot afford to fill it until next week. What should the practical nurse do?

   • A.Ask the parent to contact the prescriber's office or pharmacist today to discuss affordable options.
   • B.Advise the parent to wait until the next scheduled well-child visit.
   • C.Suggest giving half of the prescribed dose to make the supply last longer.
   • D.Recommend using leftover antibiotics prescribed for another family member.

   Rationale: The parent should promptly contact the prescriber's office or pharmacist because delaying or altering antibiotic treatment may compromise care. The practical nurse can reinforce the plan and help connect the family with appropriate resources. Changing the dose, sharing medication, or waiting without contacting the care team is unsafe.

4. 4.A provider prescribes amoxicillin 250 mg orally every 8 hours for a child weighing 16 kg. The suspension contains 250 mg/5 mL. How many milliliters should the practical nurse administer per dose?

   • A.7.5 mL
   • B.15 mL
   • C.2.5 mL
   • D.5 mL

   Answer and rationale are in the full material.

5. 5.At a community health fair, the parent of a 4-year-old asks how to reduce the risk of medication poisoning at home. Which instructions should the practical nurse reinforce? Select all that apply.

   • A.Call a poison-control center or emergency services if an overdose is suspected.
   • B.Keep medications in their original containers with labels intact.
   • C.Refer to medicines as candy so the child will cooperate.
   • D.Store medications in a locked cabinet out of the child's reach.
   • E.Use the dosing device supplied with the medication.

   Answer and rationale are in the full material.