Pediatric Nursing Practice Test for LPNs

Pediatric Nursing Practice Test for LPNs Related

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The nurse leads an adolescent health information group, which often expands into other areas of discussion. She knows that these youths are trying to find out 'who they are,' and discussion often focuses on which directions they want to take in school and life, as well as peer relationships. According to Erikson, this stage is known as:

  • A. Identity vs. role confusion.
  • B. Adolescent rebellion.
  • C. Career experimentation.
  • D. Relationship testing
Correct Answer: A

Rationale: Erikson’s stage of 'Identity vs. Role Confusion' occurs during adolescence, where individuals explore their sense of self, roles, and future directions, aligning with the group’s focus on identity, school, life, and peer relationships.

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The nurse notes a swelling on the neonate's scalp that crosses the suture line. The nurse documents this condition as...

  • A. Cephallic hematoma.
  • B. Caput succedaneum.
  • C. Hemorrhage edema.
  • D. Perinatal caput.
Correct Answer: B

Rationale: Caput succedaneum is a swelling that crosses the suture line due to pressure during delivery and resolves spontaneously.

Which of the following best describes parallel play between two toddlers?

  • A. Sharing crayons to color separate pictures
  • B. Playing a board game with a nurse
  • C. Sitting near each other while playing with separate dolls
  • D. Sharing their dolls with two different nurses
Correct Answer: C

Rationale: Toddlers engaging in parallel play will play near each other, but not with each other.

The embryo is termed a fetus at which stage of prenatal development?

  • A. 2 weeks
  • B. 4 weeks
  • C. 9 weeks
  • D. 16 weeks
Correct Answer: C

Rationale: The fetus (third stage of prenatal development) begins at the ninth week and continues until the 40th week of gestation or until birth.

The nurse is teaching a group of parents about fever management in children. Which statement indicates a need for further teaching?

  • A. I should use acetaminophen or ibuprofen for a fever above 101°F.'
  • B. I can give my child aspirin for a fever if they are over 2 years old.'
  • C. A lukewarm sponge bath may help lower my child's fever.'
  • D. I should dress my child in light clothing if they have a fever.'
Correct Answer: B

Rationale: Aspirin is contraindicated in children due to the risk of Reye’s syndrome, especially with viral infections, indicating a need for further teaching. The other statements align with safe fever management.

Regarding the scenario in the question above, when would you reassess the APGAR?

  • A. 2 minutes after the previous APGAR assessment
  • B. 15 minutes after the previous APGAR assessment
  • C. 5 minutes after the previous APGAR assessment
  • D. No reassessment of the APGAR score is needed.
Correct Answer: C

Rationale: Standard practice is to reassess the APGAR score at 5-minute intervals after the initial 1-minute score, typically at 5 minutes, and again at 10 minutes if needed.