2017 Pediatric PN Hesi Specialty V2

1) A toddler is receiving an infusion of total parenteral nutrition via a Broviac catheter. As the child plays, the I.V. tubing becomes disconnected from the catheter. What should the LPN/LVN do first? a. Turn off the infusion pump. b. Position the child on the side. c. Clamp the catheter. d. Flush the catheter with heparin. Correct Answer: C. Clamp the catheter. 2) A LPN/LVN is conducting an infant nutrition class for parents. Which foods are appropriate to introduce during the first year of life? Select all that apply. a. Sliced beef b. Pureed fruits c. Whole milk d. Rice cereal e. Strained vegetables f. Fruit juice Correct Answer: b. Pureed fruits d. Rice cereal e. Strained vegetables 3) A mother tells the nurse that her preschool-age daughter with spina bifida sneezes and gets a rash when playing with brightly colored balloons, and that recently she had an allergic reaction after eating kiwifruit and bananas. The LPN/LVN would suspect that the child may have an allergy to: a. bananas. b. latex. c. kiwifruit. d. color dyes. Correct Answer: B. latex. 4) A LPN/LVN is developing a plan to teach a mother how to reduce her infant's risk of developing otitis media. Which direction should the nurse include in the teaching plan? a. Administer antibiotics whenever the infant has a cold. b. Place the infant in an upright position when giving a bottle. c. Avoid getting the infant's ears wet while bathing or swimming. d. Clean the infant's external ear canal daily. Correct Answer: B. Place the infant in an upright position when giving a bottle. 5) When developing a care plan for an adolescent, the nurse considers the child's psychosocial needs. During adolescence, psychosocial development focuses on: a. becoming industrious. b. establishing an identity. c. achieving intimacy. d. developing initiative. Correct Answer: B. establishing an identity. 6) A LPN/LVN is planning care for a 10-year-old child in the acute phase of rheumatic fever. Which activity is most appropriate for the nurse to schedule in the care plan? a. Playing ping-pong b. Reading books c. Climbing on play equipment in the playroom d. Ambulating without restrictions Correct Answer: B. Reading books 7) A LPN/LVN is assessing a severely depressed adolescent. Which finding indicates a risk of suicide? a. Excessive talking b. Excessive sleepiness c. A history of cocaine use d. A preoccupation with death Correct Answer: D. A preoccupation with death 8) A child is admitted with a tentative diagnosis of clinical depression. Which assessment finding is most significant in confirming this diagnosis? a. Irritability b. Sadness c. Weight gain d. Fatigue Correct Answer: B. Sadness 9) A child with iron deficiency anemia is ordered ferrous sulfate (Ferralyn), an oral iron supplement. When teaching the child and parent how to administer this preparation, the mother asks why she needs to mix the supplement with citrus juice. Which response by the nurse is best? a. "The vitamin C in the citrus juice helps with iron absorption." b. "Having food and juice in the stomach helps with iron absorption." c. "The citrus juice counteracts the unpleasant taste of the iron." d. "There isn't a specific reason for it." Correct Answer: A. "The vitamin C in the citrus juice helps with iron absorption." 10) When assessing a child for impetigo, the nurse expects which assessment findings? a. Small, brown, benign lesions b. Honey-colored, crusted lesions c. Linear, threadlike burrows d. Circular lesions that clear centrally Correct Answer: B. Honey-colored, crusted lesions