Ricci 41 Pt. 2

Question 1

1.The nurse is conducting a physical examination of a child with a ventricular septal defect. Which finding would the nurse expect to assess?
A) Right ventricular heave
B) Holosystolic harsh murmur along the left sternal border
C) Fixed split-second heart sound
D) Systolic ejection murmur

Answer 1

B) Holosystolic harsh murmur along the left sternal border

Question 2

2.The nurse is administering digoxin as ordered and the child vomits the dose. What
should the nurse do next?
A) Contact the healthcare provider.
B) Offer a snack and administer another dose.
C) Immediately administer another dose.
D) Administer next dose as ordered in 12 hours

Answer 2

D) Administer next dose as ordered in 12 hours

Question 3

3.The nurse is caring for an infant with suspected patent ductus arteriosus. Which assessment finding would the nurse identify as helping to confirm this suspicion?
A) Thrill at the base of the heart
B) Harsh, continuous, machine-like murmur under the left clavicle
C) Faint pulses
D) Systolic murmur best heard along the left sternal border

Answer 3

B) Harsh, continuous, machine-like murmur under the left clavicle

Question 4

4.The nurse is conducting a physical examination of a child with a suspected cardiovascular disorder. Which finding would the nurse most likely expect to assess if the child had transposition of the great vessels?
A) Significant cyanosis without presence of a murmur
B) Abrupt cessation of chest output with an increase in heart rate/filling pressure
C) Soft systolic ejection
D) Holosystolic murmur

Answer 4

A) Significant cyanosis without presence of a murmur

Question 5

5.The nurse is assessing a child with suspected infective endocarditis. Which assessment finding would the nurse interpret as a sign of extracardiac emboli?
A) Pruritus
B) Roth spots
C) Delayed capillary refill
D) Erythema marginatum

Answer 5

B) Roth spots

Question 6

6.When conducting a physical examination of a child with suspected Kawasaki disease, which finding would the nurse expect to assess?
A) Hirsutism or striae
B) Strawberry tongue
C) Malar rash
D) Café au lait spots

Answer 6

B) Strawberry tongue

Question 7

7.After teaching a group of students about acute rheumatic fever, the instructor determines that the teaching was successful when the students identify which assessment finding?
A) Janeway lesions
B) Jerky movements of the face and upper extremities
C) Black lines
D) Osler nodes

Answer 7

B) Jerky movements of the face and upper extremities

Question 8

8.A nurse is reviewing the medical record of a child and finds that the child has a grade III murmur. After auscultating the child’s heart sounds, how would the nurse document this murmur?
A) Loud without a thrill
B) Loud with a precordial thrill
C) Soft and easily heard
D) Loud, audible with a stethoscope

Answer 8

A) Loud without a thrill

Question 9

9.The nurse is caring for a 2-month-old infant who has been diagnosed with acute heart failure. The nurse is providing teaching about nutrition. Which statement by the mother indicates a need for further teaching?
A) “The baby may need as much as 150 calories/kg/day.”
B) “Small, frequent feedings are best if tolerated.”
C) “I need to feed him every hour to make sure he eats enough.”
D) “Gavage feedings may be required for now.”

Answer 9

C) “I need to feed him every hour to make sure he eats enough.”

Question 10

10.The nurse is caring for an infant girl with a suspected cardiovascular disorder. Which statement by the mother would warrant further investigation?
A) “My baby does not make any grunting noises.”
B) “The baby seems more comfortable over my shoulder.”
C) “The baby usually drinks all of her bottle.”
D) “I don’t notice any rapid breathing patterns.”

Answer 10

B) “The baby seems more comfortable over my shoulder.”

Question 11

11.Auscultation of a child’s heart reveals a loud murmur with a precordial thrill. The nurse documents this as which grade?
A) Grade II
B) Grade III
C) Grade IV
D) Grade V

Answer 11

C) Grade IV

Question 12

12.After assessing a child’s blood pressure, the nurse determines the pulse pressure and finds that it is narrowed. What would the nurse identify as associated with this finding?
A) Aortic stenosis
B) Patent ductus arteriosus
C) Aortic insufficiency
D) Complete heart block

Answer 12

A) Aortic stenosis

Question 13

13.A 9-year-old child has undergone a cardiac catheterization and is being prepared for discharge. The nurse is instructing the parents and child about postprocedure care. Which statement by the parents indicates that the teaching was successful?
A) “This pressure dressing needs to stay on for 5 days from now.”
B) “He can’t eat but he can drink fluids for the next 24 hours.”
C) “He should avoid taking a bath for about 3 days, but he can shower.”
D) “It’s normal if he says he feels like his heart skipped a beat.”

Answer 13

C) “He should avoid taking a bath for about 3 days, but he can shower.”

Question 14

14.A newborn is diagnosed with patent ductus arteriosus. The nurse anticipates that
the healthcare provider will most likely order which medication?
A) Alprostadil
B) Heparin
C) Indomethacin
D) Spironolactone

Answer 14

C) Indomethacin

Question 15

15.The nurse is preparing a teaching plan for the parents of a child who has been diagnosed with a congenital heart defect. What would the nurse be least likely to include?
A) Daily weight assessment
B) Maintenance of strict bed rest
C) Prevention of infection
D) Signs of complications

Answer 15

B) Maintenance of strict bed rest

Question 16

16.After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow?
A) Tetralogy of Fallot
B) Atrial septal defect
C) Hypoplastic left heart syndrome
D) Transposition of the great vessels

Answer 16

B) Atrial septal defect

Question 17

17.A 7-year-old child with a family history of cardiovascular disease is being screened for hyperlipidemia. When reviewing the child’s laboratory test results, which total cholesterol level would be of significant concern?
A) 120 mg/dL (3.11 mmol/L)
B) 150 mg/dL (3.88 mmol/L)
C) 180 mg/dL (4.66 mmol/L)
D) 210 mg/dL (5.44 mmol/L)

Answer 17

D) 210 mg/dL (5.44 mmol/L)

Question 18

18.A child with a suspected cardiovascular disorder is to undergo diagnostic testing and is scheduled for an echocardiogram. When explaining this test to the child, what would the nurse most likely include?
A) “This test will check the pattern of how your heart is beating.”
B) “They’ll take a picture of your chest to look at the heart’s size.”
C) “A special wand that picks up sound is used to check your heart.”
D) “Small patches are attached to your chest to check the heart rhythm.”

Answer 18

C) “A special wand that picks up sound is used to check your heart.”

Question 19

19.The nurse is reviewing the medical record of a child with infective endocarditis. What would the nurse expect to find? Select all that apply.
A) White blood cell count revealing leukopenia
B) Microscopic hematuria with urinalysis
C) Electrocardiogram with prolonged PR interval
D) Lungs clear on auscultation
E) Petechiae on palpebral conjunctiva

Answer 19

B) Microscopic hematuria with urinalysis
C) Electrocardiogram with prolonged PR interval
E) Petechiae on palpebral conjunctiva

Question 20

20.A child with heart failure is receiving supplemental oxygen. The nurse understands that in addition to improving oxygen saturation, this intervention also has what effect?
A) Cause vasodilation
B) Increase pulmonary vascular resistance
C) Promote diuresis
D) Mobilize secretions

Answer 20

A) Cause vasodilation

Question 21

21.The nurse is developing a plan of care for an infant with heart failure who is receiving digoxin. The nurse would hold the dose of digoxin and notify the healthcare provider if the infant’s apical pulse rate was:
A) 140 beats per minute
B) 120 beats per minute
C) 100 beats per minute
D) 80 beats per minute

Answer 21

D) 80 beats per minute

Question 22

22.A nurse is working with an adolescent who is slightly overweight and was recently diagnosed with hypertension. They are discussing nutritional management. Which statement by the adolescent demonstrates understanding of the information?
A) “I have to make sure that I don’t eat a lot of salty foods.”
B) “I can eat any amount at a meal as long as I don’t eat between meals.”
C) “I should eat plenty of fresh fruits and vegetables.”
D) “If I skip breakfast, I can eat a much bigger lunch.”

Answer 22

C) “I should eat plenty of fresh fruits and vegetables.”

Question 23

23.A child is diagnosed with Kawasaki disease and is in the acute phase of the disorder. What would the nurse expect the healthcare provider to prescribe? Select all that apply.
A) Intravenous immunoglobulin
B) Ibuprofen
C) Acetaminophen
D) Aspirin
E) Alprostadil

Answer 23

A) Intravenous immunoglobulin
D) Aspirin

Question 24

24.An infant with congenital heart disease is to undergo surgery to correct the defect. The mother states, “I guess I’m going to have to stop breastfeeding her.” Which response by the nurse would be most appropriate?
A) “That’s true, but we’ll make sure she gets the best intravenous nutrition.”
B) “Unfortunately, your baby needs more nutrients than what breast milk can provide.”
C) “Breast milk may help to boost her immune system, so you can continue to use it.”
D) “She won’t be able to suck, so we have to give her fortified formula through a tube.”

Answer 24

C) “Breast milk may help to boost her immune system, so you can continue to use it.”

Question 25

25.During a follow-up visit, the parents of a 5-month-old infant diagnosed with congenital heart disease tell the nurse, “We’re just so tired and emotionally spent. All these tests and examinations are overwhelming. We just want to have a normal life. We’re so focused on the baby that it seems like our 3-year-old is lost in the shuffle.” Which nursing diagnosis would the nurse identify as most appropriate?
A) Risk for delayed growth and development related to necessary treatments
B) Deficient knowledge related to the care of a child with congenital heart disease
C) Interrupted family processes related to demands of caring for the ill child
D) Fear related to infant’s cardiac condition and need for ongoing care

Answer 25

C) Interrupted family processes related to demands of caring for the ill child

Question 26

26.A child with suspected dyslipidemia undergoes laboratory testing. The nurse is reviewing the results. Which finding would the nurse interpret as supporting the diagnosis? Select all that apply.
A) Total cholesterol level of 150 mg/dL (3.88 mmol/L)
B) Total cholesterol level of 180 mg/dL (4.66 mmol/L)
C) Total cholesterol level of 220 mg/dL (5.70 mmol/L)
D) LDL level of 90 mg/dL (2.33 mmol/L)
E) LDL level of 120 mg/dL (3.11 mmol/L)
F) LDL level of 140 mg/dL (3.63 mmol/L)

Answer 26

C) Total cholesterol level of 220 mg/dL (5.70 mmol/L)
F) LDL level of 140 mg/dL (3.63 mmol/L)

Question 27

27.The mother of a 4-week-old infant is tearful. She reports the healthcare provider has told her that her son has a small atrial septal defect. She reports she is worried and asks the nurse more about the condition. Which statement by the parents best indicates an understanding of the nurse’s teaching?
A) “This greatly places my son at risk for cardiac failure.”
B) “If this does not resolve by the time my child is 1 year old, he will likely need surgery.”
C) “Most of the time this condition spontaneously resolves.”
D) “Since the surgery to correct this condition can be risky my son will need to be at least 40 pounds.”

Answer 27

C) “Most of the time this condition spontaneously resolves.”

Question 28

28.The nurse is caring for a child that just returned from a coronary arteriogram in which the catheter was placed through the left femoral artery. Which nursing actions demonstrate knowledge of the procedure? Select all that apply.
A) The nurse allows the client up to the bathroom only.
B) The nurse assesses the dorsalis pedis pulse in the left foot.
C) The nurse assesses the puncture site frequently.
D) The nurse tells the parents that the healthcare provider will discuss the results of the procedure with them.
E) The nurse assesses the client’s vital signs every 8 hours.

Answer 28

B) The nurse assesses the dorsalis pedis pulse in the left foot.
C) The nurse assesses the puncture site frequently.
D) The nurse tells the parents that the healthcare provider will discuss the results of the procedure with them.

Question 29

29.The nurse is caring for a newborn diagnosed with an atrial septal defect (ASD). The parents voice concern and state, “I can’t believe this is happening. Will our child be okay?” What is the nurse’s best response?
A) “If the defect isn’t treated it can cause problems such as pulmonary hypertension, heart failure, atrial arrhythmias, or stroke.”
B) “While each case is different, the majority of these defects correct on their own. Let’s see what the tests show, then speak with the healthcare provider.”
C) “Since there are no symptoms being exhibited right now, your child will likely not require surgery until the age of 3 years.”
D) “Most children have no symptoms of this defect.”

Answer 29

B) “While each case is different, the majority of these defects correct on their own. Let’s see what the tests show, then speak with the healthcare provider.”