Question 1

Before giving a dose of digoxin (Lanoxin),the nurse checked an infant's apical heart rate and it was 114 bpm.What should the nurse do next?

Accepted Answer

A)  Administer the dose as ordered. 
B)  Hold the medication until the next dose. 
C)  Wait and recheck the apical heart rate in 30 minutes. 
D)  Notify the physician about the infant's heart rate. 
A)  Administer the dose as ordered. 
B)  Hold the medication until the next dose. 
C)  Wait and recheck the apical heart rate in 30 minutes. 
D)  Notify the physician about the infant's heart rate.

Question 2

The primary nursing intervention to prevent bacterial endocarditis is

Accepted Answer

A)  Institute measures to prevent dental procedures. 
B)  Counsel parents of high-risk children about prophylactic antibiotics. 
C)  Observe children for complications, such as embolism and heart failure. 
D)  Encourage restricted mobility in susceptible children. 
A)  Institute measures to prevent dental procedures. 
B)  Counsel parents of high-risk children about prophylactic antibiotics. 
C)  Observe children for complications, such as embolism and heart failure. 
D)  Encourage restricted mobility in susceptible children.

Question 3

A nurse is conducting a class for nursing students about fetal circulation.Which statement is accurate about fetal circulation and should be included in the teaching session?

Accepted Answer

A)  Oxygen is carried to the fetus by the umbilical arteries. 
B)  Blood from the inferior vena cava is shunted directly to the right ventricle through the foramen ovale. 
C)  Pulmonary vascular resistance is high because the lungs are filled with fluid. 
D)  Blood flows from the ductus arteriosus to the pulmonary artery. 
A)  Oxygen is carried to the fetus by the umbilical arteries. 
B)  Blood from the inferior vena cava is shunted directly to the right ventricle through the foramen ovale. 
C)  Pulmonary vascular resistance is high because the lungs are filled with fluid. 
D)  Blood flows from the ductus arteriosus to the pulmonary artery.

Question 4

Which postoperative intervention should be questioned for a child after a cardiac catheterization?

Accepted Answer

A)  Continue intravenous (IV) fluids until the infant is tolerating oral fluids. 
B)  Check the dressing for bleeding. 
C)  Assess peripheral circulation on the affected extremity. 
D)  Keep the affected leg flexed and elevated. 
A)  Continue intravenous (IV) fluids until the infant is tolerating oral fluids. 
B)  Check the dressing for bleeding. 
C)  Assess peripheral circulation on the affected extremity. 
D)  Keep the affected leg flexed and elevated.

Question 5

The nurse assessing a premature newborn infant auscultates a continuous machinery-like murmur.This finding is associated with which congenital heart defect?

Accepted Answer

A)  Pulmonary stenosis 
B)  Patent ductus arteriosus 
C)  Ventricular septal defect 
D)  Coarctation of the aorta 
A)  Pulmonary stenosis 
B)  Patent ductus arteriosus 
C)  Ventricular septal defect 
D)  Coarctation of the aorta

Question 6

Which statement made by a parent indicates understanding of restrictions for a child after cardiac surgery?

Accepted Answer

A)  "My child needs to get extra rest for a few weeks." 
B)  "My son is really looking forward to riding his bike next week." 
C)  "I'm so glad we can attend religious services as a family this coming Sunday." 
D)  "I am going to keep my child out of daycare for 6 weeks." 
A)  "My child needs to get extra rest for a few weeks." 
B)  "My son is really looking forward to riding his bike next week." 
C)  "I'm so glad we can attend religious services as a family this coming Sunday." 
D)  "I am going to keep my child out of daycare for 6 weeks."

Question 7

The nurse is admitting a child who has been diagnosed with Kawasaki disease.What is the most serious complication for which the nurse should assess in Kawasaki disease?

Accepted Answer

A)  Cardiac valvular disease 
B)  Cardiomyopathy 
C)  Coronary aneurysm 
D)  Rheumatic fever 
A)  Cardiac valvular disease 
B)  Cardiomyopathy 
C)  Coronary aneurysm 
D)  Rheumatic fever

Question 8

Elevated blood pressure in the blood vessels of the lungs is a condition known as PAH or _____________________ __________________ .

Accepted Answer

Pulmonary hypertension
Pulmonary hyperte

Question 9

A nurse is teaching an adolescent about primary hypertension.Which statement made by the adolescent indicates an understanding of primary hypertension?

Accepted Answer

A)  Primary hypertension should be treated with diuretics as soon as it is detected. 
B)  Congenital heart defects are the most common cause of primary hypertension. 
C)  Primary hypertension may be treated with weight reduction. 
D)  Primary hypertension is not affected by exercise. 
A)  Primary hypertension should be treated with diuretics as soon as it is detected. 
B)  Congenital heart defects are the most common cause of primary hypertension. 
C)  Primary hypertension may be treated with weight reduction. 
D)  Primary hypertension is not affected by exercise.

Question 10

A nurse is assigned to care for an infant with an unrepaired tetralogy of Fallot.What should the nurse do first when the baby is crying and becomes severely cyanotic?

Accepted Answer

A)  Place the infant in a knee-chest position. 
B)  Administer oxygen. 
C)  Administer morphine sulfate. 
D)  Calm the infant. 
A)  Place the infant in a knee-chest position. 
B)  Administer oxygen. 
C)  Administer morphine sulfate. 
D)  Calm the infant.

Question 11

For what reason might a newborn infant with a cardiac defect,such as coarctation of the aorta,that results in a right-to-left shunt receive prostaglandin E1?

Accepted Answer

A)  To decrease inflammation 
B)  To control pain 
C)  To decrease respirations 
D)  To improve oxygenation 
A)  To decrease inflammation 
B)  To control pain 
C)  To decrease respirations 
D)  To improve oxygenation

Question 12

A child has a total cholesterol level of 180 mg/dL.What dietary recommendations should the nurse make to the child and the child's parents? Select all that apply.

Accepted Answer

A)  Replace whole milk for 2% or 1% milk. 
B)  Increase servings of red meat. 
C)  Increase servings of fish. 
D)  Avoid excessive intake of fruit juices. 
E)  Limit servings of whole grain. 
A)  Replace whole milk for 2% or 1% milk. 
B)  Increase servings of red meat. 
C)  Increase servings of fish. 
D)  Avoid excessive intake of fruit juices. 
E)  Limit servings of whole grain.

Question 13

Which defect results in increased pulmonary blood flow?

Accepted Answer

A)  Pulmonic stenosis 
B)  Tricuspid atresia 
C)  Atrial septal defect 
D)  Transposition of the great arteries 
A)  Pulmonic stenosis 
B)  Tricuspid atresia 
C)  Atrial septal defect 
D)  Transposition of the great arteries

Question 14

The American Academy of Pediatrics (AAP)recommends exclusive breastfeeding,or provision of breast milk by bottle,for the first 4 to 6 months of life,preferably until the child reaches 1 year of age or beyond.This does not include infants with congenital heart disease who have difficulty maintaining breastfeeding due to poor oxygenation and fatigue.Is this statement true or false?

Accepted Answer

A) True 
 B)False

Question 15

Nursing care for the child in congestive heart failure includes

Accepted Answer

A)  Counting the number of saturated diapers 
B)  Putting the infant in the Trendelenburg position 
C)  Removing oxygen while the infant is crying 
D)  Organizing care to provide rest periods 
A)  Counting the number of saturated diapers 
B)  Putting the infant in the Trendelenburg position 
C)  Removing oxygen while the infant is crying 
D)  Organizing care to provide rest periods

Question 16

The nurse is admitting a child to the hospital for a cardiac workup.What is the first step in a cardiac assessment?

Accepted Answer

A)  Percussion 
B)  Palpation 
C)  Auscultation 
D)  History and inspection 
A)  Percussion 
B)  Palpation 
C)  Auscultation 
D)  History and inspection

Question 17

A nurse is conducting discharge teaching to parents about the care of their infant after cardiac surgery.The nurse instructs the parents to notify the physician if what condition occurs? Select all that apply.

Accepted Answer

A)  Respiratory rate of 36 at rest 
B)  Appetite slowly increasing 
C)  Temperature above 37.7° C (100° F) 
D)  New, frequent coughing 
E)  Turning blue or bluer than normal 
A)  Respiratory rate of 36 at rest 
B)  Appetite slowly increasing 
C)  Temperature above 37.7° C (100° F) 
D)  New, frequent coughing 
E)  Turning blue or bluer than normal

Question 18

Which information should be included in the nurse's discharge instructions for a child who underwent a cardiac catheterization earlier in the day?

Accepted Answer

A)  Pressure dressing is changed daily for the first week. 
B)  The child may soak in the tub beginning tomorrow. 
C)  Contact sports can be resumed in 2 days. 
D)  The child can return to school on the third day after the procedure. 
A)  Pressure dressing is changed daily for the first week. 
B)  The child may soak in the tub beginning tomorrow. 
C)  Contact sports can be resumed in 2 days. 
D)  The child can return to school on the third day after the procedure.

Question 19

What is an expected assessment finding in a child with coarctation of the aorta?

Accepted Answer

A)  Orthostatic hypotension 
B)  Systolic hypertension in the lower extremities 
C)  Blood pressure higher on the left side of the body 
D)  Disparity in blood pressure between the upper and lower extremities 
A)  Orthostatic hypotension 
B)  Systolic hypertension in the lower extremities 
C)  Blood pressure higher on the left side of the body 
D)  Disparity in blood pressure between the upper and lower extremities

Exam 46: The Child With a Cardiovascular Alteration

Before giving a dose of digoxin (Lanoxin),the nurse checked an infant's apical heart rate and it was 114 bpm.What should the nurse do next?

The primary nursing intervention to prevent bacterial endocarditis is

A nurse is conducting a class for nursing students about fetal circulation.Which statement is accurate about fetal circulation and should be included in the teaching session?

Which postoperative intervention should be questioned for a child after a cardiac catheterization?

The nurse assessing a premature newborn infant auscultates a continuous machinery-like murmur.This finding is associated with which congenital heart defect?

Which statement made by a parent indicates understanding of restrictions for a child after cardiac surgery?

The nurse is admitting a child who has been diagnosed with Kawasaki disease.What is the most serious complication for which the nurse should assess in Kawasaki disease?

Elevated blood pressure in the blood vessels of the lungs is a condition known as PAH or _____________________ __________________ .

A nurse is teaching an adolescent about primary hypertension.Which statement made by the adolescent indicates an understanding of primary hypertension?

A nurse is assigned to care for an infant with an unrepaired tetralogy of Fallot.What should the nurse do first when the baby is crying and becomes severely cyanotic?

For what reason might a newborn infant with a cardiac defect,such as coarctation of the aorta,that results in a right-to-left shunt receive prostaglandin E1?

A child has a total cholesterol level of 180 mg/dL.What dietary recommendations should the nurse make to the child and the child's parents? Select all that apply.

Which defect results in increased pulmonary blood flow?

Nursing care for the child in congestive heart failure includes

The nurse is admitting a child to the hospital for a cardiac workup.What is the first step in a cardiac assessment?

A nurse is conducting discharge teaching to parents about the care of their infant after cardiac surgery.The nurse instructs the parents to notify the physician if what condition occurs? Select all that apply.

Which information should be included in the nurse's discharge instructions for a child who underwent a cardiac catheterization earlier in the day?

What is an expected assessment finding in a child with coarctation of the aorta?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating With Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion during Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family With Special Needs

Pregnancy-Related Complications

Concurrent Disorders During Pregnancy

The Woman With an Intrapartum Complication

The Woman With a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s Health Care

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child With a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child With a Fluid and Electrolyte Alteration

The Child With an Infectious Disease

The Child With an Immunologic Alteration

The Child With a Gastrointestinal Alteration

The Child With a Genitourinary Alteration

The Child With a Respiratory Alteration

The Child With a Hematologic Alteration

The Child With Cancer

The Child With an Alteration in Tissue Integrity

The Child With a Musculoskeletal Alteration

The Child With an Endocrine or Metabolic Alteration

The Child With a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With a Developmental Disability

The Child With a Sensory Alteration

Filters

Elevated blood pressure in the blood vessels of the lungs is a condition known as PAH or ___ .

For what reason might a newborn infant with a cardiac defect,such as coarctation of the aorta,that results in a right-to-left shunt receive prostaglandin E₁?