Question 1

What finding would the nurse expect when measuring blood pressure on all four extremities of a child with coarctation of the aorta?

Accepted Answer

A)  Blood pressure higher on the right side 
B)  Blood pressure higher on the left side 
C)  Blood pressure lower in the arms than in the legs 
D)  Blood pressure lower in the legs than in the arms 
A)  Blood pressure higher on the right side 
B)  Blood pressure higher on the left side 
C)  Blood pressure lower in the arms than in the legs 
D)  Blood pressure lower in the legs than in the arms

Question 2

What assessment(s)in a child with tetralogy of Fallot would indicate the child is experiencing a paroxysmal hypercyanotic episode?

Accepted Answer

A)  Spontaneous cyanosis 
B)  Dyspnea 
C)  Weakness 
D)  Dry cough 
E)  Syncope 
A)  Spontaneous cyanosis 
B)  Dyspnea 
C)  Weakness 
D)  Dry cough 
E)  Syncope

Question 3

Which congenital cardiac defect(s)cause(s)increased pulmonary blood flow?

Accepted Answer

A)  Atrial septal defects (ASDs) 
B)  Tetralogy of Fallot 
C)  Dextroposition of aorta 
D)  Patent ductus arteriosus 
E)  Ventricular septal defects (VSDs) 
A)  Atrial septal defects (ASDs) 
B)  Tetralogy of Fallot 
C)  Dextroposition of aorta 
D)  Patent ductus arteriosus 
E)  Ventricular septal defects (VSDs)

Question 4

Through what does the infant born with hypoplastic left heart syndrome acquire oxygenated blood?

Accepted Answer

A)  The patent ductus arteriosus 
B)  A ventricular septal defect 
C)  The closure of the foramen ovale 
D)  An atrial septal defect 
A)  The patent ductus arteriosus 
B)  A ventricular septal defect 
C)  The closure of the foramen ovale 
D)  An atrial septal defect

Question 5

The nurse is planning a hypertension-prevention program.What should be the main focus of the nurse when presenting information?

Accepted Answer

A)  Pharmacological treatment 
B)  Surgical interventions available 
C)  Patient education 
D)  Reduction of aerobic exercise 
A)  Pharmacological treatment 
B)  Surgical interventions available 
C)  Patient education 
D)  Reduction of aerobic exercise

Question 6

________________ is a systemic disease involving the joints,heart,central nervous system (CNS),skin,and subcutaneous tissues.It belongs to a group of disorders known as collagen diseases.

Accepted Answer

Rheumatic fever (RF)
Rheumatic fever (RF

Question 7

Which is the most appropriate nursing action related to the administration of digoxin (Lanoxin)to an infant?

Accepted Answer

A)  Counting the apical rate for 30 seconds before administering the medication 
B)  Withholding a dose if the apical heart rate is less than 100 beats/min 
C)  Repeating a dose if the child vomits within 30 minutes of the previous dose 
D)  Checking respiratory rate and blood pressure before each dose 
A)  Counting the apical rate for 30 seconds before administering the medication 
B)  Withholding a dose if the apical heart rate is less than 100 beats/min 
C)  Repeating a dose if the child vomits within 30 minutes of the previous dose 
D)  Checking respiratory rate and blood pressure before each dose

Question 8

An infant is experiencing dyspnea related to patent ductus arteriosus (PDA).What does the nurse understand regarding why dyspnea occurs?

Accepted Answer

A)  Blood is circulated through the lungs again, causing pulmonary circulatory congestion. 
B)  Blood is shunted past the pulmonary circulation, causing pulmonary hypoxia. 
C)  Blood is shunted past cardiac arteries, causing myocardial hypoxia. 
D)  Blood is circulated through the ductus from the pulmonary artery to the aorta, bypassing the left side of the heart. 
A)  Blood is circulated through the lungs again, causing pulmonary circulatory congestion. 
B)  Blood is shunted past the pulmonary circulation, causing pulmonary hypoxia. 
C)  Blood is shunted past cardiac arteries, causing myocardial hypoxia. 
D)  Blood is circulated through the ductus from the pulmonary artery to the aorta, bypassing the left side of the heart.

Question 9

A child with rheumatic fever begins involuntary,purposeless movements of her limbs.What does the nurse recognize that this indicates?

Accepted Answer

A)  Seizure activity 
B)  Hypoxia 
C)  Sydenham's chorea 
D)  Decreasing level of consciousness 
A)  Seizure activity 
B)  Hypoxia 
C)  Sydenham's chorea 
D)  Decreasing level of consciousness

Question 10

What does the nurse explain that a ventricular septal defect will allow?

Accepted Answer

A)  Blood to shunt left to right, causing increased pulmonary flow and no cyanosis 
B)  Blood to shunt right to left, causing decreased pulmonary flow and cyanosis 
C)  No shunting because of high pressure in the left ventricle 
D)  Increased pressure in the left atrium, impeding circulation of oxygenated blood in the circulating volume 
A)  Blood to shunt left to right, causing increased pulmonary flow and no cyanosis 
B)  Blood to shunt right to left, causing decreased pulmonary flow and cyanosis 
C)  No shunting because of high pressure in the left ventricle 
D)  Increased pressure in the left atrium, impeding circulation of oxygenated blood in the circulating volume

Question 11

Which assessment would lead the nurse to suspect that a newborn infant has a ventricular septal defect?

Accepted Answer

A)  A loud, harsh murmur with a systolic thrill 
B)  Cyanosis when crying 
C)  Blood pressure higher in the arms than in the legs 
D)  A machinery-like murmur 
A)  A loud, harsh murmur with a systolic thrill 
B)  Cyanosis when crying 
C)  Blood pressure higher in the arms than in the legs 
D)  A machinery-like murmur

Exam 26: The Child with a Cardiovascular Disorder

What finding would the nurse expect when measuring blood pressure on all four extremities of a child with coarctation of the aorta?

What assessment(s)in a child with tetralogy of Fallot would indicate the child is experiencing a paroxysmal hypercyanotic episode?

Which congenital cardiac defect(s)cause(s)increased pulmonary blood flow?

Through what does the infant born with hypoplastic left heart syndrome acquire oxygenated blood?

The nurse is planning a hypertension-prevention program.What should be the main focus of the nurse when presenting information?

________________ is a systemic disease involving the joints,heart,central nervous system (CNS),skin,and subcutaneous tissues.It belongs to a group of disorders known as collagen diseases.

Which is the most appropriate nursing action related to the administration of digoxin (Lanoxin)to an infant?

An infant is experiencing dyspnea related to patent ductus arteriosus (PDA).What does the nurse understand regarding why dyspnea occurs?

A child with rheumatic fever begins involuntary,purposeless movements of her limbs.What does the nurse recognize that this indicates?

What does the nurse explain that a ventricular septal defect will allow?

Which assessment would lead the nurse to suspect that a newborn infant has a ventricular septal defect?

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women with Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women with Complications During Labor and Birth

The Family After Birth

Nursing Care of Women with Complications After Birth

The Nurse’s Role in Women’s Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn with a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The Preschool Child

The School-Age Child

The Adolescent

The Child’s Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child with a Sensory or Neurological Condition

The Child with a Musculoskeletal Condition

The Child with a Respiratory Disorder

The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System

The Child with a Gastrointestinal Condition

The Child with a Genitourinary Condition

The Child with a Skin Condition

The Child with a Metabolic Condition

Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child Patient

The Child with an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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