Question 1

Which is a clinical manifestation of the systemic venous congestion that can occur with heart failure?

Accepted Answer

A) Tachypnea 
B) Tachycardia 
C) Peripheral edema 
D) Pale, cool extremities 
A) Tachypnea 
B) Tachycardia 
C) Peripheral edema 
D) Pale, cool extremities

Question 2

Which clinical manifestation should the nurse expect to see as shock progresses in a child and becomes decompensated shock? (Select all that apply.)

Accepted Answer

A) Thirst and diminished urinary output 
B) Irritability and apprehension 
C) Cool extremities and decreased skin turgor 
D) Confusion and somnolence 
E) Normal blood pressure and narrowing pulse pressure 
F) Tachypnea and poor capillary refill time 
A) Thirst and diminished urinary output 
B) Irritability and apprehension 
C) Cool extremities and decreased skin turgor 
D) Confusion and somnolence 
E) Normal blood pressure and narrowing pulse pressure 
F) Tachypnea and poor capillary refill time

Question 3

The parents of a young child with heart failure tell the nurse that they are "nervous" about giving digoxin (Lanoxin).The nurse's response should be based on which statement?

Accepted Answer

A) It is a safe, frequently used drug. 
B) It is difficult to either overmedicate or undermedicate with digoxin. 
C) Parents lack the expertise necessary to administer digoxin. 
D) Parents must learn specific, important guidelines for administration of digoxin. 
A) It is a safe, frequently used drug. 
B) It is difficult to either overmedicate or undermedicate with digoxin. 
C) Parents lack the expertise necessary to administer digoxin. 
D) Parents must learn specific, important guidelines for administration of digoxin.

Question 4

The nurse is conducting discharge teaching about signs and symptoms of heart failure to parents of an infant with a repaired tetralogy of Fallot.Which signs and symptoms should the nurse include? (Select all that apply.)

Accepted Answer

A) Warm flushed extremities 
B) Weight loss 
C) Decreased urinary output 
D) Sweating (inappropriate) 
E) Fatigue 
A) Warm flushed extremities 
B) Weight loss 
C) Decreased urinary output 
D) Sweating (inappropriate) 
E) Fatigue

Question 5

Which is the leading cause of death after heart transplantation?

Accepted Answer

A) Infection 
B) Rejection 
C) Cardiomyopathy 
D) Heart failure 
A) Infection 
B) Rejection 
C) Cardiomyopathy 
D) Heart failure

Question 6

Which type of shock is characterized by a hypersensitivity reaction causing massive vasodilation and capillary leaks,which may occur with drug or latex allergy?

Accepted Answer

A) Neurogenic 
B) Cardiogenic 
C) Hypovolemic 
D) Anaphylactic 
A) Neurogenic 
B) Cardiogenic 
C) Hypovolemic 
D) Anaphylactic

Question 7

A nurse is teaching nursing students the physiology of congenital heart defects.Which defect results in decreased pulmonary blood flow?

Accepted Answer

A) Atrial septal defect 
B) Tetralogy of Fallot 
C) Ventricular septal defect 
D) Patent ductus arteriosus 
A) Atrial septal defect 
B) Tetralogy of Fallot 
C) Ventricular septal defect 
D) Patent ductus arteriosus

Question 8

The nurse is caring for a child with persistent hypoxia secondary to a cardiac defect.The nurse recognizes that a risk exists of cerebrovascular accidents (strokes).Which is an important objective to decrease this risk?

Accepted Answer

A) Minimize seizures. 
B) Prevent dehydration. 
C) Promote cardiac output. 
D) Reduce energy expenditure. 
A) Minimize seizures. 
B) Prevent dehydration. 
C) Promote cardiac output. 
D) Reduce energy expenditure.

Question 9

The nurse is caring for a child after heart surgery.Which should the nurse do if evidence is found of cardiac tamponade?

Accepted Answer

A) Increase analgesia. 
B) Apply warming blankets. 
C) Immediately report this to physician. 
D) Encourage child to cough, turn, and breathe deeply. 
A) Increase analgesia. 
B) Apply warming blankets. 
C) Immediately report this to physician. 
D) Encourage child to cough, turn, and breathe deeply.

Question 10

The nurse is preparing to administer a dose of digoxin (Lanoxin)to a child in heart failure (HF).Which is a beneficial effect of administering digoxin (Lanoxin)?

Accepted Answer

A) It decreases edema. 
B) It decreases cardiac output. 
C) It increases heart size. 
D) It increases venous pressure. 
A) It decreases edema. 
B) It decreases cardiac output. 
C) It increases heart size. 
D) It increases venous pressure.

Question 11

A child is brought to the emergency department experiencing an anaphylactic reaction to a bee sting.Once the airway is established,the nurse should do which action? Place in correct sequence.Provide answer using lowercase letters separated by commas (e.g., a,b,c).
a. Administer epinephrine.
b. Keep child warm and calm.
c. Obtain vascular access.

Accepted Answer

c,a,b
The correct sequence of

Question 12

The nurse is caring for an infant with congestive heart disease (CHD).The nurse should plan which intervention to decrease cardiac demands?

Accepted Answer

A) Organize nursing activities to allow for uninterrupted sleep. 
B) Allow the infant to sleep through feedings during the night. 
C) Wait for the infant to cry to show definite signs of hunger. 
D) Discourage parents from rocking the infant 
A) Organize nursing activities to allow for uninterrupted sleep. 
B) Allow the infant to sleep through feedings during the night. 
C) Wait for the infant to cry to show definite signs of hunger. 
D) Discourage parents from rocking the infant

Question 13

When caring for the child with Kawasaki disease,the nurse should know which information?

Accepted Answer

A) A child's fever is usually responsive to antibiotics within 48 hours. 
B) The principal area of involvement is the joints. 
C) Aspirin is contraindicated. 
D) Therapeutic management includes administration of gamma globulin and aspirin. 
A) A child's fever is usually responsive to antibiotics within 48 hours. 
B) The principal area of involvement is the joints. 
C) Aspirin is contraindicated. 
D) Therapeutic management includes administration of gamma globulin and aspirin.

Exam 25: The Child with Cardiovascular Dysfunction

Which is a clinical manifestation of the systemic venous congestion that can occur with heart failure?

Which clinical manifestation should the nurse expect to see as shock progresses in a child and becomes decompensated shock? (Select all that apply.)

The parents of a young child with heart failure tell the nurse that they are "nervous" about giving digoxin (Lanoxin).The nurse's response should be based on which statement?

The nurse is conducting discharge teaching about signs and symptoms of heart failure to parents of an infant with a repaired tetralogy of Fallot.Which signs and symptoms should the nurse include? (Select all that apply.)

Which is the leading cause of death after heart transplantation?

Which type of shock is characterized by a hypersensitivity reaction causing massive vasodilation and capillary leaks,which may occur with drug or latex allergy?

A nurse is teaching nursing students the physiology of congenital heart defects.Which defect results in decreased pulmonary blood flow?

The nurse is caring for a child with persistent hypoxia secondary to a cardiac defect.The nurse recognizes that a risk exists of cerebrovascular accidents (strokes).Which is an important objective to decrease this risk?

The nurse is caring for a child after heart surgery.Which should the nurse do if evidence is found of cardiac tamponade?

The nurse is preparing to administer a dose of digoxin (Lanoxin)to a child in heart failure (HF).Which is a beneficial effect of administering digoxin (Lanoxin)?

The nurse is caring for an infant with congestive heart disease (CHD).The nurse should plan which intervention to decrease cardiac demands?

When caring for the child with Kawasaki disease,the nurse should know which information?

Perspectives of Pediatric Nursing

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social,Cultural,and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication and Physical Assessment of the Child

Pain Assessment and Management in Children

Health Promotion of the Newborn and Family

Health Problems of Newborns

Health Promotion of the Infant and Family

Health Problems of Infants

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Toddlers and Preschoolers

Health Promotion of the School-Age Child and Family

Health Promotion of the Adolescent and Family

Health Problems of School-Age Children and Adolescents

Quality of Life for Children Living with Chronic or Complex Diseases

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Home Care

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

The Child with Respiratory Dysfunction

The Child with Gastrointestinal Dysfunction

The Child with Hematologic or Immunologic Dysfunction

The Child with Genitourinary Dysfunction

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Integumentary Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

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