Question 1

MATCHING
Match the cardiac terms with their definitions.

-The two bottom chambers of the heart

Accepted Answer

A) Mitral valve 
B) Tricuspid valve 
C) Atria 
D) Ventricles 
A) Mitral valve 
B) Tricuspid valve 
C) Atria 
D) Ventricles

Question 2

The health care provider suggests surgery be performed for ventricular septal defect to prevent what complication?

Accepted Answer

A)  Pulmonary hypertension 
B)  Right-to-left shunt of blood 
C)  Pulmonary embolism 
D)  Left ventricular hypertrophy 
A)  Pulmonary hypertension 
B)  Right-to-left shunt of blood 
C)  Pulmonary embolism 
D)  Left ventricular hypertrophy

Question 3

A child with heart failure is on Lanoxin (digoxin). The laboratory value a nurse must closely monitor is which?

Accepted Answer

A)  Serum sodium 
B)  Serum potassium 
C)  Serum glucose 
D)  Serum chloride 
A)  Serum sodium 
B)  Serum potassium 
C)  Serum glucose 
D)  Serum chloride

Question 4

Nursing care of the child with Kawasaki disease is challenging because of which occurrence?

Accepted Answer

A)  The child's irritability 
B)  Predictable disease course 
C)  Complex antibiotic therapy 
D)  The child's ongoing requests for food 
A)  The child's irritability 
B)  Predictable disease course 
C)  Complex antibiotic therapy 
D)  The child's ongoing requests for food

Question 5

An adolescent is being placed on a calcium channel blocker. What should the nurse inform the adolescent with regard to this medication? (Select all that apply.)

Accepted Answer

A)  The medication may cause fatigue. 
B)  The medication may increase heart rate. 
C)  The medication may cause constipation. 
D)  The medication may cause cold extremities. 
E)  The medication may cause peripheral edema. 
A)  The medication may cause fatigue. 
B)  The medication may increase heart rate. 
C)  The medication may cause constipation. 
D)  The medication may cause cold extremities. 
E)  The medication may cause peripheral edema.

Question 6

What cardiovascular defect results in obstruction to blood flow?

Accepted Answer

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

Question 7

After returning from cardiac catheterization, the nurse determines that the pulse distal to the catheter insertion site is weaker. How should the nurse respond?

Accepted Answer

A)  Elevate the affected extremity. 
B)  Notify the practitioner of the observation. 
C)  Record data on the assessment flow record. 
D)  Apply warm compresses to the insertion site. 
A)  Elevate the affected extremity. 
B)  Notify the practitioner of the observation. 
C)  Record data on the assessment flow record. 
D)  Apply warm compresses to the insertion site.

Question 8

MATCHING
Match the cardiac terms with their definitions.

-The two upper chambers of the heart

Accepted Answer

A) Mitral valve 
B) Tricuspid valve 
C) Atria 
D) Ventricles 
A) Mitral valve 
B) Tricuspid valve 
C) Atria 
D) Ventricles

Question 9

Decreasing the demands on the heart is a priority in care for the infant with heart failure (HF). In evaluating the infant's status, which finding is indicative of achieving this goal?

Accepted Answer

A)  Irritability when awake 
B)  Capillary refill of more than 5 seconds 
C)  Appropriate weight gain for age 
D)  Positioned in high Fowler position to maintain oxygen saturation at 90% 
A)  Irritability when awake 
B)  Capillary refill of more than 5 seconds 
C)  Appropriate weight gain for age 
D)  Positioned in high Fowler position to maintain oxygen saturation at 90%

Question 10

Match the normal findings of an ECG with their definitions.

-Represents ventricular depolarization and repolarization

Accepted Answer

A) P wave 
B) QRS complex 
C) T wave 
D) Q-T interval 
E) ST segment 
A) P wave 
B) QRS complex 
C) T wave 
D) Q-T interval 
E) ST segment

Question 11

Match the normal findings of an ECG with their definitions.

-Represents ventricular repolarization

Accepted Answer

A) P wave 
B) QRS complex 
C) T wave 
D) Q-T interval 
E) ST segment 
A) P wave 
B) QRS complex 
C) T wave 
D) Q-T interval 
E) ST segment

Question 12

Selective cholesterol screening is recommended for children older than the age of 2 years with which risk factor?

Accepted Answer

A)  Body mass index (BMI) = 95th percentile 
B)  Blood pressure = 50th percentile 
C)  Parent with a blood cholesterol level of 200 mg/dl 
D)  Recently diagnosed cardiovascular disease in a 75-year-old grandparent 
A)  Body mass index (BMI) = 95th percentile 
B)  Blood pressure = 50th percentile 
C)  Parent with a blood cholesterol level of 200 mg/dl 
D)  Recently diagnosed cardiovascular disease in a 75-year-old grandparent

Question 13

A health care provider prescribes furosemide (Lasix), 10 mg intravenously (IV) now, for a child with heart failure. The medication label states: "Furosemide (Lasix) 20 mg/2 ml." The nurse prepares to administer the dose. How many milliliters will the nurse prepare to administer the dose? Fill in the blank. Record your answer in a whole number.
________________

Accepted Answer

1
Follow the formula for dosag

Question 14

What condition 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 15

An adolescent is being placed on a beta-blocker. What should the nurse inform the adolescent with regard to this medication? (Select all that apply.)

Accepted Answer

A)  Medication may cause fatigue. 
B)  Side effects may include impotence. 
C)  Side effects may include bradycardia. 
D)  Take the medication 1 hour before meals. 
E)  Side effects may include peripheral edema. 
A)  Medication may cause fatigue. 
B)  Side effects may include impotence. 
C)  Side effects may include bradycardia. 
D)  Take the medication 1 hour before meals. 
E)  Side effects may include peripheral edema.

Question 16

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

Accepted Answer

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

Question 17

What statement best identifies the cause of heart failure (HF)?

Accepted Answer

A)  Disease related to cardiac defects 
B)  Consequence of an underlying cardiac defect 
C)  Inherited disorder associated with a variety of defects 
D)  Result of diminished workload imposed on an abnormal myocardium 
A)  Disease related to cardiac defects 
B)  Consequence of an underlying cardiac defect 
C)  Inherited disorder associated with a variety of defects 
D)  Result of diminished workload imposed on an abnormal myocardium

Question 18

What clinical manifestation is a common sign of digoxin toxicity?

Accepted Answer

A)  Seizures 
B)  Vomiting 
C)  Bradypnea 
D)  Tachycardia 
A)  Seizures 
B)  Vomiting 
C)  Bradypnea 
D)  Tachycardia

Question 19

What term is defined as the volume of blood ejected by the heart in 1 minute?

Accepted Answer

A)  Afterload 
B)  Cardiac cycle 
C)  Stroke volume 
D)  Cardiac output 
A)  Afterload 
B)  Cardiac cycle 
C)  Stroke volume 
D)  Cardiac output

Question 20

A 12-year-old child with Down syndrome is admitted to the hospital for surgical correction of a heart defect. The boy's mental age is that of a 3-year-old child. The nurse should prepare the child and family for surgery by what method?

Accepted Answer

A)  Extend preoperative teaching over several days. 
B)  Explain the surgery to the child and the parents in detail. 
C)  Exclude the child from preoperative teaching; teach only the parents. 
D)  Provide teaching to the parents, keeping the information to the child simple. 
A)  Extend preoperative teaching over several days. 
B)  Explain the surgery to the child and the parents in detail. 
C)  Exclude the child from preoperative teaching; teach only the parents. 
D)  Provide teaching to the parents, keeping the information to the child simple.

Exam 29: The Child with Cardiovascular Dysfunction

MATCHING Match the cardiac terms with their definitions. -The two bottom chambers of the heart

The health care provider suggests surgery be performed for ventricular septal defect to prevent what complication?

A child with heart failure is on Lanoxin (digoxin). The laboratory value a nurse must closely monitor is which?

Nursing care of the child with Kawasaki disease is challenging because of which occurrence?

An adolescent is being placed on a calcium channel blocker. What should the nurse inform the adolescent with regard to this medication? (Select all that apply.)

What cardiovascular defect results in obstruction to blood flow?

After returning from cardiac catheterization, the nurse determines that the pulse distal to the catheter insertion site is weaker. How should the nurse respond?

MATCHING Match the cardiac terms with their definitions. -The two upper chambers of the heart

Decreasing the demands on the heart is a priority in care for the infant with heart failure (HF). In evaluating the infant's status, which finding is indicative of achieving this goal?

Match the normal findings of an ECG with their definitions. -Represents ventricular depolarization and repolarization

Match the normal findings of an ECG with their definitions. -Represents ventricular repolarization

Selective cholesterol screening is recommended for children older than the age of 2 years with which risk factor?

What condition is the leading cause of death after heart transplantation?

An adolescent is being placed on a beta-blocker. What should the nurse inform the adolescent with regard to this medication? (Select all that apply.)

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

What statement best identifies the cause of heart failure (HF)?

What clinical manifestation is a common sign of digoxin toxicity?

What term is defined as the volume of blood ejected by the heart in 1 minute?

A 12-year-old child with Down syndrome is admitted to the hospital for surgical correction of a heart defect. The boy's mental age is that of a 3-year-old child. The nurse should prepare the child and family for surgery by what method?

Perspectives of Pediatric Nursing

Social, Cultural, Religious, and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, Physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child with Chronic Illness or Disability

Family-Centered Palliative Care

The Child with Cognitive, Sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child with Fluid and Electrolyte Imbalance

The Child with Renal Dysfunction

The Child with Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child with Respiratory Dysfunction

The Child with Hematologic or Immunologic Dysfunction

The Child with Cancer

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

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