Question 1

A child is recovering from Kawasaki disease (KD). The child should be monitored for which?

Accepted Answer

A)  Anemia 
B)  Electrocardiograph (ECG) changes 
C)  Elevated white blood cell count 
D)  Decreased platelets 
A)  Anemia 
B)  Electrocardiograph (ECG) changes 
C)  Elevated white blood cell count 
D)  Decreased platelets

Question 2

A 3-month-old infant has a hypercyanotic spell. What should be the nurse's first action?

Accepted Answer

A)  Assess for neurologic defects. 
B)  Prepare the family for imminent death. 
C)  Begin cardiopulmonary resuscitation. 
D)  Place the child in the knee-chest position. 
A)  Assess for neurologic defects. 
B)  Prepare the family for imminent death. 
C)  Begin cardiopulmonary resuscitation. 
D)  Place the child in the knee-chest position.

Question 3

The nurse is teaching parents about administering digoxin (Lanoxin). What instructions should the nurse tell the parents?

Accepted Answer

A)  If the child vomits, give another dose. 
B)  Give the medication at regular intervals. 
C)  If a dose is missed, give a give an extra dose. 
D)  Give the medication mixed with the child's formula. 
A)  If the child vomits, give another dose. 
B)  Give the medication at regular intervals. 
C)  If a dose is missed, give a give an extra dose. 
D)  Give the medication mixed with the child's formula.

Question 4

The parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. How should the nurse reply to this concern?

Accepted Answer

A)  The parents should meet all the child's needs. 
B)  The child needs opportunities to play with peers. 
C)  Constant parental supervision is needed to avoid overexertion. 
D)  The child needs to understand that peers' activities are too strenuous. 
A)  The parents should meet all the child's needs. 
B)  The child needs opportunities to play with peers. 
C)  Constant parental supervision is needed to avoid overexertion. 
D)  The child needs to understand that peers' activities are too strenuous.

Question 5

What preparation should the nurse consider when educating a school-age child and the family for heart surgery?

Accepted Answer

A)  Unfamiliar equipment should not be shown. 
B)  Let the child hear the sounds of a cardiac monitor, including alarms. 
C)  Explain that an endotracheal tube will not be needed if the surgery goes well. 
D)  Discussion of postoperative discomfort and interventions is not necessary before the procedure. 
A)  Unfamiliar equipment should not be shown. 
B)  Let the child hear the sounds of a cardiac monitor, including alarms. 
C)  Explain that an endotracheal tube will not be needed if the surgery goes well. 
D)  Discussion of postoperative discomfort and interventions is not necessary before the procedure.

Question 6

After returning from cardiac catheterization, the nurse monitors the child's vital signs. The heart rate should be counted for how many seconds?

Accepted Answer

A)  15 
B)  30 
C)  60 
D)  120 
A)  15 
B)  30 
C)  60 
D)  120

Question 7

The nurse is teaching an adolescent with elevated triglycerides foods that should be decreased. What foods should the nurse include in the teaching? (Select all that apply.)

Accepted Answer

A)  Avocados 
B)  Canola oil 
C)  White flour 
D)  White rice 
E)  Sugary cereals 
A)  Avocados 
B)  Canola oil 
C)  White flour 
D)  White rice 
E)  Sugary cereals

Question 8

The nurse is preparing to give digoxin (Lanoxin) to a 9-month-old infant. The nurse checks the dose and draws up 4 ml of the drug. The most appropriate nursing action is which?

Accepted Answer

A)  Mix the dose with juice to disguise its taste. 
B)  Do not give the dose; suspect a dosage error. 
C)  Check the heart rate; administer digoxin if the rate is greater than 100 beats/min. 
D)  Check the heart rate; administer digoxin if the rate is greater than 80 beats/min. 
A)  Mix the dose with juice to disguise its taste. 
B)  Do not give the dose; suspect a dosage error. 
C)  Check the heart rate; administer digoxin if the rate is greater than 100 beats/min. 
D)  Check the heart rate; administer digoxin if the rate is greater than 80 beats/min.

Question 9

What interventions should the nurse anticipate being administered to a child with supraventricular tachycardia (SVT)?

Accepted Answer

A)  Bed rest 
B)  Applying ice to the face 
C)  Administration of atropine 
D)  Administration of adenosine (Adenocor) 
E)  Having the child perform a Valsalva maneuver 
A)  Bed rest 
B)  Applying ice to the face 
C)  Administration of atropine 
D)  Administration of adenosine (Adenocor) 
E)  Having the child perform a Valsalva maneuver

Question 10

Seventy-two hours after cardiac surgery, a young child has a temperature of 38.4° C (101.1° F). What action should the nurse perform?

Accepted Answer

A)  Report findings to the practitioner. 
B)  Apply a hypothermia blanket. 
C)  Keep the child warm with blankets. 
D)  Record the temperature on the assessment flow sheet. 
A)  Report findings to the practitioner. 
B)  Apply a hypothermia blanket. 
C)  Keep the child warm with blankets. 
D)  Record the temperature on the assessment flow sheet.

Question 11

A health care provider prescribes hydroxyzine (Atarax), 0.6 mg/kg PO every 4 to 6 hours as needed for pruritus for a child with Kawasaki disease. The medication label states: "Hydroxyzine 10 mg/5 ml." The child weighs 20 kg. The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer in a whole number.
________________

Accepted Answer

6
Follow the formula for dosag

Question 12

Heart failure (HF) is a problem after the child has had a congenital heart defect repaired. The nurse knows a sign of HF is what?

Accepted Answer

A)  Wheezing 
B)  Increased blood pressure 
C)  Increased urine output 
D)  Decreased heart rate 
A)  Wheezing 
B)  Increased blood pressure 
C)  Increased urine output 
D)  Decreased heart rate

Question 13

What nutritional component should be altered in the infant with heart failure (HF)?

Accepted Answer

A)  Decrease in fats 
B)  Increase in fluids 
C)  Decrease in protein 
D)  Increase in calories 
A)  Decrease in fats 
B)  Increase in fluids 
C)  Decrease in protein 
D)  Increase in calories

Question 14

Match the normal findings of an ECG with their definitions.

-Represents the time that the ventricles are in the absolute refractory period

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

Exam 29: The Child with Cardiovascular Dysfunction

A child is recovering from Kawasaki disease (KD). The child should be monitored for which?

A 3-month-old infant has a hypercyanotic spell. What should be the nurse's first action?

The nurse is teaching parents about administering digoxin (Lanoxin). What instructions should the nurse tell the parents?

The parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. How should the nurse reply to this concern?

What preparation should the nurse consider when educating a school-age child and the family for heart surgery?

After returning from cardiac catheterization, the nurse monitors the child's vital signs. The heart rate should be counted for how many seconds?

The nurse is teaching an adolescent with elevated triglycerides foods that should be decreased. What foods should the nurse include in the teaching? (Select all that apply.)

The nurse is preparing to give digoxin (Lanoxin) to a 9-month-old infant. The nurse checks the dose and draws up 4 ml of the drug. The most appropriate nursing action is which?

What interventions should the nurse anticipate being administered to a child with supraventricular tachycardia (SVT)?

Seventy-two hours after cardiac surgery, a young child has a temperature of 38.4° C (101.1° F). What action should the nurse perform?

Heart failure (HF) is a problem after the child has had a congenital heart defect repaired. The nurse knows a sign of HF is what?

What nutritional component should be altered in the infant with heart failure (HF)?

Match the normal findings of an ECG with their definitions. -Represents the time that the ventricles are in the absolute refractory period

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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