Question 1

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 2

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 3

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 4

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

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 5

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 6

What action by the school nurse is important in the prevention of rheumatic fever (RF)?

Accepted Answer

A)  Encourage routine cholesterol screenings. 
B)  Conduct routine blood pressure screenings. 
C)  Refer children with sore throats for throat cultures. 
D)  Recommend salicylates instead of acetaminophen for minor discomforts. 
A)  Encourage routine cholesterol screenings. 
B)  Conduct routine blood pressure screenings. 
C)  Refer children with sore throats for throat cultures. 
D)  Recommend salicylates instead of acetaminophen for minor discomforts.

Question 7

When caring for the child with Kawasaki disease,what should the nurse know to provide safe and effective care?

Accepted Answer

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

Question 8

Bacterial infective endocarditis (IE)should be treated with which protocol?

Accepted Answer

A)  Oral antibiotics for 6 months 
B)  Oral antibiotics (penicillin) for 10 full days 
C)  IV antibiotics, diuretics, and digoxin 
D)  IV antibiotics (penicillin type) for 2 to 8 weeks 
A)  Oral antibiotics for 6 months 
B)  Oral antibiotics (penicillin) for 10 full days 
C)  IV antibiotics, diuretics, and digoxin 
D)  IV antibiotics (penicillin type) for 2 to 8 weeks

Question 9

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 10

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 11

What type of drug reduces hypertension by interfering with the production of angiotensin II?

Accepted Answer

A)  Diuretics 
B)  Vasodilators 
C)  Beta-blockers 
D)  Angiotensin-converting enzyme (AC
E)  inhibitors 
A)  Diuretics 
B)  Vasodilators 
C)  Beta-blockers 
D)  Angiotensin-converting enzyme (AC
E)  inhibitors

Question 12

The nurse is caring for a child after cardiac surgery.What interventions should the nurse implement with regard to chest tubes placed to a water-seal drainage system?

Accepted Answer

A)  Maintain sterility. 
B)  Check for tube patency. 
C)  Do not interrupt the water-seal drainage system. 
D)  Clamp the chest tube when ambulating the child. 
E)  Measure the drainage by emptying the collection chamber every shift. 
A)  Maintain sterility. 
B)  Check for tube patency. 
C)  Do not interrupt the water-seal drainage system. 
D)  Clamp the chest tube when ambulating the child. 
E)  Measure the drainage by emptying the collection chamber every shift.

Question 13

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 14

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 15

A 1-year-old has been admitted for complete repair of a tetralogy of Fallot.What assessment finding should the nurse expect to be documented?

Accepted Answer

A)  Weight gain 
B)  Pale skin color 
C)  Increasing cyanosis 
D)  Decrease in hemoglobin and hematocrit 
A)  Weight gain 
B)  Pale skin color 
C)  Increasing cyanosis 
D)  Decrease in hemoglobin and hematocrit

Question 16

The test that provides the most reliable evidence of recent streptococcal infection is which?

Accepted Answer

A)  Throat culture 
B)  Mantoux test 
C)  Antistreptolysin O test 
D)  Elevation of liver enzymes 
A)  Throat culture 
B)  Mantoux test 
C)  Antistreptolysin O test 
D)  Elevation of liver enzymes

Question 17

An infant has tetralogy of Fallot.In reviewing the record,what laboratory result should the nurse expect to be documented?

Accepted Answer

A)  Leukopenia 
B)  Polycythemia 
C)  Anemia 
D)  Increased platelet level 
A)  Leukopenia 
B)  Polycythemia 
C)  Anemia 
D)  Increased platelet level

Question 18

An adolescent is being placed on an ACE inhibitor.What should the nurse inform the adolescent with regard to this medication?

Accepted Answer

A)  Stay well hydrated. 
B)  Increase intake of potassium. 
C)  Avoid rapid position changes. 
D)  Take the medication with meals. 
E)  Side effects may include a cough. 
A)  Stay well hydrated. 
B)  Increase intake of potassium. 
C)  Avoid rapid position changes. 
D)  Take the medication with meals. 
E)  Side effects may include a cough.

Question 19

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 20

What child has a cyanotic congenital heart defect?

Accepted Answer

A)  An infant with patent ductus arteriosus 
B)  A 1-year-old infant with atrial septal defect 
C)  A 2-month-old infant with tetralogy of Fallot 
D)  A 6-month-old infant with repaired ventricular septal defect 
A)  An infant with patent ductus arteriosus 
B)  A 1-year-old infant with atrial septal defect 
C)  A 2-month-old infant with tetralogy of Fallot 
D)  A 6-month-old infant with repaired ventricular septal defect

Exam 29: The Child With Cardiovascular Dysfunction

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

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?

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

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

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

What action by the school nurse is important in the prevention of rheumatic fever (RF)?

When caring for the child with Kawasaki disease,what should the nurse know to provide safe and effective care?

Bacterial infective endocarditis (IE)should be treated with which protocol?

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?

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

What type of drug reduces hypertension by interfering with the production of angiotensin II?

The nurse is caring for a child after cardiac surgery.What interventions should the nurse implement with regard to chest tubes placed to a water-seal drainage system?

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

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

A 1-year-old has been admitted for complete repair of a tetralogy of Fallot.What assessment finding should the nurse expect to be documented?

The test that provides the most reliable evidence of recent streptococcal infection is which?

An infant has tetralogy of Fallot.In reviewing the record,what laboratory result should the nurse expect to be documented?

An adolescent is being placed on an ACE inhibitor.What should the nurse inform the adolescent with regard to this medication?

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

What child has a cyanotic congenital heart defect?

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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