Pediatric Cardiac

45 Questions  I  By Shane2841
Cardiac review quiz for Ped's test

  
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1.  Which of the following are correct statements regarding Digoxin (Lanoxin)?  Check all that apply.
A.
B.
C.
D.
2.  Which nursing intervention best helps decrease anxiety for the parents of a child scheduled for cardiac surgery?
A.
B.
C.
D.
3.  Which medication is usually given to children diagnosed with Kawasaki disease?
A.
B.
C.
D.
4.  When palpating the brachial, radial, and femoral pulses of a neonate, the nurse notes a difference in pulse amplitude between the femoral and radial pulses bilaterally.  This difference suggests:
A.
B.
C.
D.
5.  When caring for a 3 year old with tetralogy of Fallot, he nurse expects to see fatigue and poor activity tolerance.  This is caused by:
A.
B.
C.
D.
6.  What congenital heart defect causes cyanosis in children?
A.
B.
C.
D.
7.  The nurse is aware that a common physiologic adaptation of children with tetralogy of Fallot is:
A.
B.
C.
D.
8.  The nurse explains to the parents of a 5 year old with a VSD that a cardiac cath has been scheduled to:
A.
B.
C.
D.
9.  The mother of a child with a congenital cardiac defect asks the nurse why her child squats after exertion.  The nurse should reply that this position:
A.
B.
C.
D.
10.  Serum Digoxin levels are 0.8-2.9 ug/L
A.
B.
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11.  Per our notes: The clamping of the umbilical cord closes the Foramen Ovale.
A.
B.
12.  Per our notes: Breathing stimulates the closure of the Ductus arteriosis.
A.
B.
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13.  Normal K+ levels are the same for newborns and older children/adults
A.
B.
14.  Mrs. Reklau's notes state:    DO NOT give more than ____ mL (0.05 mg) in one dose to an infant
15.  Marfan  syndrome is a congenital defect sometimes associated with CHD.  Affected persons have valvular problems, increased dilitation of the Aorta, are tall and lean in stature with a "wingspan" that exceeds their height.  Abe Lincoln was thought to have Marfan syndrome.
A.
B.
16.  In the fetal heart, the Foramen Ovale allows blood to enter the Left _____ from the Right Atrium.
17.  In the developing fetus, the ductus arteriosus (DA), is a shunt connecting the pulmonary artery to the aortic arch.
A.
B.
18.  ECHO can be used to detect the pressure in the chambers of the heart and it's surrounding vessels.
A.
B.
19.  Do not administer Digoxin (lanoxin) if heart rate is less than ____ in an infant (numeric response only)
20.  Digoxin should not be administered to an adult with a heart rate less than 60 bpm.
A.
B.
21.  Digoxin should not be administered to a child (1 year and older) with a heart rate of less than 70.
A.
B.
22.  Decreased urinary output (fewer wet diapers or less frequent toileting) may be a sign of worsening heart failure.
A.
B.
23.  Child's chest should be assessed for thrills or abnormal pulsations during the physical exam.
A.
B.
24.  At about 21 days of gestation the fetal heart begins beating and circulating blood.
A.
B.
25.  An infant with tetralogy of Fallot becomes cyanotic and dyspneic after a crying episode.  To relieve the cyanosis and dyspnea, the nurse should place the infant in the:
A.
B.
C.
D.
26.  An appropriate nursing action to include in the care of an infant with congenital heart disease who has been admitted with heart failure is:
A.
B.
C.
D.
27.  An 8 year old is admitted with myocarditis and associated tachycardia, and is prescribed fuosemide (Lasix). Which lab value does the nurse need to closely monitor for this child?
A.
B.
C.
D.
28.  A one month old infant is admitted for confirmation of the diagnosis of ventricular septal defect.  During the initial admission assessment, the nurse would expect to find:
A.
B.
C.
D.
29.  A nurse is teaching the parents of a child with tetralogy of Fallot about hypercyanotic spells ("tet spells").   When a spell occurs, the parents should:
A.
B.
C.
D.
30.  A nurse is teaching the mother of an infant who will take digoxin (Lanoxin) at home to treat a chronic tachyarrhythmia.  Which signs of digoxin toxicity should the mother be taught?
A.
B.
C.
D.
31.  A nurse is carting for a child who recently underwent a cardiac catheterization to diagnose  a congenital heart defect.  Which finding indicates the need for immediate action?
A.
B.
C.
D.
32.  A nurse is caring for a nine year old experiencing tachycardia due to myocarditis.  Digoxin (lanoxin) is prescribed.  Before giving digoxin to this child, the nurse should assess:
A.
B.
C.
D.
33.  A nurse is assessing a 5 year old with a history of heart failure.  Which finding indicates that the child has adequate cardiac output?
A.
B.
C.
D.
34.  A nine year old received digoxin (Lanoxin) daily for the past 5 days of his hospitalization.  Before giving him his dose this morning, the nurse performs a routine assessment.  Which assessment finding indicates the need to hold the child's morning dose of digoxin?
A.
B.
C.
D.
35.  A newborn is diagnosed with coarctation of the aorta.  The infant is discharged with a prescription for digoxin (lanoxin) 0.05 mg PO every 12 hours.  The bottle of digoxin is labeled 0.15 mg in 1/2 teaspoon, the nurse should teach the mother to administer the medication using a:
A.
B.
C.
D.
36.  A complete blood workup is ordered for a 5 month old with tetralogy of Fallot.  Because of the infant's heart disease, the nurse would expect the report to show:
A.
B.
C.
D.
37.  A child underwent cardiac surgery and the nurse must prepare his parents for discharge.  Which discharge instruction is correct?
A.
B.
C.
D.
38.  A child is suspected of having Kawasaki disease.  Which finding is significant?
A.
B.
C.
D.
39.  A child is in the pediatric intensive care unit immediately after cardiac surgery.  Which nursing action is most important?
A.
B.
C.
D.
40.  A 4-month old infant who has a congenital heart defect develops heart failure and is exhibiting marked dyspnea at rest .  The nurse is aware this finding can be attributed to:
A.
B.
C.
D.
41.  A 3 month old infant is admitted with a diagnosis of tetralogy of Fallot.  Assessment reveals that the infant's weight is in the 5th percentile.  The nurse is aware that the reason for this inadequate weight gain is:
A.
B.
C.
D.
42.  A 16 year old is admitted to the emergency department with complaints of sudden, severe chest pain.  He says that he didn't experience any recent trauma to the chest.  What should the nurse next ask about?
A.
B.
C.
D.
43.  A 12 year old is diagnosed with hypertension.  The nurse understands that hypertension may lead to heart failure.  Which assessment finding indicates that the child may have developed heart failure?
A.
B.
C.
D.
44.  A 1-year-old with postductal coarctation of the aorta is admitted to the acute care unit for treatment.  When performing an assessment, the nurse finds that the lower extremities are cool.  Which finding should the nurse anticipate as the assessment continues?
A.
B.
C.
D.
45.  A 1 year old child is diagnosed with a congenital heart defect after cardiac catheterization.  His parents express concern about activities at home.  Which is the nurse's best response?
A.
B.
C.
D.
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