Nursing Hardest Questions Trivia Quiz! Practice Test

30 Questions | Total Attempts: 66

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Nursing Hardest Questions Trivia Quiz! Practice Test

Nurses in a hospital setting are designed to help a patient in their healing process when it comes to giving drugs and support where needed. If this is the career, you are heading towards and are looking for some of the nursing hardest questions to refresh your memory. Then this quiz is for you. Do give it a shot and keep revising!


Questions and Answers
  • 1. 
    The nurse explains that a ventricular septal defect will allow:
    • A. 

      Blood to shunt left to right, causing increased pulmonary flow and no cyanosis

    • B. 

      Blood to shunt right to left, causing decreased pulmonary flow and cyanosis

    • C. 

      No shunting because of high pressure in the left ventricle.

    • D. 

      Increased pressure in the left atrium, impeding circulation of oxygenated blood in the circulating volume

  • 2. 
    The assessment that would lead the nurse to suspect that a newborn infant has a ventricular septal defect is:
    • A. 

      A loud, harsh murmur with a systolic tremor.

    • B. 

      Cyanosis when crying.

    • C. 

      Blood pressure higher in the arms than in the legs.

    • D. 

      A machinery-like murmur

  • 3. 
    The finding the nurse would expect when measuring blood pressure on all four extremities of a child with coarctation of the aorta is blood pressure that is:
    • A. 

      Higher on the right side.

    • B. 

      Higher on the left side.

    • C. 

      Lower in the arms than in the legs

    • D. 

      Lower in the legs than in the arms

  • 4. 
    When a father asks why his child with tetralogy of Fallot seems to favor a squatting position, the nurse would explain that squatting:
    • A. 

      Increases the return of venous blood back to the heart

    • B. 

      Decreases arterial blood flow away from the heart.

    • C. 

      Is a common resting position when a child is tachycardic

    • D. 

      Increases the workload of the heart.

  • 5. 
    An infant is experiencing dyspnea related to patent ductus arteriosus (PDA). The nurse understands dyspnea occurs because blood is:
    • A. 

      Circulated through the lungs again, causing pulmonary circulatory congestion

    • B. 

      Shunted past the pulmonary circulation, causing pulmonary hypoxia.

    • C. 

      Shunted past cardiac arteries, causing myocardial hypoxia

    • D. 

      Circulated through the ductus from the pulmonary artery to the aorta, bypassing the left side of the heart.

  • 6. 
    An appropriate nursing action related to the administration of digoxin (Lanoxin) to an infant would be
    • A. 

      Counting the apical rate for 30 seconds before administering the medication

    • B. 

      Withholding a dose if the apical heart rate is less than 100 beats/min

    • C. 

      Repeating a dose if the child vomits within 30 minutes of the previous dose.

    • D. 

      Checking respiratory rate and blood pressure before each dose

  • 7. 
    A child develops carditis from rheumatic fever. The nurse knows that the areas of the heart affected by carditis are the:
    • A. 

      Coronary arteries

    • B. 

      Heart muscle and the mitral valve.

    • C. 

      Aortic and pulmonic valves.

    • D. 

      Contractility of the ventricles

  • 8. 
    The comment made by a parent of a 1-month-old that would alert the nurse about the presence of a congenital heart defect is:
    • A. 

      “He is always hungry.”

    • B. 

      “He tires out during feedings"

    • C. 

      “He is fussy for several hours every day.”

    • D. 

      “He sleeps all the time.”

  • 9. 
    The nurse is caring for a child with a diagnosis of Kawasaki disease. The child’s parent asks the nurse, “How does Kawasaki disease affect my child’s heart and blood vessels?” The nurse’s response is based on the understanding that:
    • A. 

      Inflammation weakens blood vessels, leading to aneurysm

    • B. 

      Increased lipid levels lead to the development of atherosclerosis

    • C. 

      Untreated disease causes mitral valve stenosis.

    • D. 

      Altered blood flow increases cardiac workload with resulting heart failure.

  • 10. 
    The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic. The nurse can determine the father understood the instructions when he states “If the baby turns blue, I will:
    • A. 

      Hold him against my shoulder with his knees bent up toward his chest.”

    • B. 

      Lay him down on a firm surface with his head lower than the rest of his body.”

    • C. 

      Immediately put the baby upright in an infant seat.”

    • D. 

      Put the baby in supine position with his head elevated.”

  • 11. 
    The parent of a 1-year-old child with tetralogy of Fallot asks the nurse, “Why do my child’s fingertips look like that?” The nurse bases a response on the understanding that clubbing occurs as a result of:
    • A. 

      Untreated congestive heart failure.

    • B. 

      A left-to-right shunting of blood.

    • C. 

      Decreased cardiac output.

    • D. 

      Chronic hypoxia.

  • 12. 
    A child has an elevated antistreptolysin O (ASO) titer. Which combination of symptoms, in conjunction with this finding, would confirm a diagnosis of rheumatic fever?
    • A. 

      Subcutaneous nodules and fever

    • B. 

      Painful, tender joints and carditis

    • C. 

      Erythema marginatum and arthralgia

    • D. 

      Chorea and elevated sedimentation rate

  • 13. 
    An infant with congestive heart failure is receiving digoxin (Lanoxin). The nurse recognizes a sign of digoxin toxicity, which is:
    • A. 

      Restlessness

    • B. 

      Decreased respiratory rate

    • C. 

      Increased urinary output

    • D. 

      Vomiting

  • 14. 
    The nurse is aware that the infant born with hypoplastic left heart syndrome must acquire his or her oxygenated blood through:
    • A. 

      The patent ductus arteriosus.

    • B. 

      A ventricular septal defect.

    • C. 

      The closure of the foramen ovale.

    • D. 

      An atrial septal defect.

  • 15. 
    When the child with rheumatic fever begins involuntary, purposeless movements of her limbs, the nurse recognizes that this is an indication of:
    • A. 

      Secure activity

    • B. 

      Hypoxia

    • C. 

      Sydenham's chorea

    • D. 

      Decreasing level of consciousness 

  • 16. 
    The nurse clarifies to the parents of a 4-year-old child recovering from rheumatic fever that the child will need to receive monthly injections of penicillin G for a minimum of _____ year(s).
    • A. 

      1

    • B. 

      2

    • C. 

      5

    • D. 

      10

  • 17. 
    The nurse is aware that the characteristics of high-density lipoproteins (HDLs) are that they:
    • A. 

      Have high amounts of triglycerides.

    • B. 

      Have only small amounts of protein.

    • C. 

      Have little cholesterol.

    • D. 

      Aid in steroid production.

  • 18. 
    The school nurse recommends a heart healthy diet that limits fats to no more than ____% of the total dietary intake.
    • A. 

      10

    • B. 

      15

    • C. 

      20

    • D. 

      30

  • 19. 
    How would the nurse caring for an infant with congestive heart failure (CHF) modify feeding techniques to adapt for the child’s weakness and fatigue? Select all that apply.
    • A. 

      Feeding more frequently with smaller feedings

    • B. 

      Using a soft nipple with enlarged holes

    • C. 

      Holding and cuddling the child during feeding

    • D. 

      Substituting glucose water for formula

    • E. 

      Offering high-caloric formula

  • 20. 
    The nurse uses a diagram to illustrate what four structural heart anomalies that comprise tetralogy of Fallot? Select the four that apply.
    • A. 

      Hypertrophied right ventricle

    • B. 

      Patent ductus arteriosus

    • C. 

      Ventral septal defect

    • D. 

      Narrowing of pulmonary artery

    • E. 

      Dextroposition of aorta

  • 21. 
    What assessment(s) in a child with tetralogy of Fallot would indicate the child is experiencing a paroxysmal hypercyanotic episode? Select all that apply.
    • A. 

      Spontaneous cyanosis

    • B. 

      Dyspnea

    • C. 

      Weakness

    • D. 

      Dry cough

    • E. 

      Syncope

  • 22. 
    The nurse explains that which congenital cardiac defect(s) cause(s) increased pulmonary blood flow? Select all that apply.
    • A. 

      Atrial septal defects (ASDs)

    • B. 

      Tetralogy of Fallot

    • C. 

      Dextroposition of aorta

    • D. 

      Patent ductus arteriosus

    • E. 

      Ventricular septal defects (VSDs)

  • 23. 
    Which signs indicate congenital cardiac problems?
    • A. 

      Greater than normal weight gain

    • B. 

      Clubbing of fingers

    • C. 

      Bradycardia

    • D. 

      Tachypnea

    • E. 

      Pulsations in neck veins

    • F. 

      Dyspnea

  • 24. 
    Which diagnostic test is a standardized test for rheumatic fever?
    • A. 

      Sedimentation rate

    • B. 

      WBC count

    • C. 

      Antistreptolysin O titer

    • D. 

      Rubella titer

  • 25. 
    Which observation indicates that an infant with congestive heart failure (CHF) is carefully following the prescribed medical regimen?
    • A. 

      The child takes antibiotics daily

    • B. 

      The child exhibits normal weight for age

    • C. 

      The child has an elevated RBC

    • D. 

      The child’s pulse rate is less than 50 beats/min

  • 26. 
    Which defects are associated with tetralogy of Fallot?
    • A. 

      Atrial septal defect

    • B. 

      Ventricular septal defect

    • C. 

      Dextroposition of the arts

    • D. 

       Pulmonary artery stenosis

    • E. 

      Hypertrophy of the right ventricle

    • F. 

      Patent ductus arteriosus

  • 27. 
    The nurse is caring for a child receiving digoxin (Lanoxin) for the diagnosis of heart failure. Which manifestation does the nurse recognize as a cardinal sin of digoxin toxicity?
    • A. 

      Respiratory distress

    • B. 

      Extreme bradycardia

    • C. 

      Constipation

    • D. 

      Headache

  • 28. 
    Which disorder causes deoxygenated blood to enter the systemic arterial circulation?
    • A. 

      Patent ductus arteriosus

    • B. 

      Tetralogy of Fallot

    • C. 

      Coarctation of the aorta

    • D. 

      Atrial stenosis

  • 29. 
    Which symptoms are indicative of rheumatic fever (RF)?
    • A. 

      Abdominal pain

    • B. 

      Migratory polyartgritis

    • C. 

      Peeling skin

    • D. 

      Chorea

    • E. 

      Vomiting

  • 30. 
    What are the priority nursing actions when administering Diuril (chlorothiazide) to a child diagnosed with congestive heart failure (CHF)?
    • A. 

      Intake and output and periods of rest

    • B. 

      Measure pulse for 1 minute and review ECG

    • C. 

      Monitor serum electrolytes and daily weight

    • D. 

      Hold dose if patient vomits and until doctors write order to repeat dose