Health And care- Pediatric Cardiac Disease Test

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Health And care- Pediatric Cardiac Disease Test

Cardiac diseases do not choose an age and can be found even in young children. It is a known fact that 1 in 100 newborns have a chance of having congenital heart disease. This, therefore, leads to the need to have specialized care for said children. Take the Health and Care test below and see how much you know about Pediatric Cardiac Disease.


Questions and Answers
  • 1. 
    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. 

      "You'll have to establish strict discipline so that he learns what he can't do".

    • B. 

      "Allow him to play and be active as long as he doesn't get fatigued".

    • C. 

      "He'll only be able to play by himself."

    • D. 

      "Discipline and limit-setting need to be relaxed to reduce his stress and crying."

  • 2. 
    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. 

      Vomiting

    • B. 

      Palpitations

    • C. 

      Increased heart rate

    • D. 

      Serum digoxin level of 1.2 ng/mL

  • 3. 
    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. 

      Apical pulse

    • B. 

      Urine output

    • C. 

      Radial pulse

    • D. 

      Blood pressure

  • 4. 
    Which medication is usually given to children diagnosed with Kawasaki disease?
    • A. 

      Acetaminophen (Tylenol) every 4 hours

    • B. 

      Amoxicillin (Amoxil) divided into three daily doses

    • C. 

      Aspirin daily

    • D. 

      Ibuprofen (Motrin) every 6 to 8 hours

  • 5. 
    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. 

      Patent ductus arteriosus

    • B. 

      Coarctation of the aorta

    • C. 

      Diminished cardiac output

    • D. 

      Left to right shunting in the heart.

  • 6. 
    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. 

      Lethargy

    • B. 

      Low blood pressure in the arms

    • C. 

      Low blood pressure in the legs

    • D. 

      Bilateral pedal edema

  • 7. 
    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. 

      Increased Pulse

    • B. 

      Decreased urine output

    • C. 

      Increased temperature

    • D. 

      Bleeding from the catheter site.

  • 8. 
    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. 

      Call the physician immediately call the physician immediately

    • B. 

      Use a calm, comforting approach

    • C. 

      Lay the child in the supine position

    • D. 

      Take the child to the nearest emergency dept.

  • 9. 
    A child is in the pediatric intensive care unit immediately after cardiac surgery.  Which nursing action is most important?
    • A. 

      Assess the airway.

    • B. 

      Administer sedation

    • C. 

      Maintain semi-Fowler's position.

    • D. 

      Monitor oxygen saturation readings.

  • 10. 
    A child underwent cardiac surgery and the nurse must prepare his parents for discharge.  Which discharge instruction is correct?
    • A. 

      "Call your doctor before your child has dental care."

    • B. 

      "Keep your child away from other children for 6 months."

    • C. 

      "if your child vomits his digoxin, he may need a second dose".

    • D. 

      "Encourage the child to participate in activities so he can develop normally."

  • 11. 
    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. 

      Calcium

    • B. 

      Glucose

    • C. 

      Potassium

    • D. 

      Sodium

  • 12. 
    Which nursing intervention best helps decrease anxiety for the parents of a child scheduled for cardiac surgery?
    • A. 

      Tell the parents not to worry, because the physician performs this procedure all the time.

    • B. 

      Obtain an order for anti-anxiety medication for the parents, if requested.

    • C. 

      Teach the parents and the child about the surgery 1 month before the procedure

    • D. 

      Explain the steps that will occur before and after surgery. The parents need something tangible to focus on.

  • 13. 
    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. 

      Weight loss

    • B. 

      Bradycardia

    • C. 

      Sudden weight gain

    • D. 

      Bounding peripheral pulses

  • 14. 
    What congenital heart defect causes cyanosis in children?
    • A. 

      Atrial septal defect

    • B. 

      Coarctation of the aorta

    • C. 

      Ventricular septal defect

    • D. 

      Trasposition of the great vessels

  • 15. 
    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. 

      Blurred vision

    • B. 

      Heart rate of 180 beats/minute

    • C. 

      Vomiting two or more feedings

    • D. 

      Bulging of the anterior fontanel

  • 16. 
    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. 

      Poor muscle tone

    • B. 

      Inadequate oxygenation of tissues.

    • C. 

      Restricted blood flow leaving the heart

    • D. 

      Inadequate intake of food.

  • 17. 
    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. 

      Urine output of 30 mL/h

    • B. 

      Heart rate of 120 beats/min

    • C. 

      Cap refill time of 10 to 15 sec

    • D. 

      Bilateral crackles heard on auscultation.

  • 18. 
    A child is suspected of having Kawasaki disease.  Which finding is significant?
    • A. 

      Extreme lethargy

    • B. 

      Increased appetite

    • C. 

      Respiratory congestion

    • D. 

      Fever for at least 5 days

  • 19. 
    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. 

      Exercise and weight lifting

    • B. 

      Cocaine use

    • C. 

      Smoking

    • D. 

      Family history of myocardial infarction (MI)

  • 20. 
    The nurse explains to the parents of a 5 year old with a VSD that a cardiac cath has been scheduled to:
    • A. 

      Identify the specific location of the defect

    • B. 

      Determine the degree of cardiomegaly present

    • C. 

      Confirm the presence of a pansystolic murmur

    • D. 

      Establish the presence of ventricular hypertrophy

  • 21. 
    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. 

      Bradycardia at rest

    • B. 

      Bounding peripheral pulses

    • C. 

      An activity related cyanosis

    • D. 

      A murmur at the left sternal border.

  • 22. 
    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. 

      Anemia

    • B. 

      Polycythemia

    • C. 

      Agranulocytosis

    • D. 

      Thrombocytopenia

  • 23. 
    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. 

      Anemia

    • B. 

      Hypovolemia

    • C. 

      Pulmonary edema

    • D. 

      Metabolic acidosis

  • 24. 
    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. 

      Nipple

    • B. 

      Calibrated syringe

    • C. 

      Plastic measuring spoon

    • D. 

      Bottle with an ounce of water

  • 25. 
    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. 

      Reduces muscle aches

    • B. 

      Increases cardiac efficiency

    • C. 

      Enhances the pull of gravity

    • D. 

      Decreases blood volume in the extremities

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