Pediatric Cardiac Disease Quiz

45 Questions | Total Attempts: 5667

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Pediatrics Quizzes & Trivia

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 of having specialized care for said children. Take the test below and see how much you know about Pediatric Cardiac Disease.


Questions and Answers
  • 1. 
    Which of the following are correct statements regarding Digoxin (Lanoxin)?  Check all that apply.
    • A. 

      Digoxin is the drug of choice to improve myocardial contractility

    • B. 

      Often prescribed to increase contractility and decrease afterload

    • C. 

      ALWAYS check dose with another Registered Nurse before administration

    • D. 

      Administration is normally IV for infants

  • 2. 
    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.

  • 3. 
    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

  • 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. 

      Patent ductus arteriosus

    • B. 

      Coarctation of the aorta

    • C. 

      Diminished cardiac output

    • D. 

      Left to right shunting in the heart.

  • 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. 

      Poor muscle tone

    • B. 

      Inadequate oxygenation of tissues.

    • C. 

      Restricted blood flow leaving the heart

    • D. 

      Inadequate intake of food.

  • 6. 
    • A. 

      Atrial septal defect

    • B. 

      Coarctation of the aorta

    • C. 

      Ventricular septal defect

    • D. 

      Trasposition of the great vessels

  • 7. 
    • A. 

      Clubbing of fingers

    • B. 

      Slow, irregular respirations

    • C. 

      Subcutaneous hemorrhages

    • D. 

      Decreased red blood cell count

  • 8. 
    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

  • 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. 

      Reduces muscle aches

    • B. 

      Increases cardiac efficiency

    • C. 

      Enhances the pull of gravity

    • D. 

      Decreases blood volume in the extremities

  • 10. 
    Serum Digoxin levels are 0.8-2.9 ug/L
    • A. 

      True

    • B. 

      False

  • 11. 
    Per our notes: The clamping of the umbilical cord closes the Foramen Ovale.
    • A. 

      True

    • B. 

      False

  • 12. 
    Per our notes: Breathing stimulates the closure of the Ductus arteriosis.
    • A. 

      True

    • B. 

      False

  • 13. 
    Normal K+ levels are the same for newborns and older children/adults
    • A. 

      True

    • B. 

      False

  • 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. 

      True

    • B. 

      False

  • 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. 

      True

    • B. 

      False

  • 18. 
    ECHO can be used to detect the pressure in the chambers of the heart and it's surrounding vessels.
    • A. 

      True

    • B. 

      False

  • 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. 

      True

    • B. 

      False

  • 21. 
    Digoxin should not be administered to a child (1 year and older) with a heart rate of less than 70.
    • A. 

      True

    • B. 

      False

  • 22. 
    Decreased urinary output (fewer wet diapers or less frequent toileting) may be a sign of worsening heart failure.
    • A. 

      True

    • B. 

      False

  • 23. 
    Child's chest should be assessed for thrills or abnormal pulsations during the physical exam.
    • A. 

      True

    • B. 

      False

  • 24. 
    At about 21 days of gestation the fetal heart begins beating and circulating blood.
    • A. 

      True

    • B. 

      False

  • 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. 

      Orthopneic position

    • B. 

      Knee-chest position

    • C. 

      Lateral Sims' position

    • D. 

      Semi-Fowler's position