Quiz
Exam 1 Part 2
Create a free account to finish this quiz
Save your progress and see your final score.
Already have an account? Sign in
Questions in this quiz (20)
1A chest radiograph film is ordered for a child with suspected cardiac problem. The child’s parent asks the nurse, “What will the radiograph show about the heart?” The nurse’s response should be based on knowledge that the x-ray film will do which of the following?
- AShow bones of chest but not the heart
- BMeasure electrical potential generated from heart muscle
- CProvide permanent record of heart size and configuration
- DProvide computerized image of heart vessels and tissues
2The nurse is preparing for the discharge of a 7-month-old infant with Tetralogy of Fallot. The infant will be discharged with a prescription for digoxin. What information should the nurse include in an explanation to the infant’s mother about this medication?
- A“Do not allow your baby to drink anything after the digoxin is administered.”
- B“Digoxin speeds the heart rate up to allow the heart to pump out more fluid.”
- C“Digoxin can have serious side effects; therefore, you must be certain to give the correct amount at regularly scheduled times.”
- D“If your baby vomits a dose, you should repeat the dose to assure that he gets the correct amount.”
3If bleeding occurs at the insertion site after cardiac catheterization, the first action the nurse should implement is to
- Aapply pressure
- Badminister vitamin K
- Ccall the surgeon
- Dapply a tighter pressure dressing
4Which of the following is an early sign of congestive heart failure that the nurse should recognize?
- ATachypnea
- BBradycardia
- CInability to sweat
- DIncreased urinary output
5Nursing care of the infant and child with congestive heart failure would include which of the following?
- AForce fluids appropriate for age
- BMonitor respiration during active periods
- COrganize activities to allow for uninterrupted sleep
- DGive larger feedings less often to conserve energy
6The nurse should explain to the parents that their child is receiving furosemide (Lasix) for severe congestive heart failure because of its effects as:
- AA diuretic
- BA beta blocker
- CA form of digitalis
- DAn ACE inhibitor
7The nurse is preparing to give digoxin to a 9-month-old infant. The nurse checks the dose and draws up 4 ml of the drug. The most appropriate nursing action is which of the following?
- ADo not give dose, suspect dosage error
- BMix dose with juice to disguise its taste
- CCheck heart rate; administer dose by placing it to the back and side of mouth
- DCheck heart rate; administer dose by letting infant suck it through a nipple
8Which of the following is an important nursing responsibility when a dysrhythmia is suspected?
- AOrder an immediate electrocardiogram
- BCount radial pulse every 1 minute for five times
- CCount apical pulse for 1 full minute and compare with radial pulse rate
- DHave someone else take the radial pulse simultaneously with the apical pulse
9A young child with tetralogy of Fallot may assume a posturing position as a compensatory mechanism. The position automatically assumed by the child is which of the following?
- ALow Fowler
- Bprone
- Csupine
- Dsquatting
10Parents of a 3-year -old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. The nurse’s reply should be based on which of the following?
- AChild needs opportunities to play with peers
- BChild needs to understand that peers’ activities are too strenuous
- CParents can meet all the child’s needs
- DConstant parental supervision is needed to avoid overexertion
11The nurse is talking to a parent of an infant with congestive heart failure about feeding the infant. Which of the following statements about feeding the child is correct?
- A“You may need to increase the caloric density of your infant’s formula.”
- B“ You should feed your baby every 2 hours.”
- C“You may need to increase the amount of formula your infant eats with each feeding.”
- D“You should place a nasal oxygen cannula on your infant during and after each feeding.”
12Which of the following should the nurse consider when preparing a school-age child and the family for heart surgery?
- AUnfamiliar equipment should not be shown
- BLet child hear the sounds of an ECG monitor
- CAvoid mentioning postoperative discomfort and interventions
- DExplain that an endotracheal tube will not be needed if the surgery goes well
13Seventy-two hours after cardiac surgery, a young child has a temperature of 101°F. The nurse should do which of the following?
- AKeep child warm with blankets
- BApply hypothermia blanket
- CRecord temperature on nurses’ notes
- DReport findings to physician
14Which of the following drugs is an angiotensin-converting enzyme (ACE) inhibitor?
- Acaptopril (Capoten)
- Bfurosemide (Lasix)
- Cspironolactone (Aldactone)
- Dchlorothiazide (Diuril)
15Which of the following is best described as the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures?
- APulmonary congestion
- BCongenital heart defect
- CCongestive heart failure
- DSystemic venous congestion
16Which of the following procedures uses high-frequency sound waves obtained by a transducer to produce an image of cardiac structures?
- AEKG
- BEcho
- Ccardiac cath
- DElectrophysiology
17Nurses counseling parents regarding the home care of the child with a cardiac defect before corrective surgery should stress which of the following?
- AImportance of reducing caloric intake to decrease cardiac demands
- BImportance of relaxing discipline and letting their child do whatever they want to do
- CNeed to be extremely concerned by cyanotic spells
- DDesirability of promoting normalcy within the limits of the child’s condition
18The nurse realizes that the blood pressure of the upper and lower extremities of the child with Coarctation of the Aorta is opposite of what is expected; therefore, the blood pressure would be:
- AUpper extremities and lower extremities are lower than normal
- BUpper extremities are lower than the lower extremities
- CUpper extremities are higher than the lower extremities
- DUpper extremities and lower extremities are the same
19Which of the following is not a pediatric congenital heart defect?
- AAtrial septal defect
- BTetralogy of Fallot
- CMyocarditis
- DPatent ductus arteriosus
20After the heart converts from fetal circulation to normal circulation, the highest pressure chamber in the heart will become the:
- ARA
- BRV
- CLA
- DLV
Information
- Description
- Peds Quiz on Exam 1 Part 2, created by Nicole Buda on 16/09/2017.
- Author
- Nicole Buda
- Language
- English
- Views
- 0
- Tags
- Rating
- No ratings yet Rate this quiz