Quiz
CH 41
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Questions in this quiz (42)
1The nurse is conducting a physical examination of a child with a ventricular septal defect. Which finding would the nurse expect to assess?
- ARight ventricular heave
- BHolosystolic harsh murmur along the left sternal bordernext?
- CFixed split-second heart sound
- DSystolic ejection murmur
2The nurse is administering digoxin as ordered and the child vomits the dose. What should the nurse do
- AContact the physician
- BOffer a snack and administer another dose
- CImmediately administer another dose
- DAdminister next dose as ordered in 12 hours
3The nurse is caring for an infant with suspected patent ductus arteriosus. Which of the following assessment findings would the nurse identify as helping to confirm this suspicion?
- AThrill at the base of the heart
- BHarsh, continuous, machine-like murmur under the left clavicle
- CFaint pulses
- DSystolic murmur best heard along the left sternal border
4The nurse is conducting a physical examination of a child with a suspected cardiovascular disorder. Which of the following findings would the nurse most likely expect to assess if the child had transposition of the great vessels? Snowman shaped heart
- ASignificant cyanosis without presence of a murmur
- BAbrupt cessation of chest output with an increase in heart rate/filling pressure
- CSoft systolic ejection
- DHolosystolic murmur
5The nurse is assessing a child with suspected infective endocarditis. Which of the following assessment findings would the nurse interpret as a sign of extracardiac emboli?
- APruritis
- BRoth spots
- CDelayed capillary refill
- DErythema marginatum
6When conducting a physical examination of a child with suspected Kawasaki disease, which of the following would the nurse expect to assess?
- AHirsutism or striae
- BStrawberry tongue
- CMalar rash
- DCafé au lait spots
7After teaching a group of students about acute rheumatic fever, the instructor determines that the teaching was successful when the students identify which of the following as an assessment finding?
- AJaneway lesions
- BJerky movements of the face and upper extremities
- CBlack lines
- DOsler nodes
8A nurse is reviewing the medical record of a child and finds that the child has a grade III murmur. After auscultating the child's heart sounds, the nurse would document this murmur as which of the following?
- ALoud without a thrill
- BLoud with a precordial thrill
- CSoft and easily heard
- DLoud, audible with a stethoscope
9The nurse is caring for a 2-month-old infant who has been diagnosed with acute heart failure. The nurse is providing teaching about nutrition. Which of the following statements by the mother indicates a need for further teaching?
- A"The baby may need as much as 150 calories/kg/day."
- B"Small, frequent feedings are best if tolerated."
- C"I need to feed him every hour to make sure he eats enough."
- D"Gavage feedings may be required for now."
10The nurse is caring for an infant girl with a suspected cardiovascular disorder. Which of the following statements by the mother would warrant further investigation?
- A"My baby does not make any grunting noises."
- B"The baby seems more comfortable over my shoulder."
- C"The baby usually drinks all of her bottle."
- D"I dont notice any rapid breathing patterns."
11Auscultation of a child's heart reveals a loud murmur with a precordial thrill. The nurse documents this as which of the following?
- AGrade II
- BGrade III
- CGrade IV
- DGrade V
12After assessing a child's blood pressure, the nurse determines the pulse pressure and finds that it is narrowed. Which of the following would the nurse identify as associated with this finding?
- AAortic stenosis
- BPatent ductus arteriosus
- CAortic insufficiency
- DComplete heart block
13A 9-year-old child has undergone a cardiac catheterization and is being prepared for discharge. The nurse is instructing the parents and child about postprocedure care. Which statement by the parents indicates that the teaching was successful?
- A"This pressure dressing needs to stay on for 5 days from now."
- B"He can't eat but he can drink fluids for the next 24 hours."
- C"He should avoid taking a bath for about 3 days but he can shower."
- D"It's normal if he says he feels like his heart skipped a beat."
14A newborn is diagnosed with patent ductus arteriosus. The nurse anticipates that the physician will most likely order which medication?
- AAlprostadil
- BHeparin
- CIndomethacin
- DSpironolactone
15The nurse is preparing a teaching plan for the parents of a child who has been diagnosed with a congenital heart defect. Which of the following would the nurse be least likely to include?
- ADaily weight assessment
- BMaintenance of strict bed rest
- CPrevention of infection
- DSigns of complications
16After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow?
- ATetralogy of Fallot
- BAtrial septal defect
- CHypoplastic left heart syndrome
- DTransposition of the great vessels
17A 7-year-old child with a family history of cardiovascular disease is being screened for hyperlipidemia. When reviewing the child's laboratory test results, which total cholesterol level would be of significant concern?
- A120 mg/dL
- B150 mg/dL
- C180 mg/dL
- D210 mg/dL
18A child with a suspected cardiovascular disorder is to undergo diagnostic testing and is scheduled for an echocardiogram. When explaining this test to the child, which of the following would the nurse most likely include?
- A"This test will check the pattern of how your heart is beating."
- B"They'll take a picture of your chest to look at the heart's size."
- C"A special wand that picks up sound is used to check your heart."
- D"Small patches are attached to your chest to check the heart rhythm."
19The nurse is reviewing the medical record of a child with infective endocarditis. Which of the following would the nurse expect to find? Select all answers that apply.
- AWhite blood cell count revealing leukopenia
- BMicroscopic hematuria with urinalysis
- CElectrocardiogram with prolonged PR interval
- DLungs clear on auscultation
- EPetechiae on palpebral conjunctiva
20A child with heart failure is receiving supplemental oxygen. The nurse understands that in addition to improving oxygen saturation, this intervention also helps to do which of the following?
- ACause vasodilation
- BIncrease pulmonary vascular resistance
- CPromote diuresis
- DMobilize secretions
21The nurse is developing a plan of care for an infant with heart failure who is receiving digoxin. The nurse would hold the dose of digoxin and notify the physician if the infant's apical pulse rate was:
- A140 bpm
- B120 bpm
- C100 bpm
- D80 bpm
22A nurse is working with an adolescent who is slightly overweight and was recently diagnosed with hypertension. They are discussing nutritional management. Which statement by the adolescent demonstrates understanding of the information?
- A"I have to make sure that I don't eat a lot of salty foods."
- B"I can eat any amount at a meal as long as I don't eat between meals."
- C"I should eat plenty of fresh fruits and vegetables."
- D"If I skip breakfast, I can eat a much bigger lunch."
23A child is diagnosed with Kawasaki disease and is in the acute phase of the disorder. Which of the following would the nurse expect the physician to prescribe? Select all answers that apply.
- AIV immunoglobin
- BIbuprofen
- CAcetaminophen
- DAspirin
- EAlprostadil
24An infant with congenital heart disease is to undergo surgery to correct the defect. The mother states, "I guess I'm going to have to stop breastfeeding her." Which response by the nurse would be most appropriate?
- A"That's true, but we'll make sure she gets the best intravenous nutrition."
- B"Unfortunately, your baby needs more nutrients than what breast milk can provide."
- C"Breast milk may help to boost her immune system, so you can continue to use it."
- D"She won't be able to suck, so we have to give her fortified formula through a tube."
25During a follow-up visit, the parents of a 5-month-old infant diagnosed with congenital heart disease tell the nurse, "We're just so tired and emotionally spent. All these tests and examinations are overwhelming. We just want to have a normal life. We're so focused on the baby that it seems like our 3-year-old is lost in the shuffle." Which nursing diagnosis would the nurse identify as most appropriate?
- ARisk for delayed growth and development related to necessary treatments
- BDeficient knowledge related to the care of a child with congenital heart disease
- CInterrupted family processes related to demands of caring for the ill child
- DFear related to infant's cardiac condition and need for ongoing care
26Untreated step affecting the brain heart and skin with symptoms of erythema rash, the jones criteria(Joint,Carditis,Nodules,Erytehma noduletem,Sydenham chorea).Treated with Penicillin, Aspirin for inflammatory response
- ARheamatic Fever
- BTetrology of fallot
- CTricuspid Atresia
- DPulmonic Stenosis
27Inflammation of small vessels, leading to damaged coronary artery= risk for aneurysm or stroke
Unknown cause, probably viral,Seasonal
More common in kids less than 5 years old
Self-limiting- AInfective Endocarditis
- BKawasaki Disease
- CVSD
- DRheumatic Fever
28Drug that increases force of contraction and increase renal perfusion but lowers blood pressure. Used for CHF pt's.
- AAspirin
- BPenicillin
- CDigoxin
- DTylenol
29Anemia is Most common hemolytic disorder in childhood and defined as the Decrease in RBC and/or hemoglobin concentrate below normal.
- ATrue
- BFalse
30Iron deficiency manifestations include Fatigue,Pale,Lethargy,Don't grow,Irritability,Pika,More severe= resp distress and cardiac signs
- ATrue
- BFalse
31White blood cells are composed of, neutrophils, eosinphils, basophils, lymphocytes,monocytes
- ATrue
- BFalse
32Low platelet count can mean:
- AThere is bleeding in the body
- BAn ear infection
- CDrug addict
- DAlcohol
33Risk for anemia include Prematurity,Cows milk before 12 months, Greater than 24 oz cows milk a day, On low iron formula, Breast-fed infant with lack of iron supplement at 6months, Restrictive diets
- ATrue
- BFalse
34All signs of anemia are the same with fatigue and pale skin
- ATrue
- BFalse
35Education for iron deficient anemia childrenincluse: Breast-feed mom increase her diet intake of Iron, Limit cows milk no more than 24 oz,Precisely measure amount of iron supplement, Dark liquid, can stain teeth so make sure child brushes and rinses mouth,May cause constipation,Increase fluid/fiber
- ATrue
- BFalse
36Sickle Cell Anemia is an Autosomal Recessive so there a 25 % chance you get the disease/ 50% chance you get the trait
- ATrue
- BFalse
37X-linked hemophilia means the mom can only give the disease to her sons
- ATrue
- BFalse
38Hemophilia A is treated by
- ATylenol
- BAspirin
- CIce on joints
- DACE inhibitor
- EFactor 8 replacemen/tslow IV push of Desmopressin
39Prevention of a sickle cell crises include:
- AHydration
- BImmunization with additional 23-valent pneumococcal after 2 years
- CAnnual influenza
- DLots of bed rest
- EInfection prevention: 2months- 5 years of age penicillin V potassium against pneumococcal daily
40Treatment for Sickle cell anemia include:
- APain control-important
- BOxygen administration <92%
- CHydration 150ml/kg
- DMonitor Hgb, Hct, reticulocytes for possible transfusion and Antibiotics
- ESplenectomy
- FHydroxyurea (Hgb F)-because fetal cells are perfect and help greatly
- GAspirin
41The most common causes death for sickle cell patients is Acute Chest syndrome
- ATrue
- BFalse
42some complications of sickle cell anemia is
- ASplenic Sequestration crises When sickled cells block the blood vessels leading out of the spleen causing the spleen to get bigger and hemoglobin and hematocrit levels to drop
- BReduced visual acuity from a damaged vessel
- Cdelayed growth and development
- Dkidney issues
- Eliver issues
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- Description
- Quiz on CH 41, created by Becky Jean on 01/12/2017.
- Author
- Becky Jean
- Language
- English
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- History
- Created on 1 Dec 2017 · updated on 14 Dec 2017
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