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CHP 26
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Questions in this quiz (25)
1What does the nurse explain that a ventricular septal defect will allow?
- ABlood to shunt left to right, causing increased pulmonary flow and no cyanosis
- BBlood to shunt right to left, causing decreased pulmonary flow and cyanosis
- CNo shunting because of high pressure in the left ventricle
- DIncreased pressure in the left atrium, impeding circulation of oxygenated blood in the circulating volume
2Which assessment would lead the nurse to suspect that a newborn infant has a ventricular septal defect?
- AA loud, harsh murmur with a systolic thrill
- BCyanosis when crying
- CBlood pressure higher in the arms than in the legs
- DA machinery-like murmur
3What finding would the nurse expect when measuring blood pressure on all four extremities of a child with coarctation of the aorta?
- ABlood pressure higher on the right side
- BBlood pressure higher on the left side
- CBlood pressure lower in the arms than in the legs
- DBlood pressure lower in the legs than in the arms
4A father asks why his child with tetralogy of Fallot seems to favor a squatting position. What is the nurses best response?
- ASquatting increases the return of venous blood back to the heart.
- BSquatting decreases arterial blood flow away from the heart.
- CSquatting is a common resting position when a child is tachycardic.
- DSquatting increases the workload of the heart.
5An infant is experiencing dyspnea related to patent ductus arteriosus (PDA). What does the nurse understand regarding why dyspnea occurs?
- ABlood is circulated through the lungs again, causing pulmonary circulatory congestion.
- BBlood is shunted past the pulmonary circulation, causing pulmonary hypoxia.
- CBlood is shunted past cardiac arteries, causing myocardial hypoxia.
- DBlood is circulated through the ductus from the pulmonary artery to the aorta, bypassing the left side of the heart.
6Which is the most appropriate nursing action related to the administration of digoxin (Lanoxin) to an infant?
- ACounting the apical rate for 30 seconds before administering the medication
- BWithholding a dose if the apical heart rate is less than 100 beats/min
- CRepeating a dose if the child vomits within 30 minutes of the previous dose
- DChecking respiratory rate and blood pressure before each dose
7A child develops carditis from rheumatic fever. Which areas of the heart are affected by carditis?
- ACoronary arteries
- BHeart muscle and the mitral valve
- CAortic and pulmonic valves
- DContractility of the ventricles
8Which comment made by a parent of a 1-month-old would alert the nurse about the presence of a congenital heart defect?
- AHe is always hungry.
- BHe tires out during feedings.
- CHe is fussy for several hours every day.
- DHe sleeps all the time.
9The nurse is caring for a child with a diagnosis of Kawasaki disease. The childs parent asks the nurse, How does Kawasaki disease affect my childs heart and blood vessels? On what understanding is the nurses response based?
- AInflammation weakens blood vessels, leading to aneurysm.
- BIncreased lipid levels lead to the development of atherosclerosis.
- CUntreated disease causes mitral valve stenosis.
- DAltered blood flow increases cardiac workload with resulting heart failure.
10The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic. Which statement by the father leads the nurse to determine he understood the instructions?
- AIf the baby turns blue, I will hold him against my shoulder with his knees bent up toward his chest.
- BIf the baby turns blue, I will lay him down on a firm surface with his head lower than the rest of his body.
- CIf the baby turns blue, I will immediately put the baby upright in an infant seat.
- DIf the baby turns blue, I will put the baby in supine position with his head elevated.
11The parent of a 1-year-old child with tetralogy of Fallot asks the nurse, Why do my childs fingertips look like that? On what understanding does the nurse base a response?
- AClubbing occurs as a result of untreated congestive heart failure.
- BClubbing occurs as a result of a left-to-right shunting of blood.
- CClubbing occurs as a result of decreased cardiac output.
- DClubbing occurs as a result of chronic hypoxia.
12A child has an elevated antistreptolysin O (ASO) titer. Which combination of symptoms, in conjunction with this finding, would confirm a diagnosis of rheumatic fever?
- ASubcutaneous nodules and fever
- BPainful, tender joints and carditis
- CErythema marginatum and arthralgia
- DChorea and elevated sedimentation rate
13An infant with congestive heart failure is receiving digoxin (Lanoxin). What does the nurse recognize as a sign of digoxin toxicity?
- ARestlessness
- BDecreased respiratory rate
- CIncreased urinary output
- DVomiting
14Through what does the infant born with hypoplastic left heart syndrome acquire oxygenated blood?
- AThe patent ductus arteriosis
- BA ventricular septal defect
- CThe closure of the foramen ovale
- DAn atrial septal defect
15A child with rheumatic fever begins involuntary, purposeless movements of her limbs. What does the nurse recognize that this indicates?
- ASeizure activity
- BHypoxia
- CSydenhams chorea
- DDecreasing level of consciousness
16How long should a 4-year-old child recovering from rheumatic fever need to receive monthly injections of penicillin G?
- A1 year
- B2 years
- C5 years
- D10 years
17What is accurate about the characteristics of high-density lipoproteins (HDLs)?
- AThey have high amounts of triglycerides.
- BThey have only small amounts of protein.
- CThey have little cholesterol.
- DThey aid in steroid production.
18What should the school nurse recommend when encouraging a heart-healthy diet for a child with high cholesterol?
- AA fat intake reduction of 5-10% of total calories
- BA fat intake reduction of 10-15% of total calories
- CA fat intake reduction of 15-20% of total calories
- DA fat intake reduction of 25-35% of total calories
19The nurse is planning a hypertension-prevention program. What should be the main focus of the nurse when presenting information?
- APharmacological treatment
- BSurgical interventions available
- CPatient education
- DReduction of aerobic exercise
20A pediatric patient is scheduled for a noninvasive procedure to determine if his heart is structurally normal and to localize a murmur. What diagnostic test does the nurse anticipate?
- ABarium swallow
- BChest x-ray
- CElectrocardiogram
- DEchocardiogram
21How would the nurse caring for an infant with congestive heart failure (CHF) modify feeding techniques to adapt for the childs weakness and fatigue? (Select all that apply.)
- AFeeding more frequently with smaller feedings
- BUsing a soft nipple with enlarged holes
- CHolding and cuddling the child during feedings
- DSubstituting glucose water for formula
- EOffering high caloric formula
22What are the four structural heart anomalies that make up the tetralogy of Fallot? (Select the four that apply.)
- AHypertrophied right ventricle
- BPatent ductus arteriosus
- CVentral septal defect
- DNarrowing of pulmonary artery
- EDextroposition of aorta
23What assessment(s) in a child with tetralogy of Fallot would indicate the child is experiencing a paroxysmal hypercyanotic episode? (Select all that apply.)
- ASpontaneous cyanosis
- BDyspnea
- CWeakness
- DDry cough
- ESyncope
24Which congenital cardiac defect(s) cause(s) increased pulmonary blood flow? (Select all that apply.)
- AAtrial septal defects (ASDs)
- BTetralogy of Fallot
- CDextroposition of aorta
- DPatent ductus arteriosus
- EVentricular septal defects (VSDs)
25A 16-year-old patient is diagnosed with primary hypertension. What risk factors does the nurse mention when providing education on this diagnosis to the patient and his family? (Select all that apply.)
- AHeredity
- BStress
- CCongenital defect
- DObesity
- EPoor diet
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- Quiz on CHP 26, created by ALEX BO on 17/10/2022.
- Author
- ALEX BO
- Language
- English
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