Quiz
Ricci - Chapter 41
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Questions in this quiz (29)
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 border
- 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 next?- AContact the healthcare provider.
- 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
assessment finding 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 finding would the nurse most likely expect to assess
if the child had transposition of the great vessels?- 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
assessment finding would the nurse interpret as a sign of extracardiac emboli?- APruritus
- BRoth spots
- CDelayed capillary refill
- DErythema marginatum
6When conducting a physical examination of a child with suspected Kawasaki
disease, which finding 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
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, how would the nurse
document this murmur?- 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 statement 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 statement 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 don't 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 grade?- 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. What 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 healthcare provider 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. What 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 (3.11 mmol/L)
- B150 mg/dL (3.88 mmol/L)
- C180 mg/dL (4.66 mmol/L)
- D210 mg/dL (5.44 mmol/L)
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, what
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.
What would the nurse expect to find? Select all 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
has what effect?- 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 healthcare
provider if the infant's apical pulse rate was:- A140 beats per minute
- B120 beats per minute
- C100 beats per minute
- D80 beats per minute
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. What would the nurse expect the healthcare provider to prescribe? Select all
that apply.- AIntravenous immunoglobulin
- 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
26A child with suspected dyslipidemia undergoes laboratory testing. The nurse is
reviewing the results. Which finding would the nurse interpret as supporting the
diagnosis? Select all that apply.- ATotal cholesterol level of 150 mg/dL (3.88 mmol/L)
- BTotal cholesterol level of 180 mg/dL (4.66 mmol/L)
- CTotal cholesterol level of 220 mg/dL (5.70 mmol/L)
- DLDL level of 90 mg/dL (2.33 mmol/L)
- ELDL level of 120 mg/dL (3.11 mmol/L)
- FLDL level of 140 mg/dL (3.63 mmol/L)
27The mother of a 4-week-old infant is tearful. She reports the healthcare provider
has told her that her son has a small atrial septal defect. She reports she is worried
and asks the nurse more about the condition. Which statement by the parents best
indicates an understanding of the nurse's teaching?- A“This greatly places my son at risk for cardiac failure.”
- B“If this does not resolve by the time my child is 1 year old, he will likely need
surgery.” - C“Most of the time this condition spontaneously resolves.”
- D“Since the surgery to correct this condition can be risky my son will need to
be at least 40 pounds.”
28The nurse is caring for a child that just returned from a coronary arteriogram in
which the catheter was placed through the left femoral artery. Which nursing actions
demonstrate knowledge of the procedure? Select all that apply.- AThe nurse allows the client up to the bathroom only.
- BThe nurse assesses the dorsalis pedis pulse in the left foot.
- CThe nurse assesses the puncture site frequently.
- DThe nurse tells the parents that the healthcare provider will discuss the
results of the procedure with them. - EThe nurse assesses the client's vital signs every 8 hours.
29The nurse is caring for a newborn diagnosed with an atrial septal defect (ASD).
The parents voice concern and state, “I can't believe this is happening. Will our child
be okay?” What is the nurse's best response?- A“If the defect isn't treated it can cause problems such as pulmonary
hypertension, heart failure, atrial arrhythmias, or stroke.” - B“While each case is different, the majority of these defects correct on their
own. Let's see what the tests show, then speak with the healthcare provider.” - C“Since there are no symptoms being exhibited right now, your child will
likely not require surgery until the age of 3 years.” - D“Most children have no symptoms of this defect.”
- A“If the defect isn't treated it can cause problems such as pulmonary
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- Nursing (N22) Quiz on Ricci - Chapter 41, created by N R on 11/11/2022.
- Author
- N R
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- English
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