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Exam (elaborations)

2024 PEDS HESI EXAM 3 WITH ANSWERS

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2024 PEDS HESI EXAM 3 WITH ANSWERS

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  • August 7, 2024
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  • 2024/2025
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2024 PEDS HESI EXAM 3 WITH
ANSWERS

Which of the following statements regarding central perfusion is true? SATA


A.) Infants have worse central perfusion.
B.) It is the force of blood movement generated by CO
C.) Decreased central perfusion can lead to decreased cardiac output -
CORRECT ANSWERS-B, C

A is not correct because infants have BETTER central perfusion

Which of the following pediatric patients are at risk for impaired perfusion?

A.) 2 month old weighing in the 99 percentile
B.) 1 month old with a congenital heart disease
C.) 3 month old with VSD
D.) 1 week old with tetralogy of fallot - CORRECT ANSWERS-B,C, D These are
all children with a congenital heart disease

Which of the following statements accurately describes Ventricular Septal
Defect (VSD)? SATA


A.) Abnormal opening between the atria
B.) Abnormal opening between the ventricles
C.) Increased pulmonary blood flow
D.) Characteristic murmur
E.) Surgical treatment never necessary - CORRECT ANSWERS-B, C, D- If the
hole is small, it can close on it's own. If it is large it may require surgery.

Which of the following medications can be prescribed to treat a patent
ductus arteriosus?

A.) Digoxin
B.) Warfarin
C.) Indomethacin
D.) Lisnopril - CORRECT ANSWERS-C- remember, from OB how if you give this
before a certain time it will prematurely close the ductus arteriosus!! In this
case, we want it to close, so we would give it :) Surgery is also can option

, A characteristic machinery-like murmur can be associated with what
congenital heart disease?

A.) PDA
B.) VSD
C.) Tetralogy of fallot
D.) Transposition of great arteries - CORRECT ANSWERS-A- Patent ductus
arteriosus

A parent is having a hard time understanding what the new diagnosis of PDA
for her child is. What can you tell her?

A.) PDA occurs when atria of the heart are connected abnormally
B.) PDA occurs when ventricles of the heart are connected abnormally
C.) PDA occurs when there are four different defects occurring
D.) PDA occurs when the opening between the aorta and the pulmonary
artery did not close after birth like they were supposed to - CORRECT
ANSWERS-D

Tetralogy of Fallot: what's in it yo?


A.) PDA
B.) VSD
C.) CHF
D.) Pulmonic stenosis
E.) Pulmonary hypertension
F.) Overriding aorta
G.) Right ventricular hypertrophy - CORRECT ANSWERS-B, D, F, G



Which of the following assessment findings on a 3 week old lead to believe
their is cardiac dysfunction?

A.) Cannot hold up head yet
B.) 3 dirty diapers a day
C.) Unusual pulsations
D.) Sunken fontanels - CORRECT ANSWERS-C- You might also notice chest
deformities, murmurs, complaints from parents regarding poor feeding or
poor weight gain (failure to thrive)

Which of the following is priority in preparation for a cardiac catheterization

A.) Obtain EKG
B.) Clear liquid diet only

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