NR 328 PEDS CARDIAC QUIZ
1. A 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?
a. Show bones of chest but not the heart
b. Measure electrical potential generated from heart muscle
c. Provide permanent record of heart size and configuration
d. Provide computerized image of heart vessels and tissues
2. The 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.”
3. If bleeding occurs at the insertion site after cardiac catheterization, the first action the nurse should
implement is to
a. apply pressure
b. administer vitamin K
c. call the surgeon
d. apply a tighter pressure dressing
4. Which of the following is an early sign of congestive heart failure that the nurse should recognize?
a. Tachypnea
b. Bradycardia
c. Inability to sweat
d. Increased urinary output
5. Nursing care of the infant and child with congestive heart failure would include which of the
following?
a. Force fluids appropriate for age
b. Monitor respiration during active periods
c. Organize activities to allow for uninterrupted sleep
d. Give larger feedings less often to conserve energy
6. The nurse should explain to the parents that their child is receiving furosemide (Lasix) for severe
congestive heart failure because of its effects as:
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