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Peds Exam 2 Practice Quiz | Questions And Answers Latest {} A+ Graded | 100% Verified
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Peds Exam 2 Practice Quiz | Questions And Answers Latest {2024- 2025} A+ Graded |100% Verified
A child has been admitted to the hospital unit in congestive heart failure (CHF). Which symptom would
the nurse anticipate upon assessment of the child?
1. Weight loss
2. Bradycardia
3. Tachycardia
4. Increased blood pressure - 3. Tachycardia
-Tachycardia is a sign of congestive heart failure because the heart attempts to improve cardiac output
by beating faster
-Bradycardia is a serious sign and can indicate impending cardiac arrest.
-Blood pressure does not increase in CHF
-Weight increases because of retention of fluids.
A toddler is started on digoxin (Lanoxin) for cardiac failure. Which is the initial symptom the nurse would
assess if the child develops digoxin (Lanoxin) toxicity?
1. Lowered blood pressure
2. Tinnitus
3. Ataxia
4. A change in heart rhythm - 4. A change in heart rhythm
S/S: bradycardia, dysrhythmias, N/V, anorexia
The nurse is teaching the parents of a group of cardiac patients. Which teaching guideline will the nurse
include for any child who has undergone cardiac surgery?
,1. The child should be restricted from most play activities.
2. The child should be evaluated to determine if prophylactic antibiotics for dental, oral, or upper-
respiratory-tract procedures are necessary.
3. The child should not receive routine immunizations.
4. The child can be expected to have a fever for several weeks following the surgery. - 2. The child
should be evaluated to determine if prophylactic antibiotics for dental, oral, or upper-respiratory-tract
procedures are necessary.
*to prevent endocarditis
An infant with tetralogy of Fallot is having a hypercyanotic episode ("tet" spell). Which nursing
interventions are appropriate for the nurse to implement for this infant? Select all that apply.
1. Place the child in knee-chest position.
2. Draw blood for a serum hemoglobin.
3. Administer oxygen.
4. Administer morphine and propranolol intravenously as ordered.
5. Administer Benadryl as ordered. - 1, 3, 4
*morphine and beta blockers decrease pulmonary vascular resistance
*we want to INCREASE systemic vascular resistance w/ interventions
A child is admitted with infective endocarditis. Which nursing intervention is most appropriate for this
child?
1. Start an intravenous line.
2. Place the child in contact isolation.
3. Place the child on seizure precautions.
4. Assist with a lumbar puncture. - 1. Start an intravenous line.
,*IV antibiotics!
The nurse is performing the initial assessment of a child newly diagnosed Kawasaki disease. Which
symptoms would the nurse expect to assess with this child?
1. Dry, swollen, fissured lips
2. Nonpalpable lymph nodes
3. Conjunctivitis with exudates
4. Cyanosis of the hands and feet - 1. Dry, swollen, fissured lips
The nurse finds that an infant has stronger pulses in the upper extremities than in the lower extremities,
and higher blood pressure readings in the arms than in the legs. Which assessment will the nurse
perform next on this infant?
1. Pedal pulses
2. Pulse oximetry level
3. Hemoglobin and hematocrit values
4. Blood pressure of the four extremities - 4. Blood pressure of the four extremities
*Four quadrant BP- COA
The nurse is admitting an infant diagnosed with supraventricular tachycardia. Which intervention is the
priority for this infant?
1. Apply ice to the face.
2. Perform Valsalva's maneuver.
3. Administer a beta blocker.
4. Prepare for cardioversion. - 1. Apply ice to the face.
, Supraventricular tachycardia episodes are initially treated with vagal maneuvers to slow the heart rate
when the infant is stable. In stable infants, the application of ice or iced saline solution to the face can
reduce the heart rate. The infant is not capable of performing Valsalva's maneuver. Calcium channel
blockers, not beta blockers, are the drugs of choice. Cardioversion is used in an urgent situation, but is
not typically the initial treatment.
The nurse is preparing to discharge an infant with a congenital heart defect. The infant will be cared for
at home by the parents until surgery. Which items will the nurse include in the discharge teaching for
this infant and family? Select all that apply.
1. Allow the infant to feed for 60 minutes.
2. Hold the infant at a 45-degree angle.
3. Encourage frequent hand hygiene.
4. Notify the health care provider for fever.
5. Pump the breasts and feed with a bottle if weight gain is an issue. - 2. Hold the infant at a 45-degree
angle (decrease tachypnea)
3. Encourage frequent hand hygiene (prevent infections)
4. Notify the health care provider for fever (infection)
5. Pump the breasts and feed with a bottle if weight gain is an issue (easier to eat from bottle- limit
feedings to 30 min)
The family has just been informed by the healthcare provider that their newborn is diagnosed with a
congenital heart defect, Tetralogy of Fallot (TOF). The family tells the nurse that the healthcare provider
told them that TOF is comprised of several defects, and they ask the nurse what the defects are. What
will the nurse tell the family? Select all that apply.
1. Pulmonary stenosis
2. Coarctation of the aorta
3. Right ventricular hypertrophy
4. Ventral septal defect
5. Overriding aorta - Answer: 1, 3, 4, 5
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