Exam (elaborations)

NURS 232 PEDS EXAM 4 LATEST ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

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NURS 232 PEDS EXAM 4 LATEST ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES Which of the following are clinical manifestations of HF? (select all apply) a) hepatomegaly and ascites b) bradypnea and cyanotic c) nasal flaring and retractions d) restlessness and irritabi...

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TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

NURS 232 PEDS EXAM 4 LATEST 2024-2025 ACTUAL
EXAM 200 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES

Which of the following are clinical manifestations of HF? (select all apply)

a) hepatomegaly and ascites

b) bradypnea and cyanotic

c) nasal flaring and retractions

d) restlessness and irritability

e) fluid retention and edema - Answer✔️✔️-a) hepatomegaly and ascites

c) nasal flaring and retractions

d) restlessness and irritability

e) fluid retention and edema

*tachypnea, pallor, tachycardia, wheezing, crackles, grunting, ascites, weight gain from

fluid, or poor weight gain, poor feeding w diaphoresis, weak pulses, prolonged cap refill,

cool extremities, oliguria, restlessness, irritability

Surgical repair for patent ductus arteriosus (PDA) is done to prevent the complication of

a) pulmonary infection.

b) right-to-left shunt of blood.

c) decreased workload on left side of heart.

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

d) increased pulmonary vascular congestion. - Answer✔️✔️-d) increased pulmonary

vascular congestion

*A PDA allows blood to flow from the aorta (high pressure) to the pulmonary artery (low

pressure).

*A PDA involves a left-to-right shunt of blood, so if the PDA stays open it can increase

pulmonary vascular congestion

*pulmonary infection may occur, but it is not the priority complication

A cardiac assessment is required to determine if a child's physical symptoms are related

to possible heart disease. The nurse is proceeding to auscultation techniques. When

observing the nursing student, which action would indicate that additional training was

required?

a) Documentation of heart sounds in reference to anatomical location.

b) Determination that there is no evidence of carotid bruits.

c) Calculation of heart rate.

d) Ascertaining whether there is evidence of splenic enlargement. - Answer✔️✔️-d)

Ascertaining whether there is evidence of splenic enlargement.

*Evidence of splenic enlargement requires palpation

What should nurses stress when counseling parents regarding the home care of the

child with a cardiac defect before corrective surgery?

a) The importance of reducing caloric intake to decrease cardiac demands

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
b) The importance of relaxing discipline and limit setting to prevent crying

c) The need to be extremely concerned about cyanotic spells

d) The desirability of promoting normalcy within the limits of the child's condition -

Answer✔️✔️-d) The desirability of promoting normalcy within the limits of the child's

condition

*child needs to have social interactions, discipline, and appropriate limit setting. Parents

need to be encouraged to promote as normal a life as possible for their child.

*child needs increased caloric intake after cardiac surgery.

*cyanotic spells will occur in children with some defects, the parents need to be taught

how to assess for and manage them appropriately, thereby decreasing their anxiety and

concern.

A young child with tetralogy of Fallot (TOF) may assume a posturing position as a

compensatory mechanism. The position automatically assumed by the child is

a) the low Fowler position.

b) the prone position.

c) the supine position.

d) the squatting position. - Answer✔️✔️-d) the squatting position.

*squatting or knee-chest position increases the return of blood flow to the heart for

oxygenation in a child with a defect that consists of decreased pulmonary blood flow

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
What is an important nursing responsibility when a dysrhythmia is suspected?

a) Order an immediate electrocardiogram.

b) Count the radial pulse every 1 minute for five times.

c) Count the apical pulse for 1 full minute, and compare the rate with the radial pulse

rate.

d) Have someone else take the radial pulse simultaneously with the apical pulse. -

Answer✔️✔️-c) Count the apical pulse for 1 full min and compare the rate with the radial

pulse rate.

*If a dysrhythmia is occurring, the radial pulse rate may be lower than the apical pulse

rate.

What is considered a mixed cardiac defect?

a) Pulmonic stenosis (PS)

b) Atrial septal defect (ASD)

c) Patent ductus arteriosus (PDA)

d) Transposition of the great arteries (TGA) - Answer✔️✔️-d) Transposition of the great

arteries

*allows the mixing of both oxygenated and unoxygenated blood in the heart.

*PS is an obstructive defect

*ASD and PDA increased pulmonary blood flow

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