EDAPT: Nursing Care - Pediatric
Circulatory System Alterations unit 3 |
Questions And Answers | Latest Exam
2026-2027 |
A caregiver brings their 4-year-old son in for a check-up. Which assessment finding
should the nurse be concerned about? -ANSWER Resting pulse rate of 130
The nurse is teaching the student nurse how to perform a physical assessment based
on the child's developmental stage. Which statement accurately describes a
recommended guideline for setting the tone of the examination for a school-age child? -
ANSWER Include the child in all parts of the examination; speak to the caregiver before
and after the examination.
The nursing professor is observing the student nurse measure the vital signs of several
children. Which actions by the student demonstrate knowledge of the procedure? Select
all that apply. -ANSWER The student auscultates a 7-year-old's apical pulse for 60
seconds.
The student assesses the child's femoral pulses bilaterally at the same time.
The student listens to the 12-month-old's heart for 10-20 seconds before beginning to
count the rate for a minute.
After birth, which structures in the newborn heart need to close to allow for normal blood
circulation and make the lungs become fully operational? Select all that apply. -ANSWER
Ductus arteriosus
Foramen ovale
The nurse is caring for a pediatric client with cardiac dysfunction. For each assessment
finding, drag to indicate whether the data is expected or unexpected. -ANSWER
*Expected:*
Tachycardia
Poor feeding
Tachypnea
Failure to thrive
Poor weight gain
Activity intolerance
Developmental delays
Prenatal risk factors
Family history of cardiac disease
, *Unexpected:*
Bradycardia
Hyperthermia
Bradypnea
Increased appetite
The nurse is performing an assessment on a sleeping newborn. Which of the following
should the nurse do first? -ANSWER Auscultate the heart, lungs, and abdomen.
During a routine annual visit of a 2-year-old client, what is the correct order the nurse
should perform the tasks in a health assessment? -ANSWER Introduce yourself, ask
about problems or concerns, take a history, and perform the exam.
The nurse is assessing a pediatric client's heart sounds for the characteristic S1 and S2.
If the nurse is having difficulty hearing the S2, the nurse should move the stethoscope
to which anatomic location? -ANSWER The second intercostal space
A nurse is teaching a new unlicensed assistive personnel (UAP) how to obtain vital
signs on an infant. Which statement by the UAP demonstrates to the nurse that no
further teaching is required? -ANSWER "Count respirations first, count apical heart rate
second, measure blood pressure third, and measure temperature last."
A nurse is assessing the apical pulse of a toddler. View the four labeled areas on the
image below. Which spot should the nurse auscultate the apical pulse? -ANSWER #2
A nurse is performing a physical assessment on a pediatric client. Which assessment
finding requires follow-up by the nurse? -ANSWER Unequal pulses in the upper and
lower extremities
A nurse is preparing to perform a physical assessment on a toddler. Which techniques
should the nurse include in the assessment? Select all that apply. -ANSWER Introduce
the stethoscope slowly to the toddler and allow the child to touch it before placing it
against the body.
Minimize physical contact when beginning the assessment.
Use play as a technique for inspection of the body.
Which comment made by the caregiver of a 1-month-old infant would alert the nurse
about the presence of a congenital heart defect? -ANSWER "She tires out during
feedings."
Using knowledge of child development, which approach is best when preparing a
toddler for a physical assessment? -ANSWER Demonstrate the procedure on a doll
Circulatory System Alterations unit 3 |
Questions And Answers | Latest Exam
2026-2027 |
A caregiver brings their 4-year-old son in for a check-up. Which assessment finding
should the nurse be concerned about? -ANSWER Resting pulse rate of 130
The nurse is teaching the student nurse how to perform a physical assessment based
on the child's developmental stage. Which statement accurately describes a
recommended guideline for setting the tone of the examination for a school-age child? -
ANSWER Include the child in all parts of the examination; speak to the caregiver before
and after the examination.
The nursing professor is observing the student nurse measure the vital signs of several
children. Which actions by the student demonstrate knowledge of the procedure? Select
all that apply. -ANSWER The student auscultates a 7-year-old's apical pulse for 60
seconds.
The student assesses the child's femoral pulses bilaterally at the same time.
The student listens to the 12-month-old's heart for 10-20 seconds before beginning to
count the rate for a minute.
After birth, which structures in the newborn heart need to close to allow for normal blood
circulation and make the lungs become fully operational? Select all that apply. -ANSWER
Ductus arteriosus
Foramen ovale
The nurse is caring for a pediatric client with cardiac dysfunction. For each assessment
finding, drag to indicate whether the data is expected or unexpected. -ANSWER
*Expected:*
Tachycardia
Poor feeding
Tachypnea
Failure to thrive
Poor weight gain
Activity intolerance
Developmental delays
Prenatal risk factors
Family history of cardiac disease
, *Unexpected:*
Bradycardia
Hyperthermia
Bradypnea
Increased appetite
The nurse is performing an assessment on a sleeping newborn. Which of the following
should the nurse do first? -ANSWER Auscultate the heart, lungs, and abdomen.
During a routine annual visit of a 2-year-old client, what is the correct order the nurse
should perform the tasks in a health assessment? -ANSWER Introduce yourself, ask
about problems or concerns, take a history, and perform the exam.
The nurse is assessing a pediatric client's heart sounds for the characteristic S1 and S2.
If the nurse is having difficulty hearing the S2, the nurse should move the stethoscope
to which anatomic location? -ANSWER The second intercostal space
A nurse is teaching a new unlicensed assistive personnel (UAP) how to obtain vital
signs on an infant. Which statement by the UAP demonstrates to the nurse that no
further teaching is required? -ANSWER "Count respirations first, count apical heart rate
second, measure blood pressure third, and measure temperature last."
A nurse is assessing the apical pulse of a toddler. View the four labeled areas on the
image below. Which spot should the nurse auscultate the apical pulse? -ANSWER #2
A nurse is performing a physical assessment on a pediatric client. Which assessment
finding requires follow-up by the nurse? -ANSWER Unequal pulses in the upper and
lower extremities
A nurse is preparing to perform a physical assessment on a toddler. Which techniques
should the nurse include in the assessment? Select all that apply. -ANSWER Introduce
the stethoscope slowly to the toddler and allow the child to touch it before placing it
against the body.
Minimize physical contact when beginning the assessment.
Use play as a technique for inspection of the body.
Which comment made by the caregiver of a 1-month-old infant would alert the nurse
about the presence of a congenital heart defect? -ANSWER "She tires out during
feedings."
Using knowledge of child development, which approach is best when preparing a
toddler for a physical assessment? -ANSWER Demonstrate the procedure on a doll
