50 Questions and Verified Correct Answers Already
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A 2 year old child is in congestive heart failure with a congenital heart defect. Which assessment
findings indicate a toxic Digoxin level? - CORRECT ANSWER: Bradycardia, nausea, and
vomiting
A 3 month old has Digoxin scheduled at 2000. The nurse assesses the infant and notes an apical
HR of 112, RR 42, BP 96/60. What should the nurse do next? - CORRECT ANSWER: Double
check the digoxin dose with another nurse
A 3 year old is being discharged with heart failure, and the parents want to know how much
physical activity they should allow. What is the nurse's best response? - CORRECT ANSWER:
Allow him to regulate his activity.
A 7 year old comes into the clinic with a sore throat, difficulty swallowing, and nausea. The
nurse suspects? - CORRECT ANSWER: Pharyngitis
A baby presents with a severe, paroxysmal cough, inspiratory whoop, and conjunctival
hemorhage. The nurse knows this could have been prevented by? - CORRECT ANSWER:
DTaP/Tdap Vaccine
A child is brought in with frequent respiratory infections, a nonproductive cough, and
steatorrhea. The nurse suspects which test to be ordered? - CORRECT ANSWER: Sweat
Chloride
A child is brought in with left sided heart failure. Which symptom would the nurse question? -
CORRECT ANSWER: Hepatomegaly
A child is newly diagnosed with asthma.
, Which statement by the child indicates a need for further teaching? - CORRECT ANSWER:
Running Cross Country will strengthen my lungs so l don't need as many medicines.
A child presents with a barking cough, low grade fever, and inspiratory stridor. The nurse
suspects? - CORRECT ANSWER: Laryngotracheobronchitis
A child presents with rapid onset respiratory distress, drooling, inspiratory stridor, and agitation.
Which nursing action is most appropriate? - CORRECT ANSWER: Allow the child to sit up in
whatever position is most comfortable.
A child presents with upper respiratory symptoms and tests positive for Rhinovirus. The nurse
explains treatment will incluse: - CORRECT ANSWER: Managing symptoms with suctioning
and humidification
A child with Kawasaki's is admitted to the unit.The nurse should prepare to: - CORRECT
ANSWER: Give high-dose aspirin as ordered
A new baby is diagnosed with an atrial septal defect. The nurse knows this means blood is
shunting from the: - CORRECT ANSWER: left atrium to right atrium
A new nurse is educating parents about their child's tetralogy of fallot before discharge. Which
education would the nurse preceptor question? - CORRECT ANSWER: How to count a radial
pulse for 60 seconds before Digoxin administration
A newborn is coughing and choking each time they are fed. What should the nurse do first? -
CORRECT ANSWER: Make baby NPO
A patient is brought in with joint pain,
subcutaneous nodules, a rash across their
trunk, and a fever. What does the nurse
expect to hear in the patient's history? - CORRECT ANSWER: Recent sore throat