The nurse is performing the cardiac screening on a newborn before discharge. Which assessment
finding would be suggestive of a Coarctation of the Aorta? correct answers Higher BP in right
arm than right leg.
The nurse is getting VS on a 36 hour old infant and notes bounding peripheral pulses and a BP of
96/25. The nurse suspects? correct answers Patent Ductus arteriosis
Which is not a component of Tetralogy of Fallot? correct answers Hypertrophic Left Ventricle
Which infant should the nurse see first? correct answers 4 day old with ASD, held by parents, 02
sats 88%
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 answers Double check the
digoxin dose with another nurse
An infant is admitted with a known congenital heart defect. The infant has begun having
increased PVCs. At home, this baby takes labetalol, furosemide, iron, and a multivitamin. Which
order would the nurse expect to receive? correct answers Electrolyte lab levels
The nurse is educating parents about their baby's upcoming echocardiogram. Which statement by
the parents indicates a need for further teaching? correct answers My baby cannot have a bottle
for 4 hours before the test.
For which congenital heart defect would the nurse expect low oxygen saturations? correct
answers Transposition of the Great Vessels
, Which statement made by a 12 year old about their upcoming cardiac catheterization requires
follow-up teaching? correct answers I will need to stay home from school for at least 1 week
after the procedure.
A child with Kawasaki's is admitted to the unit.The nurse should prepare to: correct answers
Give high-dose aspirin as ordered
The student nurse is educating a family about a child's acute rheumatic fever. Which statement
would require intervention by the preceptor? correct answers Your child must remain on
complete bedrest until afebrile
Which side of the heart has the higher pressures normally? correct answers Left
The parents of a child with a cyanotic congenital heart defect ask the nurse why their child
always looks a little blue. The best answer is: correct answers It is due to unoxygenated blood
mixing with oxygenated blood before leaving the heart.
The nurse is preparing a dose of aspirin for a 4 year old with Kawasaki's disease. The parents are
concerned because they were told never to give their child aspirin. The best response from the
nurse would be: correct answers Typically aspirin is not given to children, but with Kawasaki's
disease, aspirin therapy is necessary.
The nurse is educating parents about Lasix (Furosemide). Which statement by the parents
indicates an understanding of the teaching? correct answers Lasix helps the heart by reducing the
amount of fluid going through it.
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 answers Allow him
to regulate his activity.
What is the nurse's highest priority immediately following a cardiac catheterization? correct
answers Compare bilateral pulses and capillary refill.