Prep U
Chapter 41
Question 1 See full question 36s
A nurse is caring for a child with Kawasaki disease. Which assessment finding would the nurse expect to see?
Correct response:
Peeling hands and feet and fever
A parent brings an infant in for poor feeding. Which assessment data would most likely indicate a coarctation of the aorta?
Correct response:
Pulses weaker in lower extremities compared to upper extremities
A nurse is reviewing blood work for a child with a cyanotic heart defect. What result would mostlikely be seen in a client
experiencing polycythemia?
Correct response:
Increased RBC
An infant with tetralogy of Fallot becomes cyanotic. Which nursing intervention would be the firstpriority?
Correct response:
Place the infant in the knee–chest position.
A nurse suspects a child is experiencing cardiac tamponade after heart surgery. What would be the priority nursing intervention?
Correct response:
Notify the doctor immediately.
A parent is asking for more information about their infant's patent ductus arteriosus (PDA). What would be included in the
education?
Correct response:
This is caused by an opening that usually closes by 1 week of age.
A group of nurses is reviewing the cardiovascular system and its function. Which statement by one of the nurses demonstrates an
understanding of a child's cardiovascular system?
Correct response:
"At birth, the infant's right and left ventricle are about the same size."
The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with rheumatic fever. The nurses
in the group make the following statements. Which statement is most accurate regarding the diagnosis of rheumatic fever?
Correct response:
“Children who have this diagnosis may have had strep throat.”
At 3 years of age, a child has a cardiac catheterization. After the procedure, which interventions would be most important?
Correct response:
Taking pedal pulses for the first 4 hours
The nurse takes an infant's apical pulse before administering digoxin. What is the usually accepted level of pulse rate considered safe
for administering digoxin to an 8-month-old infant?
Correct response:
100 beats per minute
The nurse has administered oral penicillin as ordered for prophylaxis of endocarditis. The nurse instructs the parents to immediately
report which reaction?
Correct response:
Wheezing
The nurse is providing child and family education prior to discharge following a cardiac catheterization. The nurse is teaching about
signs and symptoms of complications. Which statement by the mother indicates a need for further teaching?
Correct response:
"The feeling of the heart skipping a beat is common."
,A child with heart disease is receiving digoxin and a diuretic. Which laboratory test result would be most important for the nurse to
monitor?
Correct response:
Serum potassium level
A nurse is teaching the parents of a child diagnosed with rheumatic fever about prescribed drug therapy. Which statement would
indicate to the nurse that additional teaching is needed?
Correct response:
"We can stop the penicillin when her symptoms disappear."
A 6-year-old girl is diagnosed with pulmonary stenosis. The mother asks the nurse what the likely treatment for this condition will
involve. What should the nurse tell the mother?
Correct response:
Insertion of a catheter with an uninflated balloon tip into the affected valve, followed by inflation of the balloon to break
up adhesions
The nurse is caring for an 8-month-old infant with a suspected congenital heart defect. The nurse examines the child and documents
which expected finding?
Correct response:
Softening of the nail beds
The nurse is caring for a newborn who is scheduled for cardiac surgery to correct a diagnosed defect. Which statements by the
mother demonstrate understanding of the situation? Select all that apply.
Correct response:
"I know my child uses up a lot of energy feeding but it doesn't seem to cause distress when I breast feed."
"I'm sure it is likely that my baby will be in intensive care after surgery. I believe I can pump so he can still receive my milk."
"I hope my baby doesn't have to have feeding through a feeding tube after surgery, but I know that is a possibility."
"I have read that human milk fortifier can be added to my breast milk for additional calorie needs if necessary."
The parents of a 5-year-old child with a cardiovascular disorder tell the nurse they don't understand why their child isn't gaining
weight, "We make sure our child has 3 very nutritious meals every day." How should the nurse respond?
Correct response:
"It's great you are providing nutritious meals, but smaller frequent meals will tire your child less and promote weight gain."
The nurse is caring for a 7-year-old who is being discharged following surgery with a Gore® Helex device to repair an atrial septal
defect. The parents of the child demonstrate understanding of the procedure with which statements? Select all that apply.
Correct response:
"We will be sure to not allow our child to ride a bicycle for at least 2 weeks."
"We will be sure to monitor our child for any signs of infection and notify the doctor if we notice any."
"We know how important our child's medications are so we will write out a schedule to be sure medications are taken as
prescribed."
Question 20 See full question 15s
The nurse is administering medications to the child with congestive heart failure. Large doses of what medication are used initially in
the treatment of CHF to attain a therapeutic level?
Correct response:
Digoxin
A parent asks if the reason her infant has a congenital heart defect is because of something she did while she was pregnant. What is
the best response by the nurse?
Correct response:
There are several reasons a baby can have a heart defect, let's talk about those causes.
When caring for a child with a congenital heart defect, which assessment finding may be a sign the child is experiencing heart
failure?
Correct response:
Tachycardia
A nurse is administering digoxin to a 3-year-old. What would be a reason to hold the dose of digoxin?
Correct response:
, Nausea and vomiting
A child is being placed on a cardiopulmonary bypass machine. The nurse understands the heart will pump again on its own when
what occurs?
Correct response:
The child starts getting warm again
Question 5 See full question 34s
When caring for a child that has just had a cardiac catheterization, what is a sign of hypotension?
Correct response:
Cold, clammy skin and increased heart rate
Question 6 See full question 25s
A school nurse finds a 10-year-old's blood pressure is over the 95th percentile. The nurse advises the parent to seek medical
attention for the child. What outcome would the nurse expect?
Correct response:
The child will need the blood pressure checked two more times.
Question 7 See full question 29s
The care provider has ordered the drug furosemide to treat a child diagnosed with congestive heart failure. The nurse knows that
this drug will be used to:
Correct response:
eliminate excess fluids.
Question 8 See full question 23s
The nurse would teach the mother of a boy with tetralogy of Fallot that if the child suddenly becomes cyanotic and dyspneic, the
mother should:
Correct response:
place him in a knee-chest position.
Question 9 See full question 40s
The nurse is caring for a 14-year-old girl with atrial fibrillation. Which medication would the nurse expect to be prescribed?
Correct response:
Digoxin
Question 10 See full question 11s
After assessing a child, the nurse suspects coarctation of the aorta based on a finding of:
Correct response:
femoral pulse weaker than brachial pulse.
Question 11 See full question 31s
After a cardiac catheterization, the nurse monitors the child's fluid balance closely based on the understanding that:
Correct response:
the contrast material used has a diuretic effect.
Question 12 See full question 37s
A healthcare provider and other health team members are discussing congenital heart disorders which increase pulmonary blood
flow. Which disorders are topics for this discussion? Select all that apply.
Correct response:
Ventricular septal defect
Patent ductus arteriosus
Atrioventricular canal defect
Question 13 See full question 30s
A 5-year-old is being prepared for diagnostic cardiac catheterization, in which the catheter will be inserted in the right femoral vein.
What intervention should the nurse take to prevent infection?
Correct response:
Avoid drawing a blood specimen from the right femoral vein before the procedure
Question 14 See full question 33s
A nurse is assessing the skin of a 12-year-old with suspected right ventricular heart failure. Where should the nurse expect to note
edema in this child?
Correct response:
Lower extremities
Question 15 See full question 25s
The young child had a chest tube placed during cardiac surgery. Which findings may indicate the development of cardiac
tamponade? Select all that apply.
Correct response:
The chest tube drainage had been averaging 15 to 25 mL out per hour and now there is no drainage from the chest tube.
Chapter 41
Question 1 See full question 36s
A nurse is caring for a child with Kawasaki disease. Which assessment finding would the nurse expect to see?
Correct response:
Peeling hands and feet and fever
A parent brings an infant in for poor feeding. Which assessment data would most likely indicate a coarctation of the aorta?
Correct response:
Pulses weaker in lower extremities compared to upper extremities
A nurse is reviewing blood work for a child with a cyanotic heart defect. What result would mostlikely be seen in a client
experiencing polycythemia?
Correct response:
Increased RBC
An infant with tetralogy of Fallot becomes cyanotic. Which nursing intervention would be the firstpriority?
Correct response:
Place the infant in the knee–chest position.
A nurse suspects a child is experiencing cardiac tamponade after heart surgery. What would be the priority nursing intervention?
Correct response:
Notify the doctor immediately.
A parent is asking for more information about their infant's patent ductus arteriosus (PDA). What would be included in the
education?
Correct response:
This is caused by an opening that usually closes by 1 week of age.
A group of nurses is reviewing the cardiovascular system and its function. Which statement by one of the nurses demonstrates an
understanding of a child's cardiovascular system?
Correct response:
"At birth, the infant's right and left ventricle are about the same size."
The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with rheumatic fever. The nurses
in the group make the following statements. Which statement is most accurate regarding the diagnosis of rheumatic fever?
Correct response:
“Children who have this diagnosis may have had strep throat.”
At 3 years of age, a child has a cardiac catheterization. After the procedure, which interventions would be most important?
Correct response:
Taking pedal pulses for the first 4 hours
The nurse takes an infant's apical pulse before administering digoxin. What is the usually accepted level of pulse rate considered safe
for administering digoxin to an 8-month-old infant?
Correct response:
100 beats per minute
The nurse has administered oral penicillin as ordered for prophylaxis of endocarditis. The nurse instructs the parents to immediately
report which reaction?
Correct response:
Wheezing
The nurse is providing child and family education prior to discharge following a cardiac catheterization. The nurse is teaching about
signs and symptoms of complications. Which statement by the mother indicates a need for further teaching?
Correct response:
"The feeling of the heart skipping a beat is common."
,A child with heart disease is receiving digoxin and a diuretic. Which laboratory test result would be most important for the nurse to
monitor?
Correct response:
Serum potassium level
A nurse is teaching the parents of a child diagnosed with rheumatic fever about prescribed drug therapy. Which statement would
indicate to the nurse that additional teaching is needed?
Correct response:
"We can stop the penicillin when her symptoms disappear."
A 6-year-old girl is diagnosed with pulmonary stenosis. The mother asks the nurse what the likely treatment for this condition will
involve. What should the nurse tell the mother?
Correct response:
Insertion of a catheter with an uninflated balloon tip into the affected valve, followed by inflation of the balloon to break
up adhesions
The nurse is caring for an 8-month-old infant with a suspected congenital heart defect. The nurse examines the child and documents
which expected finding?
Correct response:
Softening of the nail beds
The nurse is caring for a newborn who is scheduled for cardiac surgery to correct a diagnosed defect. Which statements by the
mother demonstrate understanding of the situation? Select all that apply.
Correct response:
"I know my child uses up a lot of energy feeding but it doesn't seem to cause distress when I breast feed."
"I'm sure it is likely that my baby will be in intensive care after surgery. I believe I can pump so he can still receive my milk."
"I hope my baby doesn't have to have feeding through a feeding tube after surgery, but I know that is a possibility."
"I have read that human milk fortifier can be added to my breast milk for additional calorie needs if necessary."
The parents of a 5-year-old child with a cardiovascular disorder tell the nurse they don't understand why their child isn't gaining
weight, "We make sure our child has 3 very nutritious meals every day." How should the nurse respond?
Correct response:
"It's great you are providing nutritious meals, but smaller frequent meals will tire your child less and promote weight gain."
The nurse is caring for a 7-year-old who is being discharged following surgery with a Gore® Helex device to repair an atrial septal
defect. The parents of the child demonstrate understanding of the procedure with which statements? Select all that apply.
Correct response:
"We will be sure to not allow our child to ride a bicycle for at least 2 weeks."
"We will be sure to monitor our child for any signs of infection and notify the doctor if we notice any."
"We know how important our child's medications are so we will write out a schedule to be sure medications are taken as
prescribed."
Question 20 See full question 15s
The nurse is administering medications to the child with congestive heart failure. Large doses of what medication are used initially in
the treatment of CHF to attain a therapeutic level?
Correct response:
Digoxin
A parent asks if the reason her infant has a congenital heart defect is because of something she did while she was pregnant. What is
the best response by the nurse?
Correct response:
There are several reasons a baby can have a heart defect, let's talk about those causes.
When caring for a child with a congenital heart defect, which assessment finding may be a sign the child is experiencing heart
failure?
Correct response:
Tachycardia
A nurse is administering digoxin to a 3-year-old. What would be a reason to hold the dose of digoxin?
Correct response:
, Nausea and vomiting
A child is being placed on a cardiopulmonary bypass machine. The nurse understands the heart will pump again on its own when
what occurs?
Correct response:
The child starts getting warm again
Question 5 See full question 34s
When caring for a child that has just had a cardiac catheterization, what is a sign of hypotension?
Correct response:
Cold, clammy skin and increased heart rate
Question 6 See full question 25s
A school nurse finds a 10-year-old's blood pressure is over the 95th percentile. The nurse advises the parent to seek medical
attention for the child. What outcome would the nurse expect?
Correct response:
The child will need the blood pressure checked two more times.
Question 7 See full question 29s
The care provider has ordered the drug furosemide to treat a child diagnosed with congestive heart failure. The nurse knows that
this drug will be used to:
Correct response:
eliminate excess fluids.
Question 8 See full question 23s
The nurse would teach the mother of a boy with tetralogy of Fallot that if the child suddenly becomes cyanotic and dyspneic, the
mother should:
Correct response:
place him in a knee-chest position.
Question 9 See full question 40s
The nurse is caring for a 14-year-old girl with atrial fibrillation. Which medication would the nurse expect to be prescribed?
Correct response:
Digoxin
Question 10 See full question 11s
After assessing a child, the nurse suspects coarctation of the aorta based on a finding of:
Correct response:
femoral pulse weaker than brachial pulse.
Question 11 See full question 31s
After a cardiac catheterization, the nurse monitors the child's fluid balance closely based on the understanding that:
Correct response:
the contrast material used has a diuretic effect.
Question 12 See full question 37s
A healthcare provider and other health team members are discussing congenital heart disorders which increase pulmonary blood
flow. Which disorders are topics for this discussion? Select all that apply.
Correct response:
Ventricular septal defect
Patent ductus arteriosus
Atrioventricular canal defect
Question 13 See full question 30s
A 5-year-old is being prepared for diagnostic cardiac catheterization, in which the catheter will be inserted in the right femoral vein.
What intervention should the nurse take to prevent infection?
Correct response:
Avoid drawing a blood specimen from the right femoral vein before the procedure
Question 14 See full question 33s
A nurse is assessing the skin of a 12-year-old with suspected right ventricular heart failure. Where should the nurse expect to note
edema in this child?
Correct response:
Lower extremities
Question 15 See full question 25s
The young child had a chest tube placed during cardiac surgery. Which findings may indicate the development of cardiac
tamponade? Select all that apply.
Correct response:
The chest tube drainage had been averaging 15 to 25 mL out per hour and now there is no drainage from the chest tube.
