NURS EXAM:Child With Cardiovascular Alteration TEST
BANK QUESTIONS WITH ANSWWERS 2023 A+ PASS
ASSUARED
MULTIPLE CHOICE
1. Which postoperative intervention should be questioned for a child
after a cardiac catheterization?
a. Continue intravenous (IV) fluids until the infant is tolerating oral fluid
b. Check the dressing for bleeding.
c. Assess peripheral circulation on the affected extremity.
d. Keep the affected leg flexed and elevated.
ANS: D
Feedback
IV fluid administration continues until the child is taking and retaining
A adequate amounts of oral fluids.
The insertion site dressing should be observed frequently for bleeding
B nurse should also look under the child to check for pooled blood.
Peripheral perfusion is monitored after catheterization. Distal pulses
C palpable, although they may be weaker than in the contralateral extr
The child should be positioned with the affected leg straight for 4 to
D after the procedure.
PTS: 1 DIF: Cognitive Level: Analysis REF: pp. 1212-1213
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic
Integrity
2. Which information should be included in the nurses discharge
instructions for a child who underwent a cardiac catheterization
earlier in the day?
a. Pressure dressing is changed daily for the first week.
b. The child may soak in the tub beginning tomorrow.
c. Contact sports can be resumed in 2 days.
, NURS EXAM:Child With Cardiovascular Alteration TEST
BANK QUESTIONS WITH ANSWWERS 2023 A+ PASS
ASSUARED
d. The child can return to school on the third day after the procedure.
ANS: D
Feedback
The day after the cardiac catheterization, the pressure dressing is re
and replaced with a Band-Aid. The catheter insertion site is assessed
healing. Any bleeding or sign of infection, such as drainage, must be
A to the cardiologist.
Bathing is limited to a shower, a sponge bath, or a brief tub bath (n
so
B for the first 1 to 3 days after the procedure.
Strenuous exercise such as contact sports, swimming, or climbing tre
C avoided for up to 1 week after the procedure.
The child can return to school on the third day after the procedure. It
is
D important to emphasize follow-up with the cardiologist.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1213
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic
Integrity
3. The nurse is admitting a child to the hospital for a cardiac workup.
What is the first step in a cardiac assessment?
a. Percussion
b. Palpation
c. Auscultation
d. History and inspection
ANS: D
Feedback
A Percussion of the chest is usually deferred.
Palpation can be threatening to the child because it requires a signifi
amount of physical contact. For this reason it is not the initial step in
B assessment.
Auscultation requires touching the child and is not the initial step in a
C assessment.
The assessment should begin with the least threatening interventions
, NURS EXAM:Child With Cardiovascular Alteration TEST
BANK QUESTIONS WITH ANSWWERS 2023 A+ PASS
ASSUARED
history and inspection. Assessment progression includes inspection,
D auscultation, and palpation because each step includes more touchin
PTS: 1 DIF: Cognitive Level: Application REF: p. 1210 | Table 46-2
, NURS EXAM:Child With Cardiovascular Alteration TEST
BANK QUESTIONS WITH ANSWWERS 2023 A+ PASS
ASSUARED
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and
Maintenance
4. In which situation is there a risk that a newborn infant will have a
congenital heart defect (CHD)?
a. Trisomy 21 detected on amniocentesis
b. Family history of myocardial infarction
c. Father has type 1 diabetes mellitus
d. Older sibling born with Turner syndrome
ANS: A
Feedback
The incidence of congenital heart disease is approximately 50% in ch
A with trisomy 21 (Down syndrome).
A family history of congenital heart disease, not acquired heart disea
B increases the risk of giving birth to a child with CHD.
Infants born to mothers who are insulin dependent have an increased
C CHD.
Infants identified as having certain genetic defects, such as Turner sy
D have a higher incidence of CHD. A family history is not a risk factor.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1201
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and
Maintenance
5. Before giving a dose of digoxin (Lanoxin), the nurse checked an
infants apical heart rate and it was 114 bpm. What should the nurse
do next?
a. Administer the dose as ordered.
b. Hold the medication until the next dose.
c. Wait and recheck the apical heart rate in 30 minutes.
d. Notify the physician about the infants heart rate.
ANS: A
Feedback
The infants heart rate is above the lower limit for which the medicati
A The dose can be given.
BANK QUESTIONS WITH ANSWWERS 2023 A+ PASS
ASSUARED
MULTIPLE CHOICE
1. Which postoperative intervention should be questioned for a child
after a cardiac catheterization?
a. Continue intravenous (IV) fluids until the infant is tolerating oral fluid
b. Check the dressing for bleeding.
c. Assess peripheral circulation on the affected extremity.
d. Keep the affected leg flexed and elevated.
ANS: D
Feedback
IV fluid administration continues until the child is taking and retaining
A adequate amounts of oral fluids.
The insertion site dressing should be observed frequently for bleeding
B nurse should also look under the child to check for pooled blood.
Peripheral perfusion is monitored after catheterization. Distal pulses
C palpable, although they may be weaker than in the contralateral extr
The child should be positioned with the affected leg straight for 4 to
D after the procedure.
PTS: 1 DIF: Cognitive Level: Analysis REF: pp. 1212-1213
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic
Integrity
2. Which information should be included in the nurses discharge
instructions for a child who underwent a cardiac catheterization
earlier in the day?
a. Pressure dressing is changed daily for the first week.
b. The child may soak in the tub beginning tomorrow.
c. Contact sports can be resumed in 2 days.
, NURS EXAM:Child With Cardiovascular Alteration TEST
BANK QUESTIONS WITH ANSWWERS 2023 A+ PASS
ASSUARED
d. The child can return to school on the third day after the procedure.
ANS: D
Feedback
The day after the cardiac catheterization, the pressure dressing is re
and replaced with a Band-Aid. The catheter insertion site is assessed
healing. Any bleeding or sign of infection, such as drainage, must be
A to the cardiologist.
Bathing is limited to a shower, a sponge bath, or a brief tub bath (n
so
B for the first 1 to 3 days after the procedure.
Strenuous exercise such as contact sports, swimming, or climbing tre
C avoided for up to 1 week after the procedure.
The child can return to school on the third day after the procedure. It
is
D important to emphasize follow-up with the cardiologist.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1213
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic
Integrity
3. The nurse is admitting a child to the hospital for a cardiac workup.
What is the first step in a cardiac assessment?
a. Percussion
b. Palpation
c. Auscultation
d. History and inspection
ANS: D
Feedback
A Percussion of the chest is usually deferred.
Palpation can be threatening to the child because it requires a signifi
amount of physical contact. For this reason it is not the initial step in
B assessment.
Auscultation requires touching the child and is not the initial step in a
C assessment.
The assessment should begin with the least threatening interventions
, NURS EXAM:Child With Cardiovascular Alteration TEST
BANK QUESTIONS WITH ANSWWERS 2023 A+ PASS
ASSUARED
history and inspection. Assessment progression includes inspection,
D auscultation, and palpation because each step includes more touchin
PTS: 1 DIF: Cognitive Level: Application REF: p. 1210 | Table 46-2
, NURS EXAM:Child With Cardiovascular Alteration TEST
BANK QUESTIONS WITH ANSWWERS 2023 A+ PASS
ASSUARED
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and
Maintenance
4. In which situation is there a risk that a newborn infant will have a
congenital heart defect (CHD)?
a. Trisomy 21 detected on amniocentesis
b. Family history of myocardial infarction
c. Father has type 1 diabetes mellitus
d. Older sibling born with Turner syndrome
ANS: A
Feedback
The incidence of congenital heart disease is approximately 50% in ch
A with trisomy 21 (Down syndrome).
A family history of congenital heart disease, not acquired heart disea
B increases the risk of giving birth to a child with CHD.
Infants born to mothers who are insulin dependent have an increased
C CHD.
Infants identified as having certain genetic defects, such as Turner sy
D have a higher incidence of CHD. A family history is not a risk factor.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1201
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and
Maintenance
5. Before giving a dose of digoxin (Lanoxin), the nurse checked an
infants apical heart rate and it was 114 bpm. What should the nurse
do next?
a. Administer the dose as ordered.
b. Hold the medication until the next dose.
c. Wait and recheck the apical heart rate in 30 minutes.
d. Notify the physician about the infants heart rate.
ANS: A
Feedback
The infants heart rate is above the lower limit for which the medicati
A The dose can be given.
