2024 HESI RN EXIT CASE STUDY: CONGENITAL
HEART DISEASE COMPLETE WITH NGN QUESTIONS
AND ANSWERS VERIFIED / A+ GRADE
Which clinical manifestations would the nurse expect to assess in an infant diagnosed with ventricular
septal defect (VSD)?
Tachypnea and grunting with intercostal and subcostal retractions.
The nurse understands that a child is experiencing heart failure when which symptoms are found?
-Cool extremities.
-Peripheral edema.
-Nasal Flaring.
Which statement by Joan supports Timmy's diagnosis of CHF?
"Timmy never seems to get full even when I breastfeed him for a long time."
What should the nurse include when teaching Timmy's parents about post-procedure care?
Explain that they will need to hold Timmy in the prone position after the procedure.
Which action should the nurse implement?
Notify the cardiologist and do not allow Thomas to sign the permit.
Which nursing intervention must be included in Timmy's plan of care related to this diagnosis?
Assess the infant's peripheral pulses and capillary refill time.
Which response is most important for the nurse to educate the parents about feeding?
"Your son will be able to suck more easily and will not be so tired from feeding."
Which member of the perinatal care team will best be able to assist the nurse?
Certified Lactation Consultant (CLC).
Which measurement will be most useful to evaluate Timmy's response to each feeding technique?
SaO2 changes during feeding.
Which intervention should the nurse implement prior to administering the first dose of digoxin
(Lanoxin) to Timmy?
Obtain Timmy's apical pulse to determine if it is within the guidelines of the written prescription.
Which information should the nurse include when discussing this routine laboratory test?
Instruct the parents to give a regular dose of medication at least 6 hours prior to the test.
The nurse further educates the parents about the digoxin medication and instructs how to administer
the medication. Which statement by the parents demonstrates an understanding of the instructions?
I will give my child the medication at the scheduled times.
HEART DISEASE COMPLETE WITH NGN QUESTIONS
AND ANSWERS VERIFIED / A+ GRADE
Which clinical manifestations would the nurse expect to assess in an infant diagnosed with ventricular
septal defect (VSD)?
Tachypnea and grunting with intercostal and subcostal retractions.
The nurse understands that a child is experiencing heart failure when which symptoms are found?
-Cool extremities.
-Peripheral edema.
-Nasal Flaring.
Which statement by Joan supports Timmy's diagnosis of CHF?
"Timmy never seems to get full even when I breastfeed him for a long time."
What should the nurse include when teaching Timmy's parents about post-procedure care?
Explain that they will need to hold Timmy in the prone position after the procedure.
Which action should the nurse implement?
Notify the cardiologist and do not allow Thomas to sign the permit.
Which nursing intervention must be included in Timmy's plan of care related to this diagnosis?
Assess the infant's peripheral pulses and capillary refill time.
Which response is most important for the nurse to educate the parents about feeding?
"Your son will be able to suck more easily and will not be so tired from feeding."
Which member of the perinatal care team will best be able to assist the nurse?
Certified Lactation Consultant (CLC).
Which measurement will be most useful to evaluate Timmy's response to each feeding technique?
SaO2 changes during feeding.
Which intervention should the nurse implement prior to administering the first dose of digoxin
(Lanoxin) to Timmy?
Obtain Timmy's apical pulse to determine if it is within the guidelines of the written prescription.
Which information should the nurse include when discussing this routine laboratory test?
Instruct the parents to give a regular dose of medication at least 6 hours prior to the test.
The nurse further educates the parents about the digoxin medication and instructs how to administer
the medication. Which statement by the parents demonstrates an understanding of the instructions?
I will give my child the medication at the scheduled times.
