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PEDIATRICS EXAM QUESTIONS AND ANSWERS GRADED A++

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PEDIATRICS EXAM QUESTIONS AND ANSWERS GRADED A++ Terms in this set (18) A nurse is assessing an infant who has coarctation of the aorta. Which of the following findings should the nurse expect? (Select all that apply.) A. Weak femoral pulses B. Cool skin of lower extremities C. Severe cyanosis D. Clubbing of the fingers A. CORRECT: Narrowing of the lumen of the aorta results in obstruction of blood flow from the ventricle, resulting in weak or absent femoral pulses. B. CORRECT: Narrowing of the lumen of the aorta results in obstruction of blood flow from the ventricle, resulting in cool skin of the lower extremities. C. A client who has coarctation of the aorta exhibits adequate oxygenation of blood. Severe cyanosis is not present. D. Clubbing of the fingers is a manifestation of chronic hypoxemia and will not be observed in an infant who has coarctation of the aorta. E. CORRECT: Heart failure occurs when the heart is unable to meet the body's demands, and is a manifestation of coarctation of the aorta. A nurse is assessing an infant who has heart failure. Which of the following findings should the nurse expect? (Select all that apply.) A. Bradycardia B. Cool extremities C. Peripheral edema D. Increased urinary output E. Nasal flaring A. A client who has heart failure will exhibit tachycardia as the heart attempts to meet the body's demands. B. CORRECT: A client who has heart failure will exhibit cool extremities as the heart is unable to adequately circulate oxygenated blood. C. CORRECT: A client who has heart failure will exhibit peripheral edema as the heart is unable to adequately circulate blood through the body and back to the heart. D. With heart failure, the heart is unable to keep up with the body's demands. A decrease in urinary output is a manifestation of heart failure. E. CORRECT: A client who has heart failure will exhibit nasal flaring due to inadequate oxygenation of blood. A nurse is providing teaching to the mother of an infant who has a prescription for digoxin. Which of the following instructions should the nurse include? A. "Do not offer your baby fluids after giving the medication." B. "Digoxin increases your baby's heart rate." C. "Give the correct dose of medication at regularly scheduled times." D. "If your baby vomits a dose, you should repeat the dose to ensure that he gets the correct amount." A. Digoxin can be given without regard to food or fluids. B. Digoxin slows the heart rate by increasing contractility of the heart. C. CORRECT: The correct amount of digoxin should be administered at regularly scheduled times to maintain therapeutic blood levels. D. It is not recommended to repeat digoxin following an emesis because it is impossible to determine how much medication was lost. A nurse is caring for a 2-year-old child who has a heart defect and is scheduled for cardiac catheterization. Which of the following actions should the nurse take? A. Place on NPO status for 12 hr prior to the procedure. B. Check for iodine or shellfish allergies prior to the procedure. C. Elevate the affected extremity following the procedure. D. Limit fluid intake following the procedure A. The child should remain NPO 4 to 6 hr prior to the procedure. B. CORRECT: Iodine-based dyes can be used in this procedure, so the child is assessed for allergies to iodine or shellfish which could lead to anaphylaxis. C. The affected extremity should be maintained in a straight position following the procedure. D. Fluids should be encouraged after the procedure to maintain adequate urine output and promote excretion of the dye. A nurse is caring for a child who is suspected of having rheumatic fever. Which of the following findings should the nurse expect? (Select all that apply.) A. Erythema marginatum (rash) B. Continuous joint pain of the digits C. Tender, subcutaneous nodules D. Decreased erythrocyte sedimentation rate E. Elevated C-reactive protein A. CORRECT: Rheumatic fever is caused by Group A beta-hemolytic streptococcus. An erythema marginatum (rash) is a manifestation. B. A client who has rheumatic fever exhibits migratory joint pain of the large joints. C. A client who has rheumatic fever exhibits nontender subcutaneous nodules of bony prominences. D. Rheumatic fever is caused by Group A beta-hemolytic streptococcus, which results in an elevated erythrocyte sedimentation rate. E. CORRECT: Rheumatic fever is caused by Group A beta-hemolytic streptococcus. An increase in C-reactive protein is a manifestation. The nurse is evaluating a parent's understanding of treatment for torticollis. Which response best indicates that the parent understands the appropriate treatment? a. Encourages the infant to turn the head to the unaffected side b. States that prone positioning for sleep will be needed c. Places the infant on the affected side d. Stretches the infant's neck to the opposite side and holds it for 5 seconds a. Placing desirable objects on the child's unaffected side and positioning the infant so that he or she will have to turn the head to the unaffected side to view the parent or toys is one intervention that assists with the relief of torticollis.

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3/23/25, 8:23 Pediatrics Flashcards |
AM
PEDIATRICS EXAM QUESTIONS AND ANSWERS GRADED A++

Terms in this set (18)


A. CORRECT: Narrowing of the lumen of the aorta results in obstruction of blood
A nurse is assessing an infant who has flow from the ventricle, resulting in weak or absent femoral pulses.
coarctation of the aorta. Which of the B.CORRECT: Narrowing of the lumen of the aorta results in obstruction of blood
following findings should the nurse flow from the ventricle, resulting in cool skin of the lower extremities.
expect? (Select all that apply.) C. A client who has coarctation of the aorta exhibits adequate oxygenation of blood.
A. Weak femoral pulses Severe cyanosis is not present.
B.Cool skin of lower extremities D.Clubbing of the fingers is a manifestation of chronic hypoxemia and will not be
C. Severe cyanosis observed in an infant who has coarctation of the aorta.
D.Clubbing of the fingers E.CORRECT: Heart failure occurs when the heart is unable to meet the body's
demands, and is a manifestation of coarctation of the aorta.


A. A client who has heart failure will exhibit tachycardia as the heart attempts to
A nurse is assessing an infant who has
meet the body's demands.
heart failure. Which of the following
B.CORRECT: A client who has heart failure will exhibit cool extremities as the heart
findings
is unable to adequately circulate oxygenated blood.
should the nurse expect? (Select all that
C. CORRECT: A client who has heart failure will exhibit peripheral edema as the
apply.)
heart is unable to adequately circulate blood through the body and back to the
A. Bradycardia
heart.
B.Cool extremities
D.With heart failure, the heart is unable to keep up with the body's demands.
C. Peripheral edema
A decrease in urinary output is a manifestation of heart failure.
D.Increased urinary output
E.CORRECT: A client who has heart failure will exhibit nasal flaring due
E. Nasal flaring
to inadequate oxygenation of blood.




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5

, 3/23/25, 8:23 Pediatrics Flashcards |
AM
A nurse is providing teaching to the mother A. Digoxin can be given without regard to food or fluids.
of an infant who has a prescription for B.Digoxin slows the heart rate by increasing contractility of the heart.
digoxin. Which of the following instructions C. CORRECT: The correct amount of digoxin should be administered at regularly
should the nurse include? scheduled times to maintain therapeutic blood levels.
A. "Do not offer your baby fluids after D.It is not recommended to repeat digoxin following an emesis because it is
giving the medication." impossible to determine how much medication was lost.
B."Digoxin increases your baby's
heart rate."
C. "Give the correct dose of
medication at regularly scheduled
times."
D. "If your baby vomits a dose,
you should repeat the dose to ensure
that he gets the correct amount."
A nurse is caring for a 2-year-old child who A. The child should remain NPO 4 to 6 hr prior to the procedure.
has a heart defect and is scheduled for B.CORRECT: Iodine-based dyes can be used in this procedure, so the child is
cardiac catheterization. Which of the assessed for allergies to iodine or shellfish which could lead to
following actions should the nurse take? anaphylaxis.
A. Place on NPO status for 12 hr prior to C. The affected extremity should be maintained in a straight position following
the procedure. the procedure.
B.Check for iodine or shellfish allergies D.Fluids should be encouraged after the procedure to maintain adequate urine
prior to the procedure. output and promote excretion of the dye.
C. Elevate the affected extremity
following the procedure.
D.Limit fluid intake following the procedure

A nurse is caring for a child who is A. CORRECT: Rheumatic fever is caused by Group A beta-hemolytic streptococcus.
suspected of having rheumatic fever. An erythema marginatum (rash) is a manifestation.
Which of the following findings should B. A client who has rheumatic fever exhibits migratory joint pain of the large joints.
the nurse expect? (Select all that C. A client who has rheumatic fever exhibits nontender subcutaneous nodules
apply.) of bony prominences.
A. Erythema marginatum (rash) D.Rheumatic fever is caused by Group A beta-hemolytic streptococcus, which
B.Continuous joint pain of the digits results in an elevated erythrocyte sedimentation rate.
C. Tender, subcutaneous nodules E.CORRECT: Rheumatic fever is caused by Group A beta-hemolytic streptococcus.
D.Decreased erythrocyte sedimentation An increase in C-reactive protein is a manifestation.
rate
E. Elevated C-reactive protein
The nurse is evaluating a parent's a. Placing desirable objects on the child's unaffected side and positioning the infant
understanding of treatment for torticollis. so that he or she will have to turn the head to the unaffected side to view the
Which response best indicates that the parent or toys is one intervention that assists with the relief of torticollis.
parent understands the appropriate
treatment?
a.Encourages the infant to turn the head
to the unaffected side
b. States that prone positioning for sleep
will be needed
c. Places the infant on the affected side
d. Stretches the infant's neck to the
opposite side and holds it for 5 seconds




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