EXAM 1: PEDIATRIC CARDIAC REVIEW QUESTIONS AND
ANSWERS LATEST UPDATED 2025/2026 A COMPLETE EXAM
SOLUTION ALL ANSWERS 100% CORRECT VERIFIED BEST
GRADED A+ FOR SUCCESS
A child has an elevated antistreptolysin O (ASO) titer. Which combination of symptoms, in
conjunction with this finding, would confirm a diagnosis of rheumatic fever?
a. Subcutaneous nodules and fever
b. Painful, tender joints and carditis
c. Erythema marginatum and arthralgia
d. Chorea and elevated sedimentation rate - CORRECT ANSWERS B
The presence of two major Jones' criteria would indicate a high probability of rheumatic fever.
An infant with congestive heart failure is receiving digoxin (Lanoxin). The nurse recognizes a
sign of digoxin toxicity, which is:
a. restlessness.
b. decreased respiratory rate.
c. increased urinary output.
d. vomiting. - CORRECT ANSWERS D
Symptoms of digoxin toxicity include: nausea, vomiting, anorexia, irregularity in pulse rate and
rhythm, and a sudden change in pulse.
The nurse is aware that the infant born with hypoplastic left heart syndrome must acquire his
or her oxygenated blood through:
a. the patent ductus arteriosus.
b. a ventricular septal defect.
c. the closure of the foramen ovale.
,EXAM 1: PEDIATRIC CARDIAC REVIEW QUESTIONS AND
ANSWERS LATEST UPDATED 2025/2026 A COMPLETE EXAM
SOLUTION ALL ANSWERS 100% CORRECT VERIFIED BEST
GRADED A+ FOR SUCCESS
d. an atrial septal defect. - CORRECT ANSWERS D
Because the right side of the heart must take over pumping blood to both the lungs and
systemic circulation, the ductus arteriosus must remain open to shunt the oxygenated blood
from the lungs.
When the child with rheumatic fever begins involuntary, purposeless movements of her limbs,
the nurse recognizes that this is an indication of:
a. seizure activity.
b. hypoxia.
c. Sydenham's chorea.
d. decreasing level of consciousness. - CORRECT ANSWERS C
As the effects of rheumatic fever affect the central nervous system, the child may develop
Sydenham's chorea manifested by involuntary, purposeless movements of the limbs.
The nurse clarifies to the parents of a 4-year-old child recovering from rheumatic fever that the
child will need to receive monthly injections of penicillin G for a minimum of _____ year(s).
a. 1
b. 2
c. 5
d. 10 - CORRECT ANSWERS C
Children who recover from rheumatic fever should have a chemoprophylaxis protocol of
penicillin G injections (about 200,000 units per dose) for a minimum of 5 years or up to the age
of 18 to prevent further bouts of rheumatic fever.
,EXAM 1: PEDIATRIC CARDIAC REVIEW QUESTIONS AND
ANSWERS LATEST UPDATED 2025/2026 A COMPLETE EXAM
SOLUTION ALL ANSWERS 100% CORRECT VERIFIED BEST
GRADED A+ FOR SUCCESS
The nurse is aware that the characteristics of high-density lipoproteins (HDLs) are that they:
a. have high amounts of triglycerides.
b. have only small amounts of protein.
c. have little cholesterol.
d. aid in steroid production. - CORRECT ANSWERS C
HDLs have low amounts of triglycerides, large amounts of proteins, low amount of cholesterol,
and are excreted via the liver. They have no role in the production of steroids.
he school nurse recommends a heart healthy diet that limits fats to no more than ____% of the
total dietary intake.
a. 10
b. 15
c. 20
d. 30 - CORRECT ANSWERS D
How would the nurse caring for an infant with congestive heart failure (CHF) modify feeding
techniques to adapt for the child's weakness and fatigue? Select all that apply.
a. Feeding more frequently with smaller feedings
b. Using a soft nipple with enlarged holes
c. Holding and cuddling the child during feeding
d. Substituting glucose water for formulae. Offering high-caloric formula - CORRECT
ANSWERS ABCE
, EXAM 1: PEDIATRIC CARDIAC REVIEW QUESTIONS AND
ANSWERS LATEST UPDATED 2025/2026 A COMPLETE EXAM
SOLUTION ALL ANSWERS 100% CORRECT VERIFIED BEST
GRADED A+ FOR SUCCESS
Infants with CHF fatigue easily. Feeding can be given more frequently in smaller amounts
through a soft large-holed nipple. Formulas with a denser caloric content can be offered. The
child may be encouraged to nurse if he or she is held.
The nurse uses a diagram to illustrate what four structural heart anomalies that comprise
tetralogy of Fallot? Select the four that apply.
a. Hypertrophied right ventricle
b. Patent ductus arteriosus
c. Ventral septal defect
d. Narrowing of pulmonary artery
e. Dextroposition of aorta - CORRECT ANSWERS ABDE
The four anomalies that comprise tetralogy of Fallot are hypertrophied right ventricle, patent
ductus arteriosus, stenosis of pulmonary artery, and dextroposition of the aorta.
What assessment(s) in a child with tetralogy of Fallot would indicate the child is experiencing a
paroxysmal hypercyanotic episode? Select all that apply.
a. Spontaneous cyanosis
b. Dyspnea
c. Weakness
d. Dry cough
e. Syncope - CORRECT ANSWERS ABCE
Indicators of a paroxysmal hypercyanotic episode or a "tet" episode are spontaneous cyanosis,
dyspnea, weakness, and syncope.
ANSWERS LATEST UPDATED 2025/2026 A COMPLETE EXAM
SOLUTION ALL ANSWERS 100% CORRECT VERIFIED BEST
GRADED A+ FOR SUCCESS
A child has an elevated antistreptolysin O (ASO) titer. Which combination of symptoms, in
conjunction with this finding, would confirm a diagnosis of rheumatic fever?
a. Subcutaneous nodules and fever
b. Painful, tender joints and carditis
c. Erythema marginatum and arthralgia
d. Chorea and elevated sedimentation rate - CORRECT ANSWERS B
The presence of two major Jones' criteria would indicate a high probability of rheumatic fever.
An infant with congestive heart failure is receiving digoxin (Lanoxin). The nurse recognizes a
sign of digoxin toxicity, which is:
a. restlessness.
b. decreased respiratory rate.
c. increased urinary output.
d. vomiting. - CORRECT ANSWERS D
Symptoms of digoxin toxicity include: nausea, vomiting, anorexia, irregularity in pulse rate and
rhythm, and a sudden change in pulse.
The nurse is aware that the infant born with hypoplastic left heart syndrome must acquire his
or her oxygenated blood through:
a. the patent ductus arteriosus.
b. a ventricular septal defect.
c. the closure of the foramen ovale.
,EXAM 1: PEDIATRIC CARDIAC REVIEW QUESTIONS AND
ANSWERS LATEST UPDATED 2025/2026 A COMPLETE EXAM
SOLUTION ALL ANSWERS 100% CORRECT VERIFIED BEST
GRADED A+ FOR SUCCESS
d. an atrial septal defect. - CORRECT ANSWERS D
Because the right side of the heart must take over pumping blood to both the lungs and
systemic circulation, the ductus arteriosus must remain open to shunt the oxygenated blood
from the lungs.
When the child with rheumatic fever begins involuntary, purposeless movements of her limbs,
the nurse recognizes that this is an indication of:
a. seizure activity.
b. hypoxia.
c. Sydenham's chorea.
d. decreasing level of consciousness. - CORRECT ANSWERS C
As the effects of rheumatic fever affect the central nervous system, the child may develop
Sydenham's chorea manifested by involuntary, purposeless movements of the limbs.
The nurse clarifies to the parents of a 4-year-old child recovering from rheumatic fever that the
child will need to receive monthly injections of penicillin G for a minimum of _____ year(s).
a. 1
b. 2
c. 5
d. 10 - CORRECT ANSWERS C
Children who recover from rheumatic fever should have a chemoprophylaxis protocol of
penicillin G injections (about 200,000 units per dose) for a minimum of 5 years or up to the age
of 18 to prevent further bouts of rheumatic fever.
,EXAM 1: PEDIATRIC CARDIAC REVIEW QUESTIONS AND
ANSWERS LATEST UPDATED 2025/2026 A COMPLETE EXAM
SOLUTION ALL ANSWERS 100% CORRECT VERIFIED BEST
GRADED A+ FOR SUCCESS
The nurse is aware that the characteristics of high-density lipoproteins (HDLs) are that they:
a. have high amounts of triglycerides.
b. have only small amounts of protein.
c. have little cholesterol.
d. aid in steroid production. - CORRECT ANSWERS C
HDLs have low amounts of triglycerides, large amounts of proteins, low amount of cholesterol,
and are excreted via the liver. They have no role in the production of steroids.
he school nurse recommends a heart healthy diet that limits fats to no more than ____% of the
total dietary intake.
a. 10
b. 15
c. 20
d. 30 - CORRECT ANSWERS D
How would the nurse caring for an infant with congestive heart failure (CHF) modify feeding
techniques to adapt for the child's weakness and fatigue? Select all that apply.
a. Feeding more frequently with smaller feedings
b. Using a soft nipple with enlarged holes
c. Holding and cuddling the child during feeding
d. Substituting glucose water for formulae. Offering high-caloric formula - CORRECT
ANSWERS ABCE
, EXAM 1: PEDIATRIC CARDIAC REVIEW QUESTIONS AND
ANSWERS LATEST UPDATED 2025/2026 A COMPLETE EXAM
SOLUTION ALL ANSWERS 100% CORRECT VERIFIED BEST
GRADED A+ FOR SUCCESS
Infants with CHF fatigue easily. Feeding can be given more frequently in smaller amounts
through a soft large-holed nipple. Formulas with a denser caloric content can be offered. The
child may be encouraged to nurse if he or she is held.
The nurse uses a diagram to illustrate what four structural heart anomalies that comprise
tetralogy of Fallot? Select the four that apply.
a. Hypertrophied right ventricle
b. Patent ductus arteriosus
c. Ventral septal defect
d. Narrowing of pulmonary artery
e. Dextroposition of aorta - CORRECT ANSWERS ABDE
The four anomalies that comprise tetralogy of Fallot are hypertrophied right ventricle, patent
ductus arteriosus, stenosis of pulmonary artery, and dextroposition of the aorta.
What assessment(s) in a child with tetralogy of Fallot would indicate the child is experiencing a
paroxysmal hypercyanotic episode? Select all that apply.
a. Spontaneous cyanosis
b. Dyspnea
c. Weakness
d. Dry cough
e. Syncope - CORRECT ANSWERS ABCE
Indicators of a paroxysmal hypercyanotic episode or a "tet" episode are spontaneous cyanosis,
dyspnea, weakness, and syncope.
