NSG Peds cardiac Questions and
Answers.
The nurse auscultates the client's lungs and hears a loud holosystolic murmur at base of the left
sternal border. The nurse recognizes this murmur is associated with which congenital heart
defect? - Answer Ventricular Septal Defect (VSD)
In addition to treating the hypoxia, what additional benefit is there to the administration of
oxygen to this client?
A. Increased inotropic effect on heart muscle.
B. Decreased pulmonary vascular resistance.
C. Decreases tachycardia
D. Decreases cardiac afterload - Answer Decreased pulmonary vascular resistance
**Oxygen is a vasodilator
The nurse observes bleeding at the catheter insertion site. It is essential for the nurse to take
which action?
A. Reinforce the pressure dressing.
B. Elevate the leg 45 degrees.
C. Apply continuous pressure an inch above the percutaneous skin site.
D. Apply pressure at the puncture site. - Answer C. Apply continuous pressure an inch above
the percutaneous skin site.
When assessing the client, which subjective and objective data supports addressing the
problem of cardiac output? (Select all that apply.)
A. Bradycardia.
B. Pale, cool extremities.
C. Distended neck veins.
D. Increased heart size on x-ray.
E. Hypotension. - Answer B. Pale, cool extremities.
**Decreased cardiac output results in poor circulation to the extremities.
D. Increased heart size on x-ray.
**Chest x-rays reveal cardiomegaly which is caused by fluid overload on the right heart.
E. Hypotension.
Answers.
The nurse auscultates the client's lungs and hears a loud holosystolic murmur at base of the left
sternal border. The nurse recognizes this murmur is associated with which congenital heart
defect? - Answer Ventricular Septal Defect (VSD)
In addition to treating the hypoxia, what additional benefit is there to the administration of
oxygen to this client?
A. Increased inotropic effect on heart muscle.
B. Decreased pulmonary vascular resistance.
C. Decreases tachycardia
D. Decreases cardiac afterload - Answer Decreased pulmonary vascular resistance
**Oxygen is a vasodilator
The nurse observes bleeding at the catheter insertion site. It is essential for the nurse to take
which action?
A. Reinforce the pressure dressing.
B. Elevate the leg 45 degrees.
C. Apply continuous pressure an inch above the percutaneous skin site.
D. Apply pressure at the puncture site. - Answer C. Apply continuous pressure an inch above
the percutaneous skin site.
When assessing the client, which subjective and objective data supports addressing the
problem of cardiac output? (Select all that apply.)
A. Bradycardia.
B. Pale, cool extremities.
C. Distended neck veins.
D. Increased heart size on x-ray.
E. Hypotension. - Answer B. Pale, cool extremities.
**Decreased cardiac output results in poor circulation to the extremities.
D. Increased heart size on x-ray.
**Chest x-rays reveal cardiomegaly which is caused by fluid overload on the right heart.
E. Hypotension.
