Certified Pediatric Nurse Cardiovascular Review Exam
Questions with 100% satisfaction guarantee Answers
2026/2027
What is a non-typical sign that could be an indication of heart disease? - correct
answer Slowed growth
The components of the cardiovascular physical exam include: - correct answer Vital
signs
Inspection
Palpation
Auscultation
Auscultate the heart rate for how long? - correct answer One full minute
How to you obtain an accurate respiratory rate? - correct answer counting respirations
for a full minute by either visualization or auscultation is still the best method
How should blood pressure be taken when assessing a child for cardiovascular
disease? - correct answer In all four extremities using the proper size cuff
What does the inspection component of the cardiovascular physical assessment
include? - correct answer -Body Position
-Chest (Observe for symmetrical movement during breathing)
-Extremities (look for clubbing)
-Neck vessels (Observe for excessive bulging or pulsations)
-Respiratory effort
-Skin color
-Edema
, Squatting (or knees to the chest in the infant) is a compensatory mechanism seen in the
infant or child with what type of heart defect? - correct answer tetralogy of Fallot
-this position increases pulmonary blood flow during a Tet (hypoxic) spell
Clubbing on nail beds is a sign of what? - correct answer chronic hypoxia
What is the easiest pulse to palpate on children under 2? - correct answer Brachial
-Palpate medially in the upper arm, pressing against the humerus
What is the best pulse to palpate in children over 2? - correct answer Radial
What is considered a normal capillary refill time (CRT)? - correct answer 2 seconds
A "flash" or very rapid CRT (i.e., less than two seconds) is also an abnormal finding that
can indicate what? - correct answer Sepsis/septic shock
-this perfusion abnormality is due to inadequate venous return
What is PMI? - correct answer point of maximal impact
-the location on the anterior chest wall where the apex of the heart is felt most strongly
If the PMI is located in the wrong place, it may indicate conditions such as: - correct
answer enlarged heart
right ventricular hypertrophy
diaphragmatic hernia
mediastinal shift (caused by pneumothorax, foreign body aspiration, or lobar
emphysema)
dextrocardia
Questions with 100% satisfaction guarantee Answers
2026/2027
What is a non-typical sign that could be an indication of heart disease? - correct
answer Slowed growth
The components of the cardiovascular physical exam include: - correct answer Vital
signs
Inspection
Palpation
Auscultation
Auscultate the heart rate for how long? - correct answer One full minute
How to you obtain an accurate respiratory rate? - correct answer counting respirations
for a full minute by either visualization or auscultation is still the best method
How should blood pressure be taken when assessing a child for cardiovascular
disease? - correct answer In all four extremities using the proper size cuff
What does the inspection component of the cardiovascular physical assessment
include? - correct answer -Body Position
-Chest (Observe for symmetrical movement during breathing)
-Extremities (look for clubbing)
-Neck vessels (Observe for excessive bulging or pulsations)
-Respiratory effort
-Skin color
-Edema
, Squatting (or knees to the chest in the infant) is a compensatory mechanism seen in the
infant or child with what type of heart defect? - correct answer tetralogy of Fallot
-this position increases pulmonary blood flow during a Tet (hypoxic) spell
Clubbing on nail beds is a sign of what? - correct answer chronic hypoxia
What is the easiest pulse to palpate on children under 2? - correct answer Brachial
-Palpate medially in the upper arm, pressing against the humerus
What is the best pulse to palpate in children over 2? - correct answer Radial
What is considered a normal capillary refill time (CRT)? - correct answer 2 seconds
A "flash" or very rapid CRT (i.e., less than two seconds) is also an abnormal finding that
can indicate what? - correct answer Sepsis/septic shock
-this perfusion abnormality is due to inadequate venous return
What is PMI? - correct answer point of maximal impact
-the location on the anterior chest wall where the apex of the heart is felt most strongly
If the PMI is located in the wrong place, it may indicate conditions such as: - correct
answer enlarged heart
right ventricular hypertrophy
diaphragmatic hernia
mediastinal shift (caused by pneumothorax, foreign body aspiration, or lobar
emphysema)
dextrocardia
