PN 112-4 UPDATED ACTUAL Questions and CORRECT Answers
Question: A 22-month old child squats intermittently when walking. She is irritable, cyanotic, and appears
listless. What is the most likely cardiac malformation the child has?
Correct Answer: TOF
Question: Oxygenated blood mixes in the fetal heart through a shunt between the pulmonary artery and the
aorta. What is the name of the shunt?
Correct Answer: Ductus arteriosus
Question: Which of these pregnant women is at higher risk of having a baby with a congenital heart defect?
Correct Answer: Lori, who is 25 and has diabetes; Yolanda, who is 28 and smokes cigarettes
Question: Which of these cardiac conditions found in children arises from malformation in the fetal
development of the heart?
Correct Answer: TGA
Question: A 7-year-old boy has returned from a cardiac catheterization. Which postoperative interventions
should the nurse plan to provide?
Correct Answer: Assess pulses for symmetry and strength. Ensure continuous cardiac monitoring and
pulse oximetry to monitor for dysrhythmias, bradycardia, hypotension, hypoxia, and hypoxemia. Maintain
the affected extremity in a flat position for 4 to 8 hours to prevent post-procedure bleeding. Assess I&O
closely for sufficient urinary output, dehydration, or hypovolemia. Assess for the pain level using a
developmentally appropriate tool for the age of the child.
Question: A term newborn is diagnosed with TGA. Which priority nursing intervention should be initiated
immediately?
Correct Answer: Establishing IV access and initiating a PGE1 drip
Question: When the nurse is looking at an ECG strip, the P wave indicates that which of the following
areas in the heart has fired an electrical impulse?
Correct Answer: SA node
Question: Pediatric heart failure is most common in infants with congenital heart disease but can present in
older children due to which conditions?
Correct Answer: Myocarditis
Question: Coarctation of the aorta causes the infant to struggle to feed due to shortness of breath. What
causes the infant's shortness of breath?
Correct Answer: The infant's tissues are not receiving adequate oxygen due to constricted blood flow.
Question: Sam, a licensed vocational nurse, sees that it is time for his 5-year-old patient's digoxin. How
should Sam prepare to administer this medication?
Correct Answer: Confirm that the dose on hand matches the ordered dose. Use two identifiers to confirm
that the correct patient is receiving the medication. Take the child's pulse for 1 full minute.
Question: What medications should the nurse plan to have on hand to respond to a blood transfusion
reaction?
Question: A 22-month old child squats intermittently when walking. She is irritable, cyanotic, and appears
listless. What is the most likely cardiac malformation the child has?
Correct Answer: TOF
Question: Oxygenated blood mixes in the fetal heart through a shunt between the pulmonary artery and the
aorta. What is the name of the shunt?
Correct Answer: Ductus arteriosus
Question: Which of these pregnant women is at higher risk of having a baby with a congenital heart defect?
Correct Answer: Lori, who is 25 and has diabetes; Yolanda, who is 28 and smokes cigarettes
Question: Which of these cardiac conditions found in children arises from malformation in the fetal
development of the heart?
Correct Answer: TGA
Question: A 7-year-old boy has returned from a cardiac catheterization. Which postoperative interventions
should the nurse plan to provide?
Correct Answer: Assess pulses for symmetry and strength. Ensure continuous cardiac monitoring and
pulse oximetry to monitor for dysrhythmias, bradycardia, hypotension, hypoxia, and hypoxemia. Maintain
the affected extremity in a flat position for 4 to 8 hours to prevent post-procedure bleeding. Assess I&O
closely for sufficient urinary output, dehydration, or hypovolemia. Assess for the pain level using a
developmentally appropriate tool for the age of the child.
Question: A term newborn is diagnosed with TGA. Which priority nursing intervention should be initiated
immediately?
Correct Answer: Establishing IV access and initiating a PGE1 drip
Question: When the nurse is looking at an ECG strip, the P wave indicates that which of the following
areas in the heart has fired an electrical impulse?
Correct Answer: SA node
Question: Pediatric heart failure is most common in infants with congenital heart disease but can present in
older children due to which conditions?
Correct Answer: Myocarditis
Question: Coarctation of the aorta causes the infant to struggle to feed due to shortness of breath. What
causes the infant's shortness of breath?
Correct Answer: The infant's tissues are not receiving adequate oxygen due to constricted blood flow.
Question: Sam, a licensed vocational nurse, sees that it is time for his 5-year-old patient's digoxin. How
should Sam prepare to administer this medication?
Correct Answer: Confirm that the dose on hand matches the ordered dose. Use two identifiers to confirm
that the correct patient is receiving the medication. Take the child's pulse for 1 full minute.
Question: What medications should the nurse plan to have on hand to respond to a blood transfusion
reaction?
