NUR 3490 EXAM 2 PRACTICE QUESTIONS | COMPREHENSIVE STUDY GUIDE,
NCLEX-STYLE QUESTIONS & ANSWERS 2026/2027
A nurse is taking the history of a 4-year-old child who will undergo a cardiac catheterization.
Which statement by the parent may necessitate rescheduling of the procedure?
"My child is allergic to iodine and shellfish."
"My child is very scared and nervous about the procedure."
"My child is not taking any medication."
"My child seems listless and slightly warm." - ANS ✔✔"My child seems listless and slightly
warm."
Fever and other signs and symptoms of infection may necessitate rescheduling the procedure.
Although information about allergies is important, not all contrast media contain iodine as a
base. The nurse should address the child's fears in a developmentally appropriate way, but fear
of the procedure does not warrant rescheduling. Not using any medication would not be a
reason for rescheduling the procedure.
The nurse in a pediatric cardiovascular clinic is talking with the parent of a 5-year-old child who
underwent cardiac surgery for a heart defect at the age of 3. The parent reports that the child
has been having increased shortness of breath, tires easily after playing, and has been gaining
weight. The nurse is aware that the child is most likely demonstrating symptoms of which
acquired cardiovascular disorder?
Cardiomyopathy
,Kawasaki Disease
Infective endocarditis
Heart failure - ANS ✔✔Heart failure
The nurse is taking a health history of a toddler with a suspected congenital heart defect. Which
response by the parent could indicate that the child is experiencing hypercyanotic spells?
"My child does not seem to have difficulty breathing."
"My child walks very quickly and never stops moving."
"My child takes one nap a day and is fairly active."
"My child likes to stop and squat wherever my child walks." - ANS ✔✔"My child likes to stop
and squat wherever my child walks."
The nurse is caring for a 10-year-old child following a cardiac catheterization. Four hours after
the procedure, the nurse notes some minor bleeding at the site. Which action would be most
appropriate?
Change the dressing.
Ensure that the child's leg is kept straight.
Apply pressure 1 in (2.5 cm) above the site.
, Contact the healthcare provider. - ANS ✔✔Apply pressure 1 in (2.5 cm) above the site.
If bleeding occurs after a cardiac catheterization, apply pressure 1 in (2.5 cm) above the site to
create pressure over the vessel, thereby reducing the blood flow to the area. The nurse should
first apply pressure and then notify the healthcare provider if this measure is ineffective or the
bleeding increases. The child should maintain the leg in a straight position for about 4 to 8
hours. However, this would not address the bleeding assessed at the site. Changing the dressing
would not be effective.
The nurse is reviewing the health history and physical examination of a child diagnosed with
heart failure. What would the nurse expect to find? (Select all that apply.)
Shortness of breath when playing
Hypertension
Crackles on lung auscultation
Bradycardia
Tiring easily when eating - ANS ✔✔Shortness of breath when playing
Crackles on lung auscultation
Tiring easily when eating
The nurse is providing child and family education prior to discharge following a cardiac
catheterization. The nurse is teaching about signs and symptoms of complications. Which
statement by the parent indicates a need for further teaching?
NCLEX-STYLE QUESTIONS & ANSWERS 2026/2027
A nurse is taking the history of a 4-year-old child who will undergo a cardiac catheterization.
Which statement by the parent may necessitate rescheduling of the procedure?
"My child is allergic to iodine and shellfish."
"My child is very scared and nervous about the procedure."
"My child is not taking any medication."
"My child seems listless and slightly warm." - ANS ✔✔"My child seems listless and slightly
warm."
Fever and other signs and symptoms of infection may necessitate rescheduling the procedure.
Although information about allergies is important, not all contrast media contain iodine as a
base. The nurse should address the child's fears in a developmentally appropriate way, but fear
of the procedure does not warrant rescheduling. Not using any medication would not be a
reason for rescheduling the procedure.
The nurse in a pediatric cardiovascular clinic is talking with the parent of a 5-year-old child who
underwent cardiac surgery for a heart defect at the age of 3. The parent reports that the child
has been having increased shortness of breath, tires easily after playing, and has been gaining
weight. The nurse is aware that the child is most likely demonstrating symptoms of which
acquired cardiovascular disorder?
Cardiomyopathy
,Kawasaki Disease
Infective endocarditis
Heart failure - ANS ✔✔Heart failure
The nurse is taking a health history of a toddler with a suspected congenital heart defect. Which
response by the parent could indicate that the child is experiencing hypercyanotic spells?
"My child does not seem to have difficulty breathing."
"My child walks very quickly and never stops moving."
"My child takes one nap a day and is fairly active."
"My child likes to stop and squat wherever my child walks." - ANS ✔✔"My child likes to stop
and squat wherever my child walks."
The nurse is caring for a 10-year-old child following a cardiac catheterization. Four hours after
the procedure, the nurse notes some minor bleeding at the site. Which action would be most
appropriate?
Change the dressing.
Ensure that the child's leg is kept straight.
Apply pressure 1 in (2.5 cm) above the site.
, Contact the healthcare provider. - ANS ✔✔Apply pressure 1 in (2.5 cm) above the site.
If bleeding occurs after a cardiac catheterization, apply pressure 1 in (2.5 cm) above the site to
create pressure over the vessel, thereby reducing the blood flow to the area. The nurse should
first apply pressure and then notify the healthcare provider if this measure is ineffective or the
bleeding increases. The child should maintain the leg in a straight position for about 4 to 8
hours. However, this would not address the bleeding assessed at the site. Changing the dressing
would not be effective.
The nurse is reviewing the health history and physical examination of a child diagnosed with
heart failure. What would the nurse expect to find? (Select all that apply.)
Shortness of breath when playing
Hypertension
Crackles on lung auscultation
Bradycardia
Tiring easily when eating - ANS ✔✔Shortness of breath when playing
Crackles on lung auscultation
Tiring easily when eating
The nurse is providing child and family education prior to discharge following a cardiac
catheterization. The nurse is teaching about signs and symptoms of complications. Which
statement by the parent indicates a need for further teaching?
