NUR 210 EXAM 5 - ADVANCED
PEDIATRIC AND CRITICAL CARE
NURSING QUESTIONS & ANSWERS
(CHAMBERLAIN) 100% GUARANTEE
PASS
1. A 4-month-old infant with Tetralogy of Fallot becomes acutely cyanotic and agitated during
a blood draw. Which nursing intervention should be prioritized first?
A. Place the infant in a knee-chest position.
B. Administer 100% oxygen via face mask.
C. Administer intravenous morphine sulfate.
D. Prepare for immediate endotracheal intubation.
Answer: A
Conceptual Explanation: The knee-chest position increases systemic vascular resistance,
which reduces the right-to-left shunt and improves pulmonary blood flow during a
hypercyanotic (Tet) spell.
2. A child is diagnosed with Kawasaki Disease and is receiving high-dose Aspirin. The nurse
should instruct the parents to stop the aspirin and notify the provider if which of the
following occurs?
A. The child develops a strawberry tongue.
,B. The child exhibits skin peeling on the fingertips.
C. The child is exposed to influenza or chickenpox.
D. The child’s fever returns to normal.
Answer: C
Conceptual Explanation: Aspirin therapy in children involves a risk of Reye Syndrome if
the child is exposed to viral illnesses like influenza or varicella.
3. When assessing a child with Coarctation of the Aorta, the nurse should expect which
finding?
A. Bounding pulses in the lower extremities.
B. Severe cyanosis immediately after birth.
C. A continuous machinery-like murmur.
D. Higher blood pressure in the arms than in the legs.
Answer: D
Conceptual Explanation: Coarctation of the aorta causes narrowing in the descending
aorta, leading to high blood pressure in the upper extremities and low blood
pressure/weak pulses in the lower extremities.
4. A nurse is caring for an infant with a large Ventricular Septal Defect (VSD). Which clinical
manifestation would most likely indicate the development of heart failure?
A. Increased urine output.
, B. Bradycardia at rest.
C. Hyperactivity and inability to sleep.
D. Tachycardia and diaphoresis during feeding.
Answer: D
Conceptual Explanation: In infants, heart failure often presents as sympathetic
compensation with tachycardia and diaphoresis, particularly during the ‘exercise’ of
feeding.
5. Which lab value is the most specific indicator of Rheumatic Fever in a child following a sore
throat?
A. Low White Blood Cell count.
B. Elevated Antistreptolysin O (ASO) titer.
C. Decreased C-reactive protein (CRP).
D. Negative throat culture.
Answer: B
Conceptual Explanation: The ASO titer measures antibodies against streptolysin O,
confirming a recent Group A Beta-hemolytic strep infection, which is a precursor to
Rheumatic Fever.
PEDIATRIC AND CRITICAL CARE
NURSING QUESTIONS & ANSWERS
(CHAMBERLAIN) 100% GUARANTEE
PASS
1. A 4-month-old infant with Tetralogy of Fallot becomes acutely cyanotic and agitated during
a blood draw. Which nursing intervention should be prioritized first?
A. Place the infant in a knee-chest position.
B. Administer 100% oxygen via face mask.
C. Administer intravenous morphine sulfate.
D. Prepare for immediate endotracheal intubation.
Answer: A
Conceptual Explanation: The knee-chest position increases systemic vascular resistance,
which reduces the right-to-left shunt and improves pulmonary blood flow during a
hypercyanotic (Tet) spell.
2. A child is diagnosed with Kawasaki Disease and is receiving high-dose Aspirin. The nurse
should instruct the parents to stop the aspirin and notify the provider if which of the
following occurs?
A. The child develops a strawberry tongue.
,B. The child exhibits skin peeling on the fingertips.
C. The child is exposed to influenza or chickenpox.
D. The child’s fever returns to normal.
Answer: C
Conceptual Explanation: Aspirin therapy in children involves a risk of Reye Syndrome if
the child is exposed to viral illnesses like influenza or varicella.
3. When assessing a child with Coarctation of the Aorta, the nurse should expect which
finding?
A. Bounding pulses in the lower extremities.
B. Severe cyanosis immediately after birth.
C. A continuous machinery-like murmur.
D. Higher blood pressure in the arms than in the legs.
Answer: D
Conceptual Explanation: Coarctation of the aorta causes narrowing in the descending
aorta, leading to high blood pressure in the upper extremities and low blood
pressure/weak pulses in the lower extremities.
4. A nurse is caring for an infant with a large Ventricular Septal Defect (VSD). Which clinical
manifestation would most likely indicate the development of heart failure?
A. Increased urine output.
, B. Bradycardia at rest.
C. Hyperactivity and inability to sleep.
D. Tachycardia and diaphoresis during feeding.
Answer: D
Conceptual Explanation: In infants, heart failure often presents as sympathetic
compensation with tachycardia and diaphoresis, particularly during the ‘exercise’ of
feeding.
5. Which lab value is the most specific indicator of Rheumatic Fever in a child following a sore
throat?
A. Low White Blood Cell count.
B. Elevated Antistreptolysin O (ASO) titer.
C. Decreased C-reactive protein (CRP).
D. Negative throat culture.
Answer: B
Conceptual Explanation: The ASO titer measures antibodies against streptolysin O,
confirming a recent Group A Beta-hemolytic strep infection, which is a precursor to
Rheumatic Fever.
