NSG 222 - PEDS dvb practice questions from book |
Questions with 100% Verified Answers | Latest Update
2026/2027
Question: A newborn is diagnosed with patent ductus arteriosus. The
nurse anticipates that the healthcare provider will most likely
order which medication?
A) Alprostadil B) Heparin C) Indomethacin D) Spironolactone
Answer: Ans: C Feedback: Indomethacin is the drug typically ordered to close a patent ductus
arteriosus.
Alprostadil would be indicated to maintain the ductus arteriosus temporarily in infants
with ductal-dependent congenital heart defects.
Heparin would be used for prophylaxis and treatment of thromboembolic disorders,
especially after surgery.
Spironolactone would be used to manage edema due to heart failure and to treat
hypertension.
Question: The nurse is preparing a teaching plan for the parents of a
child who has been diagnosed with a congenital heart defect.
What would the nurse be least likely to include? A) Daily
weight assessment B) Maintenance of strict bed rest C)
Prevention of infection D) Signs of complications
Answer: Ans: B Feedback: A child with congenital heart disease should be allowed to engage in
activity as tolerated, with rest periods frequently throughout the day to prevent
overexertion.
Daily weights, infection prevention measures, and signs of complications are all
appropriate to include when teaching parents of a child with a congenital heart defect.
Question: After teaching a class about the hemodynamic characteristics
of congenital heart disease, the instructor determines that the
teaching has been successful when the class identifies which
defect as an example of a disorder involving increased
pulmonary blood flow?
A) Tetralogy of Fallot
B) Atrial septal defect
C) Hypoplastic left heart syndrome
D) Transposition of the great vessels
Answer: Ans: B Feedback: Atrial septal defect is an example of a disorder involving increased
pulmonary blood flow.
Tetralogy of Fallot is a defect involving decreased pulmonary blood flow.
Transposition of the great vessels and hypoplastic left heart syndrome are examples of
mixed disorders
, Question: A child with heart failure is receiving supplemental oxygen.
The nurse understands that in addition to improving oxygen
saturation, this intervention also has what effect?
A) Cause vasodilation
B) Increase pulmonary vascular resistance
C) Promote diuresis
D) Mobilize secretions
Answer: Ans: A Feedback: Oxygen improves oxygen saturation and also functions as a
vasodilator
and decreases pulmonary vascular resistance.
Diuretics promote diuresis.
Chest physiotherapy helps to mobilize secretions.
Question: The nurse is developing a plan of care for an infant with heart
failure who is receiving digoxin. The nurse would hold the
dose of digoxin and notify the healthcare provider if the
infant's apical pulse rate was:
A) 140 beats per minute
B) 120 beats per minute
C) 100 beats per minute
D) 80 beats per minute
Answer: Ans: D Feedback: In an infant, if the apical pulse rate is less than 90 beats per minute,
the
dose is held and the healthcare provider should be notified.
Question: .A nurse is working with an adolescent who is slightly
overweight and was recently diagnosed with hypertension.
They are discussing nutritional management. Which statement
by the adolescent demonstrates understanding of the
information?
A) "I have to make sure that I don't eat a lot of salty foods."
B) "I can eat any amount at a meal as long as I don't eat
between meals."
C) "I should eat plenty of fresh fruits and vegetables." D) "If I
skip breakfast, I can eat a much bigger lunch."
Answer: Ans: C Feedback: Nutritional management includes controlling portion sizes,
decreasing
the intake of sugary beverages and snacks, eating more fresh fruits and vegetables, and
eating a healthy breakfast.
Salt restriction and potassium or calcium supplements have not been shown to decrease
blood pressure in children.
Questions with 100% Verified Answers | Latest Update
2026/2027
Question: A newborn is diagnosed with patent ductus arteriosus. The
nurse anticipates that the healthcare provider will most likely
order which medication?
A) Alprostadil B) Heparin C) Indomethacin D) Spironolactone
Answer: Ans: C Feedback: Indomethacin is the drug typically ordered to close a patent ductus
arteriosus.
Alprostadil would be indicated to maintain the ductus arteriosus temporarily in infants
with ductal-dependent congenital heart defects.
Heparin would be used for prophylaxis and treatment of thromboembolic disorders,
especially after surgery.
Spironolactone would be used to manage edema due to heart failure and to treat
hypertension.
Question: The nurse is preparing a teaching plan for the parents of a
child who has been diagnosed with a congenital heart defect.
What would the nurse be least likely to include? A) Daily
weight assessment B) Maintenance of strict bed rest C)
Prevention of infection D) Signs of complications
Answer: Ans: B Feedback: A child with congenital heart disease should be allowed to engage in
activity as tolerated, with rest periods frequently throughout the day to prevent
overexertion.
Daily weights, infection prevention measures, and signs of complications are all
appropriate to include when teaching parents of a child with a congenital heart defect.
Question: After teaching a class about the hemodynamic characteristics
of congenital heart disease, the instructor determines that the
teaching has been successful when the class identifies which
defect as an example of a disorder involving increased
pulmonary blood flow?
A) Tetralogy of Fallot
B) Atrial septal defect
C) Hypoplastic left heart syndrome
D) Transposition of the great vessels
Answer: Ans: B Feedback: Atrial septal defect is an example of a disorder involving increased
pulmonary blood flow.
Tetralogy of Fallot is a defect involving decreased pulmonary blood flow.
Transposition of the great vessels and hypoplastic left heart syndrome are examples of
mixed disorders
, Question: A child with heart failure is receiving supplemental oxygen.
The nurse understands that in addition to improving oxygen
saturation, this intervention also has what effect?
A) Cause vasodilation
B) Increase pulmonary vascular resistance
C) Promote diuresis
D) Mobilize secretions
Answer: Ans: A Feedback: Oxygen improves oxygen saturation and also functions as a
vasodilator
and decreases pulmonary vascular resistance.
Diuretics promote diuresis.
Chest physiotherapy helps to mobilize secretions.
Question: The nurse is developing a plan of care for an infant with heart
failure who is receiving digoxin. The nurse would hold the
dose of digoxin and notify the healthcare provider if the
infant's apical pulse rate was:
A) 140 beats per minute
B) 120 beats per minute
C) 100 beats per minute
D) 80 beats per minute
Answer: Ans: D Feedback: In an infant, if the apical pulse rate is less than 90 beats per minute,
the
dose is held and the healthcare provider should be notified.
Question: .A nurse is working with an adolescent who is slightly
overweight and was recently diagnosed with hypertension.
They are discussing nutritional management. Which statement
by the adolescent demonstrates understanding of the
information?
A) "I have to make sure that I don't eat a lot of salty foods."
B) "I can eat any amount at a meal as long as I don't eat
between meals."
C) "I should eat plenty of fresh fruits and vegetables." D) "If I
skip breakfast, I can eat a much bigger lunch."
Answer: Ans: C Feedback: Nutritional management includes controlling portion sizes,
decreasing
the intake of sugary beverages and snacks, eating more fresh fruits and vegetables, and
eating a healthy breakfast.
Salt restriction and potassium or calcium supplements have not been shown to decrease
blood pressure in children.
