NUR 3490 Exam 2 Practice Questions Molloy College | UPDATED
Questions with 100% Verified Answers
Question:
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."
Answer:
"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.
Question:
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
Answer:
Heart failure
,Question:
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."
Answer:
"My child likes to stop and squat wherever my child walks."
Question:
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.
Answer:
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.
Question:
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
Answer:
Shortness of breath when playing Crackles on lung
auscultation Tiring easily when eating
Question:
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?
"Strenuous activity should be limited for the next 3 days."
"We need to watch for changes in skin color or difficulty
breathing." "The feeling of the heart skipping a beat is
common." "We need to avoid a tub bath for the next 3 days."
Answer:
"The feeling of the heart skipping a beat is common." Reports
of heart "fluttering" or "skipping a beat" should be reported to
the healthcare provider as this can be a sign of a complication.
This statement is appropriate because tub baths should be
avoided for about 3 days. This statement is appropriate
because strenuous activity is limited for about 3 days.
Changes in skin color or difficulty breathing indicate potential
complications that need to be reported.
Question:
The nurse is implementing the plan of care for a child with
acute rheumatic fever. What treatments would the nurse
expect to administer if ordered? (Select all that apply.)
Digoxin Corticosteroids Nonsteroidal anti-inflammatory
drugs Penicillin Intravenous immunoglobulin
Questions with 100% Verified Answers
Question:
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."
Answer:
"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.
Question:
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
Answer:
Heart failure
,Question:
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."
Answer:
"My child likes to stop and squat wherever my child walks."
Question:
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.
Answer:
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.
Question:
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
Answer:
Shortness of breath when playing Crackles on lung
auscultation Tiring easily when eating
Question:
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?
"Strenuous activity should be limited for the next 3 days."
"We need to watch for changes in skin color or difficulty
breathing." "The feeling of the heart skipping a beat is
common." "We need to avoid a tub bath for the next 3 days."
Answer:
"The feeling of the heart skipping a beat is common." Reports
of heart "fluttering" or "skipping a beat" should be reported to
the healthcare provider as this can be a sign of a complication.
This statement is appropriate because tub baths should be
avoided for about 3 days. This statement is appropriate
because strenuous activity is limited for about 3 days.
Changes in skin color or difficulty breathing indicate potential
complications that need to be reported.
Question:
The nurse is implementing the plan of care for a child with
acute rheumatic fever. What treatments would the nurse
expect to administer if ordered? (Select all that apply.)
Digoxin Corticosteroids Nonsteroidal anti-inflammatory
drugs Penicillin Intravenous immunoglobulin
