©BRIGHTSTARS EXAM SOLUTIONS
10/22/2024 19:29 PM
Congenital Heart Defect Practice Questions
(Test #4, Fall 2024) Exam Questions And
Answers 100% Pass
A nurse is caring for a child with congenital heart disease who is being treated with digoxin
(Lanoxin). Which is included in the family's discharge teaching?
1. Make sure the medication is taken with food.
2. Repeat the dose if the child vomits.
3. Take the child's pulse prior to administration.
4. Weigh the child daily. - answer✔3
1. Digoxin (Lanoxin) should not be taken with food. Administer the medication 1 hour before or
2 hours after a meal.
2. The dose should not be repeated if the child vomits.
3. The child's pulse should be monitored before each dose. The dose should be withheld
according to the health-care provider's parameters.
4. Checking weight is not related to the medication.
TEST-TAKING HINT: Know the principles of giving digoxin (Lanoxin). Knowing that the drug
is given to decrease the heart rate and increase cardiac output should be a key to the answer
involving checking pulse.
, ©BRIGHTSTARS EXAM SOLUTIONS
10/22/2024 19:29 PM
What can an electrocardiogram (ECG) detect? Select all that apply.
1. Ischemia.
2. Injury.
3. Cardiac output (CO).
4. Dysrhythmias.
5. Systemic vascular resistance (SVR).
6. Occlusion pressure.
7. Conduction delay. - answer✔1, 2, 4, 7.
1. An electrocardiogram can indicate ischemia of the heart muscle.
2. An electrocardiogram can indicate injury to the heart muscle.
3. An electrocardiogram does not indicate CO.
4. An electrocardiogram can show dysrhythmias. 5. An electrocardiogram does not show SVR.
6. An electrocardiogram does not show occlusion pressures.
7. An electrocardiogram does show conduction delays.
TEST-TAKING HINT: The electrocardiogram checks the electrical system of the heart, not the
mechanical system. CO is mechanical; occlusion pressure does not have to do with the
electrocardiogram; and SVR measures pressures in the peripheral system.
A newborn is diagnosed with a congenital heart defect (CHD). The test results reveal that the
lumen of the duct between the aorta and pulmonary artery remains open. This defect is known as
_____________________. - answer✔Patent ductus arteriosus (PDA).
, ©BRIGHTSTARS EXAM SOLUTIONS
10/22/2024 19:29 PM
TEST-TAKING HINT: This is a defect with increased pulmonary fl ow. It should close in the fi
rst few weeks of life.
Tetralogy of Fallot (TOF) involves which defects? Select all that apply.
1. Ventricular septal defect (VSD).
2. Right ventricular hypertrophy.
3. Left ventricular hypertrophy.
4. Pulmonic stenosis (PS).
5. Pulmonic atresia.
6. Overriding aorta.
7. Patent ductus arteriosus (PDA). - answer✔1,2,4,6
1. TOF is a congenital defect with a ventricular septal defect, right ventricular hypertrophy,
pulmonary valve stenosis, and overriding aorta.
2. TOF is a congenital defect with ventricular septal defect, right ventricular hypertrophy,
pulmonary valve stenosis, and overriding aorta.
3. TOF is a congenital defect with ventricular septal defect, right ventricular hypertrophy,
pulmonary valve stenosis, and overriding aorta.
4. TOF is a congenital defect with ventricular septal defect, right ventricular hypertrophy,
pulmonary valve stenosis, and overriding aorta.
5. TOF is a congenital defect with ventricular septal defect, right ventricular hypertrophy,
pulmonary valve stenosis, and overriding aorta
10/22/2024 19:29 PM
Congenital Heart Defect Practice Questions
(Test #4, Fall 2024) Exam Questions And
Answers 100% Pass
A nurse is caring for a child with congenital heart disease who is being treated with digoxin
(Lanoxin). Which is included in the family's discharge teaching?
1. Make sure the medication is taken with food.
2. Repeat the dose if the child vomits.
3. Take the child's pulse prior to administration.
4. Weigh the child daily. - answer✔3
1. Digoxin (Lanoxin) should not be taken with food. Administer the medication 1 hour before or
2 hours after a meal.
2. The dose should not be repeated if the child vomits.
3. The child's pulse should be monitored before each dose. The dose should be withheld
according to the health-care provider's parameters.
4. Checking weight is not related to the medication.
TEST-TAKING HINT: Know the principles of giving digoxin (Lanoxin). Knowing that the drug
is given to decrease the heart rate and increase cardiac output should be a key to the answer
involving checking pulse.
, ©BRIGHTSTARS EXAM SOLUTIONS
10/22/2024 19:29 PM
What can an electrocardiogram (ECG) detect? Select all that apply.
1. Ischemia.
2. Injury.
3. Cardiac output (CO).
4. Dysrhythmias.
5. Systemic vascular resistance (SVR).
6. Occlusion pressure.
7. Conduction delay. - answer✔1, 2, 4, 7.
1. An electrocardiogram can indicate ischemia of the heart muscle.
2. An electrocardiogram can indicate injury to the heart muscle.
3. An electrocardiogram does not indicate CO.
4. An electrocardiogram can show dysrhythmias. 5. An electrocardiogram does not show SVR.
6. An electrocardiogram does not show occlusion pressures.
7. An electrocardiogram does show conduction delays.
TEST-TAKING HINT: The electrocardiogram checks the electrical system of the heart, not the
mechanical system. CO is mechanical; occlusion pressure does not have to do with the
electrocardiogram; and SVR measures pressures in the peripheral system.
A newborn is diagnosed with a congenital heart defect (CHD). The test results reveal that the
lumen of the duct between the aorta and pulmonary artery remains open. This defect is known as
_____________________. - answer✔Patent ductus arteriosus (PDA).
, ©BRIGHTSTARS EXAM SOLUTIONS
10/22/2024 19:29 PM
TEST-TAKING HINT: This is a defect with increased pulmonary fl ow. It should close in the fi
rst few weeks of life.
Tetralogy of Fallot (TOF) involves which defects? Select all that apply.
1. Ventricular septal defect (VSD).
2. Right ventricular hypertrophy.
3. Left ventricular hypertrophy.
4. Pulmonic stenosis (PS).
5. Pulmonic atresia.
6. Overriding aorta.
7. Patent ductus arteriosus (PDA). - answer✔1,2,4,6
1. TOF is a congenital defect with a ventricular septal defect, right ventricular hypertrophy,
pulmonary valve stenosis, and overriding aorta.
2. TOF is a congenital defect with ventricular septal defect, right ventricular hypertrophy,
pulmonary valve stenosis, and overriding aorta.
3. TOF is a congenital defect with ventricular septal defect, right ventricular hypertrophy,
pulmonary valve stenosis, and overriding aorta.
4. TOF is a congenital defect with ventricular septal defect, right ventricular hypertrophy,
pulmonary valve stenosis, and overriding aorta.
5. TOF is a congenital defect with ventricular septal defect, right ventricular hypertrophy,
pulmonary valve stenosis, and overriding aorta
