Nurs 5338 Pediatric Cardiology Study
Guide Exam Questions and Actual
Answers 2025-2026 Edition.
What part of the SOAP note helps providers understand the patient better in a longitudinal
way? - Answer Family history:
ask questions concerning each individual family member to determine hereditary conditions
Describe innocent murmurs - Answer - common during infancy and childhood
- disappear in adulthood
- harmless sounds of blood circulating through the heart
What is another name for innocent murmurs? - Answer - functional
- physiologic
Describe a benign murmur - Answer - can occur in a normal heart
- often called " benign flow murmur"
- happens when blood flows faster through the heart such as "feeling anxious" or after exercise,
fever, anemia
Describe a flow murmur - Answer - Type of innocent murmur
- common in newborns and children
What can cause a flow murmur to occur? - Answer Caused by rapid blood flow:
- physical activity
- pregnancy
- fever
- not having enough healthy red blood cells to carry adequate oxygen to body tissues
- too much thyroid hormone (hyperthyroidism)
- phases of rapid growth, adolescence
, Describe coarctation of the aorta - Answer - birth defect
- aorta is narrowed, hard for the blood to pass
- cause is unknown
- high blood pressure before point of coarctation; low blood pressure beyond point of
coarctation
What is the treatment for pediatric coarctation? - Answer - cardiac catheterization
- surgical repair
How does cardiac catherization treat coarctation of the aorta? - Answer a catheter is used to
reach into the heart and widen narrowed blood vessels by inflating a special balloon and placing
a stent to keep the vessel open
Describe tetralogy of fallot - Answer - a hole between lower heart chambers
- obstruction of blood flow from heart to lungs
- aorta lies over the hole in the lower chambers
- muscle surrounding the lower right chamber becomes overly thickened
How is Tetralogy of Fallot treated? - Answer - temporary fix is to place a shunt at the
pulmonary artery and at the other end that branches from the aorta
- complete repair by widening or replacing the pulmonary valve therefore improving blood flow
What are the 4 steps to a physical exam? - Answer Inspection
Palpation
Auscultation
Percuss
- when examining the abdomen Auscultate before palpation
The FNP will note these circulatory findings during inspection of the patient - Answer - General
inspection for cutaneous sign
Inspection of hands
- janeway lesion
Guide Exam Questions and Actual
Answers 2025-2026 Edition.
What part of the SOAP note helps providers understand the patient better in a longitudinal
way? - Answer Family history:
ask questions concerning each individual family member to determine hereditary conditions
Describe innocent murmurs - Answer - common during infancy and childhood
- disappear in adulthood
- harmless sounds of blood circulating through the heart
What is another name for innocent murmurs? - Answer - functional
- physiologic
Describe a benign murmur - Answer - can occur in a normal heart
- often called " benign flow murmur"
- happens when blood flows faster through the heart such as "feeling anxious" or after exercise,
fever, anemia
Describe a flow murmur - Answer - Type of innocent murmur
- common in newborns and children
What can cause a flow murmur to occur? - Answer Caused by rapid blood flow:
- physical activity
- pregnancy
- fever
- not having enough healthy red blood cells to carry adequate oxygen to body tissues
- too much thyroid hormone (hyperthyroidism)
- phases of rapid growth, adolescence
, Describe coarctation of the aorta - Answer - birth defect
- aorta is narrowed, hard for the blood to pass
- cause is unknown
- high blood pressure before point of coarctation; low blood pressure beyond point of
coarctation
What is the treatment for pediatric coarctation? - Answer - cardiac catheterization
- surgical repair
How does cardiac catherization treat coarctation of the aorta? - Answer a catheter is used to
reach into the heart and widen narrowed blood vessels by inflating a special balloon and placing
a stent to keep the vessel open
Describe tetralogy of fallot - Answer - a hole between lower heart chambers
- obstruction of blood flow from heart to lungs
- aorta lies over the hole in the lower chambers
- muscle surrounding the lower right chamber becomes overly thickened
How is Tetralogy of Fallot treated? - Answer - temporary fix is to place a shunt at the
pulmonary artery and at the other end that branches from the aorta
- complete repair by widening or replacing the pulmonary valve therefore improving blood flow
What are the 4 steps to a physical exam? - Answer Inspection
Palpation
Auscultation
Percuss
- when examining the abdomen Auscultate before palpation
The FNP will note these circulatory findings during inspection of the patient - Answer - General
inspection for cutaneous sign
Inspection of hands
- janeway lesion
