NSG 3600 Exam 2 Review Questions and Answers

NSG 3600 Exam 2 Review Questions and Answers The nurse is performing the cardiac screening on a newborn before discharge. Which assessment finding would be suggestive of a Coarctation of the Aorta? Higher BP in right arm than right leg. The nurse is getting VS on a 36 hour old infant and notes bounding peripheral pulses and a BP of 96/25. The nurse suspects? Patent Ductus arteriosis Which is not a component of Tetralogy of Fallot? Hypertrophic Left Ventricle Which infant should the nurse see first? 4 day old with ASD, held by parents, 02 sats 88% A 3 month old has Digoxin scheduled at 2000. The nurse assesses the infant and notes an apical HR of 112, RR 42, BP 96/60. What should the nurse do next? Double check the digoxin dose with another nurse An infant is admitted with a known congenital heart defect. The infant has begun having increased PVCs. At home, this baby takes labetalol, furosemide, iron, and a multivitamin. Which order would the nurse expect to receive? Electrolyte lab levels The nurse is educating parents about their baby's upcoming echocardiogram. Which statement by the parents indicates a need for further teaching? My baby cannot have a bottle for 4 hours before the test. For which congenital heart defect would the nurse expect low oxygen saturations? Transposition of the Great Vessels Which statement made by a 12 year old about their upcoming cardiac catheterization requires follow-up teaching? I will need to stay home from school for at least 1 week after the procedure. A child with Kawasaki's is admitted to the unit.The nurse should prepare to: Give high-dose aspirin as ordered The student nurse is educating a family about a child's acute rheumatic fever. Which statement would require intervention by the preceptor? Your child must remain on complete bedrest until afebrile Which side of the heart has the higher pressures normally? Left The parents of a child with a cyanotic congenital heart defect ask the nurse why their child always looks a little blue. The best answer is: It is due to unoxygenated blood mixing with oxygenated blood before leaving the heart. The nurse is preparing a dose of aspirin for a 4 year old with Kawasaki's disease. The parents are concerned because they were told never to give their child aspirin. The best response from the nurse would be: Typically aspirin is not given to children, but with Kawasaki's disease, aspirin therapy is necessary. The nurse is educating parents about Lasix (Furosemide). Which statement by the parents indicates an understanding of the teaching? Lasix helps the heart by reducing the amount of fluid going through it. A 3 year old is being discharged with heart failure, and the parents want to know how much physical activity they should allow. What is the nurse's best response? Allow him to regulate his activity. What is the nurse's highest priority immediately following a cardiac catheterization? Compare bilateral pulses and capillary refill. A 2 year old child is in congestive heart failure with a congenital heart defect. Which assessment findings indicate a toxic Digoxin level? Bradycardia, nausea, and vomiting The nurse is about to obtain labs from a 3 year old awaiting surgical repair for tetralogy of fallot. What should the nurse do first? Place oxygen on the baby A new nurse is educating parents about their child's tetralogy of fallot before discharge. Which education would the nurse preceptor question? How to count a radial pulse for 60 seconds before Digoxin administration The nurse is caring for a 3 day old baby with a large VSD. The parents ask why the baby's heart sounds different than they expected. The best response from the nurse would be? Your baby's heart makes a murmur sound because blood is swishing around through the hole. The nurse is coming on shift during respiratory season. Which patient should the nurse see first? 4 month old with RSV who has been sleeping most of the day and not eating A child is brought in with frequent respiratory infections, a nonproductive cough, and steatorrhea. The nurse suspects which test to be ordered? Sweat Chloride The nurse would question which order for a child with cystic fibrosis? Aspirin Which statement by a child with Cystic Fibrosis would be most concerning to the nurse? I should be on a strict diet since obesity will make my symptoms worse. Which snack would be appropriate for a child after a tonsilectomy? Applesauce A 7 year old comes into the clinic with a sore throat, difficulty swallowing, and nausea. The nurse suspects? Pharyngitis Which education is most important to provide for a child with strep pharyngitis? Finish the full antibiotic course even if you feel better. A toddler comes in with drooling, difficulty swallowing, difficulty speaking, and accessory muscle use. The parents say it just started after nap time. Which order would the nurse question? Obtain a throat culture and strep test. The nurse assigns a sitter to stay with a toddler after a tonsilectomy while parents have to leave to check on other kids. What should the nurse teach the sitter to report immediately? Child starts swallowing frequently A toddler is brought in with a barking cough, inspiratory stridor, and mild intercostal retractions. The nurse suspects? Acute Laryngeotracheobronchitis Which order would the nurse question for a 4 year old with croup? 2L nasal cannula Which is not a risk factor for Otitis Media? Vaccinations The nurse is educating parents of a toddler about to undergo a tempanostomy. Which education should the nurse provide? The tube will allow fluid to exit the ear to hopefully prevent any more ear infections for your child. The nurse is caring for a baby with RSV. The nurse knows anyone who enters the baby's room must wear: A gown and gloves A newborn is coughing and choking each time they are fed. What should the nurse do first? Make baby NPO Which order would the nurse question in a patient about to be discharged after treatment for Kawasaki's disease? MMR vaccine A child is brought in with left sided heart failure. Which symptom would the nurse question? Hepatomegaly A patient is brought in with joint pain, subcutaneous nodules, a rash across their trunk, and a fever. What does the nurse expect to hear in the patient's history? Recent sore throat What education is important to give parents before discharging a child after surgery for a congenital heart defect? Your child will need antibiotics before any dental procedures for life A child presents with upper respiratory symptoms and tests positive for Rhinovirus. The nurse explains treatment will incluse: Managing symptoms with suctioning and humidification A child presents with rapid onset respiratory distress, drooling, inspiratory stridor, and agitation. Which nursing action is most appropriate? Allow the child to sit up in whatever position is most comfortable. A child presents with a barking cough, low grade fever, and inspiratory stridor. The nurse suspects? Laryngotracheobronchitis