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1. The nurse is assessing a child with a cardiac problem. - Decreased contractility
The child's extremities are cool with thready pulses,
and urinary output is diminished. This is most sugges-
tive of which of the following?
2. Which of the following procedures uses high-frequen- - Echocardiography
cy sound waves obtained by a transducer to produce
an image of cardiac structures?
3. Nursing interventions for the child after a cardiac - Assess the affected ex-
catheterization would include which of the following? tremity for temperature
and color.
4. Which of the following is an early sign of heart failure - Tachypnea
that the nurse should recognize?
5. Nursing care of the infant and child with heart failure - Organize activities to
would include which of the following? allow for uninterrupted
sleep.
6. Which of the following heart defects causes hypoxemia - Tetralogy of Fallot
and cyanosis because desaturated venous blood is en-
tering the systemic circulation?
7. Nurses counseling parents regarding the home care - Administer analgesics
of the child with a cardiac defect before corrective before procedure.
surgery should stress which of the following?
8. Therapeutic management of the child with rheumatic - administration of peni-
fever includes cillin.
9. The primary therapy for secondary hypertension in - treatment of underlying
children is cause
, NR 328 – Pediatric Nursing Exam 2 (Chamberlain University, 2025–2026) –
Verified Questions and Answers with Detailed Rationales
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10. Which of the following is an important nursing respon- - Count the apical rate for
sibility when a dysrhythmia is suspected? 1 full minute and compare
with radial rate.
11. Assessment findings of heart failure - Sweating
- Weak, thready pulses
- Dependent edema
- Fatigue
- Tachycardia
12. The nurse is explaining blood components to an Help your body stop
8-year-old child. The nurse's best description of bleeding by forming a clot
platelets is that they do which of the following? (scab) over the hurt area
13. When hemoglobin falls sufficiently to produce clinical - tissue hypoxia
manifestations, the signs and symptoms are caused by
14. The nurse suspects a child is having an adverse re- - Stop transfusion and
action to a blood transfusion. The first action by the maintain a patent intra-
nurse should be which of the following? venous line with normal
saline and new tubing.
15. The parent of a child receiving an iron preparation tells - normally expected
the nurse that the child's stools are a tarry green color. change resulting from the
The nurse should explain that this is a(n) iron preparation.
16. An important nursing consideration when caring for a Teach the parents and
child with sickle cell anemia is which of the following? child how to recognize the
signs and symptoms of
crisis.
17.