PEDIATRIC NR 328 2026 UPDATE
QUESTIONS AD CORRECT VERIFIED
ANSWERS ALREADY GRADED A+
(BRAND NEW VISION)
What type of drug reduces hypertension by interfering with the production
of angiotensin II? - ans-Angiotensin-converting enzyme (ACE)
inhibitors
Selective cholesterol screening is recommended for children older than
the age of 2 years with which risk factor? - ans-Body mass index (BMI)
= 95th percentile
What condition is the leading cause of death after heart transplantation? -
ans-Rejection
The nurse is giving discharge instructions to the parent of a 6-year-old
child who had a cardiac catheterization 4 hours ago. What statement by
the parent indicates a correct understanding of the teaching? - ans-I
should change the bandage every day for the next 2 days.
. A child with heart failure is on Lanoxin (digoxin). The laboratory value a
nurse must closely monitor is which? - ans-Serum potassium
An infant has tetralogy of Fallot. In reviewing the record, what laboratory
result should the nurse expect to be documented? - ans-Polycythemia
What child has a cyanotic congenital heart defect? - ans-A 2-month-old
infant with tetralogy of Fallot
,The nurse is teaching parents about administering digoxin (Lanoxin). What
instructions should the nurse tell the parents? - ans-Give the
medication at regular intervals.
Heart failure (HF) is a problem after the child has had a congenital heart
defect repaired. The nurse knows a sign of HF is what? - ans-Wheezing
. The health care provider suggests surgery be performed for ventricular
septal defect to prevent what complication? - ans-Pulmonary
hypertension
A 1-year-old has been admitted for complete repair of a tetralogy of Fallot.
What assessment finding should the nurse expect to be documented? -
ans-Increasing cyanosis
A 6-month-old infant presents to the clinic with failure to thrive, a history
of frequent respiratory infections, and increasing exhaustion during
feedings. On physical examination, a systolic murmur is detected, no
central cyanosis, and chest radiography reveals cardiomegaly. An
echocardiogram is done that shows left-to-right shunting. This assessment
data is characteristic of what? - ans-Ventricular septal defect
An infant is diagnosed with transposition of the great vessels.
Prostaglandin E1 is given intravenously. The parents ask how long the
child will remain on the prostaglandin E1. What is the appropriate
response by the nurse? - ans-Prostaglandin E1 will be given
continuously until corrective surgery is performed.
What medication used to treat heart failure (HF) is a diuretic? - ans-
Hydrochlorothiazide (Diuril)
. The nurse is preparing to give digoxin (Lanoxin) to a 9-month-old infant.
The nurse checks the dose and draws up 4 ml of the drug. The most
appropriate nursing action is which? - ans-Do not give the dose;
suspect a dosage error.
,A 12-year-old child with Down syndrome is admitted to the hospital for
surgical correction of a heart defect. The boys mental age is that of a 3-
year-old child. The nurse should prepare the child and family for surgery
by what method? - ans-Provide teaching to the parents, keeping the
information to the child simple.
Bacterial infective endocarditis (IE) should be treated with which protocol?
- ans-IV antibiotics (penicillin type) for 2 to 8 weeks
A child is recovering from Kawasaki disease (KD). The child should be
monitored for which? - ans-Electrocardiograph (ECG) changes
The test that provides the most reliable evidence of recent streptococcal
infection is which? - ans-Antistreptolysin O test
The nurse is caring for a child with Kawasaki disease in the acute phase.
What clinical manifestations should the nurse expect to observe? - ans-
Cervical lymphadenopathy
Strawberry tongue
Erythematous palms
The nurse is caring for a child after cardiac surgery. What interventions
should the nurse implement with regard to chest tubes placed to a water-
seal drainage system? - ans-Maintain sterility.
Check for tube patency.
Do not interrupt the water-seal drainage system.
The nurse is caring for a child with secondary hypertension. What renal
disorders are associated with secondary hypertension? - ans-Renal
tumor
Hydronephrosis
Glomerulonephritis
, The nurse is teaching an adolescent with hypertension foods
recommended on the DASH diet. What foods should the nurse include in
the teaching session? - ans-Green beans
Low-fat yogurt
Whole grain bread
An adolescent is being placed on an ACE inhibitor. What should the nurse
inform the adolescent with regard to this medication? - ans-Side effects
may include a cough.
Stay well hydrated.
Avoid rapid position changes.
An adolescent is being placed on a beta-blocker. What should the nurse
inform the adolescent with regard to this medication? - ans-Medication
may cause fatigue.
Side effects may include impotence.
Side effects may include bradycardia
An adolescent is being placed on a calcium channel blocker. What should
the nurse inform the adolescent with regard to this medication? - ans-The
medication may increase heart rate.
The medication may cause constipation.
The medication may cause peripheral edema.
The nurse is teaching an adolescent with elevated triglycerides foods that
should be decreased. What foods should the nurse include in the
teaching? - ans-White flour
White rice
Sugary cereals
What interventions should the nurse anticipate being administered to a
child with supraventricular tachycardia (SVT)? - ans-Applying ice to the
face
QUESTIONS AD CORRECT VERIFIED
ANSWERS ALREADY GRADED A+
(BRAND NEW VISION)
What type of drug reduces hypertension by interfering with the production
of angiotensin II? - ans-Angiotensin-converting enzyme (ACE)
inhibitors
Selective cholesterol screening is recommended for children older than
the age of 2 years with which risk factor? - ans-Body mass index (BMI)
= 95th percentile
What condition is the leading cause of death after heart transplantation? -
ans-Rejection
The nurse is giving discharge instructions to the parent of a 6-year-old
child who had a cardiac catheterization 4 hours ago. What statement by
the parent indicates a correct understanding of the teaching? - ans-I
should change the bandage every day for the next 2 days.
. A child with heart failure is on Lanoxin (digoxin). The laboratory value a
nurse must closely monitor is which? - ans-Serum potassium
An infant has tetralogy of Fallot. In reviewing the record, what laboratory
result should the nurse expect to be documented? - ans-Polycythemia
What child has a cyanotic congenital heart defect? - ans-A 2-month-old
infant with tetralogy of Fallot
,The nurse is teaching parents about administering digoxin (Lanoxin). What
instructions should the nurse tell the parents? - ans-Give the
medication at regular intervals.
Heart failure (HF) is a problem after the child has had a congenital heart
defect repaired. The nurse knows a sign of HF is what? - ans-Wheezing
. The health care provider suggests surgery be performed for ventricular
septal defect to prevent what complication? - ans-Pulmonary
hypertension
A 1-year-old has been admitted for complete repair of a tetralogy of Fallot.
What assessment finding should the nurse expect to be documented? -
ans-Increasing cyanosis
A 6-month-old infant presents to the clinic with failure to thrive, a history
of frequent respiratory infections, and increasing exhaustion during
feedings. On physical examination, a systolic murmur is detected, no
central cyanosis, and chest radiography reveals cardiomegaly. An
echocardiogram is done that shows left-to-right shunting. This assessment
data is characteristic of what? - ans-Ventricular septal defect
An infant is diagnosed with transposition of the great vessels.
Prostaglandin E1 is given intravenously. The parents ask how long the
child will remain on the prostaglandin E1. What is the appropriate
response by the nurse? - ans-Prostaglandin E1 will be given
continuously until corrective surgery is performed.
What medication used to treat heart failure (HF) is a diuretic? - ans-
Hydrochlorothiazide (Diuril)
. The nurse is preparing to give digoxin (Lanoxin) to a 9-month-old infant.
The nurse checks the dose and draws up 4 ml of the drug. The most
appropriate nursing action is which? - ans-Do not give the dose;
suspect a dosage error.
,A 12-year-old child with Down syndrome is admitted to the hospital for
surgical correction of a heart defect. The boys mental age is that of a 3-
year-old child. The nurse should prepare the child and family for surgery
by what method? - ans-Provide teaching to the parents, keeping the
information to the child simple.
Bacterial infective endocarditis (IE) should be treated with which protocol?
- ans-IV antibiotics (penicillin type) for 2 to 8 weeks
A child is recovering from Kawasaki disease (KD). The child should be
monitored for which? - ans-Electrocardiograph (ECG) changes
The test that provides the most reliable evidence of recent streptococcal
infection is which? - ans-Antistreptolysin O test
The nurse is caring for a child with Kawasaki disease in the acute phase.
What clinical manifestations should the nurse expect to observe? - ans-
Cervical lymphadenopathy
Strawberry tongue
Erythematous palms
The nurse is caring for a child after cardiac surgery. What interventions
should the nurse implement with regard to chest tubes placed to a water-
seal drainage system? - ans-Maintain sterility.
Check for tube patency.
Do not interrupt the water-seal drainage system.
The nurse is caring for a child with secondary hypertension. What renal
disorders are associated with secondary hypertension? - ans-Renal
tumor
Hydronephrosis
Glomerulonephritis
, The nurse is teaching an adolescent with hypertension foods
recommended on the DASH diet. What foods should the nurse include in
the teaching session? - ans-Green beans
Low-fat yogurt
Whole grain bread
An adolescent is being placed on an ACE inhibitor. What should the nurse
inform the adolescent with regard to this medication? - ans-Side effects
may include a cough.
Stay well hydrated.
Avoid rapid position changes.
An adolescent is being placed on a beta-blocker. What should the nurse
inform the adolescent with regard to this medication? - ans-Medication
may cause fatigue.
Side effects may include impotence.
Side effects may include bradycardia
An adolescent is being placed on a calcium channel blocker. What should
the nurse inform the adolescent with regard to this medication? - ans-The
medication may increase heart rate.
The medication may cause constipation.
The medication may cause peripheral edema.
The nurse is teaching an adolescent with elevated triglycerides foods that
should be decreased. What foods should the nurse include in the
teaching? - ans-White flour
White rice
Sugary cereals
What interventions should the nurse anticipate being administered to a
child with supraventricular tachycardia (SVT)? - ans-Applying ice to the
face
