NUR 106 EXAM 2 MIDTERM (PEDS)
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100%
CORRECT RATED A+
32. Which is the most appropriate nursing action related to the administration of
digoxin (Lanoxin) to an infant?
Counting the apical rate for 30 seconds before administering the medication
Withholding a dose if the apical heart rate is less than 100 beats/min
Repeating a dose if the child vomits within 30 minutes of the previous dose
Checking respiratory rate and blood pressure before each dose -ANSWER
✔✔Withholding a dose if the apical heart rate is less than 100 beats/min
33. The nurse is caring for a child with a diagnosis of Kawasaki disease. The
child's parent asks the nurse, "How does Kawasaki disease affect my child's heart
and blood vessels?" On what understanding is the nurse's response based?
Inflammation weakens blood vessels, leading to aneurysm
Increased lipid levels lead to the development of atherosclerosis
Untreated diseases causes mitral valve stenosis
Altered blood flow increases cardiac workload with resulting heart failure -
ANSWER ✔✔Inflammation weakens blood vessels, leading to aneurysm
34. The nurse explained how to position an infant with tetralogy of Fallot if the
infant suddenly becomes cyanotic. Which statement by the father leads the nurse to
determine he understood the instructions?
"If the baby turns blue, I will hold him against my shoulder with his knees bent up
towards his chest"
"If the baby turns blue, I will lay him down on a firm surface with his head lower
than the rest of his body"
"If the baby turns blue, I will immediately put the baby upright in an infant seat"
"If the baby turns blue, I will put the baby in supine position with his head
elevated" -ANSWER ✔✔"If the baby turns blue, I will hold him against my
shoulder with his knees bent up towards his chest"
, 35. A child has an elevated antistreptolysin O (ASO) titer. Which combination of
symptoms, in conjunction with this finding, would confirm a diagnosis of
rheumatic fever?
Subcutaneous nodules and fever
Painful, tender joints and carditis
Erythema marginatum and arthralgia
Chorea and elevated sedimentation rate -ANSWER ✔✔Painful, tender joints and
carditis
36. Through what does the infant born with hypoplastic left heart syndrome
acquire oxygenated blood?
The patent ductus arteriosus
A ventricular septal defect
The closure of the foramen ovale
An atrial septal defect -ANSWER ✔✔An atrial septal defect
37. A child with rheumatic fever begins involuntary, purposeless movements of her
limbs. What does the nurse recognize that this indicates?
Seizure activity
Hypoxia
Sydenham's chorea
Decreasing level of consciousness -ANSWER ✔✔Sydenham's chorea
38. What is accurate about the characteristics of high-density lipoproteins (HDLs)?
They have high amounts of triglycerides
They have only small amounts of protein
They have little cholesterol
They aid in steroid production -ANSWER ✔✔They have little cholesterol
39. What should the school nurse recommend when encouraging a heart-healthy
diet for a child with high cholesterol?
A fat intake reduction of 5-10% of total calories
A fat intake reduction of 10-15% of total calories
A fat intake reduction of 15-20% of total calories
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100%
CORRECT RATED A+
32. Which is the most appropriate nursing action related to the administration of
digoxin (Lanoxin) to an infant?
Counting the apical rate for 30 seconds before administering the medication
Withholding a dose if the apical heart rate is less than 100 beats/min
Repeating a dose if the child vomits within 30 minutes of the previous dose
Checking respiratory rate and blood pressure before each dose -ANSWER
✔✔Withholding a dose if the apical heart rate is less than 100 beats/min
33. The nurse is caring for a child with a diagnosis of Kawasaki disease. The
child's parent asks the nurse, "How does Kawasaki disease affect my child's heart
and blood vessels?" On what understanding is the nurse's response based?
Inflammation weakens blood vessels, leading to aneurysm
Increased lipid levels lead to the development of atherosclerosis
Untreated diseases causes mitral valve stenosis
Altered blood flow increases cardiac workload with resulting heart failure -
ANSWER ✔✔Inflammation weakens blood vessels, leading to aneurysm
34. The nurse explained how to position an infant with tetralogy of Fallot if the
infant suddenly becomes cyanotic. Which statement by the father leads the nurse to
determine he understood the instructions?
"If the baby turns blue, I will hold him against my shoulder with his knees bent up
towards his chest"
"If the baby turns blue, I will lay him down on a firm surface with his head lower
than the rest of his body"
"If the baby turns blue, I will immediately put the baby upright in an infant seat"
"If the baby turns blue, I will put the baby in supine position with his head
elevated" -ANSWER ✔✔"If the baby turns blue, I will hold him against my
shoulder with his knees bent up towards his chest"
, 35. A child has an elevated antistreptolysin O (ASO) titer. Which combination of
symptoms, in conjunction with this finding, would confirm a diagnosis of
rheumatic fever?
Subcutaneous nodules and fever
Painful, tender joints and carditis
Erythema marginatum and arthralgia
Chorea and elevated sedimentation rate -ANSWER ✔✔Painful, tender joints and
carditis
36. Through what does the infant born with hypoplastic left heart syndrome
acquire oxygenated blood?
The patent ductus arteriosus
A ventricular septal defect
The closure of the foramen ovale
An atrial septal defect -ANSWER ✔✔An atrial septal defect
37. A child with rheumatic fever begins involuntary, purposeless movements of her
limbs. What does the nurse recognize that this indicates?
Seizure activity
Hypoxia
Sydenham's chorea
Decreasing level of consciousness -ANSWER ✔✔Sydenham's chorea
38. What is accurate about the characteristics of high-density lipoproteins (HDLs)?
They have high amounts of triglycerides
They have only small amounts of protein
They have little cholesterol
They aid in steroid production -ANSWER ✔✔They have little cholesterol
39. What should the school nurse recommend when encouraging a heart-healthy
diet for a child with high cholesterol?
A fat intake reduction of 5-10% of total calories
A fat intake reduction of 10-15% of total calories
A fat intake reduction of 15-20% of total calories
