CJE PEDIATRICS EXAM WITH CORRECT
SOLUTIONS /GRADED A+ /STUDY GUIDE
1. What is the most appropriate nursing action for a 4-year-old child with a history
of a repaired congenital heart defect admitted with heart failure? - ANSWER-
Increase oxygen flow rate per protocol.
2. What are the vital signs of the 4-year-old child at 1200? - ANSWER-Temperature:
100.6 °F, Heart Rate: 132, Respiratory Rate: 38, Blood Pressure: 88/62, Oxygen
Saturation: 94% on 2L/NC.
3. What were the morning laboratory results for the child with heart failure? -
ANSWER-Digoxin level: 1.1 ng/mL, Glucose: 134 mg/dL, Potassium: 5.9
mEq/L.
4. What is the reference range for digoxin levels? - ANSWER-0.8-2.0 ng/mL.
5. What is the reference range for potassium levels? - ANSWER-3.5-5.2 mEq/L.
6. What is the appropriate nursing action regarding potassium for the child with a
potassium level of 5.9 mEq/L? - ANSWER-Hold the potassium.
7. What should the nurse educate the parents of a child with heart failure about? -
ANSWER-Energy conservation.
8. What is the condition most likely experienced by the parent of a child requiring
extensive care? - ANSWER-Parental stress and burnout.
SOLUTIONS /GRADED A+ /STUDY GUIDE
1. What is the most appropriate nursing action for a 4-year-old child with a history
of a repaired congenital heart defect admitted with heart failure? - ANSWER-
Increase oxygen flow rate per protocol.
2. What are the vital signs of the 4-year-old child at 1200? - ANSWER-Temperature:
100.6 °F, Heart Rate: 132, Respiratory Rate: 38, Blood Pressure: 88/62, Oxygen
Saturation: 94% on 2L/NC.
3. What were the morning laboratory results for the child with heart failure? -
ANSWER-Digoxin level: 1.1 ng/mL, Glucose: 134 mg/dL, Potassium: 5.9
mEq/L.
4. What is the reference range for digoxin levels? - ANSWER-0.8-2.0 ng/mL.
5. What is the reference range for potassium levels? - ANSWER-3.5-5.2 mEq/L.
6. What is the appropriate nursing action regarding potassium for the child with a
potassium level of 5.9 mEq/L? - ANSWER-Hold the potassium.
7. What should the nurse educate the parents of a child with heart failure about? -
ANSWER-Energy conservation.
8. What is the condition most likely experienced by the parent of a child requiring
extensive care? - ANSWER-Parental stress and burnout.
