NR 328
Pediatric Cardiology and Assessment Comprehensive
Quiz
Comprehensive Study Guide
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Chamberlain University
NR 328
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NR 328 Pediatric Cardiology and Assessment Comprehensive Quiz 2026/2027 UPDATE –
Chamberlain College
1. A 2-week-old infant is diagnosed with Transposition of the Great Arteries (TGA). Which
medication should the nurse anticipate administering immediately to maintain patency of the
ductus arteriosus?
A. Indomethacin
B. Prostaglandin E1 (Alprostadil)
C. Furosemide
D. Digoxin
Answer: B
Rationale: Prostaglandin E1 is used to keep the ductus arteriosus open in ductal-
dependent cyanotic heart defects like TGA to allow for mixing of oxygenated and
deoxygenated blood. Indomethacin is used to close a PDA.
2. Which clinical manifestation is a hallmark sign of Coarctation of the Aorta in a pediatric
patient?
A. Bounding pulses in all four extremities
B. Machine-like murmur at the left upper sternal border
C. Cyanosis that worsens with crying
, D. Discrepancy in blood pressure between upper and lower extremities
Answer: D
Rationale: Coarctation of the Aorta involves narrowing near the ductus arteriosus, leading
to high blood pressure and bounding pulses in the arms, and lower blood pressure with
weak or absent femoral pulses.
3. A nurse is caring for an infant with Tetralogy of Fallot who begins to have a ‘Tet spell’
(hypercyanotic spell). What is the priority nursing action?
A. Place the infant in a knee-chest position
B. Administer high-flow oxygen via non-rebreather mask
C. Prepare for immediate intubation
D. Administer a dose of Digoxin
Answer: A
Rationale: The knee-chest position increases systemic vascular resistance, which
decreases the right-to-left shunt and improves pulmonary blood flow during a
hypercyanotic spell.
4. The nurse is preparing to administer Digoxin to a 6-month-old infant. The infant’s apical
heart rate is 88 beats per minute. What is the appropriate nursing action?
A. Administer the medication as ordered
B. Withhold the medication and notify the healthcare provider
Pediatric Cardiology and Assessment Comprehensive
Quiz
Comprehensive Study Guide
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Chamberlain University
NR 328
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NR 328 Pediatric Cardiology and Assessment Comprehensive Quiz 2026/2027 UPDATE –
Chamberlain College
1. A 2-week-old infant is diagnosed with Transposition of the Great Arteries (TGA). Which
medication should the nurse anticipate administering immediately to maintain patency of the
ductus arteriosus?
A. Indomethacin
B. Prostaglandin E1 (Alprostadil)
C. Furosemide
D. Digoxin
Answer: B
Rationale: Prostaglandin E1 is used to keep the ductus arteriosus open in ductal-
dependent cyanotic heart defects like TGA to allow for mixing of oxygenated and
deoxygenated blood. Indomethacin is used to close a PDA.
2. Which clinical manifestation is a hallmark sign of Coarctation of the Aorta in a pediatric
patient?
A. Bounding pulses in all four extremities
B. Machine-like murmur at the left upper sternal border
C. Cyanosis that worsens with crying
, D. Discrepancy in blood pressure between upper and lower extremities
Answer: D
Rationale: Coarctation of the Aorta involves narrowing near the ductus arteriosus, leading
to high blood pressure and bounding pulses in the arms, and lower blood pressure with
weak or absent femoral pulses.
3. A nurse is caring for an infant with Tetralogy of Fallot who begins to have a ‘Tet spell’
(hypercyanotic spell). What is the priority nursing action?
A. Place the infant in a knee-chest position
B. Administer high-flow oxygen via non-rebreather mask
C. Prepare for immediate intubation
D. Administer a dose of Digoxin
Answer: A
Rationale: The knee-chest position increases systemic vascular resistance, which
decreases the right-to-left shunt and improves pulmonary blood flow during a
hypercyanotic spell.
4. The nurse is preparing to administer Digoxin to a 6-month-old infant. The infant’s apical
heart rate is 88 beats per minute. What is the appropriate nursing action?
A. Administer the medication as ordered
B. Withhold the medication and notify the healthcare provider
