NR 328 Peds Exam 2 Review 62 Questions and Answers.
The nurse is assessing a child with a cardiac problem. The child's extremities are cool with
thready pulses, and urinary output is diminished. This is most suggestive of which of the
following? - Correct Answer - Decreased contractility
Which of the following procedures uses high-frequency sound waves obtained by a
transducer to produce an image of cardiac structures? - Correct Answer -
Echocardiography
Nursing interventions for the child after a cardiac catheterization would include which of
the following? - Correct Answer - Assess the affected extremity for temperature and color.
Which of the following is an early sign of heart failure that the nurse should recognize? -
Correct Answer - Tachypnea
Nursing care of the infant and child with heart failure would include which of the following?
- Correct Answer - Organize activities to allow for uninterrupted sleep.
Which of the following heart defects causes hypoxemia and cyanosis because
desaturated venous blood is entering the systemic circulation? - Correct Answer -
Tetralogy of Fallot
Nurses counseling parents regarding the home care of the child with a cardiac defect
before corrective surgery should stress which of the following? - Correct Answer -
Administer analgesics before procedure.
Therapeutic management of the child with rheumatic fever includes - Correct Answer -
administration of penicillin.
The primary therapy for secondary hypertension in children is - Correct Answer -
treatment of underlying cause
Which of the following is an important nursing responsibility when a dysrhythmia is
suspected? - Correct Answer - Count the apical rate for 1 full minute and compare with
radial rate.
, Assessment findings of heart failure - Correct Answer - Sweating
- Weak, thready pulses
- Dependent edema
- Fatigue
- Tachycardia
The nurse is explaining blood components to an 8-year-old child. The nurse's best
description of platelets is that they do which of the following? - Correct Answer Help your
body stop bleeding by forming a clot (scab) over the hurt area
When hemoglobin falls sufficiently to produce clinical manifestations, the signs and
symptoms are caused by - Correct Answer - tissue hypoxia
The nurse suspects a child is having an adverse reaction to a blood transfusion. The first
action by the nurse should be which of the following? - Correct Answer - Stop transfusion
and maintain a patent intravenous line with normal saline and new tubing.
The parent of a child receiving an iron preparation tells the nurse that the child's stools are
a tarry green color. The nurse should explain that this is a(n) - Correct Answer - normally
expected change resulting from the iron preparation.
An important nursing consideration when caring for a child with sickle cell anemia is which
of the following? - Correct Answer Teach the parents and child how to recognize the signs
and symptoms of crisis.
The parents of a child hospitalized with sickle cell anemia tell the nurse that they are
concerned about narcotic analgesics causing addiction. The nurse should explain which
of the following concerning narcotic analgesics? - Correct Answer - When they are
medically indicated, children rarely become addicted.
Chelation therapy is begun on a child with α-thalassemia major. The purpose of this
therapy is to do which of the following? - Correct Answer - Eliminate excess iron.
The school nurse is caring for a child with hemophilia who fell on his arm during recess.
Which of the following supportive measures should the nurse do until factor replacement
therapy can be instituted? - Correct Answer - Elevate the arm above the level of the heart.
The nurse is assessing a child with a cardiac problem. The child's extremities are cool with
thready pulses, and urinary output is diminished. This is most suggestive of which of the
following? - Correct Answer - Decreased contractility
Which of the following procedures uses high-frequency sound waves obtained by a
transducer to produce an image of cardiac structures? - Correct Answer -
Echocardiography
Nursing interventions for the child after a cardiac catheterization would include which of
the following? - Correct Answer - Assess the affected extremity for temperature and color.
Which of the following is an early sign of heart failure that the nurse should recognize? -
Correct Answer - Tachypnea
Nursing care of the infant and child with heart failure would include which of the following?
- Correct Answer - Organize activities to allow for uninterrupted sleep.
Which of the following heart defects causes hypoxemia and cyanosis because
desaturated venous blood is entering the systemic circulation? - Correct Answer -
Tetralogy of Fallot
Nurses counseling parents regarding the home care of the child with a cardiac defect
before corrective surgery should stress which of the following? - Correct Answer -
Administer analgesics before procedure.
Therapeutic management of the child with rheumatic fever includes - Correct Answer -
administration of penicillin.
The primary therapy for secondary hypertension in children is - Correct Answer -
treatment of underlying cause
Which of the following is an important nursing responsibility when a dysrhythmia is
suspected? - Correct Answer - Count the apical rate for 1 full minute and compare with
radial rate.
, Assessment findings of heart failure - Correct Answer - Sweating
- Weak, thready pulses
- Dependent edema
- Fatigue
- Tachycardia
The nurse is explaining blood components to an 8-year-old child. The nurse's best
description of platelets is that they do which of the following? - Correct Answer Help your
body stop bleeding by forming a clot (scab) over the hurt area
When hemoglobin falls sufficiently to produce clinical manifestations, the signs and
symptoms are caused by - Correct Answer - tissue hypoxia
The nurse suspects a child is having an adverse reaction to a blood transfusion. The first
action by the nurse should be which of the following? - Correct Answer - Stop transfusion
and maintain a patent intravenous line with normal saline and new tubing.
The parent of a child receiving an iron preparation tells the nurse that the child's stools are
a tarry green color. The nurse should explain that this is a(n) - Correct Answer - normally
expected change resulting from the iron preparation.
An important nursing consideration when caring for a child with sickle cell anemia is which
of the following? - Correct Answer Teach the parents and child how to recognize the signs
and symptoms of crisis.
The parents of a child hospitalized with sickle cell anemia tell the nurse that they are
concerned about narcotic analgesics causing addiction. The nurse should explain which
of the following concerning narcotic analgesics? - Correct Answer - When they are
medically indicated, children rarely become addicted.
Chelation therapy is begun on a child with α-thalassemia major. The purpose of this
therapy is to do which of the following? - Correct Answer - Eliminate excess iron.
The school nurse is caring for a child with hemophilia who fell on his arm during recess.
Which of the following supportive measures should the nurse do until factor replacement
therapy can be instituted? - Correct Answer - Elevate the arm above the level of the heart.
