PN3 TEST 7 UPDATED ACTUAL Exam
Questions and CORRECT Answers
What is a complication of kawasaki disease? - CORRECT ANSWER - aneurysm
What are some symptoms of kawasaki disease? - CORRECT ANSWER - irretability,
fever 102 degrees, swelling of hands and feet, dry cracked lips, strawberry tongue, red eyes,
genital rash, peeling skin on hands and feet, refuse to eat, need to keep them calm
If you have an infant in heart failure what are you going to do? - CORRECT ANSWER -
organize care so they have more rest periods.
what does digoxin do? - CORRECT ANSWER - it makes the heart beat stronger by
slowing the rate down so each beat is more forceful
at what heart rate would you hold digoxin for an infant, child and adult - CORRECT
ANSWER - infant <90
child <70
adult <60
what is a sign of dig toxicity? - CORRECT ANSWER - nausea & vomiting
if you have an infant in heart failure what do you need to do? - CORRECT ANSWER -
keep them hydrated, small frequent feedings, use a nipple with a large whole, hold baby upright,
increase coloric intake
what are some signs of heart failure in an infant? - CORRECT ANSWER - edema, cool
extremities, tachycardia, decrease urine output, nasal flaring
What test do you do to check for cystic fibrosis? - CORRECT ANSWER - sweat chloride
,what is a symptom of cystic fibrosis? - CORRECT ANSWER - fatty bulky foul smelling
stool
What will you see in children with cystic fibrosis? - CORRECT ANSWER - poor appetite,
developmentally delayed, breathing problems
what kind of appetite do children with cystic fibrosis initially have? - CORRECT
ANSWER - voracious appetite
When do you give pancrelipase? - CORRECT ANSWER - with meals
What are some early signs of respiratory distress in children? - CORRECT ANSWER -
restlessness, tachycardia, diaphoresis
what is the first sign of rheumatic fever? - CORRECT ANSWER - sore throat
What organism is responsible for rheumatic fever? - CORRECT ANSWER - Group A B
hemolytic streptococcus
for sickle cell if one parent has the trait and one parent has the disease what percentage of a
chance will the infant be born with it? - CORRECT ANSWER - 50%
what should you do to prevent a sickle cell attack? - CORRECT ANSWER - rest,
hydration, good hand washing, and complete your antibiotic
what are the 4 defects of tetralogy of fallot? - CORRECT ANSWER - cyanosis at birth,
systolic murmur, episodes of acute cyanosis and hypoxia
, what could a 1 yr old with tetralogy of fallot have? - CORRECT ANSWER - clubbing of
fingers
what causes clubbing of fingers? - CORRECT ANSWER - chronic hypoxia
a child has tetralogy of fallot and there crying and having a hard time breathing not getting real
good circulation what position would you put the child in? - CORRECT ANSWER - knee
chest position
What is coarctation of the aorta? - CORRECT ANSWER - narrowing of the lumen of the
aorta, usually at or near the ductus arteriosus, that results in obstruction of blood flow from the
ventricle
a 2 week old infant has coarctation of the aorta what are you going to see? - CORRECT
ANSWER - bounding pulses in upper extremities, they have strong brachial pulses and
weak femoral pulses.
what does the knee chest position do? - CORRECT ANSWER - increases venous return to
the heart
if you have a child with pneumonia how would you monitor there hydration status? - CORRECT
ANSWER - urine output
with rheumatic fever ASO titer helps diagnose it what physical symptoms will you see? -
CORRECT ANSWER - painful tender joints, and carditis
if you have a child with a sore throat what should you do? - CORRECT ANSWER - do a
throat swab to check for strep to try to catch rheumatic fever ahead of time
what is ventral septal defect? - CORRECT ANSWER - hole in the septum between the
right and left ventricle
Questions and CORRECT Answers
What is a complication of kawasaki disease? - CORRECT ANSWER - aneurysm
What are some symptoms of kawasaki disease? - CORRECT ANSWER - irretability,
fever 102 degrees, swelling of hands and feet, dry cracked lips, strawberry tongue, red eyes,
genital rash, peeling skin on hands and feet, refuse to eat, need to keep them calm
If you have an infant in heart failure what are you going to do? - CORRECT ANSWER -
organize care so they have more rest periods.
what does digoxin do? - CORRECT ANSWER - it makes the heart beat stronger by
slowing the rate down so each beat is more forceful
at what heart rate would you hold digoxin for an infant, child and adult - CORRECT
ANSWER - infant <90
child <70
adult <60
what is a sign of dig toxicity? - CORRECT ANSWER - nausea & vomiting
if you have an infant in heart failure what do you need to do? - CORRECT ANSWER -
keep them hydrated, small frequent feedings, use a nipple with a large whole, hold baby upright,
increase coloric intake
what are some signs of heart failure in an infant? - CORRECT ANSWER - edema, cool
extremities, tachycardia, decrease urine output, nasal flaring
What test do you do to check for cystic fibrosis? - CORRECT ANSWER - sweat chloride
,what is a symptom of cystic fibrosis? - CORRECT ANSWER - fatty bulky foul smelling
stool
What will you see in children with cystic fibrosis? - CORRECT ANSWER - poor appetite,
developmentally delayed, breathing problems
what kind of appetite do children with cystic fibrosis initially have? - CORRECT
ANSWER - voracious appetite
When do you give pancrelipase? - CORRECT ANSWER - with meals
What are some early signs of respiratory distress in children? - CORRECT ANSWER -
restlessness, tachycardia, diaphoresis
what is the first sign of rheumatic fever? - CORRECT ANSWER - sore throat
What organism is responsible for rheumatic fever? - CORRECT ANSWER - Group A B
hemolytic streptococcus
for sickle cell if one parent has the trait and one parent has the disease what percentage of a
chance will the infant be born with it? - CORRECT ANSWER - 50%
what should you do to prevent a sickle cell attack? - CORRECT ANSWER - rest,
hydration, good hand washing, and complete your antibiotic
what are the 4 defects of tetralogy of fallot? - CORRECT ANSWER - cyanosis at birth,
systolic murmur, episodes of acute cyanosis and hypoxia
, what could a 1 yr old with tetralogy of fallot have? - CORRECT ANSWER - clubbing of
fingers
what causes clubbing of fingers? - CORRECT ANSWER - chronic hypoxia
a child has tetralogy of fallot and there crying and having a hard time breathing not getting real
good circulation what position would you put the child in? - CORRECT ANSWER - knee
chest position
What is coarctation of the aorta? - CORRECT ANSWER - narrowing of the lumen of the
aorta, usually at or near the ductus arteriosus, that results in obstruction of blood flow from the
ventricle
a 2 week old infant has coarctation of the aorta what are you going to see? - CORRECT
ANSWER - bounding pulses in upper extremities, they have strong brachial pulses and
weak femoral pulses.
what does the knee chest position do? - CORRECT ANSWER - increases venous return to
the heart
if you have a child with pneumonia how would you monitor there hydration status? - CORRECT
ANSWER - urine output
with rheumatic fever ASO titer helps diagnose it what physical symptoms will you see? -
CORRECT ANSWER - painful tender joints, and carditis
if you have a child with a sore throat what should you do? - CORRECT ANSWER - do a
throat swab to check for strep to try to catch rheumatic fever ahead of time
what is ventral septal defect? - CORRECT ANSWER - hole in the septum between the
right and left ventricle
