Peds Chapter 26 EXAM VERIFIED
SOLUTIONS, SCORED A+
.
What .does .the .nurse .explain .that .a .ventricular .septal .defect .will .allow? .-
.CORRECT .ANSWER-Blood .to .shunt .left .to .right, .causing .increased .pulmonary
.flow .and .no .cyanosis
Which .assessment .would .lead .the .nurse .to .suspect .that .a .newborn .infant .has .a
.ventricular .septal .defect? .- .CORRECT .ANSWER-A .loud, .harsh .murmur .with .a
.systolic .thrill
What .finding .would .the .nurse .expect .when .measuring .blood .pressure .on .all
.four .extremities .of .a .child .with .coarctation .of .the .aorta? .- .CORRECT .ANSWER-
Blood .pressure .lower .in .the .legs .than .in .the .arms
A .father .as .asks .why .his .child .with .tetralogy .of .Fallot .seems .to .favor .a
.squatting .sition. .What .is .the .nurse's .best .response? .- .CORRECT .ANSWER-
Squatting .increases .the .return .of .venous .blood .back .to .the .heart
An .infant .is .experiencing .dyspnea .related .to .patent .ductus .arteriosus .(PDA).
.What .does .the .nurse .understand .regarding .why .dyspnea .occurs? .- .CORRECT
.ANSWER-Blood .is .circulated .through .the .lungs .again, .causing .pulmonary
.circulatory .congestion
Which .is .the .most .appropriate .nursing .action .related .to .the .administration .of
.digoxin .(Lanoxin) .to .an .infant? .- .CORRECT .ANSWER-Withholding .a .dose .if .the
.apical .heart .rate .is .less .than .100 .beats/min
A .child .develops .carditis .from .rheumatic .fever. .Which .areas .of .the .heart .are
.affected .by .carditis? .- .CORRECT .ANSWER-Heart .muscle .and .the .mitral .valve
Which .comment .made .by .a .parent .of .a .1-month-old .would .alert .the .nurse .about
.the .presence .of .a .congenital .heart .defect? .- .CORRECT .ANSWER-"He .tires .out
.during .feedings."
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? .- .CORRECT .ANSWER-Inflammation .weakens .blood .vessels, .leading .to
.aneurysm
SOLUTIONS, SCORED A+
.
What .does .the .nurse .explain .that .a .ventricular .septal .defect .will .allow? .-
.CORRECT .ANSWER-Blood .to .shunt .left .to .right, .causing .increased .pulmonary
.flow .and .no .cyanosis
Which .assessment .would .lead .the .nurse .to .suspect .that .a .newborn .infant .has .a
.ventricular .septal .defect? .- .CORRECT .ANSWER-A .loud, .harsh .murmur .with .a
.systolic .thrill
What .finding .would .the .nurse .expect .when .measuring .blood .pressure .on .all
.four .extremities .of .a .child .with .coarctation .of .the .aorta? .- .CORRECT .ANSWER-
Blood .pressure .lower .in .the .legs .than .in .the .arms
A .father .as .asks .why .his .child .with .tetralogy .of .Fallot .seems .to .favor .a
.squatting .sition. .What .is .the .nurse's .best .response? .- .CORRECT .ANSWER-
Squatting .increases .the .return .of .venous .blood .back .to .the .heart
An .infant .is .experiencing .dyspnea .related .to .patent .ductus .arteriosus .(PDA).
.What .does .the .nurse .understand .regarding .why .dyspnea .occurs? .- .CORRECT
.ANSWER-Blood .is .circulated .through .the .lungs .again, .causing .pulmonary
.circulatory .congestion
Which .is .the .most .appropriate .nursing .action .related .to .the .administration .of
.digoxin .(Lanoxin) .to .an .infant? .- .CORRECT .ANSWER-Withholding .a .dose .if .the
.apical .heart .rate .is .less .than .100 .beats/min
A .child .develops .carditis .from .rheumatic .fever. .Which .areas .of .the .heart .are
.affected .by .carditis? .- .CORRECT .ANSWER-Heart .muscle .and .the .mitral .valve
Which .comment .made .by .a .parent .of .a .1-month-old .would .alert .the .nurse .about
.the .presence .of .a .congenital .heart .defect? .- .CORRECT .ANSWER-"He .tires .out
.during .feedings."
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? .- .CORRECT .ANSWER-Inflammation .weakens .blood .vessels, .leading .to
.aneurysm
