lOMoARcPSD|26582732
PEDRIATIC EXAM WITH CORRECT ANSWERS
2025
Chapter 19
1.the nurse is conducting a physical examination of a child with a ventricular septal defect.
Which finding would the nurse expect to assess?
-holosystolic harsh murmur along the left sternal border
2. The nurse is administering digoxin as ordered and the child vomits the dose. What should the
nurse do next?
- administer next dose as ordered in 12 hours.
3. The nurse is caring for an infant with suspected patent ductus arteriosus. Which assessment
finding would the nurse identify as helping to confirm this suspicion?
- harsh, continuous, machine-like murmur under the left clavicle
4. The nurse is conducting a physical examination of a child with a suspected
cardiovascular disorder. Which finding would the nurse most likely expect to assess if the
child had transposition of the great vessels? - significant cyanosis without presence of
a murmur
5. The nurse is assessing a child with suspected infective endocarditis. Which
assessment finding would the nurse interpret as a sign of extracardiac emboli?
- roth spots
6. When conducting a physical examination of a child with suspected kawasaki disease,
which finding would the nurse expect to assess? -strawberry tongue
7. After teaching a group of students about acute rheumatic fever, the instructor
determines that the teaching was successful when the students identify which assessment
finding? -jerky movements of the face and upper extremities
8. A nurse is reviewing the medical record of a child and finds that the child has a grade iii
murmur. After auscultating the child's heart sounds, how would the nurse document this
murmur?
- loud without a thrill
9. The nurse is caring for a 2-month-old infant who has been diagnosed with acute
heart failure. The nurse is providing teaching about nutrition. Which statement by the
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mother indicates a need for further teaching? -"i need to feed him every hour to make
sure he eats enough."
10. The nurse is caring for an infant girl with a suspected cardiovascular disorder.
Which statement by the mother would warrant further investigation?
-"the baby seems more comfortable over my shoulder."
11. Auscultation of a child's heart reveals a loud murmur with a precordial thrill. The nurse
documents this as which grade?
- grade iv
12. After assessing a child's blood pressure, the nurse determines the pulse pressure and finds
that it is narrowed. What would the nurse identify as associated with this finding?
- aortic stenosis
13. A 9-year-old child has undergone a cardiac catheterization and is being prepared for
discharge. The nurse is instructing
The parents and child about postprocedure care. Which statement by the parents indicates
that the teaching was successful?
-"he should avoid taking a bath for about 3 days but he can shower."
14. A newborn is diagnosed with patent ductus arteriosus. The nurse anticipates that the
physician will most likely order which medication?
-indomethacin
15. The nurse is preparing a teaching plan for the parents of a child who has been diagnosed
with a congenital heart defect.
What would the nurse be least likely to include?
-maintenance of strict bed rest
16. After teaching a class about the hemodynamic characteristics of congenital heart
disease, the instructor determines that
The teaching has been successful when the class identifies which defect as an example of
a disorder involving increased pulmonary blood flow? -atrial septal defect
17. A 7-year-old child with a family history of cardiovascular disease is being screened for
hyperlipidemia. When reviewing the child's laboratory test results, which total cholesterol level
would be of significant concern? -210 mg/dl
18. A child with a suspected cardiovascular disorder is to undergo diagnostic testing and is
scheduled for an echocardiogram.
When explaining this test to the child, what would the nurse most likely include?
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-"a special wand that picks up sound is used to check your heart."
19. The nurse is reviewing the medical record of a child with infective endocarditis. What would
the nurse expect to find?
Select all that apply.
-microscopic hematuria with urinalysis
-electrocardiogram with prolonged pr interval
-petechiae on palpebral conjunctiva
20. A child with heart failure is receiving supplemental oxygen. The nurse understands that in
addition to improving oxygen saturation, this intervention also has what effect?
-cause vasodilation
21. The nurse is developing a plan of care for an infant with heart failure who is
receiving digoxin. The nurse would hold the dose of digoxin and notify the physician if the
infant's apical pulse rate was: -80 beats per minute.
22. A nurse is working with an adolescent who is slightly overweight and was recently
diagnosed with hypertension. They
Are discussing nutritional management. Which statement by the adolescent demonstrates
understanding of the information?
-"i should eat plenty of fresh fruits and vegetables."
23. A child is diagnosed with kawasaki disease and is in the acute phase of the disorder. What
would the nurse expect the physician to prescribe? Select all that apply.
-intravenous immunoglobulin
-acetaminophen
-aspirin
24. An infant with congenital heart disease is to undergo surgery to correct the defect.
The mother states, "i guess i'm going to have to stop breastfeeding her." which response by
the nurse would be most appropriate? - "breast milk may help to boost her immune
system, so you can continue to use it."
25. During a follow-up visit, the parents of a 5-month-old infant diagnosed with congenital
heart disease tell the nurse,
"we're just so tired and emotionally spent. All these tests and examinations are overwhelming.
We just want to have a
Normal life. We're so focused on the baby that it seems like our 3-year-old is lost in the shuffle."
which nursing diagnosis would the nurse identify as most appropriate?
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PEDRIATIC EXAM WITH CORRECT ANSWERS
2025
Chapter 19
1.the nurse is conducting a physical examination of a child with a ventricular septal defect.
Which finding would the nurse expect to assess?
-holosystolic harsh murmur along the left sternal border
2. The nurse is administering digoxin as ordered and the child vomits the dose. What should the
nurse do next?
- administer next dose as ordered in 12 hours.
3. The nurse is caring for an infant with suspected patent ductus arteriosus. Which assessment
finding would the nurse identify as helping to confirm this suspicion?
- harsh, continuous, machine-like murmur under the left clavicle
4. The nurse is conducting a physical examination of a child with a suspected
cardiovascular disorder. Which finding would the nurse most likely expect to assess if the
child had transposition of the great vessels? - significant cyanosis without presence of
a murmur
5. The nurse is assessing a child with suspected infective endocarditis. Which
assessment finding would the nurse interpret as a sign of extracardiac emboli?
- roth spots
6. When conducting a physical examination of a child with suspected kawasaki disease,
which finding would the nurse expect to assess? -strawberry tongue
7. After teaching a group of students about acute rheumatic fever, the instructor
determines that the teaching was successful when the students identify which assessment
finding? -jerky movements of the face and upper extremities
8. A nurse is reviewing the medical record of a child and finds that the child has a grade iii
murmur. After auscultating the child's heart sounds, how would the nurse document this
murmur?
- loud without a thrill
9. The nurse is caring for a 2-month-old infant who has been diagnosed with acute
heart failure. The nurse is providing teaching about nutrition. Which statement by the
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
mother indicates a need for further teaching? -"i need to feed him every hour to make
sure he eats enough."
10. The nurse is caring for an infant girl with a suspected cardiovascular disorder.
Which statement by the mother would warrant further investigation?
-"the baby seems more comfortable over my shoulder."
11. Auscultation of a child's heart reveals a loud murmur with a precordial thrill. The nurse
documents this as which grade?
- grade iv
12. After assessing a child's blood pressure, the nurse determines the pulse pressure and finds
that it is narrowed. What would the nurse identify as associated with this finding?
- aortic stenosis
13. A 9-year-old child has undergone a cardiac catheterization and is being prepared for
discharge. The nurse is instructing
The parents and child about postprocedure care. Which statement by the parents indicates
that the teaching was successful?
-"he should avoid taking a bath for about 3 days but he can shower."
14. A newborn is diagnosed with patent ductus arteriosus. The nurse anticipates that the
physician will most likely order which medication?
-indomethacin
15. The nurse is preparing a teaching plan for the parents of a child who has been diagnosed
with a congenital heart defect.
What would the nurse be least likely to include?
-maintenance of strict bed rest
16. After teaching a class about the hemodynamic characteristics of congenital heart
disease, the instructor determines that
The teaching has been successful when the class identifies which defect as an example of
a disorder involving increased pulmonary blood flow? -atrial septal defect
17. A 7-year-old child with a family history of cardiovascular disease is being screened for
hyperlipidemia. When reviewing the child's laboratory test results, which total cholesterol level
would be of significant concern? -210 mg/dl
18. A child with a suspected cardiovascular disorder is to undergo diagnostic testing and is
scheduled for an echocardiogram.
When explaining this test to the child, what would the nurse most likely include?
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
-"a special wand that picks up sound is used to check your heart."
19. The nurse is reviewing the medical record of a child with infective endocarditis. What would
the nurse expect to find?
Select all that apply.
-microscopic hematuria with urinalysis
-electrocardiogram with prolonged pr interval
-petechiae on palpebral conjunctiva
20. A child with heart failure is receiving supplemental oxygen. The nurse understands that in
addition to improving oxygen saturation, this intervention also has what effect?
-cause vasodilation
21. The nurse is developing a plan of care for an infant with heart failure who is
receiving digoxin. The nurse would hold the dose of digoxin and notify the physician if the
infant's apical pulse rate was: -80 beats per minute.
22. A nurse is working with an adolescent who is slightly overweight and was recently
diagnosed with hypertension. They
Are discussing nutritional management. Which statement by the adolescent demonstrates
understanding of the information?
-"i should eat plenty of fresh fruits and vegetables."
23. A child is diagnosed with kawasaki disease and is in the acute phase of the disorder. What
would the nurse expect the physician to prescribe? Select all that apply.
-intravenous immunoglobulin
-acetaminophen
-aspirin
24. An infant with congenital heart disease is to undergo surgery to correct the defect.
The mother states, "i guess i'm going to have to stop breastfeeding her." which response by
the nurse would be most appropriate? - "breast milk may help to boost her immune
system, so you can continue to use it."
25. During a follow-up visit, the parents of a 5-month-old infant diagnosed with congenital
heart disease tell the nurse,
"we're just so tired and emotionally spent. All these tests and examinations are overwhelming.
We just want to have a
Normal life. We're so focused on the baby that it seems like our 3-year-old is lost in the shuffle."
which nursing diagnosis would the nurse identify as most appropriate?
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