PED FINAL EXAM Newest 2025/2026
Discharge instructions following cardiac catheterization of a child.
-Give the child acetaminophen for comfort.
-Encourage fluid intake to help with the removal of dye from the body.
-Advise the parents and child to monitor the site for infection.
A nurse is obtaining vital signs from a 2 month old infant. The infant's heart rate
is 190/min and his temp is 40 C (104 F). The father asks the nurse why the baby's
heart is beating so fast. Which response by the nurse is appropriate?
The fever is causing an increase in your baby's heart rate.
A nurse is caring for an 8 year old child who has acute rheumatic fever. Which of
the following assessments is the nurse's priority immediately after admission?
Auscultating the rate and characteristics of the child's heart sounds.
A nurse is caring for a child who has rheumatic fever. When obtaining the child's
medical history from the parent, the nurse should recognize the significance of
which of the following data as the possible source of the child's infection?
A sibling who had a sore throat 3 weeks ago
A nurse is preparing to measure an infant's vital signs. The nurse should use
which of the following sites to assess a heart rate?
Apex of the heart
A nurse is caring for a child who has Kawasaki disease. Which of the following
systems should the nurse monitor in response to this diagnosis.
Cardiovascular
Kawasaki disease--acute systemic vasculitis
Expected findings in Kawasaki disease
Acute phase: onset of high fever that is unresponsive to antipyretics, with development
of other manifestations.
-Fever greater than 38.9 C (102 F) lasting 5 days to 2 weeks and unresponsive to
antipyretics
-irritability
-red eyes without drainage
-bright red, chapped lips
-strawberry tongue with white coating or red bumps on the posterior aspect.
, -red oral mucous membranes with inflammation including the pharynx.
-swelling of the hands and feet with red palms and soles
-nonblistering rash
-bilateral joint pain
-enlarged lymph nodes
-cardiac manifestations: myocarditis, decreased left ventricular function, pericardial
effusion, and mitral regurgitation.
Subacute phase: resolution of fever and gradual subsiding of other manifestations
-irritability
-peeling skin around the nails, on the palms and soles
-temporary arthritis
Convalescent
No manifestations seen except altered lab findings. Resolution in about 6-8 weeks from
onset.
An infant is being prepared for surgical repair of a ventricular septal defect (VSD).
Which of the following problems will be prevented by closing the defect? Please
choose from one of the following options.
Failure to thrive
VSD
Ventricular septal defect
A hole in the septum between the right and left ventricle that results in increased
pulmonary blood flow
-loud harsh murmur auscultated at the left sternal border
-heart failure
-many VSD's close spontaneously
The healthcare provider is caring for an infant with a diagnosis of a congenital
heart defect. The baby's pulse is 158 and the RR is 74. Which of the following is
the best position for the baby to be placed? Please choose from one of the
following options.
upright in an infant seat
CRASH and burn
Signs of Kawasaki disease
Discharge instructions following cardiac catheterization of a child.
-Give the child acetaminophen for comfort.
-Encourage fluid intake to help with the removal of dye from the body.
-Advise the parents and child to monitor the site for infection.
A nurse is obtaining vital signs from a 2 month old infant. The infant's heart rate
is 190/min and his temp is 40 C (104 F). The father asks the nurse why the baby's
heart is beating so fast. Which response by the nurse is appropriate?
The fever is causing an increase in your baby's heart rate.
A nurse is caring for an 8 year old child who has acute rheumatic fever. Which of
the following assessments is the nurse's priority immediately after admission?
Auscultating the rate and characteristics of the child's heart sounds.
A nurse is caring for a child who has rheumatic fever. When obtaining the child's
medical history from the parent, the nurse should recognize the significance of
which of the following data as the possible source of the child's infection?
A sibling who had a sore throat 3 weeks ago
A nurse is preparing to measure an infant's vital signs. The nurse should use
which of the following sites to assess a heart rate?
Apex of the heart
A nurse is caring for a child who has Kawasaki disease. Which of the following
systems should the nurse monitor in response to this diagnosis.
Cardiovascular
Kawasaki disease--acute systemic vasculitis
Expected findings in Kawasaki disease
Acute phase: onset of high fever that is unresponsive to antipyretics, with development
of other manifestations.
-Fever greater than 38.9 C (102 F) lasting 5 days to 2 weeks and unresponsive to
antipyretics
-irritability
-red eyes without drainage
-bright red, chapped lips
-strawberry tongue with white coating or red bumps on the posterior aspect.
, -red oral mucous membranes with inflammation including the pharynx.
-swelling of the hands and feet with red palms and soles
-nonblistering rash
-bilateral joint pain
-enlarged lymph nodes
-cardiac manifestations: myocarditis, decreased left ventricular function, pericardial
effusion, and mitral regurgitation.
Subacute phase: resolution of fever and gradual subsiding of other manifestations
-irritability
-peeling skin around the nails, on the palms and soles
-temporary arthritis
Convalescent
No manifestations seen except altered lab findings. Resolution in about 6-8 weeks from
onset.
An infant is being prepared for surgical repair of a ventricular septal defect (VSD).
Which of the following problems will be prevented by closing the defect? Please
choose from one of the following options.
Failure to thrive
VSD
Ventricular septal defect
A hole in the septum between the right and left ventricle that results in increased
pulmonary blood flow
-loud harsh murmur auscultated at the left sternal border
-heart failure
-many VSD's close spontaneously
The healthcare provider is caring for an infant with a diagnosis of a congenital
heart defect. The baby's pulse is 158 and the RR is 74. Which of the following is
the best position for the baby to be placed? Please choose from one of the
following options.
upright in an infant seat
CRASH and burn
Signs of Kawasaki disease
