Question 1

As a pediatric nurse, what method would be most useful in detecting suboptimal oxygenation in a child that has not reached the threshold for cyanosis?

Accepted Answer

A)   Spirometry
B)   Telemetry
C)   Pulse oximetry
D)   Arterial blood gasesE) A) and C)
F) B) and C)

Question 2

A child with a history of strep throat presents with fever, shortness of breath, abdominal pain, and a very painful and swollen shoulder joint. Based on this history and presentation, what medical condition should be suspected?

Accepted Answer

A)   Kawasaki disease
B)   Rheumatoid heart disease
C)   Coarctation of the Aorta
D)   Dextro-transposition of the great arteriesE) All of the above
F) A) and B)

Question 3

As a pediatric nurse, you should be aware that which lab value may be elevated in patients with cardiomyopathy, myocarditis, or sepsis, all of which will ultimately lead to decreased cardiac perfusion?

Accepted Answer

A)   Blood calcium
B)   Brain natriuretic peptide
C)   Cardiac troponin
D)   Erythrocyte sedimentation rateE) All of the above
F) B) and C)

Question 4

What anticipatory guidance should you give to the parents of a child who must take digoxin?

Accepted Answer

A)   Only give if the child's heart rate is less than 60 beats/minute
B)   Digoxin must be administered with food.
C)   Re-dose the child if the child vomits the first dose.
D)   Give water after the dose to prevent tooth decay.E) B) and D)
F) C) and D)

Question 5

When performing an assessment on a child, the child is found to be cyanotic and tachypneic. The hyperoxygenation test was negative and the chest X-ray reveals an "egg on a string" cardiac silhouette. Based on these findings, for what medical condition should this child be treated?

Accepted Answer

A)   Tricuspid atresia
B)   Tetralogy of Fallot
C)   Coarctation of the aorta
D)   Dextro-transposition of the great arteriesE) B) and C)
F) A) and D)

Question 6

A pediatric patient presents with shortness of breath, failure to thrive, feeding difficulties, and a lower left sternal border systolic thrill. An echocardiogram was obtained, which showed an enlarged left atrium. From this presentation, what diagnosis can be made for this child?

Accepted Answer

A)   Atrial septal defect
B)   Ventricular septal defect
C)   Tetralogy of Fallot
D)   Aortic stenosisE) None of the above
F) C) and D) B

Question 7

The hyperoxygenation test is a simple bedside test that can help distinguish between cardiac and respiratory causes in children who are hypoxemic. How will infants with cyanotic congenital heart defects respond to this test?

Accepted Answer

A)   Their PO2 will increase significantly
B)   Their PO2 will not increase significantly
C)   Their PCO2 will increase significantly
D)   Their PCO2 will decrease significantlyE) B) and D)
F) None of the above

Question 8

As a pediatric nurse, what action should you take if you observe an elevated blood pressure in a child as measured by an automated device?

Accepted Answer

A)   Obtain a reading in the other arm
B)   Obtain a reading with a larger cuff
C)   Obtain a reading with a smaller cuff
D)   Obtain a reading via auscultationE) B) and D)
F) A) and D)

Question 9

For children with Kawasaki disease, high-dose aspirin therapy is used for 6 to 8 weeks, which is lifesaving for the child. However, what medical condition may develop as a result of this treatment regimen?

Accepted Answer

A)   Reye syndrome
B)   Guillain-Barre syndrome
C)   Metabolic syndrome
D)   Malabsorption syndromeE) None of the above
F) C) and D) A

Question 10

The Newborn Screening for Critical Congenital Heart Defects Program can detect 12 critical defects needing repair in the first year of life. How would the pediatric nurse conduct this screening?

Accepted Answer

A)   Placing one pulse oximetry probe on the right hand and a second pulse oximetry probe on the left hand
B)   Placing one pulse oximetry probe on the right foot and a second pulse oximetry probe on the left foot
C)   Placing one pulse oximetry probe on the left hand and a second pulse oximetry probe on either foot
D)   Placing one pulse oximetry probe on the right hand and a second pulse oximetry probe on either footE) A) and D)
F) C) and D) D

Exam 19: Cardiovascular: Perfusion

As a pediatric nurse, what method would be most useful in detecting suboptimal oxygenation in a child that has not reached the threshold for cyanosis?

Correct Answer
verified

A child with a history of strep throat presents with fever, shortness of breath, abdominal pain, and a very painful and swollen shoulder joint. Based on this history and presentation, what medical condition should be suspected?

Correct Answer
verified

As a pediatric nurse, you should be aware that which lab value may be elevated in patients with cardiomyopathy, myocarditis, or sepsis, all of which will ultimately lead to decreased cardiac perfusion?

Correct Answer
verified

What anticipatory guidance should you give to the parents of a child who must take digoxin?

Correct Answer
verified

When performing an assessment on a child, the child is found to be cyanotic and tachypneic. The hyperoxygenation test was negative and the chest X-ray reveals an "egg on a string" cardiac silhouette. Based on these findings, for what medical condition should this child be treated?

Correct Answer
verified

A pediatric patient presents with shortness of breath, failure to thrive, feeding difficulties, and a lower left sternal border systolic thrill. An echocardiogram was obtained, which showed an enlarged left atrium. From this presentation, what diagnosis can be made for this child?

Correct Answer
verified
B

The hyperoxygenation test is a simple bedside test that can help distinguish between cardiac and respiratory causes in children who are hypoxemic. How will infants with cyanotic congenital heart defects respond to this test?

Correct Answer
verified

As a pediatric nurse, what action should you take if you observe an elevated blood pressure in a child as measured by an automated device?

Correct Answer
verified

For children with Kawasaki disease, high-dose aspirin therapy is used for 6 to 8 weeks, which is lifesaving for the child. However, what medical condition may develop as a result of this treatment regimen?

Correct Answer
verified
A

The Newborn Screening for Critical Congenital Heart Defects Program can detect 12 critical defects needing repair in the first year of life. How would the pediatric nurse conduct this screening?

Correct Answer
verified
D

Exam 19: Cardiovascular: Perfusion

As a pediatric nurse, what method would be most useful in detecting suboptimal oxygenation in a child that has not reached the threshold for cyanosis?

Correct AnswerverifiedShow Answer

A child with a history of strep throat presents with fever, shortness of breath, abdominal pain, and a very painful and swollen shoulder joint. Based on this history and presentation, what medical condition should be suspected?

Correct AnswerverifiedShow Answer

As a pediatric nurse, you should be aware that which lab value may be elevated in patients with cardiomyopathy, myocarditis, or sepsis, all of which will ultimately lead to decreased cardiac perfusion?

Correct AnswerverifiedShow Answer

What anticipatory guidance should you give to the parents of a child who must take digoxin?

Correct AnswerverifiedShow Answer

When performing an assessment on a child, the child is found to be cyanotic and tachypneic. The hyperoxygenation test was negative and the chest X-ray reveals an "egg on a string" cardiac silhouette. Based on these findings, for what medical condition should this child be treated?

Correct AnswerverifiedShow Answer

A pediatric patient presents with shortness of breath, failure to thrive, feeding difficulties, and a lower left sternal border systolic thrill. An echocardiogram was obtained, which showed an enlarged left atrium. From this presentation, what diagnosis can be made for this child?

Correct AnswerverifiedB

The hyperoxygenation test is a simple bedside test that can help distinguish between cardiac and respiratory causes in children who are hypoxemic. How will infants with cyanotic congenital heart defects respond to this test?

Correct AnswerverifiedShow Answer

As a pediatric nurse, what action should you take if you observe an elevated blood pressure in a child as measured by an automated device?

Correct AnswerverifiedShow Answer

For children with Kawasaki disease, high-dose aspirin therapy is used for 6 to 8 weeks, which is lifesaving for the child. However, what medical condition may develop as a result of this treatment regimen?

Correct AnswerverifiedA

The Newborn Screening for Critical Congenital Heart Defects Program can detect 12 critical defects needing repair in the first year of life. How would the pediatric nurse conduct this screening?

Correct AnswerverifiedD

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
verified

Correct Answer
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Correct Answer
verified
B

Correct Answer
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Correct Answer
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Correct Answer
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A

Correct Answer
verified
D