Pediatrics Exam 2 Practice
Quiz by Danna Morris
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50 questions
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- Q1The nurse is assessing a child post-cardiac catheterization. Which complication might the nurse anticipate?Hypostatic pneumoniaCardiac arrhythmiaCongestive heart failureRapidly increasing blood pressure45s
- Q2A nursing student is assigned to care for a child with hemophilia. The nursing instructor reviews the plan of care with the student and asks the student to describe the characteristics of this disorder. Which statement by the student indicates a need for further research or incorrect?Hemophilia is inherited in a recessive manner via a genetic defect on the X chromosomeFemales inherit the carrier status from their fathersMales inherit hemophilia from their father.Hemophilia A results from deficiency of factor VIII.120s
- Q3José is a 4-year-old child scheduled for a cardiac catheterization. Preoperative teaching should be:Detailed in regard to the actual procedures so he will know what to expect.Done several days before the procedure so that he will be prepared.Directed at his parents because he is too young to understand.Adapted to his level of development so that he can understand.120s
- Q4The nurse is caring for a school-age girl who has had a cardiac catheterization. The child tells the nurse that her bandage is “too wet.” The nurse finds the bandage and bed soaked with blood. The most appropriate initial nursing action is to:Apply direct pressure above the catheterization site.Place the child in the Trendelenburg position.Apply a new bandage with more pressure.Notify the physician.120s
- Q5Which defect results in increased pulmonary blood flow?Transposition of the great arteriesAtrial septal defectPulmonic stenosisTricuspid atresia45s
- Q6Which structural defects constitute tetralogy of Fallot?Pulmonic stenosis, ventricular septal defect, overriding aorta, rightPulmonic stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophyAortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophyAortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy45s
- Q7What is best described as the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures?Congenital heart defectCongestive heart failurePulmonary congestionSystemic venous congestion45s
- Q8A clinical manifestation of the systemic venous congestion that can occur with congestive heart failure is:Tachycardia.Peripheral edemaTachypnea.Pale, cool extremities.45s
- Q9A beneficial effect of administering digoxin (Lanoxin) is that it:Increases heart sizeIncreases venous pressureDecreases cardiac output.Decreases edema.45s
- Q10An 8-month-old infant has a hypercyanotic spell while blood is being drawn. The nurse’s first action should be to:Place the child in the knee-chest positionPrepare the family for imminent death.Begin cardiopulmonary resuscitation.Assess for neurologic defects.45s
- Q11A common, serious complication of rheumatic fever is:Pulmonary hypertensionCardiac valve damageCardiac arrhythmias.Seizures.45s
- Q12Oral iron is prescribed for a child with an iron deficiency anemia, and the nurse provides instructions to the mother regarding the administration of the iron. The nurse instructs the mother to administer the iron:Just after a meal.With a fruit low in vitamin C.Between meals:Just before a meal.120s
- Q13An accurate description of anemia is:Presence of abnormal hemoglobin.Depressed hematopoietic system.Increased blood viscosityDecreased oxygen-carrying capacity of blood.120s
- Q14When caring for the child with Kawasaki disease, the nurse should understand that:The child’s fever is usually responsive to antibiotics within 48 hours.The principal area of involvement is the jointsTherapeutic management includes administration of gamma globulin and aspirin.Aspirin is contraindicated.45s
- Q15When teaching the mother of a 9-month-old infant about administering liquid iron preparations, the nurse should include that:They should be stopped immediately if nausea and vomiting occur.They should be given with meals.Adequate dosage will turn the stools a tarry green colorPreparation should be allowed to mix with saliva and bathe the teeth before swallowing.45s