The nurse is preparing to administer a dose of digoxin (Lanoxin) to a

child in heart failure (HF). Which is a beneficial effect of administering

digoxin (Lanoxin)?

*
It increases heart size.
It increases venous pressure.
It decreases cardiac output.
It decreases edema.

When measuring the blood pressure of the child on all four

extremities with coarctation of the aorta , the findings that the nurse
would expect is that ;
*
lower in the arms than in the legs.
higher on the left side.
lower in the legs than in the arms.
higher on the right side.

Nurse Susan is reviewing the health history and physical examination

of a child diagnosed with heart failure. All of the following is expected
to be present except ? *
Bradycardia
Crackles on lung auscultation
Shortness of breath when playing
Hypertension

A child has an elevated antistreptolysin O (ASO) titer. Which

combination of symptoms, in conjunction with this finding, would
confirm a diagnosis of rheumatic fever?
*
Erythema marginatum and arthralgia
Subcutaneous nodules and fever
Painful, tender joints and carditis
Chorea and elevated sedimentation rate

A child develops carditis from rheumatic fever. The nurse knows that
the areas of the heart affected by carditis are the:
*
heart muscle and the mitral valve.
contractility of the ventricles.
. coronary arteries.
aortic and pulmonic valves.

A newborn has been diagnosed with a congenital heart disease. As a

nurse which of the following congenital heart diseases is associated
with cyanosis?
*
Aortic stenosis
Pulmonary stenosis
Coarctation of aorta
Tetralogy of Fallot

The nurse is caring for an infant who is suspected to have neonatal

sepsis. Which neonatal risk factor for an infant with suspected
neonatal sepsis would the nurse expect to observe?
*
Large for gestational age (LGA) and an infant of a diabetic mother
Small for gestational age (SGA) and intrauterine growth restriction
Singleton gestation and female
Multiple gestation and low birth weight

A neonate is born at 33 weeks' gestation with a birth weight of 2400

grams. This neonate would be classified as:
*
Low birth weight
Very low birth weight
Extremely low birth weight
Very premature

Which of the following might the nurse expect when a cardiac defect
causes mixing of arterial and venous blood in the right side of the
heart?

*
Increased oxygenation of the tissues
Diuresis
Signs of pulmonary congestion
Cyanosis

Which defect results in increased pulmonary blood flow?

*
Pulmonic stenosis
Tricuspid atresia
Atrial septal defect
Transposition of the great arteries

Which is a clinical manifestation of the systemic venous congestion

that can occur with heart failure?
*
Tachypnea
Tachycardia
Peripheral edema
Pale, cool extremities

A baby is born with erythroblastosis fetalis. Which of the following

signs/symptoms would the nurse expect to see?
*
Erythema toxicum
Ruddy complexion.
Anasarca.
Alopecia.

Which is best described as the inability of the heart to pump an

adequate amount of blood to the systemic circulation at normal filling
pressures?
*
Pulmonary congestion
Heart failure
Systemic venous congestion
Congenital heart defect

Nurse Pia is conducting a staff in-service on congenital heart defects.

Which structural defect constitutes tetralogy of Fallot?

*
Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy
Pulmonic stenosis, ventricular septal defect, aortic hypertrophy, left ventricular
Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy

The nurse carefully assess the preterm infant for respiratory distress
syndrome because of a deficiency of:
*
protein
estrogen
hyaline
surfactant

Peter is assigned at Pediatric Ward caring for a 3-month-old infant

diagnosed with pulmonary stenosis. As a nurse which of the parent
teaching should be provide?

*
Pulmonary stenosis repair can be delayed until 1 year of age.
After repair, the child is no longer at risk for cardiac problems.
Balloon angioplasty is performed as an outpatient procedure.
Options for treatment include a repair of the artery or the valve.

The difference between pathologic jaundice and physiologic jaundice

is that pathologic jaundice:
*
Begins on the head and progresses down the body.
Usually results in kernicterus.
Results from breakdown of excessive erythrocytes not needed after birth.
Appears during the first 24 hours of life.

Nurse Cai explains which congenital cardiac defect(s) cause(s)

increased pulmonary blood flow, except :
*
Ventricular septal defects (VSDs)
Tetralogy of Fallot
Patent ductus arteriosus
Atrial septal defects (ASDs)

A full-term neonate who is 30 hours old has a bilirubin level of 10

mg/dL. The neonate has a yellowish tint to the skin of the face. The
mother is breastfeeding her newborn. The nurse caring for this
neonate would anticipate which of the following interventions?

*
Assess red blood cell count
Switch from breastfeeding to bottle feeding
Phototherapy
Feeding neonate every 2 to 3 hours
Baby Beth a 42-week-gestation baby has been admitted to the
neonatal intensive care unit. At delivery, thick green amniotic fluid
was noted. Which of the following neonatal care actions by the nurse
is critical at this time?
*
Rectal temperature to assess for septic hyperthermia.
Ophthalmic assessment to check for conjunctival irritation.
Respiratory evaluation to monitor for respiratory distress
Bath to remove meconium-contaminated fluid from the skin.

Congenital heart defects (CHDs) are anatomic abnormalities in the

heart that are present at birth, although they may not be diagnosed
immediately. The most common type of CHD is:
*
pulmonary stenosis.
tetralogy of Fallot.
ventricular septal defect (VSD).
transposition of the great vessels

An infant is experiencing dyspnea related to patent ductus arteriosus

(PDA). The nurse understands dyspnea occurs because blood is:
*
circulated through the lungs again, causing pulmonary circulatory congestion.
shunted past cardiac arteries, causing myocardial hypoxia.
shunted past the pulmonary circulation, causing pulmonary hypoxia.
circulated through the ductus from the pulmonary artery to the aorta, bypassing the left side of the heart.

Surgical closure of the ductus arteriosus would:

*
stop the loss of unoxygenated blood to the systemic circulation.
decrease the edema in legs and feet.
increase the oxygenation of blood.
prevent the return of oxygenated blood to the lungs

The nurse explains that a ventricular septal defect will allow:

*
increased pressure in the left atrium, impeding circulation of oxygenated blood in the circulating volume.
no shunting because of high pressure in the left ventricle.
blood to shunt left to right, causing increased pulmonary flow and no cyanosis.
blood to shunt right to left, causing decreased pulmonary flow and cyanosis.
A preterm infant has a yellow skin color and a rising bilirubin level. The
nurse is aware that the infant is at risk for:
*
skin breakdown
renal failure
brain damage
heart failure