Nclex-Rn Practice Questions-Care Of The Child – Cardiovascular Disorders Part 2

Nclex-Rn Practice Questions-Care Of The Child - Cardiovascular Disorders Part 2

Please wait while the activity loads.
If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled.

If loading fails, click here to try again

Start

Congratulations - you have completed Nclex-Rn Practice Questions-Care Of The Child - Cardiovascular Disorders Part 2.

You scored %%SCORE%% out of %%TOTAL%%.

Your performance has been rated as %%RATING%%

Your answers are highlighted below.

Question 1

Which cardiac anomaly produces a left-to-right shunt?

A	Atrial septal defect
B	Pulmonic stenosis
C	Tetralogy of Fallot
D	Total anomalous pulmonary venous return

Question 2

What surgical procedure is recommended for repair of transposition of the great arteries?

A	Jatene procedure
B	Fontan procedure
C	Balloon atrial septostomy
D	Blalock-Taussig operation

Question 3

Which statement by the nurse best describes a characteristic of valvular pulmonic stenosis?

A	“The valve is normal.”
B	“The right ventricle is hypoplastic.”
C	“Left ventricular hypertrophy develops.”
D	“Divisions between the cusps are fused.”

Question 4

Which finding is seen during cardiac catheterization of a child with pulmonic stenosis?

A	Right-to-left shunting
B	Left-to-right shunting
C	Decreased pressure in the right side of the heart
D	Increased oxygenation in the left side of the heart

Question 5

The most appropriate information for the nurse to give the parents of a child with aortic stenosis would be?

A	Restrict exercise.
B	Avoid dental procedures
C	Avoid digoxin.
D	Restrict fluid intake.

Question 6

Which nursing diagnosis is the most appropriate to include in a familycentered plan of care when caring for an infant newly diagnosed with hypoplastic left heart syndrome?

A	Death anxiety
B	Delayed growth and development
C	Deficient diversional activity
D	Risk for activity intolerance

Question 7

A child is receiving prednisone after undergoing a heart transplant. The parents of the child ask the nurse what the purpose of the medication is. The best response by the nurse would be?

A	“It stimulates the appetite.”
B	“It suppresses the body’s immune response.”
C	“It improves wound healing.”
D	“It prevents fluid retention.”

Question 8

A child who received a heart transplant has been taking prednisone. The nurse is most concerned when the child experiences which of the following?

A	Weight loss
B	Hyperpyrexia
C	Anorexia
D	Poor wound healing

Question 9

Which statement about transposition of the great arteries is correct?

A	Electrocardiography will always show arrhythmias.
B	Diagnosis can be made in utero.
C	A chest X-ray can show an accurate view of the defect.
D	Heart failure is not a related complication.

Question 10

A nurse is assessing a child with transposition of the great arteries. Which associated defect should the nurse expect to see in this client?

A	Mitral atresia
B	Pulmonic stenosis
C	Patent foramen ovale
D	Hypoplasia of the left ventricle

Question 11

The nurse is preparing to administer digoxin and diuretics to an infant diagnosed with truncus arteriosus. What is best method of administration?

A	Use of a measuring spoon
B	Use of a graduated dropper
C	Use of an oral syringe
D	Mixing the drug in a bottle with juice or milk

Question 12

The nurse is preparing to assess a child with a possible cardiac anomaly. It is most important for the nurse to assess which of the following?

A	Skin turgor
B	Temperature
C	Pupil size and reaction to light
D	Blood pressure in all four extremities

Question 13

Which intervention is recommended postoperatively for a client with a surgical repair of coarctation of the aorta?

A	Administration of dopamine (Intropin)
B	Maintaining hypothermia
C	Administering sodium nitroprusside (Nipride)
D	Administering a bolus of I.V. fluids

Question 14

Which assessment is expected by the nurse when assessing a child with tetralogy of Fallot?

A	Machinelike murmur
B	Eisenmenger’s complex
C	Increasing cyanosis with crying or activity
D	Higher pressures in the upper extremities than with the lower extremities

Question 15

A child with tetralogy of Fallot has clubbing of the fingers and toes. The nurse is aware that the clubbing is most likely to be caused by:

A	polycythemia.
B	chronic hypoxia.
C	pansystolic murmur.
D	abnormal growth and development.

Question 16

A child with tetralogy of Fallot may assume which position of comfort during exercise?

A	Prone
B	Semi-Fowler’s
C	Side-lying
D	Squatting

Question 17

A nurse is describing tetralogy of Fallot to a child’s parents. Which statement by the parents demonstrates that the teaching has been effective?

A	“The condition is commonly referred to as ‘blue tets’.”
B	“A child with this condition experiences hypercyanotic, or ‘tet,’ spells.”
C	“A child with this condition experiences frequent respiratory infections.”
D	“A child with this condition experiences decreased or absent pulses in the lower extremities.”

Question 18

A child diagnosed with tetralogy of Fallot has been ordered to undergo testing. Which test would best indicate the direction and amount of shunting in this child?

A	Chest radiography
B	Echocardiography
C	Electrocardiography (ECG)
D	Cardiac catheterization

Question 19

Which change would the nurse expect after administering oxygen to an infant with uncorrected tetralogy of Fallot?

A	Disappearance of the murmur
B	No evidence of cyanosis
C	Improvement of finger clubbing
D	Less agitation

Question 20

A nurse is teaching parents about tricuspid atresia. Which statement indicates that the parents understand this disorder?

A	“There’s a narrowing at the aortic outflow tract.”
B	“The pulmonary veins don’t return to the left atrium.”
C	“There’s a narrowing at the entrance of the pulmonary artery.”
D	“There’s no communication between the right atrium and right ventricle.”

Question 21

A nurse is assessing a child who has undergone complete repair of total anomalous pulmonary venous connection. The nurse is most concerned when the child experiences which of the following?

A	Decreased work of breathing
B	Decreasing respiratory rate
C	Decreasing oxygenation saturation levels
D	Increasing urine output

Question 22

The nurse is assessing a child with a total anomalous pulmonary venous return defect. The nurse would expect the assessment to include which finding?

A	Hypertension
B	Frequent respiratory infections
C	Normal growth and development
D	Above-average weight gain on the growth chart

Question 23

The nurse is aware that a client who had a repair of total anomalous pulmonary venous return is at risk for which of the following?

A	Hypotension
B	Pulmonary hypertension
C	Ventricular arrhythmias
D	Pulmonary vein dilatation

Question 24

Which assessment finding would the nurse commonly assess in a child with truncus arteriosus?

A	Weak, thready pulses
B	Narrowed pulse pressure
C	Pink and moist mucous membranes
D	Harsh, systolic regurgitant murmur

Question 25

An infant has been diagnosed with tricuspid atresia. Which surgical intervention should a nurse expect the physician to recommend?

A	Blalock-Taussig operation
B	Fontan procedure
C	Jatene procedure
D	Patch closure

Question 26

Administration of which medication would be the most important in treating unrepaired transposition of the great arteries?

A	Digoxin (Lanoxin)
B	Furosemide (Lasix)
C	Enalapril (Vasotec)
D	Prostaglandin E1 (Alprostadil)

Question 27

During the assessment of a child with pulmonic stenosis, the nurse would anticipate observing which of the following?

A	Hyperactivity
B	Normal respiratory rate
C	Systolic ejection murmur
D	Capillary refill more than 2 seconds

Question 28

A nurse is caring for a 3-year old child who is one day postoperative after having undergone a ventricular septal defect repair. The child weighs 15 kg. The most appropriate outcome for this child is:

A	capillary refill will be greater than 3 seconds.
B	pain score will be greater than 5.
C	urine output will be 25 ml/hour.
D	heart rate will be less than 70 beats/minute.

Question 29

The nurse is planning care for a 9-year-old male child with heart failure. Which nursing diagnosis should receive priority?

A	Risk for decreased cardiac tissue perfusion related to sympathetic response to heart failure
B	Imbalanced nutrition: Less than body requirement related to rapid tiring while feeding
C	Anxiety (parent) related to unknown nature of child’s illness
D	Decreased cardiac output related to cardiac defect

Question 30

The nurse is preparing to administer digoxin (Lanoxin) to an infant. What is the most important intervention by the nurse?

A	Mix the digoxin with the infant’s food.
B	Double the subsequent dose if a dose is missed.
C	Give the digoxin with antacids when possible.
D	Withhold the dose if the apical pulse rate is less than 90 beats/minute.

Once you are finished, click the button below. Any items you have not completed will be marked incorrect. Get Results

There are 30 questions to complete.

related categories

Nclex Practice Questions Nclex-Nursing Resources

Nclex-Rn Practice Questions-Care Of The Child – Cardiovascular Disorders Part 2

Nclex-Rn Practice Questions-Care Of The Child - Cardiovascular Disorders Part 2

related categories

Related posts

Leave a Reply Cancel reply