Final Exam Review

1.     While caring for a 5 week old infant diagnosed with a ventricular septal defect, the registered nurse (RN) recognizes which clinical manifestation supports this diagnosis? Select all that apply.

• continuous crying

• poor weight gain

• fatigue after feeding

• grunting during feeding

• loud systolic murmur

1.     What information statement will the registered nurse (RN) provide to the parents of a 4 month old prior to a cardiac catheterization?

• “This procedure is relatively simple, noninvasive, and with minimal risks involved.”

• "This procedure is very involved, will be invasive, and has a very great risk of death.”

• “This procedure is a tedious event, with many risks involved, and has the potential of causing heart damage.”

• “This procedure is invasive, provides much needed information about your child’s heart, and does have some risks, but these are rare.”

1.     While caring for an infant diagnosed with tetralogy of fallot, the registered nurse (RN) identifies a hypercyanotic spell and implements which intervention? Select all that apply.

• position the infant prone

• stretch the infant's legs out

• administer oxygen therapy

• swaddle the infant closely

• provide the infant a pacifier

The registered nurse (RN) is caring for a 32 week neonate diagnosed with a patent ductus arteriosus and anticipates the order for which intravenous drug as treatment to promote closure?

• digoxin

• furosemide

• spiranolactone

• indomethacin

The registered nurse (RN) is caring for a 1 week old newborn diagnosed with a patent ductus arteriosus and anticipates the presence of what sound with the murmur?

• sonorous type murmur

• crescendo type murmura.    

• purring type murmur

• machinery-like murmur

While discussing the diagnosis of tetralogy of fallot (TOF) with a graduate nurse (GN), the registered nurse (RN) reviews which defect as a part of TOF? Select all that apply.

• aortic stenosis

• ventricular septal defect

• pulmonic stenosis

• overriding aorta

• right ventricular hypertrophy

1.     While providing care for a 1 month old newborn, which clinical presentation observed by the registered nurse (RN) supports the possible diagnosis of tetralogy of fallot? Select all that apply.

• abdominal distention

• steady weight gain

• cyanosis with crying

• oxygen sats of 80%

• dyspnea with feeding

1.     While caring for a 14 month old diagnosed with Kawasaki disease, the registered nurse (RN) knows which clinical manifestation confirms this diagnosis? Select all that apply.

• recent history of headache and eye strain

• fever unresponsive to antipyretics

• cervical lymphadenopathy

• reddened skin rash with peeling

• strawberry tongue and red, cracked lips

1.     The registered nurse (RN) is providing education to the mother of a 5 month old male diagnosed with a congenital heart defect and explains to the mother that her son is at risk of developing which complication related to the defect? Select all that apply.

• increase in the fat lipids in the blood

• inflammation of the heart muscle

• deterioration of the heart muscle

• normal heart function stopping

• not enough oxygen in the blood

The nurse caring for a client with dilated cardiomyopathy is scheduling a transthoracic echocardiogram, which will reveal what type of finding associated with the diagnosis?

• Decreased ejection fraction

• Decreased heart rate

• Presence of bundle branch block

• Asymptomatic ventricular tachycardia