Peds: Chapter 23 cardiac questions
NCLEX
A cardiac assessment is required to determine if a child's physical symptoms are related
to possible heart disease. The nurse is proceeding to auscultation techniques. When
observing the nursing student perform this assessment, which action would indicate that
additional training was required?
a. documentation of heart sounds in reference to anatomical location
b. determination that there is no evidence of carotid bruits
c. calculation of HR
d. ascertaining whether there is evidence of splenic enlargement - ansd. ascertaining
whether there is evidence of splenic enlargement
- requires palpation
A diagnosis of rheumatic fever is being ruled out for a child. Which lab test(s) is/are the
most reliable? (select all)
a. throat culture
b. CRP
c. ASO titer
d. elevated WBC
e. ESR - ansc. ASO titer
A physician suspects that a child may have a congenital cardiac disease. Which
noninvasive diagnostic procedure would help to confirm the possibility of heart disease?
a. EKG
b. ECHO
c. chest x ray
d. pulse ox - ansb. ECHO
A young child with tetralogy of Fallot may assume a posturing position as a
compensatory mechanism. The position automatically assumed by the child is:
a. the low Fowler position
b. the prone position
c. the supine position
d. the squatting position - ansd. the squatting position
- creates centralized shunting
After a patient returns from cardiac catheterization, the nurse notes that the pulse distal
to the catheter insertion site is weaker (+1). The most appropriate nursing intervention is
to:
a. elevate the affected extremity
b. document the findings and continue to monitor
