Cardio ATI Review Questions
A parent of a toddler with Kawasaki's disease tells the nurse, " I just don't know what to do with my child. He's never acted like this before," The nurse's best reply is: 1. " Don't worry. This type of behavior is typical for a toddler." 2. "Irritability is part of Kawasaki's disease. Please don't be embarrassed." 3. "Perhaps your child would benefit from stricter limits." 4. " You seem to be in need of a referral to our Child Guidance Clinic."
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In assessing a child with Kawasaki's disease, the nurse should recognize that the childhood communicable disease that poses the greatest danger for this child is: 1. Measles 2. Mumps 3. Rubella 4. Chicken Pox
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When assessing a child for signs and symptoms of rheumatic fever, which symptoms should the nurse anticipate?
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Which statement made by the parents of a child with Kawasaki's disease indicates that the parents have understood the nurse's teaching regarding signs of aspirin toxicity? 1. We'll call the pediatrician immediately if our child develops vomiting or a rash. 2. We'll call the pediatrician immediately if our child develops vomiting or a rash 3. We'll call the pediatrician immediately if our child tells us if he hears ringing in his ears 4. We'll call the pediatrician immediately if our child starts to breathe slowly
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A nurse is caring for a child who is suspected of having rheumatic fever. Which of the following manifestations support this diagnosis? (SATA) A. Erythema marginatum (rash) B. Continuous joint pain of the digits C. Tender subcutaneous nodules D. Decreased erythrocyte sedimentation rate E. Elevated C-reactive protein F. Uncoordinated movements of the extremities
A, E, F
Therapeutic management of the child with rheumatic fever includes: A. Administration of penicillin. B. avoidance of salicylates (aspirin). C. strict bed rest for 4 to 6 weeks. D. administration of corticosteroids if chorea develops.
A
Which of the following is an early sign of heart failure that the nurse should recognize? A. Tachypnea B. Bradycardia C. Inability to sweat D. Increased urinary output
A
Which of the following procedures uses high-frequency sound waves obtained by a transducer to produce an image of cardiac structures? A. Echocardiography Correct B. Electrophysiology C. Electrocardiography D. Cardiac catheterization
A
Nursing care of the infant and child with heart failure would include which of the following? A. Force fluids appropriate to age. B. Monitor respirations during active periods. C. Organize activities to allow for uninterrupted sleep. D. Give larger feedings less often to conserve energy.
C
Nursing interventions for the child after a cardiac catheterization would include which of the following? A. Allow ambulation as tolerated. B. Monitor vital signs every 2 hours. C. Assess the affected extremity for temperature and color. D. Check pulses above the catheterization site for equality and symmetry.
C
Which of the following is an important nursing responsibility when a dysrhythmia is suspected? A. Order an immediate electrocardiogram. B. Count radial rate every 1 minute for 5 minutes. C. Count apical rate for 1 full minute and compare with radial rate. Correct D. Have someone else take the radial rate simultaneously with the apical rate.
C
A nurse is caring for a 2 year old child who is cyanotic and is in the hospital for a cardiac catheterization to repair cardiac defects. The child will be transferred to the pediatric ICU following the procedure. Which of the following is an appropriate nursing action when providing care to this child? A. Place on NPO status for 12 hr prior to the procedure B. Check for iodine or shellfish allergies prior to the procedure C. Elevate the affected extremity following the procedure D. Restrict fluids following the procedure unit the gag reflex is intact.
B
The nurse is assessing a child with a cardiac problem. Extremities are cool with thready pulses, and urinary output is diminished. This is most suggestive of which of the following? A. Increased afterload B. Decreased contractility C. Increased stroke volume D. Decreased cardiac output
B
Which of the following is an important nursing consideration when chest tubes will be removed from a child? A. Explain that it is not painful. B. Administer analgesics before procedure. C. Explain that only a Band-Aid will be needed. D. Expect bright red drainage for several hours after removal.
B
A nurse is assessing an infant who has congenital heart disease. Which of the following should the nurse recognize as manifestations of heart failure? A. Bradycardia B. Cool extremities C. Peripheral edema D. Increased urinary output E. Nasal flaring
B, C, E
A nurse is providing teaching to the mother of an infant who is to start taking digoxin (lanolin). Which of the following instructions should the nurse include? A. " Do not allow your baby to drink anything after the digoxin is administered." B. " Digoxin speeds the heart rate up to allow the heart to pump out more fluid." C. " It is important to administer the correct amount at regularly scheduled times." D. "If your baby vomits a dose, you should repeat the dose to ensure that he gets the correct amount."
C
Nurses counseling parents regarding the home care of the child with a cardiac defect before corrective surgery should stress which of the following? A. Be extremely concerned about cyanotic spells. B. Relax discipline and limit setting to prevent crying. C. Reduce caloric intake to decrease cardiac demands. D. Promote normality within the limits of the child's condition.
D
The primary therapy for secondary hypertension in children is: A. low-salt diet. B. weight reduction. C. increased exercise and fitness. D. Treatment of underlying cause.
D
Which of the following heart defects causes hypoxemia and cyanosis because desaturated venous blood is entering the systemic circulation? A. Coarctation of the aorta B. Atrial septal defect C. Patent ductus arteriosus D. Tetralogy of Fallot
D
