Pediatric Nursing Cardiovascular NCLEX Practice Quiz

Pediatric Nursing Cardiovascular NCLEX Practice Quiz Related

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A chest radiograph film is ordered for a child with suspected cardiac problems. The child’s parent asks the nurse, “What will the radiograph show about the heart?” What knowledge about the x-ray should the nurse include in the response to the parents?

  • A. Bones of chest but not the heart
  • B. Measurement of electrical potential generated from heart muscle
  • C. Permanent record of heart size and configuration
  • D. Computerized image of heart vessels and tissues
Correct Answer: C

Rationale: A chest radiograph will provide information on the heart size and pulmonary blood-flow patterns. It will provide a baseline for future comparisons. The heart will be visible, as well as the sternum and ribs. Electrocardiography (ECG) measures the electrical potential generated from heart muscle. Echocardiography will produce a computerized image of the heart vessels and tissues by using sound waves.

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X-linked conditions include:

  • A. Duchenne muscular dystrophy
  • B. Hypophosphataemic rickets
  • C. Huntington's chorea
  • D. Phenylketonuria
Correct Answer: A

Rationale: Duchenne muscular dystrophy is an X-linked recessive disorder caused by mutations in the dystrophin gene.

All of the following are conditions with combined cellular and antibody immunodeficiency, except

  • A. Ataxia telangiectasia
  • B. Reticular dysgenesis
  • C. Common variable immunodeficiency
  • D. Severe combined immunodeficiency
Correct Answer: C

Rationale: Common variable immunodeficiency (CVID) is primarily an antibody deficiency, not a combined immunodeficiency.

A female client who was involved in a motor vehicle collision is admitted with a fractured left femur which is immobilized using a fracture traction splint in preparation for an open reduction internal fixation (ORIF). The nurse determines that her distal pulses are diminished in the left foot. Which interventions should the nurse implement? (Select all that apply.)

  • A. Offer ice chips and oral clear liquids
  • B. Verify pedal pulses using a doppler pulse device
  • C. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
  • D. Evaluate the application of the splint to the left leg
Correct Answer: B

Rationale: These interventions assess and address potential vascular compromise, which is critical in a client with a fractured femur.

An adult female with multiple sclerosis (MS) falls while walking to the bathroom. On transfer to the intensive care unit, she is confused and has had projectile vomiting twice. Which intervention should the nurse implement first?

  • A. Determine client's last dose of corticosteroids
  • B. Determine neurological baseline prior to the fall
  • C. Administer a PRN IV antiemetic as prescribed
  • D. Complete head to toe neurological assessment.
Correct Answer: D

Rationale: The symptoms suggest increased intracranial pressure or a neurological emergency. A thorough neurological assessment is necessary to identify the cause and guide further interventions.

Inability to do which of the following in a 20-month child is cause for concern?

  • A. Speak in clear two to three word phrases
  • B. Walk unaided
  • C. Kick a ball
  • D. Build a tower of 8 blocks
Correct Answer: B

Rationale: Inability to walk unaided by 20 months is a red flag for developmental delay. Other skills are more variable and less concerning if delayed.

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