LPN Pediatric Nursing Cardiovascular NCLEX Practice Quiz

LPN Pediatric Nursing Cardiovascular NCLEX Practice Quiz Related

Review LPN Pediatric Nursing Cardiovascular NCLEX Practice Quiz related questions and content

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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Atypical hemolytic uremic syndrome is associated with

  • A. Factor VII deficiency
  • B. Factor H deficiency
  • C. Interleukin 10 deficiency
  • D. Properdin deficiency
Correct Answer: B

Rationale: Factor H deficiency is a known cause of atypical hemolytic uremic syndrome.

The following conditions can present in a newborn infant as a bullous eruption:

  • A. Syphilis
  • B. Mast cell disease
  • C. Epidermolysis bullosa
  • D. Phenylketonuria
Correct Answer: C

Rationale: Epidermolysis bullosa is a genetic condition causing blistering of the skin. Syphilis and mast cell disease can also cause bullous eruptions, but phenylketonuria does not.

Early features of heart failure in infancy include:

  • A. Bradycardia
  • B. Oedema
  • C. Tachypnoea
  • D. Hepatomegaly
Correct Answer: C

Rationale: Tachypnoea is an early indicator of heart failure in infants, as the body tries to compensate for reduced oxygenation by increasing the respiratory rate.

Which is an important nursing consideration when suctioning a young child who has had heart surgery?

  • A. Perform suctioning at least every hour.
  • B. Suction for no longer than 30 seconds at a time.
  • C. Administer supplemental oxygen before and after suctioning.
  • D. Expect symptoms of respiratory distress when suctioning.
Correct Answer: C

Rationale: If suctioning is indicated, supplemental oxygen is administered with a manual resuscitation bag before and after the procedure to prevent hypoxia. Suctioning should be done only as indicated, not on a routine basis. The child should be suctioned for no more than 5 seconds at one time. Symptoms of respiratory distress are avoided by using appropriate technique.

Normal Heart

  • A. Ventricular septal depolarization occurs from Lt ï‚® Rt
  • B. During tachycardia diastolic time reduced than systolic time
Correct Answer: B

Rationale: During tachycardia, diastolic time is significantly reduced compared to systolic time.

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