Nokea
Pulmonary hypertension is a complication of:
- A. ASD
- B. Eisenmenger syndrome
- C. Tricuspid atresia
- D. Tricuspid regurgitation
Correct Answer: B
Rationale: Eisenmenger syndrome is a well-known cause of pulmonary hypertension. The other options (a-d) can also lead to pulmonary hypertension but are less specific.
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Chest pain in pediatric patients often generates a significant amount of parental concern. Of the following, the MOST common cause is
- A. myocarditis
- B. pericarditis
- C. pneumonia
- D. pleurisy
Correct Answer: C
Rationale: Chest pain in children is most commonly caused by non-cardiac conditions such as pneumonia or pleurisy.
A nurse assesses a client after administering a prescribed beta blocker. Which assessment should the nurse expect to find?
- A. Blood pressure increased from 98/42 mm Hg to 132/60 mm Hg
- B. The respiratory rate decreased from 25 breaths/min to 14 breaths/min
- C. Pulse decreased from 100 beats/min to 80 beats/min
- D. Oxygen saturation increased from 88% to 96%
Correct Answer: D
Rationale: Beta blockers reduce heart rate and blood pressure. A decrease in pulse rate from 100 beats/min to 80 beats/min is consistent with the expected pharmacological effect of a beta blocker.
The most likely diagnosis in the patient is
- A. patent ductus arteriosus
- B. critical aortic stenosis
- C. critical pulmonic stenosis
- D. tetralogy of Fallot
Correct Answer: D
Rationale: Tetralogy of Fallot involves right ventricular hypertrophy, a VSD, overriding aorta, and pulmonary stenosis, consistent with the findings.
Rocker bottom feet and polyvalvular dysplasia are characteristic of which of the following?
- A. Trisomy 19
- B. Trisomy 18
- C. Trisomy 13
- D. Trisomy 21
Correct Answer: B
Rationale: Rocker bottom feet and polyvalvular dysplasia are classic signs of trisomy 18 (Edwards syndrome), a condition that involves multiple congenital anomalies.
When planning care for a client newly diagnosed with open angle glaucoma, the nurse identifies a priority nursing diagnosis of, 'visual sensory/perceptual alterations.' This diagnosis is based on which etiology?
- A. Limited eye movement
- B. Decreased peripheral vision
- C. Blurred distance vision
- D. Photosensitivity
Correct Answer: B
Rationale: Open angle glaucoma primarily affects peripheral vision, leading to visual sensory/perceptual alterations.