Nokea
Shone complex consist of the following EXCEPT
- A. coarctation of the aorta
- B. subvalvar aortic stenosis
- C. valvar aortic stenosis
- D. pulmonic stenosis
Correct Answer: D
Rationale: Pulmonic stenosis is not part of Shone complex.
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A 3-year-old child is receiving dextrose 5% in water and half-normal saline solution at 100 ml/hour. Which sign or symptom suggests excessive I.V. fluid intake?
- A. Worsening dyspnea
- B. Gastric distension
- C. Nausea and vomiting
- D. Temperature of 102°F (38.9° C)
Correct Answer: A
Rationale: Worsening dyspnea may indicate fluid overload, leading to pulmonary edema and respiratory distress.
A client with pheochromocytoma reports the onset of a severe headache. The nurse observes that the client is very diaphoretic. Which assessment data should the nurse obtain next?
- A. Blood pressure
- B. Blood glucose level
- C. Respiratory rate
- D. Oxygen saturation
Correct Answer: A
Rationale: Pheochromocytoma can lead to hypertension, which may be responsible for the client’s symptoms. Monitoring blood pressure is crucial to assess for potential hypertensive crisis.
The wife of a client with Parkinson's disease expresses concern because her husband has lost so much weight. Which teaching is best for the nurse to provide?
- A. Invite friends over regularly to share in meal times
- B. Encourage the client to drink clear liquids between meals
- C. Coach the client to make an intentional effort to swallow
- D. Talk to the healthcare provider about prescribing an appetite stimulant
Correct Answer: A
Rationale: Social interaction during meals can improve appetite and intake in clients with Parkinson's disease.
The vast majority of tumors originating from the heart are benign. Of the following, the MOST common pediatric cardiac tumors are
- A. fibromas
- B. rhabdomyomas
- C. myxomas
- D. hemangiomas
Correct Answer: B
Rationale: Rhabdomyomas are the most common benign cardiac tumors in children.
Which among the following is a systolic event?
- A. E wave
- B. L wave
- C. A wave
- D. S' wave
Correct Answer: D
Rationale: S' wave is a systolic event observed in echocardiography.