LPN Cardiovascular Conditions Pediatrics Test Bank Questions Free Nursing

LPN Cardiovascular Conditions Pediatrics Test Bank Questions Free Nursing Related

Review LPN Cardiovascular Conditions Pediatrics Test Bank Questions Free Nursing related questions and content

The parents of a young child with heart failure tell the nurse that they are “nervous” about giving digoxin (Lanoxin). The nurse’s response should be based on which statement?

  • A. It is a safe, frequently used drug.
  • B. It is difficult to either overmedicate or undermedicate with digoxin.
  • C. Parents lack the expertise necessary to administer digoxin.
  • D. Parents must learn specific, important guidelines for administration of digoxin.
Correct Answer: D

Rationale: Digoxin has a narrow therapeutic range. The margin of safety between therapeutic, toxic, and lethal doses is very small. Specific guidelines are available for parents to learn how to administer the drug safely and to monitor for side effects. Digoxin is a frequently used drug, but it has a narrow therapeutic range. Small amounts of the liquid are given to infants, making it easy to overmedicate or undermedicate. Parents may lack the necessary expertise to administer the drug at first, but with discharge preparation, they should be prepared to administer the drug safely.

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What percentage (%) of patients with rheumatic mitral valve disease has the echocardiographic diagnosis of tricuspid stenosis as a co-existing lesion?

  • A. 10
  • B. 20
  • C. 30
  • D. 40
Correct Answer: A

Rationale: Approximately 10% of patients with rheumatic mitral valve disease have tricuspid stenosis as a co-existing lesion.

The nurse is collecting information from a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain?

  • A. Eating patterns and dietary intake
  • B. Level and amount of physical activity
  • C. Color and consistency of feces
  • D. Presence and activity of bowel sounds
Correct Answer: A

Rationale: Eating patterns can affect the pain and inflammation in chronic pancreatitis, making this data crucial.

FISH is helpful in diagnosing:

  • A. Prader-Willi syndrome
  • B. Di George syndrome
  • C. Klinefelter's syndrome
  • D. Turner's syndrome
Correct Answer: B

Rationale: FISH (Fluorescence In Situ Hybridization) is particularly useful in diagnosing DiGeorge syndrome, which involves microdeletions on chromosome 22.

Regarding cranial nerves:

  • A. Meningioma of the olfactory groove may cause unilateral anosmia
  • B. Lesion in the geniculate ganglion produces hyperacusis
  • C. Frontalis muscle is spared in lower motor neuron facial palsy
  • D. In oculomotor palsy, pupillary sparing occurs in early stages of external compression of the nerve by a tumour
Correct Answer: A

Rationale: Meningioma affecting the olfactory groove can compress the olfactory nerve, leading to unilateral anosmia.

Which patient could require feeding by gavage?

  • A. Infant with congestive heart failure (CHF)
  • B. Toddler with repair of transposition of the great vessels
  • C. Toddler with Kawasaki disease (KD) in the acute phase
  • D. School-age child with rheumatic fever (RF) and chorea
Correct Answer: B

Rationale: Feeding by gavage may be required if the child is unable to feed orally without increased cardiac demand, as might be seen after surgical repair of transposition of the great vessels.

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