Pediatric Nursing Cardiovascular NCLEX Practice Quiz

Pediatric Nursing Cardiovascular NCLEX Practice Quiz Related

Review Pediatric Nursing Cardiovascular NCLEX Practice Quiz related questions and content

Which is best described as the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures?

  • A. Pulmonary congestion
  • B. Congenital heart defect
  • C. Heart failure
  • D. Systemic venous congestion
Correct Answer: C

Rationale: The definition of heart failure is the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures to meet the body’s metabolic demands. Pulmonary congestion is an excessive accumulation of fluid in the lungs. Congenital heart defect is a malformation of the heart present at birth. Systemic venous congestion is an excessive accumulation of fluid in the systemic vasculature.

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Developmental delay in children below 3 years of age is defined as

  • A. 25% departure from typical performance in 2 developmental domains
  • B. 25% departure from typical performance in any developmental domain
  • C. 30% departure from typical performance in ≥2 developmental domains
  • D. 30% departure from typical performance in any developmental domain
Correct Answer: D

Rationale: Developmental delay in children below 3 years is defined as a 30% departure from typical performance in any developmental domain, indicating significant lag.

Features differentiating renal tubular acidosis type II from type I include:

  • A. Increased anion gap
  • B. Nephrocalcinosis
  • C. Urinary pH can be lowered < 5.5 in ammonium chloride loading test in type I
  • D. Aminoaciduria
Correct Answer: C

Rationale: In type I renal tubular acidosis, urinary pH can be lowered below 5.5 during an ammonium chloride loading test, unlike in type II.

Possible causes of isosexual precocious puberty in a 6-year-old girl are:

  • A. McCune-Albright syndrome
  • B. Congenital adrenal hyperplasia (CAH)
  • C. Ovarian tumour
  • D. Hypothalamic hamartomas
Correct Answer: D

Rationale: Hypothalamic hamartomas can cause precocious puberty by secreting gonadotropin-releasing hormone (GnRH) prematurely.

All of the following are part of acute aortic syndrome, except

  • A. Aortic dissection
  • B. Acute aortic regurgitation
  • C. Intramural hematoma
  • D. Penetrating atherosclerotic ulcer
Correct Answer: B

Rationale: Acute aortic regurgitation is not typically considered part of acute aortic syndrome.

Tall (>25 mm), narrow, and spiked P waves are seen in

  • A. Ebstein anomaly
  • B. ventricular septal defect
  • C. patent ductus arteriosus
  • D. severe mitral stenosis
Correct Answer: D

Rationale: Severe mitral stenosis can cause tall, narrow, and spiked P waves due to left atrial enlargement.

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