Title: Module 4 Quiz
Course: NUR 1411C Nursing for the Family Part 2 > Section: Module 4

Q: When performing an assessment on a child with suspected cardiac disease, the process begins with:
- Auscultation of the chest
- Observation of the general appearance
- Assessment for clubbing
- Palpation of the abdomen
A: Observation of the general appearance

Q: Which of the following clinical manifestations would suggest right sided Congestive Heart Failure?
- Bounding pulses
- Bradycardia
- Hepatosplenomegly
- Skin tenting
A: Hepatosplenomegly

Q: Which assessment finding by the nurse, on an infant prior to cardiac catheterization, would be a cause the physician to postpone the procedure?
- Weight gain
- Severe diaper rash
- A loose tooth
- Bounding pedal pulses
A: Severe diaper rash

Q: The five year old with new onset congestive heart failure and is started on furosemide. The parents ask if there is anything the child should be encouraged to eat to prevent side effects of the medicine.
The nurse suggests which of the following foods?
- Peanuts
- Raisins
- Grapes
- Bananas
A: Bananas

Q: A two year-old child with known cardiac disease is on Digoxin. Which assessment finding indicates to the nurse that Digoxin toxicity may be occurring?
- Tachycardia and dysrhythmia
- Nausea, vomiting, bradycardia
- Tinnitus and nuchal rigidity
- Headache and diarrhea
A: Nausea, vomiting, bradycardia

Q: Which Cardiac Defect represents a left to right shunt?
- Coarctation of the Aorta
- Tetrology of Fallot
- Ventricular Septal Defect
- Pulmonic Stenosis
A: Ventricular Septal Defect

Q: Which of the following is a sign of Hypokalemia?
- Apnea
- Muscle weakness
- Twitching
- Oliguria
A: Muscle weakness

Q: The parents of a young child with congestive heart failure tell the nurse that they are "nervous" about giving Digoxin. The nurse's response should be based on which of the following?
- Parents lack the expertise necessary to administer digoxin
- It is difficult to either overmedicate or undermedicate with Digoxin
- Parents must learn specific important guidelines for giving Digoxin
- It is a very safe, frequently used cardiac medication
A: Parents must learn specific important guidelines for giving Digoxin

Q: The electrolyte usually depleted with diuretic therapy is:
- Sodium
- Potassium
- Chloride
- Calcium
A: Potassium

Q: The nurse is teaching parents of children with congenital heart defects signs and symptoms of congestive heart failure. She will include:
- Vomiting and diarrhea
- Sudden weight loss
- Increased efforts to breathe
- Bradycardia
A: Increased efforts to breathe

Q: Which clinical manifestation is a sign of chronic hypoxia?
- Persistent murmur
- Polycythemia
- Barrel chest
- Hyponatremia
A: Polycythemia

Q: When planning care for a hospitalized child with congestive heart failure, the nurse knows that the following measure will help decrease cardiac demands.
- Place on left side to promote circulation
- Cluster activities to allow for rest
- Monitor vital signs every hour
- Monitor weight weekly
A: Cluster activities to allow for rest

Q: The nurse is preparing to give Digoxin to a 9 month old. The nurse checks the dosage and draws up 2 mls of the drug. What is the appropriate nursing action?
- Do not give, suspect dosage error
- Mix with juice to disguise the taste
- Check the Heart rate, administer the dose in the back or side of the mouth
- Check the Heart rate, administer by letting the infant suck through the nipple.
A: Do not give, suspect dosage error

Q: Which assessment information would alert the nurse to the possibility of cardiac disease in an infant?
- Tachypnea at rest
- Bradycardia at rest
- Elevated potassium
- Increased urine output
A: Tachypnea at rest

Q: The nurse is planning interventions for an infant with chronic heart failure and failure to thrive. Which intervention will the nurse use to enhance the child's caloric intake?
- Increase caloric density by adding oil or polycose to breast milk or formula
- Increase formula volume and give feedings less often
- Administer bolus feeds via a nasogastric tube every six hours
- Begin rice cereal earlier than is normally recommended
A: Increase caloric density by adding oil or polycose to breast milk or formula

Q: A 10 old year child is admitted the nursing unit with a diagnosis of probable Coarctation of the aorta.
Which assessment finding would most indicate this defect?
- Heart rate of 120 and respiratory rate of 22
- BP of 120/70 in upper extremities and 118/68 lower extremities
- Bounding radial pulses and weak pedal pulses
- Tachypnea at rest
A: Bounding radial pulses and weak pedal pulses

Q: A 2 month old infant with Tetrology of Fallot becomes cyanotic following a prolonged episode of crying. What should the nurse's first action be?
- Administer oxygen
- Administer morphine
- Place in knee chest position
- Give infant albuterol
A: Place in knee chest position

Q: What is the most common organism associated with bacterial endocarditis ?
- Staphylococcus aurous
- Hemophalous influenza
- Group B streptococcus
- Strep Viridans
A: Strep Viridans

Q: A 15 pound infant is to be given Clafaron 200mg/kg/24 hours in Q8 hour doses. How much is the am dose?
- 454.5 mg
- 1000 mg
- 2200 mg
- 1363.6 mg
A: 454.5 mg

Q: An infant with CHF requires BID dosing of Digoxin. She weighs 6.9 kg. The safe dose is 0.3mcg/kg/day. Digoxin liquid preparation is
10 mcg/ml. Her 9 a.m. dose would be how many mls?
- 2.07 ml
- 0.104 ml
- 0.207 ml
- 1.035 ml
A: 0.104 ml