NUR 106 Exam 2 Midterm (peds) Questions and Correct Answers
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Course
NUR 106
Institution
NUR 106
32. Which is the most appropriate nursing action related to the administration of digoxin (Lanoxin) to an infant?
Counting the apical rate for 30 seconds before administering the medication Withholding a dose if the apical heart rate is less than 100 beats/min Repeating a dose if the child vomits ...
NUR 106 Exam 2 Midterm (peds)
Questions and Correct Answers
32. Which is the most appropriate nursing action related to the administration of digoxin
(Lanoxin) to an infant?
Counting the apical rate for 30 seconds before administering the medication
Withholding a dose if the apical heart rate is less than 100 beats/min
Repeating a dose if the child vomits within 30 minutes of the previous dose
Checking respiratory rate and blood pressure before each dose ✅Withholding a dose if
the apical heart rate is less than 100 beats/min
33. The nurse is caring for a child with a diagnosis of Kawasaki disease. The child's
parent asks the nurse, "How does Kawasaki disease affect my child's heart and blood
vessels?" On what understanding is the nurse's response based?
Inflammation weakens blood vessels, leading to aneurysm
Increased lipid levels lead to the development of atherosclerosis
Untreated diseases causes mitral valve stenosis
Altered blood flow increases cardiac workload with resulting heart failure
✅Inflammation weakens blood vessels, leading to aneurysm
34. The nurse explained how to position an infant with tetralogy of Fallot if the infant
suddenly becomes cyanotic. Which statement by the father leads the nurse to
determine he understood the instructions?
"If the baby turns blue, I will hold him against my shoulder with his knees bent up
towards his chest"
"If the baby turns blue, I will lay him down on a firm surface with his head lower than the
rest of his body"
"If the baby turns blue, I will immediately put the baby upright in an infant seat"
"If the baby turns blue, I will put the baby in supine position with his head elevated"
✅"If the baby turns blue, I will hold him against my shoulder with his knees bent up
towards his chest"
35. A child has an elevated antistreptolysin O (ASO) titer. Which combination of
symptoms, in conjunction with this finding, would confirm a diagnosis of rheumatic
fever?
Subcutaneous nodules and fever
Painful, tender joints and carditis
Erythema marginatum and arthralgia
Chorea and elevated sedimentation rate ✅Painful, tender joints and carditis
, 36. Through what does the infant born with hypoplastic left heart syndrome acquire
oxygenated blood?
The patent ductus arteriosus
A ventricular septal defect
The closure of the foramen ovale
An atrial septal defect ✅An atrial septal defect
37. A child with rheumatic fever begins involuntary, purposeless movements of her
limbs. What does the nurse recognize that this indicates?
38. What is accurate about the characteristics of high-density lipoproteins (HDLs)?
They have high amounts of triglycerides
They have only small amounts of protein
They have little cholesterol
They aid in steroid production ✅They have little cholesterol
39. What should the school nurse recommend when encouraging a heart-healthy diet
for a child with high cholesterol?
A fat intake reduction of 5-10% of total calories
A fat intake reduction of 10-15% of total calories
A fat intake reduction of 15-20% of total calories
A fat intake reduction of 25-35% of total calories ✅A fat intake reduction of 25-35% of
total calories
40. A pediatric patient is scheduled for a noninvasive procedure to determine if his heart
is structurally normal and to localize a murmur. What diagnostic test does the nurse
anticipate?
Barium swallow
Chest x ray
Electrocardiogram
Echocardiogram ✅Echocardiogram
1. A nurse is caring for a preschooler who is experiencing mild pain. Which of the
following types of medication should the nurse administer first?
Opioid analgesic
Antianxiety medication
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