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NUR 405 ( LATEST 2024 / 2025 ) CHAPTER 46 | (ACTUAL EXAM ) QUESTIONS AND ANSWERS (SOLVED)
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NUR 405 ( LATEST 2024 / 2025 ) CHAPTER 46 | (ACTUAL EXAM ) QUESTIONS AND ANSWERS (SOLVED)
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NUR 405 Chapter 461. Which postoperative intervention should be questioned for a child after a cardiac
catheterization?
a. Continue intravenous (IV) fluids until the infant is tolerating oral fluids.
b. Check the dressing for bleeding.
c. Assess peripheral circulation on the affected extremity.
d. Keep the affected leg flexed and elevated.
Answer
D. keep the affected leg flexed and elevated
The child should be positioned with the affected leg straight for 4 to 6 hours after the procedure.
2. Which information should be included in the nurse's discharge instructions for a child who
underwent a cardiac catheterization earlier in the day?
a. Pressure dressing is changed daily for the first week.
b. The child may soak in the tub beginning tomorrow.
c. Contact sports can be resumed in 2 days.
d. The child can return to school on the third day after the procedure.
Answer
D. the child can return to school on the third day after the procedure
3. The nurse is admitting a child to the hospital for a cardiac workup. What is the first step in a
cardiac assessment?
,a. Percussion
b. Palpation
c. Auscultation
d. History and inspection
Answer
D. history and inspection
4. In which situation is there a risk that a newborn infant will have a congenital heart defect
(CHD)?
a. Trisomy 21 detected on amniocentesis
b. Family history of myocardial infarction
c. Father has type 1 diabetes mellitus
d. Older sibling born withTurner syndrome
Answer
A. trisomy 21 detected on amniocentesis
The incidence of congenital heart disease is approximately 50% in children with trisomy 21
(Down syndrome).
5. Before giving a dose of digoxin (Lanoxin), the nurse checked an infant's apical heart rate and
it was 114 bpm. What should the nurse do next?
a. Administer the dose as ordered.
b. Hold the medication until the next dose.
c. Wait and recheck the apical heart rate in 30 minutes.
, d. Notify the physician about the infant's heart rate.
Answer
A. administer the dose as ordered
6. What intervention should be included in the plan of care for an infant with the nursing
diagnosis of Excess Fluid Volume related to congestive heart failure?
a. Weigh the infant every day on the same scale at the same time.
b. Notify the physician when weight gain exceeds more than 20 g/day.
c. Put the infant in a car seat to minimize movement.
d. Administer digoxin (Lanoxin) as ordered by the physician.
Answer
A. weigh the infant every day on the same scale at the same time
7. The nurse assessing a premature newborn infant auscultates a continuous machinery-like
murmur. This finding is associated with which congenital heart defect?
a. Pulmonary stenosis
b. Patent ductus arteriosus
c. Ventricular septal defect
d. Coarctation of the aorta
Answer
A. patent ductus arteriosus
8. What is an expected assessment finding in a child with coarctation of the aorta?
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