1. PEDIATRIC NURSING
CARDIOVASCULAR DISORDERS
Name:______________________________ Date:_____________ Section_______
I. MATCHING TYPE: Match Column A with Column B. Write in CAPITAL letters
Column A Column B
1. TOGV
2. PDA
3. RHD/RF
4. ASD
5. TOF
6. Truncus Arteriosus
A. Acyanotic
B. Cyanotic
C. Acquired
D. None of the above
1. Umbilical Arteries
2. Fossa ovalis
3. Ductus Areriosus
4. Ductus Venosus
5. Umbilical vein
A. Fetal Circulation
B. Infant/Adult Circulation
C. None
II. MULTIPLE CHOICE: CHOOSE THE BEST ANSWER. Write your answers in CAPITAL
LETTERS
1. You are the nurse assigned in the Pediatric Cardiac unit, and will care for many children with
various anomalies. You note that Mela 2 y/o, has cyanotic heart disease during your
assessment to most likely have:
A. Edema of extremities C. Elevated hematocrit
B. Absent pedal pulses D. Orthopnea
2. Karrel, 5 y/o is admitted because of Tetralogy of Fallot. The defects associated with this
disorder are:
A. Atrial & ventricular defects, mitral stenosis, Right ventricular hypertrophy
B. Right ventricular hypertrophy, ventricular septal defect, pulmonary artery stenosis,
overriding aorta
C. Origin of the aorta is at the right ventricle, and the pulmonary artery is at the left
ventricle
D. Abnormal connection of the aorta & pulmonary artery, right ventricular hypertrophy,
and atrial septal defects.
3. Karrel’s CBC showed an elevated RBC count. Polycythemia is best explained as a
compensatory mechanism for:
A. Low iron level C. Cardiomegaly
B. Low BP D. Tissue oxygen need
4. A common finding in most children with cardiac anomalies is:
A. Mental retardation
B. Cyanosis & clubbing
C. Delayed physical growth
D. (+) family history of cardiac anomalies
5. The procedure done to treat Polycythemia is:
A. Blood transfusion C. Chemotherapy
B. Phlebotomy D. Plasmapheresis
6. She is started on Digoxin. Based on the normal range for her age, you would hold & notify
the MD if the apical rate is below
A. 60 bpm C. 90 bpm
B. 80 bpm D. 100 bpm
7. You teach the mother that the primary reason for giving Digoxin is that it helps
A. Relax the walls of the arteries
B. Improve strength of the heartbeat
C. Prevent irregularities in the heart contractions
D. Reduce inflammation of the heart muscle
8. The most common manifestation of Digoxin toxicity is:
A. Nausea and Vomiting C. Chest pain
B. Tachycardia D. Constipation
9. During blood extraction, Karrel started crying. She suddenly turns blue, and her RR
increased to 50 breaths/min. Your immediate nursing intervention is:
A. Assess for an irregular heart beat
B. Place her on a knee chest position
C. Sedate her to help her rest
D. Assure her that the procedure is almost over
10. The following helps closes the ductus arteriosus at birth, EXCEPT:
A. Increased PO2
B. Increased pulmonary artery pressure
C. Decreasing prostaglandin levels
D. None of the above
2. 11. Jo-anne has Coarctation of the aorta. During your vital signs taking, you may observe:
A. Bounding femoral pulses
B. Notching of the clavicle
C. Elevated BP on the upper extremities
D. Weak, thready radial pulses
12. She underwent cardiac catheterization. On your assessment post-procedure, which of the
following will be you giving highest priority?
A. Checking for pulses above the extremity
B. Asses for gag reflex
C. Checking color in the right & left leg
D. Checking for the temperature
13. Which of the following drugs are used in closure of a patent ductus arteriosus?
A. Penicillin C. Indomethacin
B. Digoxin D. Furosemide
14. The following are signs and symptoms of Kawasaki disease, EXCEPT:
A. Fever C. Desquamating skin over the face
B. Strawberry tongue D. Arthritis
Candy, 7 y/o was admitted with a diagnosis of rheumatic heart disease.
15. The organism responsible for Rheumatic Fever/Rheumatic Heart Disease is:
A. Grp A α-hemolytic Streptococcus
B. Grp A β-hemolytic Streptococcus
C. Staphylococcus aureus
D. Hemophilus influenzae
16. When taking the nursing history, you will try to determine if the child was recently ill with:
A. Mumps C. Measles
B. Sore throat D. Influenza
17. Which of the following may indicate that she recently had a certain bacterial infection?
A. Low hemoglobin levels C. Low Erythrocyte Sedimentation Rate
B. High WBC count D. Elevated ASO titer
18. The drug of choice for patients with RF/RHD to treat the bacterial infection is:
A. Digoxin C. Penicillin
B. Captopril D. Furosemide
19. She was diagnosed with Congestive heart failure. You noted that she has cough and dyspnea.
Which of the following is the least appropriate nursing action?
A. Give Digoxin as ordered
B. Schedule activity according to needs
C. Encourage to increase fluid intake
D. Provide a low salt diet
GOOD LUCK!
