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Alteration In Circulation

Total questions: 12

Worksheet time: 12mins

Name
Class
Date
1.
A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate
tablets. Which of the following instructions should the nurse provide the parents regarding administration of this
medication?
a)
Give with a 240 mL (8 oz) glass of milk.
b)
Administer at mealtimes.
c)
Give with orange juice.
d)
Administer at bedtime
2.
A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with
increased pulmonary blood flow?
a)
Coarctation of the aorta
b)
Patent ductus arteriosus
c)
Tetralogy of Fallot
d)
Tricuspid atresia
3.
A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an
anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses
should the nurse make?
a)
"This test will indicate if your child has rheumatic fever."
b)
"This test will confirm if your child had a recent streptococcal infection."
c)
"This test will indicate if your child has a therapeutic blood level of an aminoglycoside."
d)
"This test will confirm if your child has immunity to streptococcal bacteria."
4.
1.  A nurse is caring for a child with Kawasaki disease. Which of the following is the primary system involved with this diagnosis?
a)
Cardiovascular
b)
Gastrointestinal
c)
Integumentary
d)
Respiratory
5.
A nurse assessing a newborn finds an apical heart rate of 130/min. Which of the following is the appropriate nursing action?
a)
Ask another nurse to verify the heart rate.
b)
Document this as an expected finding.
c)
Call the neonatologist to assess the newborn.
d)
Prepare the newborn for transport to the NICU
6.
A newly licensed nurse is assisting with the admission of a client with Rheumatic Fever who reports a severe allergy to penicillin. Which of the following actions by the nurse should prompt the charge nurse to intervene?
a)
Applies allergy band after verifying the allergy with provider
b)
Documents known allergy to penicillin in the client’s medical record
c)
Places an allergy band on the client’s arm during the admission process
d)
Ensures the client’s prescribed medications do not contain cephalosporin
7.
A nurse acknowledges a client’s valid concerns who has a family history of hemophilia A. Which of the following symptoms may the client experience?
a)
Frequent rapid bleeding
b)
Minimal tendency to bruise
c)
Immediate clotting from a minor cut
d)
Disabling joint pain
8.
The parents of a child with sickle cell anemia (SCA) are concerned about subsequent children having the disease. The nurse should know that:
a)
SCA is not inherited.
b)
all siblings will have SCA
c)
each sibling has a 25% chance of having SCA
d)
there is a 50% chance of siblings having SCA
9.
During the newborn assessment, a systolic blood pressure that is higher in the legs than in the arms is suggestive of which of the following findings?
a)
Cardiac arrhythmia
b)
Coarctation of the aorta
c)
Chromosome abnormality
d)
A normal finding for an infant
10.
The nurse has admitted a child with a cyanotic heart defect. The nurse would expect the initial lab result to show:
a)
A high hemoglobin.
b)
A low hematocrit.
c)
A low platelet count
d)
A high white blood cell count
11.
The nurse is teaching the parents of a group of cardiac patients. The nurse includes in the information that any child who has undergone cardiac surgery
a)
Should be restricted from most play activities.
b)
Should receive prophylactic antibiotics for any dental, oral, or upper respiratory tract procedures.
c)
Should not receive routine immunizations.
d)
Can be expected to have a fever for several weeks following the surgery.
12.
When educating the family of an infant with a small, asymptomatic atrial septal defect (ASD), which of the following would be included in the education?
a)
“Surgery is usually performed in the first two months of life for this defect.”
b)
“Most infants do not need surgical repair for this defect.”
c)
“The medication indomethacin is used to try to close this defect.”
d)
The medication prostaglandin E1 is used to try to close this defect.”