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ATI RN · Obstetrics and Pediatrics · Pediatric Cardiovascular Nursing Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Commonly used anti-epileptic drugs in children include:

A. Sodium valproate
B. Lamotrigine
C. Topiramate
D. Phenytoin

Expert Explanatory Rationale

Correct Answer: Sodium valproate

Question 2 of 5

A harsh, blowing grade IV/VI murmur is auscultated in a 6-month-old infant. What will the nurse practitioner do next?

A. Get a complete blood count to rule out severe anemia.
B. Obtain an electrocardiogram to assess for arrhythmia.
C. Order a chest radiograph to evaluate for cardiomegaly.
D. Refer to a pediatric cardiologist for further evaluation.

Expert Explanatory Rationale

Correct Answer: Refer to a pediatric cardiologist for further evaluation.

Question 3 of 5

Regarding cystic fibrosis:

A. It is inherited as autosomal recessive
B. There is increased risk of bronchial carcinoma in late adulthood
C. Biliary cirrhosis is a recognised feature
D. In neonates, intestinal obstruction may be the first presentation

Expert Explanatory Rationale

Correct Answer: It is inherited as autosomal recessive

Question 4 of 5

The nurse is finishing her shift on the pediatric unit. Because her shift is ending, which intervention takes top priority?

A. Changing the linens on the clients' beds
B. Restocking the bedside supplies needed for a dressing change on the upcoming shift
C. Documenting the care provided during her shift
D. Emptying the trash cans in the assigned client room

Expert Explanatory Rationale

Correct Answer: Documenting the care provided during her shift

Question 5 of 5

A previously well 3½-month-old presents with poor feeding, diaphoresis during feeding, and poor growth. Vital signs reveal respirations of 70, pulse of 175, and blood pressure of 90/65 mm Hg in the upper and lower extremities. The cardiac examination reveals a palpable parasternal lift and a systolic thrill. A grade 4 holosystolic murmur and a mid-diastolic rumble are noted. The chest radiograph reveals cardiomegaly. The most likely diagnosis is

A. cardiomyopathy
B. myocarditis
C. VSD
D. coarctation of the aorta

Expert Explanatory Rationale

Correct Answer: VSD

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