For the child with transposition of the great vessels, which drug may be given to allow the Patent Ductus Arteriosus (PDA) to remain open until surgery?

Digoxin

Ibuprofen (Motrin)

Prostaglandin E

Indomethacin (Indocin)

Answer and Explanation

The Correct Answer is C

A. Digoxin is used to strengthen cardiac contractions and treat heart failure, but it does not maintain ductal patency.
B. Ibuprofen is a prostaglandin inhibitor, and would actually cause closure of the PDA, which is contraindicated in transposition of the great vessels.
C. Prostaglandin E (such as alprostadil) is administered to keep the ductus arteriosus open, allowing mixing of oxygenated and deoxygenated blood to improve oxygenation until surgical correction is performed.
D. Indomethacin is also a prostaglandin inhibitor used to close a PDA, not keep it open.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Children with CF are at risk for dehydration due to excessive salt loss in sweat, so adequate fluid intake is essential, not restriction.
B. Children with CF require high-calorie, high-fat, and high-protein diets to support growth and compensate for malabsorption. Low-fat, low-protein diets are inappropriate.
C. Sodium loss through sweat is significant in CF, especially in hot weather, so salt intake should not be restricted—in fact, extra salt may be needed.
D. Pancreatic insufficiency in CF leads to malabsorption of fats and proteins. Administering pancreatic enzymes with all snacks and meals aids digestion and improves nutrient absorption, which is essential for growth and weight maintenance.

A. Sweat chloride test B. Pulmonary function tests C. A stool fat content analysis D. A sputum culture

Correct Answer is A

Explanation

A. The sweat chloride test is the gold standard for diagnosing cystic fibrosis (CF). A chloride concentration greater than 60 mEq/L is diagnostic for CF in children.
B. Pulmonary function tests can assess lung capacity and function, but they are not diagnostic and may be difficult to perform reliably in very young children.
C. Stool fat analysis can indicate malabsorption, which is common in CF, but it is not specific or confirmatory for the disease.
D. A sputum culture may detect bacterial colonization (e.g., Pseudomonas), which is common in CF, but it does not confirm the diagnosis.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

For the child with transposition of the great vessels, which drug may be given to allow the Patent Ductus Arteriosus (PDA) to remain open until surgery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

20. A nurse provides discharge teaching about nutrition to the parents of a child with cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis?

Correct Answer is A

Explanation

A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. Which fluid items should the nurse offer the child at this time?

A nurse reports an incident of suspected child abuse. One of the child's parents becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

An ER nurse has recognized a mother who has frequently brought her 3-year-old in for vague symptoms of an undiagnosed neurological disorder and who has frequently requested specialist consultations. The child is brought in unconscious. A concern that the nurse may have is:

A nurse is caring for a 6-month-old infant who is postoperative following a myringotomy. Which of the following pain scales should the nurse use to determine the infant's pain level?

Which of the following is an early sign of congestive heart failure that the nurse should recognize?

A 4-year-old is admitted to the ER and is being assessed by a nurse. What are the clinical findings of epiglottitis? (Select All that Apply.)

The nurse is caring for a child with Kawasaki disease (KD). A student nurse on the unit asks if there are medications to treat this disease. The nurse's response to the student nurse is:

While teaching anticipatory guidance to a young couple with a child with Down syndrome, the nurse explains that one major physical characteristic of the child with Down syndrome is: