The nurse assesses a child with coarctation of the aorta. Which common clinical manifestation is the nurse likely to observe?

Upper body blood pressure is higher than the lower body

Clubbing of the digits and shortness of breath

Cyanosis

Pedal edema

Answer and Explanation

The Correct Answer is A

A. Coarctation of the aorta is a congenital narrowing of the aorta, typically after the branches that supply the upper body. This results in increased blood pressure in the upper extremities and decreased perfusion (and lower blood pressure) in the lower extremities.
B. Clubbing and shortness of breath are more characteristic of chronic hypoxemia, often seen in cyanotic congenital heart defects such as Tetralogy of Fallot, not coarctation of the aorta.
C. Cyanosis is typically associated with defects that cause mixing of oxygenated and deoxygenated blood, such as transposition of the great arteries or tetralogy of Fallot, not coarctation.
D. Pedal edema is more commonly associated with right-sided heart failure and is not a hallmark sign of coarctation in pediatric clients.

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Correct Answer is B

Explanation

A. Obtaining a throat culture is contraindicated in suspected epiglottitis because it can cause laryngospasm and complete airway obstruction.
B. Placing the child in an upright position (such as the tripod position) helps to maximize airway patency and ease respiratory distress. This is a safe and supportive measure while preparing for definitive care.
C. While a lateral neck x-ray may be helpful in diagnosis, transporting the child can worsen distress, and airway stabilization takes priority before any diagnostic procedures.
D. Never attempt to visualize the epiglottis with a tongue depressor in suspected cases—this can trigger airway obstruction and is only done in a controlled setting like the OR with emergency airway support available.

A. "My peak flow meter can tell me if an asthma episode might be coming, even though I might still be feeling okay." B. "always start with the meter reading about halfway up. That way, I don't waste any breath." C. use my peak flow meter daily; I will not have an asthma attack." D. "When I do my peak flow. I work best if I do three breaths without pausing between breaths."

Correct Answer is A

Explanation

A. This statement reflects a proper understanding of the peak flow meter’s purpose — it can help detect early changes in airway function before symptoms are felt, allowing for early intervention and improved asthma control.
B. This reflects a misunderstanding of the correct technique — the meter should be reset to zero before each use, and the child should use a full, fast breath to blow into the meter.
C. While daily monitoring is helpful, the peak flow meter does not prevent asthma attacks — this statement reflects false reassurance and misunderstanding.
D. Peak flow should be measured with a single, forceful breath, not multiple breaths — this indicates incorrect use of the device.

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The nurse assesses a child with coarctation of the aorta. Which common clinical manifestation is the nurse likely to observe?

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

Correct Answer is B

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Correct Answer is A

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