The nurse is caring for a newly-admitted infant diagnosed with "failure to thrive." The nurse begins to implement the healthcare provider prescribed orders by taking blood pressures in all four extremities. Which congenital cardiac defect does the nurse anticipate based on the prescribed order?

Pulmonary atresia

Tetralogy of Fallot

Ventricular septal defect

Coarctation of the aorta

Answer and Explanation

The Correct Answer is D

A. Pulmonary atresia involves a blockage of blood flow to the lungs, but it does not specifically lead to differences in blood pressure in the extremities.

B. Tetralogy of Fallot involves four defects, but it does not directly correlate with differences in blood pressure between the extremities.

C. A ventricular septal defect can cause heart failure, but it typically doesn’t affect blood pressure in the extremities.

D. Coarctation of the aorta is a congenital defect where the aorta is narrowed, leading to higher blood pressure in the upper extremities and lower blood pressure in the lower extremities. This is why blood pressures are measured in all four extremities to identify this condition.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

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

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Tetralogy of Fallot involves decreased pulmonary blood flow due to a combination of defects, including pulmonary stenosis.

B. Patent ductus arteriosus (PDA) causes increased pulmonary blood flow due to the abnormal persistence of the ductus arteriosus, leading to a left-to-right shunt and increased blood flow to the lungs.

C. Coarctation of the aorta causes obstructed blood flow, not increased pulmonary blood flow.

D. Tricuspid atresia results in decreased pulmonary blood flow as well due to the lack of a functional tricuspid valve.

A. Polyuria B. Dry, flushed skin C. Deep, rapid respirations D. Tachycardia

Correct Answer is D

Explanation

A. Polyuria is more commonly seen in hyperglycemia, not hypoglycemia, so it is unlikely to be present with a blood glucose level of 55 mg/dL.

B. Dry, flushed skin is typically a sign of hyperglycemia (e.g., in diabetic ketoacidosis), not hypoglycemia.

C. Deep, rapid respirations are a symptom of metabolic acidosis or severe hyperglycemia, not hypoglycemia.

D. Tachycardia is a common compensatory response to hypoglycemia, as the body tries to increase glucose delivery to tissues.

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

The nurse is caring for a newly-admitted infant diagnosed with "failure to thrive." The nurse begins to implement the healthcare provider prescribed orders by taking blood pressures in all four extremities. Which congenital cardiac defect does the nurse anticipate based on the prescribed order?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

A nurse is prioritizing potential complications that may occur to a pediatric client who has cellulitis. Which of the following is the primary concern?

The nurse is administering desmopressin (DDAVP) to a pediatric client with diabetes insipidus. The nurse should monitor for which of the following potential side effects of this medication?

A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?

A nurse is creating a plan of care for a pediatric client who has been diagnosed with Duchenne muscular dystrophy (DMD). Which of the following factors should the nurse consider when planning care?

A nurse is assessing the vital signs for a 10-year old child following a burn injury. Which of the following clinical manifestations indicate early septic shock?

A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect?

A nurse is caring for an infant who has inadequate motility of part of the intestine resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders?

A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parents indicates an understanding of the teaching?