Congenital Heart Defects in Children

Total Questions : 20

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Question 1:
A nurse is caring for a child diagnosed with Ventricular septal defect (VSD).
The child presents with poor feeding, fast breathing, and sweating with exertion.
Which of the following is the characteristic heart murmur associated with VSD?
Answer and Explanation

A
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Question 2:
(Select all that apply): A nurse is educating a group of parents about congenital heart defects in children.
Which factors may contribute to the development of congenital heart defects in children? Select all that apply.
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Question 3:
A client has a child diagnosed with Tetralogy of Fallot (TOF) and is concerned about the child's symptoms.
Which of the following symptoms are characteristic of TOF?
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Question 4:
A client with Ventricular septal defect (VSD) presents with signs of heart failure such as poor feeding, weight gain, or growth; fast breathing or breathlessness; easy tiring; sweating with exertion.
The nurse hears a harsh holosystolic murmur that is best heard at the left lower sternal border during auscultation.
Which of the following statements should the client make to the nurse?
Answer and Explanation

A
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Question 5:
A nurse is assessing a client who has been diagnosed with Atrial septal defect (ASD).
The client reports difficulty breathing (dyspnea), frequent respiratory infections, feeling the heart beat (palpitations), and shortness of breath with activity.
During auscultation, the nurse hears a systolic ejection murmur that is best heard at the left upper sternal border.
Which of the following nursing interventions are appropriate for this client? Select all that apply.
Answer and Explanation

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Question 6:
A client diagnosed with Tetralogy of Fallot (TOF) presents with cyanosis that worsens with crying or feeding; clubbing of fingers and toes; poor feeding, weight gain, or growth; polycythemia; hypercyanotic spells (“tet spells”).
What should be the nurse's immediate response?
Answer and Explanation

A
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Question 7:
A client is admitted to the hospital with a systolic ejection murmur that is best heard at the left upper sternal border.
The client has no other symptoms and is otherwise healthy.
The client asks the nurse, "What does this murmur mean?".
The nurse's best response is:.
Answer and Explanation

A
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Question 8:
A nurse is caring for an infant with cyanosis and a ventricular septal defect (VSD).
The nurse should expect which of the following symptoms in this patient?
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Question 9:
A client is diagnosed with an atrial septal defect (ASD).
What is a likely symptom associated with this condition?
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Question 10:
Select all the symptoms that may be associated with cyanotic congenital heart disease (CCHD) in children.
Answer and Explanation

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Question 11:
A nurse is caring for a child with a suspected congenital heart defect.
Which diagnostic test is most appropriate for assessing the size and shape of the heart and detecting associated abnormalities?
Answer and Explanation

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Question 12:
A client asks the nurse, "What is the purpose of measuring the level of oxygen in my child's blood?" Which response by the nurse is accurate?
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Question 13:
(Select all that apply):.
A nurse is performing a nursing assessment on a child with a congenital heart defect.
Which aspects should the nurse include in the assessment? Select all that apply.
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Question 14:
A nurse is providing nursing interventions for a child with a congenital heart defect.
What is an example of a medication that may be administered as prescribed to this child?
Answer and Explanation

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Question 15:
A client asks the nurse, "How can I optimize my child's respiratory function?" What should the nurse's response include?
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Question 16:
A nurse caring for a child with a congenital heart defect is performing a physical examination.
Which statement reflects an appropriate action during the assessment?
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Question 17:
A client has a child with a congenital heart defect and is concerned about the child's medication.
What statement by the client indicates a need for further education about medication management?
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Question 18:
A nurse is providing education to parents of a child with a congenital heart defect.
Select all appropriate nursing interventions for parents to promote their child's well-being.
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Question 19:
A nurse is assisting with the post-operative care of a child who has undergone heart surgery to repair a septal defect.
What is a key nursing intervention during this time?
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Question 20:
A client is inquiring about the long-term management of their child's congenital heart defect.
What information should the nurse provide regarding follow-up care?
Answer and Explanation

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