Pediatric Cardiac Nursing: NCLEX Challenge

AI-generated quiz: Pediatric Cardiac Nursing: NCLEX Challenge

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14
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May 31, 2026
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  1. 1

    A nurse is caring for a 2-month-old patient with a large ventricular septal defect (VSD) who becomes diaphoretic and tachypneic during feedings. Which action should the nurse take first?

    • AOffer a pacifier to conserve energy
    • BStop the feeding and allow the infant to rest
    • CIncrease the nipple flow rate
    • DPlace the infant in a supine position
  2. 2

    A nurse is caring for a 4-year-old patient with Tetralogy of Fallot who suddenly becomes cyanotic and dyspneic while playing. What is the nurse’s priority action?

    • AAdminister IV propranolol
    • BPlace the child in a knee-to-chest position
    • CStart chest compressions
    • DNotify the healthcare provider
  3. 3

    A nurse is caring for an infant patient receiving digoxin for heart failure. The nurse assesses an apical heart rate of 88 bpm. What should the nurse do?

    • AAdminister the medication as prescribed
    • BHold the medication and notify the provider
    • CDouble-check the dose and administer
    • DGive the medication with food
  4. 4

    A nurse is caring for a newborn patient receiving prostaglandin E₁ infusion for hypoplastic left heart syndrome. Which assessment finding requires immediate intervention?

    • AMild flushing
    • BHeart rate of 150 bpm
    • CApnea
    • DWeak peripheral pulses
  5. 5

    A nurse is assessing a 6-year-old patient with coarctation of the aorta. Which finding should the nurse report immediately?

    • ABounding radial pulses
    • BBlood pressure higher in arms than legs
    • CDiminished femoral pulses
    • DComplaint of headache and dizziness