{"id":132796,"date":"2024-07-29T19:32:01","date_gmt":"2024-07-29T19:32:01","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=132796"},"modified":"2024-07-29T19:32:09","modified_gmt":"2024-07-29T19:32:09","slug":"2024-hesi-peds-cardiovascular-disorders-v1-v3-guaranteed-a-actual-questions-and-answers-complete-100","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/07\/29\/2024-hesi-peds-cardiovascular-disorders-v1-v3-guaranteed-a-actual-questions-and-answers-complete-100\/","title":{"rendered":"2024 HESI Peds Cardiovascular Disorders V1 &#8211; V3 | Guaranteed A+ Actual Questions and Answers, Complete 100%"},"content":{"rendered":"\n<p>2024 HESI Peds Cardiovascular Disorders V1 &#8211; V3 | Guaranteed A+ Actual Questions and Answers, Complete 100%<\/p>\n\n\n\n<p>Answer:<br>2024 HESI Exam Cardiovascular Disorders<br>Guaranteed A+ Actual Questions and Answers, Complete 100%<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Endocarditis:<br>Answer:<br>An infection of the heart&#8217;s inner lining, usually involving the heart valves.<\/li>\n\n\n\n<li>Heart failure:<br>Answer:<br>a condition that occurs when the heart is unable to pump enough blood to meet the<br>body&#8217;s needs<\/li>\n\n\n\n<li>Murmur:<br>Answer:<br>Abnormal swishing sound caused by improper closure of the heart valves<\/li>\n\n\n\n<li>Bradycardia:<br>Answer:<br>Abnormally slow heart beat<\/li>\n\n\n\n<li>Tachycardia:<br>Answer:<br>Abnormally rapid heart beat<\/li>\n\n\n\n<li>Heart block:<br>Answer:<br>interference with normal conduction of electrical impulses that control activity of<br>the heart muscle<\/li>\n\n\n\n<li>Fibrillation:<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>2024 HESI Pediatric Cardiovascular Disorders<br>Guaranteed A+ Actual Questions and Answers, Complete 100%<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The nurse is providing information to the parents of a toddler who is<br>scheduled for surgery for the replacement of the pulmonic valve. The parents<br>have many questions about the function of the valve. Which information from<br>the nurse is correct?<\/li>\n\n\n\n<li>The valve must work correctly to get oxygen from the lungs to the body.<\/li>\n\n\n\n<li>If the valve does not work correctly, blood is kept from entering the heart.<\/li>\n\n\n\n<li>When the valve is defective, the blood leaving the heart is decreased.<\/li>\n\n\n\n<li>A defect in the valve causes less blood to get to the lungs for oxygenation.-\u043c:<br>Answer:<br>4 This is correct. When there is a defect in the right pulmonic valve, the blood<br>has difficulty leaving the right ventricle and getting to the lungs for reoxygenation.<br>This explanation by the nurse correctly describes the function of the valve and the<br>purpose of the surgery.<br>1 This is incorrect. The aortic valve must work correctly for oxygenated blood to<br>be carried from the left side of the heart to the rest of the body.<br>2 This is incorrect. Blood must enter the right side of the heart from the body in<br>order to be reoxygenated. The unoxygenated blood enters the right atrium through<br>the tricuspid valve into the right ventricle.<br>3 This is incorrect. A defect in the aortic valve would cause problems with<br>oxygenated blood leaving the left ventricle.<\/li>\n\n\n\n<li>The nurse is teaching a pediatric electrocardiogram (EKG) class to nurses<br>in a pediatric cardiac unit. Which anatomical structure does the nurse use to<br>describe the initiation of cardiac electrical conduction?<\/li>\n\n\n\n<li>The Purkinje fibers in the ventricles<\/li>\n\n\n\n<li>The bundle branch in the left atrium<\/li>\n\n\n\n<li>The sinoatrial node in the right atrium<\/li>\n\n\n\n<li>The bundle of His in the ventricle walls:<br>Answer:<br>ANS 3<br>4 This is incorrect. From the SA, the electrical impulse is conducted to the fibers<br>called the bundle of His located in the walls of the ventricles. The process of<br>electrical conduction does not start here.<br>1 This is incorrect. The Purkinje fibers are located in the ventricles; however, the<br>process of electrical conduction does not start here. The fibers initiate contractions<br>of the ventricles.<br>2 This is incorrect. The bundle branches are divided into either left or right<br>bundles; however, the process of electrical conduction does not start here.<\/li>\n<\/ol>\n\n\n\n<p>3 This is correct. When teaching the electrical conduction of the heart, the nurse<br>starts with the sinoatrial (SA) node in the right ventricle, which is known as the<br>pacemaker of the heart.<\/p>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li>The nurse is aware the neonate&#8217;s blood circulation is different before birth<br>than after birth. Which circulation pattern does the nurse recognize as occurring<br>prior to birth?<\/li>\n\n\n\n<li>Oxygenated blood flows from the right atrium to the left atrium through the<br>foramen ovale.<\/li>\n\n\n\n<li>Oxygenated blood flows from the right ventricle to the lungs and then to the<br>left ventricle.<\/li>\n\n\n\n<li>For a short time after birth, the neonate continues to depend on the mother<br>for oxygen supply.<\/li>\n\n\n\n<li>Once the neonate takes a first breath, the ductus venosus closes and blood<br>goes to the lungs.:<br>Answer:<br>ANS 1<br>Feedback<br>1 This is correct. Prior to birth, oxygenated blood crosses from the right atrium to<br>the left atrium via the patent foramen ovale (PFO) and is pumped by the left<br>ventricle.<br>2 This is incorrect. Prior to birth, oxygenated blood does not flow from the right<br>ventricle to the lungs and then to the left ventricle.<br>3 This is incorrect. Before birth, 90% of blood bypasses the lungs; the placenta is<br>the organ of respiration. After the cord is cut and the placenta is delivered, the<br>infant is expected to independently breathe.<br>4 This is incorrect. Upon birth and first breath, the foramen ovale and ductus<br>arteriosus close.<\/li>\n\n\n\n<li>The nurse is providing care for a neonate diagnosed with a cardiovascular<br>disorder immediately after birth. When gathering assessment information<br>from the mother, which comment will the nurse recognize as the most likely<br>contributing factor for the defect?<\/li>\n\n\n\n<li>&#8220;We live in the country, and we get all our water from a well.&#8221;<\/li>\n\n\n\n<li>&#8220;I quit my preschool job when a child was diagnosed with measles.&#8221;<\/li>\n\n\n\n<li>&#8220;The baby was born a week early; I hope that is not the cause.&#8221;<\/li>\n\n\n\n<li>&#8220;We were in a European country before pregnancy was confirmed.&#8221;:<br>Answer:<br>ANS 2<br>2 This is correct. The nurse is most likely to contribute exposure to a child with<br>measles as a causative factor for the neonate&#8217;s heart defect. The nurse will assess<\/li>\n<\/ol>\n\n\n\n<p>further for timelines and manifestations.<br>1 This is incorrect. Using a well as a water source does not necessarily place a<br>neonate at risk for developing a heart defect.<br>3 This is incorrect. The mother&#8217;s concern about the neonate being born a week<br>early is not recognized as a contributing factor to the neonate&#8217;s heart defect.<br>4 This is incorrect. Traveling to a foreign country during the first trimester may or<br>may not effect fetal development. The nurse needs additional information before<br>making a connection between the travel and heart defect.<\/p>\n\n\n\n<ol start=\"5\" class=\"wp-block-list\">\n<li>5. The nurse is assisting with high school sports physicals. The nurse<br>performs a physical assessment on a male student who is tall and thin, with<br>disproportionately long arms. Which additional finding will prompt the nurse<br>to recommend a cardiac evaluation?<\/li>\n\n\n\n<li>Notable laxity of joints<\/li>\n\n\n\n<li>Sparsity of body hair<\/li>\n\n\n\n<li>Deep tone to the voice<\/li>\n\n\n\n<li>Slow, rhythmic gait:<br>Answer:<br>ANS 1<br>1 This is correct. Tall and thin with arms disproportionately long and with laxity of<br>joints are physical manifestations of Marfan syndrome. The nurse may also notice<br>dislocation of lenses, spinal problems, stretch marks, hernia, pectus abnormalities,<br>and\/or restrictive lung disease. Marfan syndrome is also associated with aortic<br>aneurism as well as aortic and\/or mitral regurgitation.<br>2 This is incorrect. A sparsity of body hair is not an indication of cardiac issues;<br>male high school students may not exhibit heavy body hair.<br>3 This is incorrect. A male high school student is expected to have a deep tone to<br>his voice.<br>4 This is incorrect. A slow, rhythmic gait may be unique to this student; however,<br>it does not support the presence of Marfan syndrome.<\/li>\n\n\n\n<li>The nurse is providing care for a 12-year-old patient who is hospitalized with<br>generalized weakness and muscle wasting, which began in the hips, pelvic<br>area, thighs, and shoulders. The physician suspects Duchenne muscular dystrophy.<br>Which action by the physician does the nurse expect?<\/li>\n\n\n\n<li>Prescribe physical therapy to improve muscle strength.<\/li>\n\n\n\n<li>Suggest homeschooling until the acute stage ends.<\/li>\n\n\n\n<li>Perform an echocardiogram to evaluate cardiac functioning.<\/li>\n\n\n\n<li>Perform muscle biopsies to identify the stage of the disease.:<br>Answer:<br>ANS 3<\/li>\n<\/ol>\n\n\n\n<p>3 This is correct. The physician is likely to order cardiac testing, especially to rule<br>out cardiomyopathy, a condition frequently associated with Duchenne muscular<br>dystrophy.<br>1 This is incorrect. Duchenne muscular dystrophy is a progressive genetic disease.<br>Physical therapy is not prescribed to improve muscle strength; it is used to<br>maintain body function for as long as possible.<br>2 This is incorrect. Duchenne muscular dystrophy is a progressive genetic disease.<br>The physician may recommend homeschooling when the patient is no longer able<br>to attend classes. There is no acute stage to this disease that will improve.<br>4 This is incorrect. The physician is more likely to prescribe neuromuscular tests to<br>determine the extent of the disease.<\/p>\n\n\n\n<ol start=\"7\" class=\"wp-block-list\">\n<li>The nurse is performing a physical assessment on a 7-year-old child as a<br>requirement<br>for playing a sport at school. The nurse reports which assessment<br>finding as abnormal and requests a follow-up from a primary care physician?<\/li>\n\n\n\n<li>Systolic blood pressure is 84 mm Hg.<\/li>\n\n\n\n<li>Systolic blood pressure is 90 mm Hg and diastolic is 20 mm Hg.<\/li>\n\n\n\n<li>Pulse oximeter reading is 95% on room air.<\/li>\n\n\n\n<li>PMI is at 4th or 5th intercostal space at the midclavicular line.:<br>Answer:<br>ANS 2<br>2 This is correct. Wide pulse pressures\u2014diastolic pressures are low, with a wide<br>gap between diastolic and systolic pressures\u2014are indicative of such processes as<br>patent ductus arteriosus.<br>1 This is incorrect. Average systolic blood pressures are considered 70+ (2\u00b4 age in<br>years). This would be 84.<br>3 This is incorrect. Pulse oximeter readings of 95% of room air are considered<br>normal.<br>4 This is incorrect. The point of maximum impulse (PMI) is heard at the fourth or<br>fifth intercostal space at the midclavicular line (MCL).<\/li>\n\n\n\n<li>The nurse is preparing an 8-year-old patient for a cardiac catheterization.<br>Which intervention will the nurse initiate immediately postprocedure?<\/li>\n\n\n\n<li>Observe for signs and symptoms of infection.<\/li>\n\n\n\n<li>Hold food and fluids until gag reflex returns.<\/li>\n\n\n\n<li>Keep the involved extremity straight for 4 to 6 hours.<\/li>\n\n\n\n<li>Notify physician if green or yellow drainage is noted.:<br>Answer:<br>ANS: 3<\/li>\n<\/ol>\n\n\n\n<p>get pdf at<a href=\" https:\/\/learnexams.com\/search\/study?query=hesi\"> https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/p>\n\n\n\n<p>2024 HESI Peds Cardiovascular Disorders<br>Guaranteed A+ Actual Questions and Answers, Complete 100%<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Congenital heart disorders<br>Heart anomalies that develop in UTERO and manifest at birth or shortly<br>Thereafter -they may be categorized as:<br>Answer:<br>ACYANOTIC: ventricular septal defect (VSD), atrial septal defect (ASD), patent<br>ductus arteriosus (PDA), coarctation of aorta, aortic stenosis (AS)<br>or CYANOTIC: tetrology of fallot, truncus arteriosus, tranposition of great vessels:<br>Acyantotic include: L to R shunts or INCREASED PULMONARY blood flow<br>Obstructive defects Cyanotic include: R to L shunts or DECREASED pulmonary<br>blood flow Mixed blood flow<\/li>\n\n\n\n<li>ACYANOTIC HEART DEFECTS<br><strong>Ventricular septal defect (VSD; increased pulmonary blood flow)<\/strong><br>a. there is a HOLE between the ventricles<br>b. oxygenated blood from LEFT ventricle is shunted to RIGHT ventricle and<br>RECIRCULATED to the lungs<br>c. small defects may close spontaneously<br>d. large defects cause Eisenmenger syndrome or congestive heart failure<br>and require surgical closures:<br>Answer:<br><strong>Atrial septal defect<\/strong> (ASD; Increased pulmonary blood flow)<br>a. there is a hole between the atria<br>b. oxygenated blood from L atrium shunted to R atrium and lungs<br>C. most defects do not compromise children seriously<br>d. surgical closure is recommended BEFORE SCHOOL age. it can lead to<br>significant<br>problems, such as congestive HF or atrial dysrhythmias later in life if not corrected<\/li>\n\n\n\n<li>ACYANOTIC HEART DEFECTS<br><strong>Patent ductus arteriosus<\/strong> (PDA: increased pulmonary blood flow)<br>a. there is an abnormal opening between the aorta and the pulmonary artery<br>b. it usually closes with 72 hrs after birth**<br>c. if it remains patent, oxygenated blood from AORTA returns to the<br>PULMONARYARTERY<br>d. INCREASED blood flow to the lungs causes PULMONARY HTN<br>e. it may require medical intervention with INDOMETHACIN (INDOCIN)<br>administration or surgical closure:<\/li>\n<\/ol>\n\n\n\n<p>Answer:<br><strong>coarctation of aorta<\/strong> (OBSTRUCTION of blood flow from ventricles)<br>a. there is an obstructive NARROWING of the aorta<br>b. the most common sites are the aortic valve and the aorta near the ductus<br>arteriosus<br>c. a common finding is HTN IN UPPER EXTREMS and DECREASED or<br>ABSENT pulses in lower extrems<br>d. it may require surgical correction<\/p>\n\n\n\n<ol start=\"4\" class=\"wp-block-list\">\n<li>Patent ductus arteriosus may require medical intervention with (2):<br>Answer:<br>indomethacin (indocin) administration or surgical closure<\/li>\n\n\n\n<li>Common finding in coarctation of aorta:<br>Answer:<br>HTN in upper extremities and decreased or absent pulses in lower extremities<\/li>\n\n\n\n<li>ACYANOTIC HEART DEFECTS<br><strong>aortic stenosis<\/strong> (AS; obstruction of blood flow FROM ventricles):<br>Answer:<br>a. it is an obstructive narrowing immediately before, at or after the AORTIC valve<br>(mostcommonly valvular)<br>b. <strong>oxygenated blood flow from L ventricle into systemic circulation diminished<\/strong><br>c. symptoms are caused by low CO<br>d. may require surgical correction<\/li>\n\n\n\n<li>Common finding in aortic stenosis<br>Why?:<br>Answer:<br>oxygenated blood flow from L ventricle into systemic circulation diminished<br>Symptoms caused by low CO<\/li>\n\n\n\n<li>Traditional 3 Ts of CYANOTIC Heart defects<br><strong>tetrology of fallot<\/strong> is a combo of 4 defects:<\/li>\n\n\n\n<li>VSD<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>2024 HESI Peds Cardiovascular Disorders V1 &#8211; V3 | Guaranteed A+ Actual Questions and Answers, Complete 100% Answer:2024 HESI Exam Cardiovascular DisordersGuaranteed A+ Actual Questions and Answers, Complete 100% 2024 HESI Pediatric Cardiovascular DisordersGuaranteed A+ Actual Questions and Answers, Complete 100% 3 This is correct. When teaching the electrical conduction of the heart, the nursestarts [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-132796","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/132796","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=132796"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/132796\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=132796"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=132796"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=132796"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}