1. The nurse is caring for a 3-year old child who is 2 hours postop from a cardiac

catheterization via the right femoral artery. Which assessment finding is an indication of

arterial obstruction?

A. Blood pressure trend is downward and pulse is rapid and irregular.

B. Right foot is cool to the touch and appears pale and blanched.

C. Pulse distal to the femoral artery is weaker on the left foot than right foot.

D. The pressure dressing at right femoral area is moist and oozing blood.

2. Following a motor vehicle collision, a 3-year old girl has a spica cast applied. Which toy

is best for the nurse for this 3 year old child?

A. Duck that squeaks.

B. Fashion doll and clothes.

C. Set of cloth and hand puppets.

D. Hand held video game.

3. An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which

action should the nurse implement first?

A. Administer morphine sulphate.

B. Start IV fluids.

C. Place the infant in a knee-chest position.

D. Provide 100% oxygen by face mask.

4. A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The

nurse determines that the increased respiratory rate is a compensatory mechanism for

which acid base alteration?

A. Metabolic alkalosis.

B. Respiratory acidosis.

C. Respiratory alkalosis.

D. Metabolic acidosis.