Practice Question
A 4-year-old is seen in the primary care clinic. The child has a history of a repaired congenital heart defect and has been treated frequently for heart failure. The parent is describing their child's symptoms. Which parent statement most closely describes heart failure in children?
Answer Choices:
Correct Answer:
"My daughter becomes short of breath and tired when she plays with her sister."
Rationale:
💎 Exercise intolerance — In children, fatigue and dyspnea during activity (e.g., playing or running) are hallmark signs of heart failure (HF). The heart cannot pump enough oxygenated blood to meet metabolic demands during exertion.
💎 Decreased cardiac output leads to poor perfusion, causing the child to tire easily and need frequent rest breaks.
💎 Shortness of breath (dyspnea) occurs because of pulmonary congestion—fluid backs up into the lungs, making it hard to breathe during exertion.
💎 Behavioral signs like avoiding play, preferring quiet activities, or lying down after minimal effort often appear early in pediatric HF, making this parent’s observation highly indicative.
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This question is from Examplify CJE Pediatrics Benchmark 1 2025 which contains 44 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: 💎Examplify-PN
- Domain: 👩🏻🤝👩🏻Pediatrics-PN
- Answer Choices: 4