NUR 138 FINAL EXAM | 139 QUESTIONS AND
ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTION
1 of 139
Definition
Decrease Pulm Blood
Flow P = pulmonary
stenosis
R= right ventricular hypertrophy
O = Overriding Aorta
V = Ventricular Septal Defect
Blood will go from the high pressure left
through the VSD.
Normally, it would want to push it up the pulmonary
artery but that's stenosed, so the right atria
pushes it through the aorta and out to the body.
,Sometimes, there will be a 5th defect: patent
foramen ovale.
Need to keep the PDA open with prostaglandins.
Without a PDA, hypoxia / cyanosis, systolic
murmur, poor growth, clubbing of fingers,
exercise intolerance, and...
Hypercyanotic (Tet) spells: First thing you do
is squat their legs to their body. This kinks the
femoral artery and the veins in the lower
extremities to increase systemic vascular
resistance. This allows more blood to get to the
lungs.
Tx = surgery
Give this one a try later!
coarctation of aorta truncus arteriosus
tetralogy of fallot patent ductus arteriosus
Don't know?
2 of 139
Definition
Vitamin B12 is not produced by the body and
must be obtained through dietary sources or
supplements. It plays a crucial role in various
bodily functions, including red blood cell
formation, neurological function, and DNA
,synthesis.
, Adverse Effects:
- allergic reactions
- excessive intake --> headache, nausea, insomnia
Educate patient on:
- dietary sources (meat, fish, dairy, fortified cereals)
- absorption factors (age, meds, GI conditions)
- symptoms of deficiency (fatigue, weakness,
jaundice, neurological symptoms)
Give this one a try later!
Signs of of ICP antibiotics
antipyretics Vitamin B12
Don't know?
ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTION
1 of 139
Definition
Decrease Pulm Blood
Flow P = pulmonary
stenosis
R= right ventricular hypertrophy
O = Overriding Aorta
V = Ventricular Septal Defect
Blood will go from the high pressure left
through the VSD.
Normally, it would want to push it up the pulmonary
artery but that's stenosed, so the right atria
pushes it through the aorta and out to the body.
,Sometimes, there will be a 5th defect: patent
foramen ovale.
Need to keep the PDA open with prostaglandins.
Without a PDA, hypoxia / cyanosis, systolic
murmur, poor growth, clubbing of fingers,
exercise intolerance, and...
Hypercyanotic (Tet) spells: First thing you do
is squat their legs to their body. This kinks the
femoral artery and the veins in the lower
extremities to increase systemic vascular
resistance. This allows more blood to get to the
lungs.
Tx = surgery
Give this one a try later!
coarctation of aorta truncus arteriosus
tetralogy of fallot patent ductus arteriosus
Don't know?
2 of 139
Definition
Vitamin B12 is not produced by the body and
must be obtained through dietary sources or
supplements. It plays a crucial role in various
bodily functions, including red blood cell
formation, neurological function, and DNA
,synthesis.
, Adverse Effects:
- allergic reactions
- excessive intake --> headache, nausea, insomnia
Educate patient on:
- dietary sources (meat, fish, dairy, fortified cereals)
- absorption factors (age, meds, GI conditions)
- symptoms of deficiency (fatigue, weakness,
jaundice, neurological symptoms)
Give this one a try later!
Signs of of ICP antibiotics
antipyretics Vitamin B12
Don't know?
