NSG 3600 Exam 2 Review
The nurse is performing the cardiac screening on a newborn before
discharge. Which assessment finding would be suggestive of a
Coarctation of the Aorta? ......ANSWER......Higher BP in right arm than
right leg.
The nurse is getting VS on a 36 hour old infant and notes bounding
peripheral pulses and a BP of 96/25. The nurse suspects?
......ANSWER......Patent Ductus arteriosis
Which is not a component of Tetralogy of Fallot?
......ANSWER......Hypertrophic Left Ventricle
Which infant should the nurse see first? ......ANSWER......4 day old with
ASD, held by parents, 02 sats 88%
A 3 month old has Digoxin scheduled at 2000. The nurse assesses the
infant and notes an apical HR of 112, RR 42, BP 96/60. What should the
nurse do next? ......ANSWER......Double check the digoxin dose with
another nurse
An infant is admitted with a known congenital heart defect. The infant
has begun having increased PVCs. At home, this baby takes labetalol,
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furosemide, iron, and a multivitamin. Which order would the nurse
expect to receive? ......ANSWER......Electrolyte lab levels
The nurse is educating parents about their baby's upcoming
echocardiogram. Which statement by the parents indicates a need for
further teaching? ......ANSWER......My baby cannot have a bottle for 4
hours before the test.
For which congenital heart defect would the nurse expect low oxygen
saturations? ......ANSWER......Transposition of the Great Vessels
Which statement made by a 12 year old about their upcoming cardiac
catheterization requires follow-up teaching? ......ANSWER......I will need
to stay home from school for at least 1 week after the procedure.
A child with Kawasaki's is admitted to the unit.The nurse should prepare
to: ......ANSWER......Give high-dose aspirin as ordered
The student nurse is educating a family about a child's acute rheumatic
fever. Which statement would require intervention by the preceptor?
......ANSWER......Your child must remain on complete bedrest until
afebrile
Which side of the heart has the higher pressures normally?
......ANSWER......Left
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