NSG 3600 Exam 2 Final Actual Exam 2026 with Real Questions and Verified Correct Answers Already Graded A+ |Guaranteed Success

NSG 3600 Exam 2 Final Actual Exam 2026 with Real Questions and Verified Correct Answers Already Graded A+ |Guaranteed Success The nurse is performing the cardiac screening on a newborn before discharge. Which assessment finding would be suggestive of a Coarctation of the Aorta? - Correct Ans 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? - Correct Ans-Patent Ductus arteriosis Which is not a component of Tetralogy of Fallot? - Correct Ans-Hypertrophic Left Ventricle Which infant should the nurse see first? - Correct Ans-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? - Correct Ans 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, furosemide, iron, and a multivitamin. Which order would the nurse expect to receive? - Correct Ans-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? - Correct Ans-My baby cannot have a bottle for 4 hours before the test. For which congenital heart defect would the nurse expect low oxygen saturations? - Correct Ans-Transposition of the Great Vessels Which statement made by a 12 year old about their upcoming cardiac catheterization requires follow-up teaching? - Correct Ans-I will need to stay home from school for at least 1 week after the procedure. NSG 3600 NSG 3600 A child with Kawasaki's is admitted to the unit.The nurse should prepare to: - Correct Ans-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? - Correct Ans-Your child must remain on complete bedrest until afebrile Which side of the heart has the higher pressures normally? - Correct Ans-Left The parents of a child with a cyanotic congenital heart defect ask the nurse why their child always looks a little blue. The best answer is: - Correct Ans-It is due to unoxygenated blood mixing with oxygenated blood before leaving the heart. The nurse is preparing a dose of aspirin for a 4 year old with Kawasaki's disease. The parents are concerned because they were told never to give their child aspirin. The best response from the nurse would be: - Correct Ans-Typically aspirin is not given to children, but with Kawasaki's disease, aspirin therapy is necessary. The nurse is educating parents about Lasix (Furosemide). Which statement by the parents indicates an understanding of the teaching? - Correct Ans-Lasix helps the heart by reducing the amount of fluid going through it. A 3 year old is being discharged with heart failure, and the parents want to know how much physical activity they should allow. What is the nurse's best response? - Correct Ans-Allow him to regulate his activity. What is the nurse's highest priority immediately following a cardiac catheterization? - Correct Ans-Compare bilateral pulses and capillary refill. A 2 year old child is in congestive heart failure with a congenital heart defect. Which assessment findings indicate a toxic Digoxin level? - Correct Ans-Bradycardia, nausea, and vomiting The nurse is about to obtain labs from a 3 year old awaiting surgical repair for tetralogy of fallot. What should the nurse do first? - Correct Ans-Place oxygen on the baby A new nurse is educating parents about their child's tetralogy of fallot before discharge. Which education would the nurse preceptor question? - Correct Ans-How to count a radial pulse for 60 seconds before Digoxin administration The nurse is caring for a 3 day old baby with a large VSD. The parents ask why the baby's heart sounds different than they expected. The best response from the nurse would be? - Correct Ans-Your baby's heart makes a murmur sound because blood is swishing around through the hole. NSG 3600 NSG 3600 The nurse is coming on shift during respiratory season. Which patient should the nurse see first? - Correct Ans-4 month old with RSV who has been sleeping most of the day and not eating A child is brought in with frequent respiratory infections, a nonproductive cough, and steatorrhea. The nurse suspects which test to be ordered? - Correct Ans-Sweat Chloride The nurse would question which order for a child with cystic fibrosis? - Correct Ans Aspirin Which statement by a child with Cystic Fibrosis would be most concerning to the nurse? - Correct Ans-I should be on a strict diet since obesity will make my symptoms worse. Which snack would be appropriate for a child after a tonsilectomy? - Correct Ans Applesauce A 7 year old comes into the clinic with a sore throat, difficulty swallowing, and nausea. The nurse suspects? - Correct Ans-Pharyngitis Which education is most important to provide for a child with strep pharyngitis? - Correct Ans-Finish the full antibiotic course even if you feel better. A toddler comes in with drooling, difficulty swallowing, difficulty speaking, and accessory muscle use. The parents say it just started after nap time. Which order would the nurse question? - Correct Ans-Obtain a throat culture and strep test. The nurse assigns a sitter to stay with a toddler after a tonsilectomy while parents have to leave to check on other kids. What should the nurse teach the sitter to report immediately? - Correct Ans-Child starts swallowing frequently A toddler is brought in with a barking cough, inspiratory stridor, and mild intercostal retractions. The nurse suspects? - Correct Ans-Acute Laryngeotracheobronchitis Which order would the nurse question for a 4 year old with croup? - Correct Ans-2L nasal cannula Which is not a risk factor for Otitis Media? - Correct Ans-Vaccinations The nurse is educating parents of a toddler about to undergo a tempanostomy. Which education should the nurse provide? - Correct Ans-The tube will allow fluid to exit the ear to hopefully prevent any more ear infections for your child. The nurse is caring for a baby with RSV. The nurse knows anyone who enters the baby's room must wear: - Correct Ans-A gown and gloves NSG 3600 NSG 3600 A newborn is coughing and choking each time they are fed. What should the nurse do first? - Correct Ans-Make baby NPO Which order would the nurse question in a patient about to be discharged after treatment for Kawasaki's disease? - Correct Ans-MMR vaccine A child is brought in with left sided heart failure. Which symptom would the nurse question? - Correct Ans-Hepatomegaly A patient is brought in with joint pain, subcutaneous nodules, a rash across their trunk, and a fever. What does the nurse expect to hear in the patient's history? - Correct Ans-Recent sore throat What education is important to give parents before discharging a child after surgery for a congenital heart defect? - Correct Ans-Your child will need antibiotics before any dental procedures for life A child presents with upper respiratory symptoms and tests positive for Rhinovirus. The nurse explains treatment will incluse: - Correct Ans-Managing symptoms with suctioning and humidification A child presents with rapid onset respiratory distress, drooling, inspiratory stridor, and agitation. Which nursing action is most appropriate? - Correct Ans-Allow the child to sit up in whatever position is most comfortable. A child presents with a barking cough, low grade fever, and inspiratory stridor. The nurse suspects? - Correct Ans-Laryngotracheobronchitis Which order would be questioned for an infant with RSV bronchiolitis? - Correct Ans Droplet Isolation A baby presents with a severe, paroxysmal cough, inspiratory whoop, and conjunctival hemorhage. The nurse knows this could have been prevented by? - Correct Ans DTaP/Tdap Vaccine A child is newly diagnosed with asthma. Which statement by the child indicates a need for further teaching? - Correct Ans Running Cross Country will strengthen my lungs so l don't need as many medicines. Which is not true of a child with Cystic Fibrosis? - Correct Ans-They need extra supplementation of B and C vitamins. Which is not a common manifestation of CF? A. Repeated respiratory infections B. Steatorrhea NSG 3600 NSG 3600 C. Prolapse of the rectum D. Edema - Correct Ans-D. Edema A new baby is diagnosed with an atrial septal defect. The nurse knows this means blood is shunting from the: - Correct Ans-left atrium to right atrium Which congenital heart disease is considered obstructive? - Correct Ans-Coarctation of the Aorta A client suffering from chronic obstructive pulmonary disease complains that it is hard to cough up secretions and they are thick and sticky. The nurse should instruct the client to: - Correct Ans-Increase her fluid intake to thin secretions The nurse is conducting a respiratory assessment of a 71-year-old patient who has been recently admitted to the hospital unit. Which of the following assessment findings should the nurse interpret as abnormal? - Correct Ans-Fine crackles to the bases of the lungs bilaterally The nurse is providing care for a 69-year-old male patient who has been admitted to the hospital for the treatment of pneumonia. Auscultation of the patient's lungs reveals the presence of discontinuous, popping sounds during inspiration over the lower lung fields. Which of the following should the nurse document the presence of? - Correct Ans Crackles Upon auscultation of a patient's lung fields, the nurse hears a continuous high-pitched sound on expiration. These are characteristics of which adventitious breath sound? - Correct Ans-Wheezes During oxygen administration to the client, which of the following pieces of equipment would enable the nurse to regulate the amount of oxygen delivered? - Correct Ans Flowmeter You are caring for a patient who has spontaneous respirations and needs to have oxygen administer at a FIO2 of 100%. Which of the following oxygen deliver systems should the nurse utilize? - Correct Ans-Nonrebreather mask A nurse is assessing the lungs of a patient and auscultates soft, low-pitched sounds over the base of the lungs during inspiration. What would be the nurse's next action? - Correct Ans-Document normal breath sounds. A nurse is admitting a client to a long term care facility. Which of the following should the nurse plan to use to assess the client for risk of pressure ulcer development? - Correct Ans-Braden Scale The nurse is conducting an assessment of a 74-year-old patient's integumentary system. Which of the following findings should the nurse document as an anomaly that NSG 3600 NSG 3600 may warrant follow-up? - Correct Ans-The patient states that a mole on his forehead has become larger in recent months. A nurse performing an integumentary inspection on a client gently pinches the skin under the clavicle. This nurse is assessing: - Correct Ans-skin turgor You are preparing to measure the depth of a patient's tunneled wound. Which of the following implements should you use to measure the depth accurately? - Correct Ans-A sterile, flexible applicator moistened with saline Which of the following types of wound drainage should alert the nurse to the possibility of infection? - Correct Ans-Foul-smelling drainage that is grayish in color A weak, thready pulse found after the nurse palpates peripheral pulses may indicate which condition? - Correct Ans-Decreased cardiac output Abnormal findings when assessing the peripheral pulses include an absent, weak, thready pulse (which may indicate a decreased cardiac output), a forceful or bounding pulse (seen in hypertension and circulatory fluid overload), and an asymmetric pulse (related to impaired circulation). Inflammation of a vein would not result in a weak or thready pulse. The nurse is caring for a 44-year-old female client with a diagnosis of deep vein thrombosis (DVT) in her left lower leg. What assessment method should the nurse perform first? - Correct Ans-Inspect the left lower leg for areas of redness. Inspection is the initial step in peripheral vascular assessment of the extremities. Palpating the popliteal and posterior tibial pulses in both legs would be the second assessment step to take. Palpation of the leg with DVT to assess for edema and pain is contraindicated because of the risk of dislodging the blood clot and the formation of a pulmonary embolism The nurse at the neighborhood family clinic is instructing a 55-year-old client with hypertension and a family history of heart disease about reduction of risk factors. It is most important for the nurse to make which statement to the client? - Correct Ans-"Take your blood pressure medications exactly as your doctor prescribed them." You are palpating a client's precordium. Which of the following is an expected clinical finding? - Correct Ans-Palpable pulsation over the mitral area The nurse is performing an assessment on an infant. Which finding is considered an abnormal cardiovascular assessment finding that should be documented and reported to the physician? - Correct Ans-Decreased heart rate. Infants and children should have a more rapid heart rate, instead of a decreased heart rate, until about age 8 years. Common cardiovascular findings include visible pulsation NSG 3600 if the chest wall is thin, sinus arrhythmia (the rate increases with inspiration and decreases with expiration), and the presence of an S3 heart sound. The nurse is auscultating an apical pulse on a 39-year-old client admitted with pneumonia. In counting the apical pulse, the nurse recognizes which characteristic about heart sounds? - Correct Ans-Each lub-dub is one beat. Each lub (the first heart sound) represents the closure of the mitral and tricuspid valves during systole, and the dub (the second heart sound) represents the closure of the aortic and pulmonic valves during diastole. Together the lub-dub sounds are counted as one beat. The two sounds occur within 1 second or less of each other, depending on the heart rate. The charge nurse is observing a new nurse perform an assessment of a patient's head and neck. Which of the following actions, if observed, would require the charge nurse to intervene? - Correct Ans-Palpation of both carotid arteries at the same time A nurse who works on a day-surgery unit conducts a thorough, head to toe assessment of each patient prior to the patient's scheduled surgery. The nurse would document an unexpected finding if unable to palpate a patient's: - Correct Ans-peripheral pulses. NSG 3600