NUR 254 Exam 3 Galen College of
Nursing | 2026/2027 Actual Exam
Questions with Correct Detailed
Answers
1.patent ductus arteriosus (PDA) - ANSWER *ACYANOTIC - left to right
shunting - increased pulmonary bloodflow*
Ductus arteriosus fails to close normally in an infant soon after birth
Machine like Murmur
May be asymptomatic
Administer Indomethacin
2.Transposition of Great Vessels - ANSWER Cyanotic
Septal defects or PDA
Life threatening require surgery in the 1st week of life
Treatment- PGE
Vital Signs with pulses & BP on all 4 extremities
Monitor for CHF
,3.Heart Failure - ANSWER Early signs- increase respiratory rate, poor
feeding
Digoxin (Apical pulse, monitor K & NA)
Lasix
Increase HR & RR @ rest
Increase weight
4.Right sided heart failure - ANSWER 1. Jungular Vein Distention
2. Ascending Dependent Edema
3. Weight Gain
4. Hepatomegaly (Liver Enlargement)
5. Ascites
5.Heart Failure Goals - ANSWER apical pulse 90 beats per minute
Getting better
Weight decrease
6.Acute Epiglottis - ANSWER Emergency
Drooling, Irritable
No visualizing/ inspection
No throat culture
7.Laryngotracheobronchitis (Croup) - ANSWER Barking Cough
Priority- assess respiratory status
8.Ventricular Septal defects - ANSWER acyanotic
, Loud systolic murmur- may not e heard until 6 to 8 weeks
Treatment- wait & see, septal occluded, patch
Murmur in left sternum, grunting while feeding
9.Enuresis - ANSWER involuntary discharge of urine
More common in boys
Impramine- last resort
In hospital bed wet alarm- 1st step
10.Acute glomerulonephritis (AGN) - ANSWER Caused by group A strep
infections
Diagnostics- Hypertension, hematuria, proteinuria, ASO titers
Treatment- antibiotics
11.Nephrotic Syndrome - ANSWER Proteinuria (massive), hypoalbuminemia
No Abx
Corticosteroids
12.Hourly output - ANSWER - Normal pediatric output is 1-3 ml/kg/hr
13.Dehydration - ANSWER Sunken fontanelle
Oral rehydration- 1st step
Vomiting not contraindicated for oral rehydration unless severe
14.Hirschsprung Disease - ANSWER Newborn- failure to pass meconium
stool within 24 to 48 hours after birth, bilious vomiting
Nursing | 2026/2027 Actual Exam
Questions with Correct Detailed
Answers
1.patent ductus arteriosus (PDA) - ANSWER *ACYANOTIC - left to right
shunting - increased pulmonary bloodflow*
Ductus arteriosus fails to close normally in an infant soon after birth
Machine like Murmur
May be asymptomatic
Administer Indomethacin
2.Transposition of Great Vessels - ANSWER Cyanotic
Septal defects or PDA
Life threatening require surgery in the 1st week of life
Treatment- PGE
Vital Signs with pulses & BP on all 4 extremities
Monitor for CHF
,3.Heart Failure - ANSWER Early signs- increase respiratory rate, poor
feeding
Digoxin (Apical pulse, monitor K & NA)
Lasix
Increase HR & RR @ rest
Increase weight
4.Right sided heart failure - ANSWER 1. Jungular Vein Distention
2. Ascending Dependent Edema
3. Weight Gain
4. Hepatomegaly (Liver Enlargement)
5. Ascites
5.Heart Failure Goals - ANSWER apical pulse 90 beats per minute
Getting better
Weight decrease
6.Acute Epiglottis - ANSWER Emergency
Drooling, Irritable
No visualizing/ inspection
No throat culture
7.Laryngotracheobronchitis (Croup) - ANSWER Barking Cough
Priority- assess respiratory status
8.Ventricular Septal defects - ANSWER acyanotic
, Loud systolic murmur- may not e heard until 6 to 8 weeks
Treatment- wait & see, septal occluded, patch
Murmur in left sternum, grunting while feeding
9.Enuresis - ANSWER involuntary discharge of urine
More common in boys
Impramine- last resort
In hospital bed wet alarm- 1st step
10.Acute glomerulonephritis (AGN) - ANSWER Caused by group A strep
infections
Diagnostics- Hypertension, hematuria, proteinuria, ASO titers
Treatment- antibiotics
11.Nephrotic Syndrome - ANSWER Proteinuria (massive), hypoalbuminemia
No Abx
Corticosteroids
12.Hourly output - ANSWER - Normal pediatric output is 1-3 ml/kg/hr
13.Dehydration - ANSWER Sunken fontanelle
Oral rehydration- 1st step
Vomiting not contraindicated for oral rehydration unless severe
14.Hirschsprung Disease - ANSWER Newborn- failure to pass meconium
stool within 24 to 48 hours after birth, bilious vomiting
