NNP 2 Quiz 3 (2025) COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS (recently
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A large VSD may not be decreased pulmonary vascular resistance
immediately evident at
birth due to what?
In an infant with tetralogy Degree of right ventricular outflow obstruction
of fallot, the severity of
symptoms will be most
affected by what?
a 500 gram infant with a urinary output
PDA is being treated with
Indomethacin. When
formulating a plan of
care, the nurse should
monitor what
parameters?
An infant presents with Volume of mixing between pulmonary and systemic
cyanosis at birth and is circulation
later diagnosed with
transposition of the great
vessels per echo. The
nurse recognizes that the
degree of cyanosis
depends on what?
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A balloon septostomy is Increase pulmonary and systemic mixing at the atrial
done for an infant with level
transposition of the great
vessels to achieve what?
While performing a pulse Consider this a negative screen
oximetry screening on an
infant nearing discharge positive would be if sats are less than 90% or 3% or
a nurse notes a more preductal and postductal
differential of 2%
between preductal and
post ductal readings. The
nurse should do what?
The nurse should utilize 25% greater than than the width of the extremity
what parameters to
select the appropriate
sized blood pressure
cuff?
An infant with a Development of congested heart failure
ventricular septal defect
presents with a loud,
pansystolic murmur at
birth but is otherwise
asymptomatic. The nurse
would anticipate the
subsequent development
of symptoms at 1-2
months of age due to
what?
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A hyperoxia test is Respiratory distress syndrome
ordered for an infant
presenting with
tachypnea and mild
cyanosis. An arterial
blood gas is drawn from
the right radial artery
with a Pa02 of 200mmHg.
The nurse should
anticipate that this result
is indicative of what?
The parents of an infant A fetal echo detects approximately 30-50% of
with complex congenital severe CHD
heart disease (CHD) ask
the nurse why the heart
defect was not found on
fetal echo. The nurse
should explain what?
An infant has a history of Wolff parkinson white syndrome
episodic supraventricular
tachycardia that resolves
spontaneously. An echo
is performed and there is
slurred upstroke of the
QRS and the presence of
a delta wave. The nurse
should expect what?
An infant has a bounding 4+
pulse in the brachial and
femoral arteries per
nursing assessment. The
nurse should document
these pulse palpations
as?
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An infant with profound The heart does not respond well to catecholamines
acidosis has vasopressor- in the presence of acidosis
resistant hypotension.
The nurse should (other words: blood pressure will not increase
understand what as a despite dopamine if acidotic)
contributing factor?
An infant is receiving Hypochloremic metabolic alkalosis
furosemide (Lasix) for
management of
congestive heart failure.
The nurse should
anticipate what result
from the arterial blood
gas and electrolyte
panel?
A Chest radiograph is Increased pulmonary vasculature with cardiomegaly
ordered for an infant with
a suspected PDA. The
nurse should anticipate
what finding?
A nurse is caring for an It will often close spontaneously
infant diagnosed with a
small VSD. What is an
accurate statement
regarding the defect?
Adenosine is the drug of Supraventricular tachycardia
choice for what cardiac
arrhythmia?
The nurse should The ventricles function in parallel in utero
recognize that________ is a
characteristic of fetal
circulation?
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