NNP 2 Quiz 3 (2025) COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
(recently testing real exam
questions)|GET IT 100% ACCURATE!!
/. decreased pulmonary vascular resistance - Answer-A large VSD may not be
immediately evident at birth due to what?
/.Degree of right ventricular outflow obstruction - Answer-In an infant with tetralogy of
fallot, the severity of symptoms will be most affected by what?
/.urinary output - Answer-a 500 gram infant with a PDA is being treated with
Indomethacin. When formulating a plan of care, the nurse should monitor what
parameters?
/.Volume of mixing between pulmonary and systemic circulation - Answer-An infant
presents with cyanosis at birth and is later diagnosed with transposition of the great
vessels per echo. The nurse recognizes that the degree of cyanosis depends on what?
/.Increase pulmonary and systemic mixing at the atrial level - Answer-A balloon
septostomy is done for an infant with transposition of the great vessels to achieve what?
/.Consider this a negative screen
positive would be if sats are less than 90% or 3% or more preductal and postductal -
Answer-While performing a pulse oximetry screening on an infant nearing discharge a
nurse notes a differential of 2% between preductal and post ductal readings. The nurse
should do what?
/.25% greater than than the width of the extremity - Answer-The nurse should utilize
what parameters to select the appropriate sized blood pressure cuff?
/.Development of congested heart failure - Answer-An infant with a 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?
/.Respiratory distress syndrome - Answer-A hyperoxia test is 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?
,/.A fetal echo detects approximately 30-50% of severe CHD - Answer-The parents of an
infant with complex congenital heart disease (CHD) ask the nurse why the heart defect
was not found on fetal echo. The nurse should explain what?
/.Wolff parkinson white syndrome - Answer-An infant has a history of 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?
/.4+ - Answer-An infant has a bounding pulse in the brachial and femoral arteries per
nursing assessment. The nurse should document these pulse palpations as?
/.The heart does not respond well to catecholamines in the presence of acidosis
(other words: blood pressure will not increase despite dopamine if acidotic) - Answer-An
infant with profound acidosis has vasopressor-resistant hypotension. The nurse should
understand what as a contributing factor?
/.Hypochloremic metabolic alkalosis - Answer-An infant is receiving furosemide (Lasix)
for management of congestive heart failure. The nurse should anticipate what result
from the arterial blood gas and electrolyte panel?
/.Increased pulmonary vasculature with cardiomegaly - Answer-A Chest radiograph is
ordered for an infant with a suspected PDA. The nurse should anticipate what finding?
/.It will often close spontaneously - Answer-A nurse is caring for an infant diagnosed
with a small VSD. What is an accurate statement regarding the defect?
/.Supraventricular tachycardia - Answer-Adenosine is the drug of choice for what
cardiac arrhythmia?
/.The ventricles function in parallel in utero - Answer-The nurse should recognize
that________ is a characteristic of fetal circulation?
/.cardiomyopathy - Answer-An infant of a diabetic mother presents with pallor, poor
feeding, tachypnea, a large heart on chest radiographs, and systolic ejection murmur.
These factors are most likely related to what?
/.monitor for any increase in quality or intensity - Answer-A term infant has Apgar scores
of 8 and 9 at 1 and 5 minutes, respectively. At 12 hours of life, a nurse auscultates a
physiologic murmur. The nurse should do what?
/.Precipitate digoxin toxicity at lower serum levels because potassium depletion
sensitizes the myocardium in digoxin. - Answer-An Infant is receiving digoxin. The nurse
should be aware that the presence of concurrent hypokalemia may result in what?
, /.cardiac arrhythmias
:Right bundle branch block, third degree heart block,aortic insufficiency and tricuspid
insufficiency - Answer-A nurse is caring for an infant who has undergone surgical repair
of a VSD. The nursing plan of care should include recognition of what?
/.propanolol - Answer-A nurse is caring for an infant with Wolff-Parkinson-White
syndrome. The plan of care should include what for the prevention of supraventricular
tachycardia associated with WPW?
/.pericardial tamponade
:pericardial tap - Answer-An infant is 24 hours postprocedure for the placment of a
tunneled catheter and suddenly exhibits a period of tachycardia followed by profound
bradycardia. The nurse verifies endotracheal tub placement and determines heart
sounds inaudible with no palpable pulses. There is display of an electrical rhythm on
electrocardiogram. The nurse should anticipate what?
/.hypotensive - Answer-A 26 week gestation infant has a blood pressure of 33mmHg
systolic, 18mmHg diastolic, and a mean arterial pressure of 23 mmHg. The nurse
should interpret this as what?
/.Pulmonary - Answer-An infant has an arterial blood gas drawn while receiving 80%
Fi02. The pH is 7.2, PaCo2 is 69mmHg, and the Pa02 is 175mmHg. The nurse should
interpret these results as originating from what body system or process?
/.Gender related differences are noted in some types of CHD - Answer-A male infant is
born with probable congenital heart disease. The parents ask if male gender increases
the risk of having CHD. What is the best response the response from the nurse?
/.Infusion site - Answer-An infant with hypotension is being treated with dopamine at a
dosage of 15mcg/kg/min through a peripheral IV. What should be assessed hourly by
the nurse?
/.customary urine output
:oliguria is normal within the first 48 hours after surgery - Answer-An infant is 24 hours
posteroperative from corrective congenital heart disease surgery requiring
cardiopulmonary bypass with urinary output since surgery of less than 0.5ml/kg/day.
What is this finding most indicative of?
/.initiation of IV prostin - Answer-A hypotensive infant is diagnosed with a ductal
dependent lesion. The nurse should include what treatment as the most crucial in the
plan of care?
/.aortic stenosis - Answer-What cardiac lesion can be palliated with a transcatheter
balloon valvuloplasty?
QUESTIONS AND VERIFIED ANSWERS
(recently testing real exam
questions)|GET IT 100% ACCURATE!!
/. decreased pulmonary vascular resistance - Answer-A large VSD may not be
immediately evident at birth due to what?
/.Degree of right ventricular outflow obstruction - Answer-In an infant with tetralogy of
fallot, the severity of symptoms will be most affected by what?
/.urinary output - Answer-a 500 gram infant with a PDA is being treated with
Indomethacin. When formulating a plan of care, the nurse should monitor what
parameters?
/.Volume of mixing between pulmonary and systemic circulation - Answer-An infant
presents with cyanosis at birth and is later diagnosed with transposition of the great
vessels per echo. The nurse recognizes that the degree of cyanosis depends on what?
/.Increase pulmonary and systemic mixing at the atrial level - Answer-A balloon
septostomy is done for an infant with transposition of the great vessels to achieve what?
/.Consider this a negative screen
positive would be if sats are less than 90% or 3% or more preductal and postductal -
Answer-While performing a pulse oximetry screening on an infant nearing discharge a
nurse notes a differential of 2% between preductal and post ductal readings. The nurse
should do what?
/.25% greater than than the width of the extremity - Answer-The nurse should utilize
what parameters to select the appropriate sized blood pressure cuff?
/.Development of congested heart failure - Answer-An infant with a 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?
/.Respiratory distress syndrome - Answer-A hyperoxia test is 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?
,/.A fetal echo detects approximately 30-50% of severe CHD - Answer-The parents of an
infant with complex congenital heart disease (CHD) ask the nurse why the heart defect
was not found on fetal echo. The nurse should explain what?
/.Wolff parkinson white syndrome - Answer-An infant has a history of 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?
/.4+ - Answer-An infant has a bounding pulse in the brachial and femoral arteries per
nursing assessment. The nurse should document these pulse palpations as?
/.The heart does not respond well to catecholamines in the presence of acidosis
(other words: blood pressure will not increase despite dopamine if acidotic) - Answer-An
infant with profound acidosis has vasopressor-resistant hypotension. The nurse should
understand what as a contributing factor?
/.Hypochloremic metabolic alkalosis - Answer-An infant is receiving furosemide (Lasix)
for management of congestive heart failure. The nurse should anticipate what result
from the arterial blood gas and electrolyte panel?
/.Increased pulmonary vasculature with cardiomegaly - Answer-A Chest radiograph is
ordered for an infant with a suspected PDA. The nurse should anticipate what finding?
/.It will often close spontaneously - Answer-A nurse is caring for an infant diagnosed
with a small VSD. What is an accurate statement regarding the defect?
/.Supraventricular tachycardia - Answer-Adenosine is the drug of choice for what
cardiac arrhythmia?
/.The ventricles function in parallel in utero - Answer-The nurse should recognize
that________ is a characteristic of fetal circulation?
/.cardiomyopathy - Answer-An infant of a diabetic mother presents with pallor, poor
feeding, tachypnea, a large heart on chest radiographs, and systolic ejection murmur.
These factors are most likely related to what?
/.monitor for any increase in quality or intensity - Answer-A term infant has Apgar scores
of 8 and 9 at 1 and 5 minutes, respectively. At 12 hours of life, a nurse auscultates a
physiologic murmur. The nurse should do what?
/.Precipitate digoxin toxicity at lower serum levels because potassium depletion
sensitizes the myocardium in digoxin. - Answer-An Infant is receiving digoxin. The nurse
should be aware that the presence of concurrent hypokalemia may result in what?
, /.cardiac arrhythmias
:Right bundle branch block, third degree heart block,aortic insufficiency and tricuspid
insufficiency - Answer-A nurse is caring for an infant who has undergone surgical repair
of a VSD. The nursing plan of care should include recognition of what?
/.propanolol - Answer-A nurse is caring for an infant with Wolff-Parkinson-White
syndrome. The plan of care should include what for the prevention of supraventricular
tachycardia associated with WPW?
/.pericardial tamponade
:pericardial tap - Answer-An infant is 24 hours postprocedure for the placment of a
tunneled catheter and suddenly exhibits a period of tachycardia followed by profound
bradycardia. The nurse verifies endotracheal tub placement and determines heart
sounds inaudible with no palpable pulses. There is display of an electrical rhythm on
electrocardiogram. The nurse should anticipate what?
/.hypotensive - Answer-A 26 week gestation infant has a blood pressure of 33mmHg
systolic, 18mmHg diastolic, and a mean arterial pressure of 23 mmHg. The nurse
should interpret this as what?
/.Pulmonary - Answer-An infant has an arterial blood gas drawn while receiving 80%
Fi02. The pH is 7.2, PaCo2 is 69mmHg, and the Pa02 is 175mmHg. The nurse should
interpret these results as originating from what body system or process?
/.Gender related differences are noted in some types of CHD - Answer-A male infant is
born with probable congenital heart disease. The parents ask if male gender increases
the risk of having CHD. What is the best response the response from the nurse?
/.Infusion site - Answer-An infant with hypotension is being treated with dopamine at a
dosage of 15mcg/kg/min through a peripheral IV. What should be assessed hourly by
the nurse?
/.customary urine output
:oliguria is normal within the first 48 hours after surgery - Answer-An infant is 24 hours
posteroperative from corrective congenital heart disease surgery requiring
cardiopulmonary bypass with urinary output since surgery of less than 0.5ml/kg/day.
What is this finding most indicative of?
/.initiation of IV prostin - Answer-A hypotensive infant is diagnosed with a ductal
dependent lesion. The nurse should include what treatment as the most crucial in the
plan of care?
/.aortic stenosis - Answer-What cardiac lesion can be palliated with a transcatheter
balloon valvuloplasty?
