NURS 4431 Pediatrics UTA Exam 2
Final Test Questions with All Correct
Answers 2025-2026 Updated.
four defects in tetralogy of Fallot. - Answer Pulmonary artery stenosis;
hypertrophy of the right ventricle;
overriding aorta;
and ventricular septal defect.
Cyanotic Tet Spell - Answer sudden change - deep blue skin with possible deep, rapid, shallow
breathing
Treatment at home for Tet spell - Answer place child in knee-chest position, squatting, or on
shoulder with knees bent
Only treatment to fix TOF - Answer surgery
Hospital treatment of Tet spell - Answer supplemental oxygen, fluids, MS/Propanalol
Tricuspid Atresia - Answer tricuspid valve fails to develop -> no opening -> no blood flow to
lungs for R side -> blood flows back to R side of heart and mixes at foramen ovale, any blood to
lungs enters ductus arteriosus to go to lungs. Lower oxygen saturation
S/S of tricuspid atresia - Answer cyanosis at birth when DA closes, tachypnea, feeding
difficulty, cyanosis, poor or weak sucking, ^ WOB, heart murmur, crackles or wheezes if HF,
cool/clammy skin, clubbing
Only treatment of tricuspid atresia - Answer surgery
acute rheumatic fever - Answer occurs 2-4 weeks after strep infection, lasts 6-12 weeks, may
recur with subsequent strep infections
S/S of ARF - Answer joints inflamed, sydenham chorea (jerky movements of face/extremeties),
, management of ARF - Answer manage inflammation/fever, eradicate bacteria, prevent further
heart damage, monthly injection of penicillin G or daily oral penicillin, or erythromycin
prophylaxis until adulthood
Kawasaki disease - Answer autoimmune systemic vasculitis, 6mo-5years. self-limiting
syndrome with possible serious CV complications: coronary artery aneurism/cardiomyopathy
S/S of kawasaki disease - Answer fever, chills, HA, malaise, extreme irritability, vomiting,
diarrhea, abdominal pain, joint pain, conjuctival hyperemia, rash, hand/feet edema,
erythema/painful induration on palms, PEELING FINGERS/TOES, lymphadenopathy, possible
jaundice
acute phase of kawasaki disease - Answer high fever, red tongue, red conjuctiva/eyes, red
swollen hands/feet
subacute phase of kawasaki disease - Answer cracked lips, peeling fingers/toes, joint pain,
worried about coronary artery aneurism
convalescent phase of kawasaki disease - Answer look terrible and we are concerned about
heart. May have diarrhea because GI is not perfusing as it should
Treatment of kawasaki disease - Answer Acetaminophen only! avoid NSAIDs. monitor I/O,
cardiac status, decrease stimulation, hydrate, monitor temp
hypospadias - Answer urethral opening on ventral side (underside) of penis
epispadias - Answer urethral opening on dorsal side (top) of penis
chordee - Answer curved penis due to fibrous tissue
assessment findings of male GU disorders - Answer unusual urine stream, inspect penis to
locate opening, note presence of fibrous band causing penile curve, note location of testicles,
presence of fluid in scrotum
treatment of male GU disorders - Answer surgery to normalize urination, allow normal sexual
Final Test Questions with All Correct
Answers 2025-2026 Updated.
four defects in tetralogy of Fallot. - Answer Pulmonary artery stenosis;
hypertrophy of the right ventricle;
overriding aorta;
and ventricular septal defect.
Cyanotic Tet Spell - Answer sudden change - deep blue skin with possible deep, rapid, shallow
breathing
Treatment at home for Tet spell - Answer place child in knee-chest position, squatting, or on
shoulder with knees bent
Only treatment to fix TOF - Answer surgery
Hospital treatment of Tet spell - Answer supplemental oxygen, fluids, MS/Propanalol
Tricuspid Atresia - Answer tricuspid valve fails to develop -> no opening -> no blood flow to
lungs for R side -> blood flows back to R side of heart and mixes at foramen ovale, any blood to
lungs enters ductus arteriosus to go to lungs. Lower oxygen saturation
S/S of tricuspid atresia - Answer cyanosis at birth when DA closes, tachypnea, feeding
difficulty, cyanosis, poor or weak sucking, ^ WOB, heart murmur, crackles or wheezes if HF,
cool/clammy skin, clubbing
Only treatment of tricuspid atresia - Answer surgery
acute rheumatic fever - Answer occurs 2-4 weeks after strep infection, lasts 6-12 weeks, may
recur with subsequent strep infections
S/S of ARF - Answer joints inflamed, sydenham chorea (jerky movements of face/extremeties),
, management of ARF - Answer manage inflammation/fever, eradicate bacteria, prevent further
heart damage, monthly injection of penicillin G or daily oral penicillin, or erythromycin
prophylaxis until adulthood
Kawasaki disease - Answer autoimmune systemic vasculitis, 6mo-5years. self-limiting
syndrome with possible serious CV complications: coronary artery aneurism/cardiomyopathy
S/S of kawasaki disease - Answer fever, chills, HA, malaise, extreme irritability, vomiting,
diarrhea, abdominal pain, joint pain, conjuctival hyperemia, rash, hand/feet edema,
erythema/painful induration on palms, PEELING FINGERS/TOES, lymphadenopathy, possible
jaundice
acute phase of kawasaki disease - Answer high fever, red tongue, red conjuctiva/eyes, red
swollen hands/feet
subacute phase of kawasaki disease - Answer cracked lips, peeling fingers/toes, joint pain,
worried about coronary artery aneurism
convalescent phase of kawasaki disease - Answer look terrible and we are concerned about
heart. May have diarrhea because GI is not perfusing as it should
Treatment of kawasaki disease - Answer Acetaminophen only! avoid NSAIDs. monitor I/O,
cardiac status, decrease stimulation, hydrate, monitor temp
hypospadias - Answer urethral opening on ventral side (underside) of penis
epispadias - Answer urethral opening on dorsal side (top) of penis
chordee - Answer curved penis due to fibrous tissue
assessment findings of male GU disorders - Answer unusual urine stream, inspect penis to
locate opening, note presence of fibrous band causing penile curve, note location of testicles,
presence of fluid in scrotum
treatment of male GU disorders - Answer surgery to normalize urination, allow normal sexual
