NSG 3600 Exam 2 Final Actual Exam 2026 with Real Questions
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1. If a parent expresses anxiety about their child's echocardiogram, what nursing
intervention would be most appropriate to address their concerns?
Reassure them that no preparation is needed for the test.
Provide clear information about the procedure and its purpose to
alleviate anxiety.
Advise them to wait until after the test to ask questions.
Suggest they avoid discussing the procedure with their child.
2. Explain the physiological consequence of blood shunting in an infant with an
atrial septal defect (ASD).
Blood flow is completely obstructed between the atria, leading to
cyanosis.
Blood flows equally between the atria, causing no significant
hemodynamic changes.
Oxygenated blood from the left atrium flows into the right atrium,
increasing pulmonary blood flow.
Deoxygenated blood from the right atrium flows into the left atrium,
decreasing systemic oxygenation.
3. Which of the following statements indicates the parent of a child with
rheumatic fever understands the education given to them about their child's
condition?
My child can go back to playing sports once we are done with
antibiotics
Rheumatic fever is a delayed reaction to staphylococcus bacteria
, I will always ensure my child has preventative antibiotics before
having any dental work done
Rheumatic fever can always be treated with antibiotics without long
term side effects
4. Describe the key points a nurse should communicate to parents regarding
post-operative care after a tympanostomy.
Parents should avoid any follow-up appointments.
Parents should monitor for signs of infection and ensure the child
avoids water exposure in the ears.
Parents should administer antibiotics without consulting a doctor.
Parents should encourage the child to swim immediately after surgery.
5. Describe the primary nursing intervention for a child diagnosed with
Kawasaki disease.
Providing oxygen therapy to improve breathing.
Administering intravenous immunoglobulin (IVIG) to reduce
inflammation.
Monitoring blood glucose levels for metabolic control.
Encouraging fluid intake to prevent dehydration.
6. If a child with left-sided heart failure presents with wheezing and increased
respiratory rate, what nursing intervention should be prioritized?
Monitor blood glucose levels
Perform abdominal massage
Encourage fluid intake
Administer supplemental oxygen
,7. A nurse is assessing a child diagnosed with Tetralogy of Fallot. What nursing
intervention should be prioritized to manage the child's low oxygen
saturations?
Encourage physical activity to improve lung function.
Administer supplemental oxygen.
Provide education on dietary changes.
Monitor heart rate and blood pressure only.
8. What is a common symptom of cyanotic congenital heart defects in children?
Rash
Cyanosis
Pallor
Jaundice
9. Describe why soft foods are recommended for children after a tonsillectomy.
Soft foods are recommended to help with hydration.
Soft foods are recommended to ensure children get enough protein.
Soft foods are recommended to prevent allergies.
Soft foods are recommended because they are easier to swallow
and less likely to irritate the throat.
10. A child presents with symptoms of high blood pressure in the upper body
and low blood pressure in the lower body. Which obstructive congenital
heart defect might this indicate?
Aortic stenosis
Pulmonary stenosis
, Tetralogy of Fallot
Coarctation of the aorta
11. Describe the significance of the ventricular septal defect in the context of
Tetralogy of Fallot.
The ventricular septal defect prevents blood from entering the
pulmonary artery.
The ventricular septal defect is a result of hypertrophy of the left
ventricle.
The ventricular septal defect is unrelated to the symptoms of
Tetralogy of Fallot.
The ventricular septal defect allows blood to flow between the left
and right ventricles, contributing to the mixed oxygenated and
deoxygenated blood flow characteristic of Tetralogy of Fallot.
12. If a toddler experiences frequent ear infections despite having a
tympanostomy, what nursing intervention should be considered next?
Prescribe over-the-counter pain medication without a doctor's order.
Increase the frequency of tympanostomy procedures.
Evaluate the need for further ENT consultation.
Advise the parents to wait and see if the infections resolve on their
own.
13. A 3 year old comes in with a barking cough, hoarseness, and a fever. Upon
assessment, he has an inspiratory stridor. What illness does the nurse suspect
he has?
Respiratory distress syndrome
Epiglottis
and Verified Correct Answers Already Graded A+ |Guaranteed
Success
1. If a parent expresses anxiety about their child's echocardiogram, what nursing
intervention would be most appropriate to address their concerns?
Reassure them that no preparation is needed for the test.
Provide clear information about the procedure and its purpose to
alleviate anxiety.
Advise them to wait until after the test to ask questions.
Suggest they avoid discussing the procedure with their child.
2. Explain the physiological consequence of blood shunting in an infant with an
atrial septal defect (ASD).
Blood flow is completely obstructed between the atria, leading to
cyanosis.
Blood flows equally between the atria, causing no significant
hemodynamic changes.
Oxygenated blood from the left atrium flows into the right atrium,
increasing pulmonary blood flow.
Deoxygenated blood from the right atrium flows into the left atrium,
decreasing systemic oxygenation.
3. Which of the following statements indicates the parent of a child with
rheumatic fever understands the education given to them about their child's
condition?
My child can go back to playing sports once we are done with
antibiotics
Rheumatic fever is a delayed reaction to staphylococcus bacteria
, I will always ensure my child has preventative antibiotics before
having any dental work done
Rheumatic fever can always be treated with antibiotics without long
term side effects
4. Describe the key points a nurse should communicate to parents regarding
post-operative care after a tympanostomy.
Parents should avoid any follow-up appointments.
Parents should monitor for signs of infection and ensure the child
avoids water exposure in the ears.
Parents should administer antibiotics without consulting a doctor.
Parents should encourage the child to swim immediately after surgery.
5. Describe the primary nursing intervention for a child diagnosed with
Kawasaki disease.
Providing oxygen therapy to improve breathing.
Administering intravenous immunoglobulin (IVIG) to reduce
inflammation.
Monitoring blood glucose levels for metabolic control.
Encouraging fluid intake to prevent dehydration.
6. If a child with left-sided heart failure presents with wheezing and increased
respiratory rate, what nursing intervention should be prioritized?
Monitor blood glucose levels
Perform abdominal massage
Encourage fluid intake
Administer supplemental oxygen
,7. A nurse is assessing a child diagnosed with Tetralogy of Fallot. What nursing
intervention should be prioritized to manage the child's low oxygen
saturations?
Encourage physical activity to improve lung function.
Administer supplemental oxygen.
Provide education on dietary changes.
Monitor heart rate and blood pressure only.
8. What is a common symptom of cyanotic congenital heart defects in children?
Rash
Cyanosis
Pallor
Jaundice
9. Describe why soft foods are recommended for children after a tonsillectomy.
Soft foods are recommended to help with hydration.
Soft foods are recommended to ensure children get enough protein.
Soft foods are recommended to prevent allergies.
Soft foods are recommended because they are easier to swallow
and less likely to irritate the throat.
10. A child presents with symptoms of high blood pressure in the upper body
and low blood pressure in the lower body. Which obstructive congenital
heart defect might this indicate?
Aortic stenosis
Pulmonary stenosis
, Tetralogy of Fallot
Coarctation of the aorta
11. Describe the significance of the ventricular septal defect in the context of
Tetralogy of Fallot.
The ventricular septal defect prevents blood from entering the
pulmonary artery.
The ventricular septal defect is a result of hypertrophy of the left
ventricle.
The ventricular septal defect is unrelated to the symptoms of
Tetralogy of Fallot.
The ventricular septal defect allows blood to flow between the left
and right ventricles, contributing to the mixed oxygenated and
deoxygenated blood flow characteristic of Tetralogy of Fallot.
12. If a toddler experiences frequent ear infections despite having a
tympanostomy, what nursing intervention should be considered next?
Prescribe over-the-counter pain medication without a doctor's order.
Increase the frequency of tympanostomy procedures.
Evaluate the need for further ENT consultation.
Advise the parents to wait and see if the infections resolve on their
own.
13. A 3 year old comes in with a barking cough, hoarseness, and a fever. Upon
assessment, he has an inspiratory stridor. What illness does the nurse suspect
he has?
Respiratory distress syndrome
Epiglottis
