NUR 230 EXAM STUDY GUIDE (OB/PEDS) |GALEN
COLLEGE OF NURSING | ACTUAL QUESTIONS AND
VERIFIED ANSWERS NEW 2026-2027 UPDATE|PASS
GUARANTEE|GRADED A+
Question 1
The RN is monitoring an infant with CHD closely for SSx of HF. The RN should assess the
infant for which early sign of HF?
1.Pallor
2.Cough
3.Tachycardia
4.Slow and shallow breathing
CORRECT ANSWER
3. tachycardia
RATIONALE:
HF is the inability of the heart to pump a sufficient amt of blood to meet the O2 and
metabolic needs of the body. The early SSx of HF include tachycardia, tachypnea, profuse
scalp sweating, fatigue & irritability, sudden weight gain, and resp distress. A cough may
occur in HF as a result of mucosal swelling & irritation, but is not an early sign. Pallor may
be noted in an infant w/ HF, but is not an early sign.
Question 2
The nurse reviews the laboratory results for a child with a suspected diagnosis of
rheumatic fever, knowing that which laboratory study would assist in confirming the
diagnosis?
1
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,1.Immunoglobulin
2.Red blood cell count
3.White blood cell count
4.Anti-streptolysin O titer
CORRECT ANSWER
4. anti-streptolysin O titer
RATIONALE:
Rheumatic fever is an inflammatory autoimmune disease that affects the CT of the heart,
joints, skin (SQ tissues), BV, and CNS. A Dx of rheumatic fever is confirmed by the
presence of 2 major manifestations or 1 major and 2 minor manifestations from the
Jones criteria. In addition, evidence of a recent strep infection is confirmed by a + anti-
streptolysin O titer, streptozyme assay, or anti-DNase B assay.
Question 3
On assessment of a child admitted with a diagnosis of acute-stage Kawasaki disease, the
nurse expects to note which clinical manifestation of the acute stage of the disease?
1.Cracked lips
2.Normal appearance
3.Conjunctival hyperemia
4.Desquamation of the skin
CORRECT ANSWER
3. conjunctival hyperemia
RATIONALE:
Kawasaki disease, aka mucocutaneous lymph node syndrome, is an acute systemic
inflammatory illness. In the acute stage, the child has a fever, conjunctival hyperemia,
red throat, swollen hands, rash, and enlargement of the cervical lymph nodes. In the
2
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, subacute stage, cracking lips and fissures, desquamation of the skin on the tips of the
fingers and toes, joint pain, cardiac manifestations, and thromobocytosis occur. In the
convalescent stage, the child appears normal, but SSx of inflammation may be present
Question 4
The mother of a child being discharged after heart surgery asks the nurse when the child
will be able to return to school. Which is the most appropriate response to the mother?
1."The child may return to school in 1 week."
2."The child will not be able to return to school during this academic year."
3."The child may return to school in 1 week but needs to go half-days for the first 2 weeks."
4."The child may return to school in 3 weeks but needs to go half-days for the first few days."
CORRECT ANSWER
4. "The child may return to school in 3 weeks but needs to go half-days for the 1st few
days"
RATIONALE:
After heart surgery, the child may be able to return to school in 3 weeks but needs to go
half-days for the 1st few days. The mother also should be told that the child cannot
participate in PE for 2 months.
Question 5
Prostaglandin E1 is prescribed for a child with transposition of the great arteries. The
mother of the child is a registered nurse and asks the nurse why the child needs the
medication. What is the most appropriate response to the mother about the action of the
medication?
1.Prevents blue (tet) spells
3
@https://www.stuvia.com/user/thestudyvault
COLLEGE OF NURSING | ACTUAL QUESTIONS AND
VERIFIED ANSWERS NEW 2026-2027 UPDATE|PASS
GUARANTEE|GRADED A+
Question 1
The RN is monitoring an infant with CHD closely for SSx of HF. The RN should assess the
infant for which early sign of HF?
1.Pallor
2.Cough
3.Tachycardia
4.Slow and shallow breathing
CORRECT ANSWER
3. tachycardia
RATIONALE:
HF is the inability of the heart to pump a sufficient amt of blood to meet the O2 and
metabolic needs of the body. The early SSx of HF include tachycardia, tachypnea, profuse
scalp sweating, fatigue & irritability, sudden weight gain, and resp distress. A cough may
occur in HF as a result of mucosal swelling & irritation, but is not an early sign. Pallor may
be noted in an infant w/ HF, but is not an early sign.
Question 2
The nurse reviews the laboratory results for a child with a suspected diagnosis of
rheumatic fever, knowing that which laboratory study would assist in confirming the
diagnosis?
1
@https://www.stuvia.com/user/thestudyvault
,1.Immunoglobulin
2.Red blood cell count
3.White blood cell count
4.Anti-streptolysin O titer
CORRECT ANSWER
4. anti-streptolysin O titer
RATIONALE:
Rheumatic fever is an inflammatory autoimmune disease that affects the CT of the heart,
joints, skin (SQ tissues), BV, and CNS. A Dx of rheumatic fever is confirmed by the
presence of 2 major manifestations or 1 major and 2 minor manifestations from the
Jones criteria. In addition, evidence of a recent strep infection is confirmed by a + anti-
streptolysin O titer, streptozyme assay, or anti-DNase B assay.
Question 3
On assessment of a child admitted with a diagnosis of acute-stage Kawasaki disease, the
nurse expects to note which clinical manifestation of the acute stage of the disease?
1.Cracked lips
2.Normal appearance
3.Conjunctival hyperemia
4.Desquamation of the skin
CORRECT ANSWER
3. conjunctival hyperemia
RATIONALE:
Kawasaki disease, aka mucocutaneous lymph node syndrome, is an acute systemic
inflammatory illness. In the acute stage, the child has a fever, conjunctival hyperemia,
red throat, swollen hands, rash, and enlargement of the cervical lymph nodes. In the
2
@https://www.stuvia.com/user/thestudyvault
, subacute stage, cracking lips and fissures, desquamation of the skin on the tips of the
fingers and toes, joint pain, cardiac manifestations, and thromobocytosis occur. In the
convalescent stage, the child appears normal, but SSx of inflammation may be present
Question 4
The mother of a child being discharged after heart surgery asks the nurse when the child
will be able to return to school. Which is the most appropriate response to the mother?
1."The child may return to school in 1 week."
2."The child will not be able to return to school during this academic year."
3."The child may return to school in 1 week but needs to go half-days for the first 2 weeks."
4."The child may return to school in 3 weeks but needs to go half-days for the first few days."
CORRECT ANSWER
4. "The child may return to school in 3 weeks but needs to go half-days for the 1st few
days"
RATIONALE:
After heart surgery, the child may be able to return to school in 3 weeks but needs to go
half-days for the 1st few days. The mother also should be told that the child cannot
participate in PE for 2 months.
Question 5
Prostaglandin E1 is prescribed for a child with transposition of the great arteries. The
mother of the child is a registered nurse and asks the nurse why the child needs the
medication. What is the most appropriate response to the mother about the action of the
medication?
1.Prevents blue (tet) spells
3
@https://www.stuvia.com/user/thestudyvault
