NURS 5432 UPDATED ACTUAL
Questions and CORRECT Answers
Acyanotic heart disease - CORRECT ANSWER - Patho: outflow obstruction of left side -
can cause CHF
S/S: Diminished pulses (coarctation from narrow aorta) or aortic atresia, increase HR/Resp,
metabolic acidosis
DX: CXR will show cardiomegaly & pulm edema
TX: O2, ventilator, prostaglandin E
Ventricular Septal Defect - CORRECT ANSWER - Left shunts to right
Persistant pulmonary HTN - CORRECT ANSWER - Patho: the PVR decrease that
happens after birth, doesnt occur
Cause: 1. vasoconstriction from hypoxia
2. Increase pulmonary vasculature smooth muscle develops
3. decrease cross-sectional area of pulm vascular bed.
DX: an echo will show right to left SHUNT
TX: no cure
Wide complex means - CORRECT ANSWER - ventricular tachycardia rhythm
narrow complex means - CORRECT ANSWER - supraventricular tachycardiac rhythm
Treatments of wide and narrow complexes? - CORRECT ANSWER - Ice face bath
vagal maneuvers
adenosine
Questions and CORRECT Answers
Acyanotic heart disease - CORRECT ANSWER - Patho: outflow obstruction of left side -
can cause CHF
S/S: Diminished pulses (coarctation from narrow aorta) or aortic atresia, increase HR/Resp,
metabolic acidosis
DX: CXR will show cardiomegaly & pulm edema
TX: O2, ventilator, prostaglandin E
Ventricular Septal Defect - CORRECT ANSWER - Left shunts to right
Persistant pulmonary HTN - CORRECT ANSWER - Patho: the PVR decrease that
happens after birth, doesnt occur
Cause: 1. vasoconstriction from hypoxia
2. Increase pulmonary vasculature smooth muscle develops
3. decrease cross-sectional area of pulm vascular bed.
DX: an echo will show right to left SHUNT
TX: no cure
Wide complex means - CORRECT ANSWER - ventricular tachycardia rhythm
narrow complex means - CORRECT ANSWER - supraventricular tachycardiac rhythm
Treatments of wide and narrow complexes? - CORRECT ANSWER - Ice face bath
vagal maneuvers
adenosine
