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NUR 417
NUR 417 Exam 3 Care of Adult II – 2025 Actual Questions
and Answers Concordia University St. Paul
Sympathetic Nervous System Compensation Mechanism - ANS tachycardia,
sweating, delayed cap refill, increased BP, edema, urine output, dyspnea,
fatigue, syncope
Normal Heart Flow - ANS right atrium to right atrium out to lungs back to
heart through left atrium to left ventricle to body to right atrium
Ductus Arteriosus - ANS open during fetal development to let blood bypass
the lungs, closes after birth due to lack of maternal prostaglandins
Ductus Venosus - ANS closed immediately after birth when cutting umbilical
cord
Foramen ovale - ANS in between 2 atria, close after birth
NUR 417
, 2
NUR 417
Vital signs for newborn - ANS BP should be the same between arm and thigh,
pulse pressure should be between 50 and 10 mmHg, MAP ~50mmHg,
compensate by increasing heart rate
Murmurs - ANS innocent, functional, organic
Listen to murmurs at Erbs point
Defects with increased pulmonary blood flow - ANS VSD, PDA
Defects with decreased pulmonary blood flow - ANS Tetralogy of Fallot
Defect with obstruction to blood flow - ANS Coarctation
VSD - ANS increased pulmonary blood flow, left to right shunt in 2 ventricles,
blood goes from left ventricle to right ventricle
Pulmonary hypertension and pulmonary congestion
S/S - murmurs, thrills, HF if large, pulmonary edema
least critical, depends on size and location of the hole
PDA - ANS increased pulmonary blood flow
blood flows from the aorta into the pulmonary circuit
causes recirculation of oxygenated blood
NUR 417
NUR 417
NUR 417 Exam 3 Care of Adult II – 2025 Actual Questions
and Answers Concordia University St. Paul
Sympathetic Nervous System Compensation Mechanism - ANS tachycardia,
sweating, delayed cap refill, increased BP, edema, urine output, dyspnea,
fatigue, syncope
Normal Heart Flow - ANS right atrium to right atrium out to lungs back to
heart through left atrium to left ventricle to body to right atrium
Ductus Arteriosus - ANS open during fetal development to let blood bypass
the lungs, closes after birth due to lack of maternal prostaglandins
Ductus Venosus - ANS closed immediately after birth when cutting umbilical
cord
Foramen ovale - ANS in between 2 atria, close after birth
NUR 417
, 2
NUR 417
Vital signs for newborn - ANS BP should be the same between arm and thigh,
pulse pressure should be between 50 and 10 mmHg, MAP ~50mmHg,
compensate by increasing heart rate
Murmurs - ANS innocent, functional, organic
Listen to murmurs at Erbs point
Defects with increased pulmonary blood flow - ANS VSD, PDA
Defects with decreased pulmonary blood flow - ANS Tetralogy of Fallot
Defect with obstruction to blood flow - ANS Coarctation
VSD - ANS increased pulmonary blood flow, left to right shunt in 2 ventricles,
blood goes from left ventricle to right ventricle
Pulmonary hypertension and pulmonary congestion
S/S - murmurs, thrills, HF if large, pulmonary edema
least critical, depends on size and location of the hole
PDA - ANS increased pulmonary blood flow
blood flows from the aorta into the pulmonary circuit
causes recirculation of oxygenated blood
NUR 417
