NUR336: EXAM 4 (STUDY GUIDE #1) | COMPLETE QUESTIONS & ANSWERS (100% VERIFIED
SOLUTIONS) 2025/2026 UPDATE
1. The S1 sounds are? Contraction of the mitral
and tricuspid valves
2. The S2 sounds are? Contraction of the aortic
and pulmonary valves
3. One thing that could cause cardiovascular conditions Genetics
that cannot be changed.
4. When doing a cardiovascular assessment, what are - Clubbing of the nails
four common s/s that show cardio issues? - SOB
- Chest wall deformity
- Skin is cold and clammy.
5. For chronic heart failure what daily intervention do Daily weight (same time
nurses do? everyday/ morning)
6. What fails to close with Patent ductus arteriosus (PDA)? - Pulmonary artery and
aorta
- Increasing pulmonary
blood flow (left to right
shunt)
7. What murmur would you hear with a PDA? Systolic murmur
8. What sound does a systolic murmur make? - Sounds like a machine
humming.
- S/S: Bounding pulses
9. What three medications do we give for a PDA?
, NUR336: EXAM 4 (STUDY GUIDE #1) | COMPLETE QUESTIONS & ANSWERS (100% VERIFIED
SOLUTIONS) 2025/2026 UPDATE
- Ibuprofen
- Acetaminophen
- Indomethacin
10. What causes an atrial septal defect (ASD)? - Hole in the septum be-
tween the right and left
atria
- Increasing pulmonary
blood flow (left to right
shunt)
11. What two signs and symptoms would you expect from - Harsh loud murmur
an ASD? - Fixed split-second heart
sound
12. How do we diagnosis an ASD? Echocardiogram
13. If a doctor wants to investigate more, what other diag- Heart cath.
nosis test would they do?
14. How do we treat ASD? Heart catheterization or
surgery
15. What causes a ventricular septal defect (VSD)? - Hole in the septum be-
tween the right and left
ventricle
- Increasing pulmonary
blood flow (left to right
shunt)
16.
, NUR336: EXAM 4 (STUDY GUIDE #1) | COMPLETE QUESTIONS & ANSWERS (100% VERIFIED
SOLUTIONS) 2025/2026 UPDATE
What are two signs and symptoms would you expect Harsh loud murmur that
from a VSD? is heart at the left sternal
border
17. What is the Tetralogy of Fallot (TOF)? (HINT: 4 heart - Pulmonary stenosis-
defects) hardening of the pul-
monary vein
- Right ventricular hyper-
trophy- enlarged
- VSD
- Overriding aorta
18. Children with tetralogy of Fallot are at risk for what? TET spells (insuflcient oxy-
genated blood pumping
throughout body)
19. What are three nursing interventions/education can - Reduce anxiety (keep
we do for a TET spell? child in their mom's lab)
- Knee-to-chest / squat-
ting position
- Give oxygen.
20. What is a tricuspid atresia? Missing/ absence tricus-
pid valve
SOLUTIONS) 2025/2026 UPDATE
1. The S1 sounds are? Contraction of the mitral
and tricuspid valves
2. The S2 sounds are? Contraction of the aortic
and pulmonary valves
3. One thing that could cause cardiovascular conditions Genetics
that cannot be changed.
4. When doing a cardiovascular assessment, what are - Clubbing of the nails
four common s/s that show cardio issues? - SOB
- Chest wall deformity
- Skin is cold and clammy.
5. For chronic heart failure what daily intervention do Daily weight (same time
nurses do? everyday/ morning)
6. What fails to close with Patent ductus arteriosus (PDA)? - Pulmonary artery and
aorta
- Increasing pulmonary
blood flow (left to right
shunt)
7. What murmur would you hear with a PDA? Systolic murmur
8. What sound does a systolic murmur make? - Sounds like a machine
humming.
- S/S: Bounding pulses
9. What three medications do we give for a PDA?
, NUR336: EXAM 4 (STUDY GUIDE #1) | COMPLETE QUESTIONS & ANSWERS (100% VERIFIED
SOLUTIONS) 2025/2026 UPDATE
- Ibuprofen
- Acetaminophen
- Indomethacin
10. What causes an atrial septal defect (ASD)? - Hole in the septum be-
tween the right and left
atria
- Increasing pulmonary
blood flow (left to right
shunt)
11. What two signs and symptoms would you expect from - Harsh loud murmur
an ASD? - Fixed split-second heart
sound
12. How do we diagnosis an ASD? Echocardiogram
13. If a doctor wants to investigate more, what other diag- Heart cath.
nosis test would they do?
14. How do we treat ASD? Heart catheterization or
surgery
15. What causes a ventricular septal defect (VSD)? - Hole in the septum be-
tween the right and left
ventricle
- Increasing pulmonary
blood flow (left to right
shunt)
16.
, NUR336: EXAM 4 (STUDY GUIDE #1) | COMPLETE QUESTIONS & ANSWERS (100% VERIFIED
SOLUTIONS) 2025/2026 UPDATE
What are two signs and symptoms would you expect Harsh loud murmur that
from a VSD? is heart at the left sternal
border
17. What is the Tetralogy of Fallot (TOF)? (HINT: 4 heart - Pulmonary stenosis-
defects) hardening of the pul-
monary vein
- Right ventricular hyper-
trophy- enlarged
- VSD
- Overriding aorta
18. Children with tetralogy of Fallot are at risk for what? TET spells (insuflcient oxy-
genated blood pumping
throughout body)
19. What are three nursing interventions/education can - Reduce anxiety (keep
we do for a TET spell? child in their mom's lab)
- Knee-to-chest / squat-
ting position
- Give oxygen.
20. What is a tricuspid atresia? Missing/ absence tricus-
pid valve
