NURS 3730 FINAL EXAM QUESTIONS AND ANSWERS | NURS
3730 FINAL STUDY GUIDE & PRACTICE TEST 2026/2027
Patent ductus arteriosus - ANS ✔✔administer indomethacin to close PDA
<1% mortality
surgical: horoscopic procedure
Limbic system - ANS ✔✔reward center
emotional center
drive center
-develops faster than prefrontal cortex
Asthma rates - ANS ✔✔higher in poor, obese, and indigenous youth
-chronic inflammatory disease that causes hyperresponsiveness, mucosal edema, and mucus production
-inflammation causes cough, chest tightness
-allergy is the strongest factor
-first asthma attack is usually before age 5
coarctation of the aorta - ANS ✔✔narrowing of aorta near the ductus arteriosus
s/s high bp, bounding pulse,
Tx: surgical repair, balloon angioplasty for older kids
Prefrontal cortex - ANS ✔✔"thinking" centre
allows-
consequence, judgement, impulse, identity, organizing/problem solving, growing and changing
asthma assess - ANS ✔✔exercise induced bronchospasm
nocturnal asthma
allergen triggers
resp infection
dx: hx, physical, CXR, PRFT, FEV1/FVC ration (less than 0.08 consistent with asthma)
watch for: rhinorrhea, cough, low fever, irritability, apathy, anxiety, sleep disturbance, abdominal
discomfort, loss of appetite
IgE antibody is implicated
tetralogy of Fallot - ANS ✔✔VSD, pulmonary valve stenosis, overriding/misplaced aorta, thinkened right
ventricular wall
cyanotic or blue babies
tx: temp/complete surgical repair procedures, if child is not ready we place a shunt
,<3% total repair
recovery model - ANS ✔✔focuses on pt strength for depression
mutually developed
3 phase
acute
continuation
maintenance
Mild asthma - ANS ✔✔SpO2 > 92%
RR <30 over 5
no or minimal accessory muscle use
feeding well or talking in full sentences
wheeze (may only be audible by stethescope)
Severe asthma - ANS ✔✔SpO2 <92%
PEFR 33-50% predicted (peak expiratory flow)
RR >30
too breathless to talk
HR >125
use of accessory muscles
audible wheeze
lithium - ANS ✔✔bipolar
narrow therapeutic window
8-10 glasses of water per day
95% excreted unchanged in urine
levels increased by: NSAIDS, ACE, Angiotensin II antagonists, salt restriction
levels decreased by:
citalopram, mirtazepine, lorazepam, oxazepam, clonazepam
tricuspid atresia - ANS ✔✔Tricuspid Valve fails to develop. No communication between rt atria and
ventricle
blood flows through ASD, complete mixing of oxyganated and deoxygenated blood
s/s cyanosis, tachycardia, older kids have clubbing
tx: prostaglandin until surgery - various procedures and stages
shunt to increase blood flow to lung
,<5% mortality
transportation of the great arteries or great vessels - ANS ✔✔pulmonary artery leaves the left ventricle,
and the aorta exits the right ventricle with no communication between systemic and pulmonary
circulations
s/s cardiomegaly, heart failure, murmurs, cyanosis
tx: atrial switch procedure. other procedures require redos as child grows
<2% surgical morality
mesolimbic pathway - schiz - ANS ✔✔positive symptoms
-hallucinations/dellusions
Life threatening asthma - ANS ✔✔SpO2<92%
PEFR 33-50%
silent chest
poor resp effort
altered conciousness
agitation/confusion
exhaustion
cyanosis
hypoplastic left heart syndrome - ANS ✔✔underdeveloped left heart, hypoplastic left ventricle and aortic
atresia
s/s mild cyanosis, progressive deterioration, decreased .cardiac output leading to cardiac collapse, fatal
in first months of life with no intervention
tx: newborns requires stabilization, ventillation, balloon pumps
surgical
heart transplant, in newborn period
prognosis: 5-30% survival
"single ventricle defect"
mesocortical pathway - schiz - ANS ✔✔negative symptoms
flat affect, apathy
quick relief Medications for asthma - ANS ✔✔-treat symptoms and exaserbations
short acting b2 agonists
anticholinergics
, systemic corticosteroids
nursing management of heart failure - ANS ✔✔rest, conservation of energy
high metabolic needs, caloric needs, high calorie gavage feeding
DIGOXIN - Milligrams to micrograms
nigrostiatal pathway - ANS ✔✔EPS AND TD
function of motor control, degeneration associated with parkinsons, and involuntary psychomotor
symptoms
long-acting medications - ANS ✔✔inhaled corticosteroids
long-acting beta2 agonists
leukotriene modifiers
cromolyn sodium
cromolyn sodium - ANS ✔✔prevents inflammation
prevents bronchial asthma
prevents bronchospasm
tuberoinfundibular pathway - ANS ✔✔associated with endocrine function, digestion, metabolism,
hunger, thirst, temperature
dialysis - ANS ✔✔bun/cr will move into the dialysate sol, lowering the concentration in the blood
remember - close to dialysis day labs will be increased
dialysis day, assess meds to be adjusted/held - antihypertensives
peritoneal
or
hemodialysis
leukotriene modifiers - ANS ✔✔block leukotrienes
manage rhinitis
prevent asthma
goals of dialysis - ANS ✔✔remove the end products of protein metabolism such as creatinine and urea
maintain safe concentration of electrolytes
correct acidosis, replenish blood bicarbonate buffer system
remove excess fluid from the blood
3730 FINAL STUDY GUIDE & PRACTICE TEST 2026/2027
Patent ductus arteriosus - ANS ✔✔administer indomethacin to close PDA
<1% mortality
surgical: horoscopic procedure
Limbic system - ANS ✔✔reward center
emotional center
drive center
-develops faster than prefrontal cortex
Asthma rates - ANS ✔✔higher in poor, obese, and indigenous youth
-chronic inflammatory disease that causes hyperresponsiveness, mucosal edema, and mucus production
-inflammation causes cough, chest tightness
-allergy is the strongest factor
-first asthma attack is usually before age 5
coarctation of the aorta - ANS ✔✔narrowing of aorta near the ductus arteriosus
s/s high bp, bounding pulse,
Tx: surgical repair, balloon angioplasty for older kids
Prefrontal cortex - ANS ✔✔"thinking" centre
allows-
consequence, judgement, impulse, identity, organizing/problem solving, growing and changing
asthma assess - ANS ✔✔exercise induced bronchospasm
nocturnal asthma
allergen triggers
resp infection
dx: hx, physical, CXR, PRFT, FEV1/FVC ration (less than 0.08 consistent with asthma)
watch for: rhinorrhea, cough, low fever, irritability, apathy, anxiety, sleep disturbance, abdominal
discomfort, loss of appetite
IgE antibody is implicated
tetralogy of Fallot - ANS ✔✔VSD, pulmonary valve stenosis, overriding/misplaced aorta, thinkened right
ventricular wall
cyanotic or blue babies
tx: temp/complete surgical repair procedures, if child is not ready we place a shunt
,<3% total repair
recovery model - ANS ✔✔focuses on pt strength for depression
mutually developed
3 phase
acute
continuation
maintenance
Mild asthma - ANS ✔✔SpO2 > 92%
RR <30 over 5
no or minimal accessory muscle use
feeding well or talking in full sentences
wheeze (may only be audible by stethescope)
Severe asthma - ANS ✔✔SpO2 <92%
PEFR 33-50% predicted (peak expiratory flow)
RR >30
too breathless to talk
HR >125
use of accessory muscles
audible wheeze
lithium - ANS ✔✔bipolar
narrow therapeutic window
8-10 glasses of water per day
95% excreted unchanged in urine
levels increased by: NSAIDS, ACE, Angiotensin II antagonists, salt restriction
levels decreased by:
citalopram, mirtazepine, lorazepam, oxazepam, clonazepam
tricuspid atresia - ANS ✔✔Tricuspid Valve fails to develop. No communication between rt atria and
ventricle
blood flows through ASD, complete mixing of oxyganated and deoxygenated blood
s/s cyanosis, tachycardia, older kids have clubbing
tx: prostaglandin until surgery - various procedures and stages
shunt to increase blood flow to lung
,<5% mortality
transportation of the great arteries or great vessels - ANS ✔✔pulmonary artery leaves the left ventricle,
and the aorta exits the right ventricle with no communication between systemic and pulmonary
circulations
s/s cardiomegaly, heart failure, murmurs, cyanosis
tx: atrial switch procedure. other procedures require redos as child grows
<2% surgical morality
mesolimbic pathway - schiz - ANS ✔✔positive symptoms
-hallucinations/dellusions
Life threatening asthma - ANS ✔✔SpO2<92%
PEFR 33-50%
silent chest
poor resp effort
altered conciousness
agitation/confusion
exhaustion
cyanosis
hypoplastic left heart syndrome - ANS ✔✔underdeveloped left heart, hypoplastic left ventricle and aortic
atresia
s/s mild cyanosis, progressive deterioration, decreased .cardiac output leading to cardiac collapse, fatal
in first months of life with no intervention
tx: newborns requires stabilization, ventillation, balloon pumps
surgical
heart transplant, in newborn period
prognosis: 5-30% survival
"single ventricle defect"
mesocortical pathway - schiz - ANS ✔✔negative symptoms
flat affect, apathy
quick relief Medications for asthma - ANS ✔✔-treat symptoms and exaserbations
short acting b2 agonists
anticholinergics
, systemic corticosteroids
nursing management of heart failure - ANS ✔✔rest, conservation of energy
high metabolic needs, caloric needs, high calorie gavage feeding
DIGOXIN - Milligrams to micrograms
nigrostiatal pathway - ANS ✔✔EPS AND TD
function of motor control, degeneration associated with parkinsons, and involuntary psychomotor
symptoms
long-acting medications - ANS ✔✔inhaled corticosteroids
long-acting beta2 agonists
leukotriene modifiers
cromolyn sodium
cromolyn sodium - ANS ✔✔prevents inflammation
prevents bronchial asthma
prevents bronchospasm
tuberoinfundibular pathway - ANS ✔✔associated with endocrine function, digestion, metabolism,
hunger, thirst, temperature
dialysis - ANS ✔✔bun/cr will move into the dialysate sol, lowering the concentration in the blood
remember - close to dialysis day labs will be increased
dialysis day, assess meds to be adjusted/held - antihypertensives
peritoneal
or
hemodialysis
leukotriene modifiers - ANS ✔✔block leukotrienes
manage rhinitis
prevent asthma
goals of dialysis - ANS ✔✔remove the end products of protein metabolism such as creatinine and urea
maintain safe concentration of electrolytes
correct acidosis, replenish blood bicarbonate buffer system
remove excess fluid from the blood
