Tetralogy of Fallot Questions And Answers NCLEX Exam 2022

1. You’re providing an in-service to a group of new nurses who will be caring for patients who have Tetralogy of Fallot. Which statement below is INCORRECT concerning how the blood normally flows through the heart? A. Unoxygenated blood enters through the superior and inferior vena cava and travels to the left atrium. B. The pulmonic valve receives blood from the right ventricle and allows blood to flow to the lungs via the pulmonary artery. C. The left atrium allows blood to flow down through the bicuspid valve (mitral) into the left ventricle. D. Oxygenated blood leaves the left ventricle and flows up through the aortic valve and aorta to be pumped to the rest of the body. The answer is A. This statement is INCORRECT. It should say: “Unoxygenated blood enters through the superior and inferior vena cava to the RIGHT (not left) atrium. 2. A 4-month-old is diagnosed with Tetralogy of Fallot. You’re providing an illustration to the parent to help him understand the pathophysiology of this condition. What defects must be present in the illustration to help the parent understand their child’s condition? Select all that apply: A. Aortic stenosis B. Ventricular septal defect C. Coarctation of aorta D. Right ventricular hypertrophy E. Displacement of the aorta F. Pulmonic stenosis G. Patent ductus arteriosus The answers are: B, D, E, and F. Let the condition’s name help you: “TETRAOLOGY”…this means there will be FOUR problems with this heart defect. Remember from the lecture the mnemonic RAPS: Right ventricular hypertrophy, Aorta displacement, Pulmonary stenosis, Septal defect (ventricular)