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NSG 3600 Peds Exam 2 Questions with
Detailed Verified Answers 2025/2026
UPDATE
Question:Congestive Heart Failure Etiology
ANS>>Inability of the heart to perform is function of moving blood forward.
Caused by CHD, dysrhythmias, cardiomyopathy, Kawasaki's.
Question: Congestive Heart Failure Signs and Symptoms for Baby
ANS>>Poor feed, poor growth, irritability, shortness of air, exercise
intolerance, peripheral edema (puffy legs and feet). The child uses a lot of
energy in feeding so they can get tired which causes poor feeding.
Question: Congestive Heart Failure Treatment/Interventions
ANS>>Monitor Vital signs, keep the child comfortable, oxygenation when
needed. Give medications (Angiotensin Converting Enzyme -ACE- Inhibitor
(Captopril) Vasodilation, Cardiac Glycoside (Digoxin), Loop Diuretic
(Furosemide)).
Question: What is important information to know about Digoxin?
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ANS>>Makes the heart pump harder so we need to make sure we DO NOT
give this medication if their heart rate is less than 90 in infant OR 70 in child.
Toxicity of this drug can cause bradycardia and NV.
Question: What is important information we need to know about Furosemide
when it comes to Congestive Heart Failure?
ANS>>We need to watch the potassium levels when it comes to this drug. If the
levels begin to decrease the digoxin levels will increase causing toxicity.
Question: Atrial Septal Defect (ASD)
ANS>>Simple defect of the atria results when the two septae fail to overlap
properly. Will occur in the second intercostal space and is on the LEFT side.
Sound will either be blowing or very harsh. These kids will be surgery due to
their defect not closing on its own.
Question: Ventricular Septal Defect (VSD)
ANS>>MOST COMMON! Defect of the ventricles when the two septae fail to
overlap properly. Is in the lower intercostal space. You can feel it with your
hand. The spleen and liver will be enlarged due to extra blood flow. The sound
will be very harsh sounding.
Question: Treatment for Atrial Septal Defect (ASD) and Ventricular Septal
Defect (VSD)
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ANS>>Watch for spontaneous closure, surgical repair, monitor vitals signs,
watch for bleeding tamponade or migration of the device (chest pain, sudden
decrease in BP, palpation) Watch oxygenation and do congestive heart failure
management.
Question: Patent Ductus Arteriosus (PDA)
ANS>>In utero, the shunt serves the purpose to bypass the lungs. The ducts
starts to close usually within 48 hours but can take as long as 1 year. If the
whole is too large we would need to patch it. This causes blood to go into the
lungs that is not oxygenated.
Question: Patent Ductus Arteriosus (PDA) Clinical Manifestations
ANS>>Harsh murmur-Left subconfiural margin sound machine like and
depends on the side of the defect. The smaller it is the louder it is. Systolic is
higher and the Diastolic gets lower. Frequent colds, susceptible to RSV, poor
feeding/poor growth pattern.
Question: Patent Ductus Arteriosus (PDA) Therapeutic Management
ANS>>Medical care is usually closure by surgery or a transcatheter
device.
Postop measures are wound care, monitoring vital signs, hydration/nutrition.
Question: Pulmonic Stenosis: Pathophysiology
NSG 3600 Peds Exam 2 Questions with
Detailed Verified Answers 2025/2026
UPDATE
Question:Congestive Heart Failure Etiology
ANS>>Inability of the heart to perform is function of moving blood forward.
Caused by CHD, dysrhythmias, cardiomyopathy, Kawasaki's.
Question: Congestive Heart Failure Signs and Symptoms for Baby
ANS>>Poor feed, poor growth, irritability, shortness of air, exercise
intolerance, peripheral edema (puffy legs and feet). The child uses a lot of
energy in feeding so they can get tired which causes poor feeding.
Question: Congestive Heart Failure Treatment/Interventions
ANS>>Monitor Vital signs, keep the child comfortable, oxygenation when
needed. Give medications (Angiotensin Converting Enzyme -ACE- Inhibitor
(Captopril) Vasodilation, Cardiac Glycoside (Digoxin), Loop Diuretic
(Furosemide)).
Question: What is important information to know about Digoxin?
, Page | 2
ANS>>Makes the heart pump harder so we need to make sure we DO NOT
give this medication if their heart rate is less than 90 in infant OR 70 in child.
Toxicity of this drug can cause bradycardia and NV.
Question: What is important information we need to know about Furosemide
when it comes to Congestive Heart Failure?
ANS>>We need to watch the potassium levels when it comes to this drug. If the
levels begin to decrease the digoxin levels will increase causing toxicity.
Question: Atrial Septal Defect (ASD)
ANS>>Simple defect of the atria results when the two septae fail to overlap
properly. Will occur in the second intercostal space and is on the LEFT side.
Sound will either be blowing or very harsh. These kids will be surgery due to
their defect not closing on its own.
Question: Ventricular Septal Defect (VSD)
ANS>>MOST COMMON! Defect of the ventricles when the two septae fail to
overlap properly. Is in the lower intercostal space. You can feel it with your
hand. The spleen and liver will be enlarged due to extra blood flow. The sound
will be very harsh sounding.
Question: Treatment for Atrial Septal Defect (ASD) and Ventricular Septal
Defect (VSD)
,Page | 3
, Page | 4
ANS>>Watch for spontaneous closure, surgical repair, monitor vitals signs,
watch for bleeding tamponade or migration of the device (chest pain, sudden
decrease in BP, palpation) Watch oxygenation and do congestive heart failure
management.
Question: Patent Ductus Arteriosus (PDA)
ANS>>In utero, the shunt serves the purpose to bypass the lungs. The ducts
starts to close usually within 48 hours but can take as long as 1 year. If the
whole is too large we would need to patch it. This causes blood to go into the
lungs that is not oxygenated.
Question: Patent Ductus Arteriosus (PDA) Clinical Manifestations
ANS>>Harsh murmur-Left subconfiural margin sound machine like and
depends on the side of the defect. The smaller it is the louder it is. Systolic is
higher and the Diastolic gets lower. Frequent colds, susceptible to RSV, poor
feeding/poor growth pattern.
Question: Patent Ductus Arteriosus (PDA) Therapeutic Management
ANS>>Medical care is usually closure by surgery or a transcatheter
device.
Postop measures are wound care, monitoring vital signs, hydration/nutrition.
Question: Pulmonic Stenosis: Pathophysiology
