NURS 3330 Exam 2 questions well
answered passed
what shunt connects the left and right atrium? - correct answer ✔✔ foramen oval
the nursing student is being quizzed by their preceptor. what explanation does the nursing
student give when asked about the fetal circulation and how the fetus gets oxygen and how it
differs from newborn circulation? - correct answer ✔✔ the fetus receives oxygenated blood via
the umbilical cord from the mother. there are shunts in the heart(ductus arteriosus and
foramen oval) that bypass the lungs, and when the newborn takes their first breath outside the
womb, the pressure in the lungs equalizes and then the blood begins to flow through the lungs
instead of the shunts
a l & d nurse is caring for a 1 day old new born. what test does the nurse perform to screen for
critical congenital heart defects?
1) EKG
2) pulse oximetry of upper and lower extremities
3) apply pulse oximetry while newborn feeds and sleeps
4) heel stick to collect blood for lab - correct answer ✔✔ 2
a nurse performing screening for CCHD notes an oxygen saturation of 98 in the right hand and
93 in the left foot. what should the nurse do?
1) apply the pulse oximeter to the left hand instead
2) document the newborn passed the screening
3) document the newborn failed the screening
4) place on 24 hours pulse oximetry monitoring - correct answer ✔✔ 3
, a newborn is noted to have atrial septal defect. what assessment finding can the nurse expect
to find? (select all that apply)
1) murmur upon auscultation
2) acrocyanosis
3) poor feeding
4) failure to meet milestones
5) restlessness - correct answer ✔✔ 1, 3, 4
a newborn is diagnosed with coarctation of the aorta. what assessments would the nurse want
to make during this child's well visit? (select all that apply)
1) femoral pulses
2) BP in upper and lower extremities
3) auscultate for murmur
4) finger clubbing - correct answer ✔✔ 1, 2
what are the four elements of tetralogy of Fallot? - correct answer ✔✔ pulmonary stenosis, RV
hypertrophy, overriding aorta, VSD
which of the following congenital heart defects always requires open heart surgery?
1) atrial septal defect
2) patent ductus arteriosus
3) coarctation of the aorta
4) tetralogy of Fallot - correct answer ✔✔ 4
in addition to a fever that lasts five days or more, what other diagnostic symptoms contribute
for a patient to be diagnosed with Kawasaki disease? (select all that apply)
1) rash
answered passed
what shunt connects the left and right atrium? - correct answer ✔✔ foramen oval
the nursing student is being quizzed by their preceptor. what explanation does the nursing
student give when asked about the fetal circulation and how the fetus gets oxygen and how it
differs from newborn circulation? - correct answer ✔✔ the fetus receives oxygenated blood via
the umbilical cord from the mother. there are shunts in the heart(ductus arteriosus and
foramen oval) that bypass the lungs, and when the newborn takes their first breath outside the
womb, the pressure in the lungs equalizes and then the blood begins to flow through the lungs
instead of the shunts
a l & d nurse is caring for a 1 day old new born. what test does the nurse perform to screen for
critical congenital heart defects?
1) EKG
2) pulse oximetry of upper and lower extremities
3) apply pulse oximetry while newborn feeds and sleeps
4) heel stick to collect blood for lab - correct answer ✔✔ 2
a nurse performing screening for CCHD notes an oxygen saturation of 98 in the right hand and
93 in the left foot. what should the nurse do?
1) apply the pulse oximeter to the left hand instead
2) document the newborn passed the screening
3) document the newborn failed the screening
4) place on 24 hours pulse oximetry monitoring - correct answer ✔✔ 3
, a newborn is noted to have atrial septal defect. what assessment finding can the nurse expect
to find? (select all that apply)
1) murmur upon auscultation
2) acrocyanosis
3) poor feeding
4) failure to meet milestones
5) restlessness - correct answer ✔✔ 1, 3, 4
a newborn is diagnosed with coarctation of the aorta. what assessments would the nurse want
to make during this child's well visit? (select all that apply)
1) femoral pulses
2) BP in upper and lower extremities
3) auscultate for murmur
4) finger clubbing - correct answer ✔✔ 1, 2
what are the four elements of tetralogy of Fallot? - correct answer ✔✔ pulmonary stenosis, RV
hypertrophy, overriding aorta, VSD
which of the following congenital heart defects always requires open heart surgery?
1) atrial septal defect
2) patent ductus arteriosus
3) coarctation of the aorta
4) tetralogy of Fallot - correct answer ✔✔ 4
in addition to a fever that lasts five days or more, what other diagnostic symptoms contribute
for a patient to be diagnosed with Kawasaki disease? (select all that apply)
1) rash
