NUR254 EXAM 3 Questions and Answers
FLACC scale Ans: Leg position, activity, consolibility, facial
expressions, crying 2mths-7yrs
Culture Ans: offer other options in conjunction with their norms
congenital heart defects Ans: abnormalities present in the heart at
birth
acquired heart disease Ans: Heart disease that arises after birth,
usually from infection
ventricular septal defect Ans: A-CYANOTIC= INCREASED BLOOD
FLOW
SXS: respiratory infection, poor feeding, fluid in lungs
© 2025 All rights reserved
, 2 | Page
*most common*
atrial septal defect Ans: A-CYANOTIC= INCREASED BLOOD FLOW
SXS: murmur, resp distress, resp infection, SOB, poor feeding
*Leads to CHF*
patent ductus arteriosus Ans: A-CYANOTIC= INCREASED BLOOD
FLOW
SXS: sweating while feeding, increased weight gain, poor
oxygenation
coarcation of the aorta Ans: ACYANOTIC= Obstructive defect
SXS: BP increased in UE, BP decreased in LE, headache, LE thready
pulse
© 2025 All rights reserved
, 3 | Page
aortic stenosis Ans: ACYANOTIC= Obstructive defect
SXS: chest pain, syncope, fatigue, exercise intolerance
Pulmonic Stenosis Ans: ACYANOTIC= Obstructive defect
Tetraology of Fallot Ans: CYANOTIC= Decreased blood flow
Issues with: pulmonic stenosis, overriding aortic arch, VSD, right
ventricular hypertrophy
SXS: squatting, cyanosis, clubbing, syncope
NI: KNEES TO CHEST FIRST
Cardiac Cath Ans: Invasive
© 2025 All rights reserved