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NUR 417 Care of Adult II – Concordia University St. Paul | Exam 3 2025 Actual Questions & Answers

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This document contains the actual questions and verified answers from the 2025 Exam 3 for the NUR 417 Care of Adult II course at Concordia University St. Paul. It covers key topics related to adult health nursing, including complex disease management, pharmacologic interventions, diagnostic interpretation, and evidence-based nursing care. Ideal for nursing students preparing for advanced medical-surgical exams, this guide provides a focused and comprehensive review of critical exam material.

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NUR 417 Exam 3 Care of Adult II – 2025 Actual Questions

and Answers Concordia University St. Paul




Sympathetic Nervous System Compensation Mechanism - ANS tachycardia,

sweating, delayed cap refill, increased BP, edema, urine output, dyspnea,

fatigue, syncope

Normal Heart Flow - ANS right atrium to right atrium out to lungs back to

heart through left atrium to left ventricle to body to right atrium

Ductus Arteriosus - ANS open during fetal development to let blood bypass

the lungs, closes after birth due to lack of maternal prostaglandins

Ductus Venosus - ANS closed immediately after birth when cutting umbilical

cord

Foramen ovale - ANS in between 2 atria, close after birth




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Vital signs for newborn - ANS BP should be the same between arm and thigh,

pulse pressure should be between 50 and 10 mmHg, MAP ~50mmHg,

compensate by increasing heart rate

Murmurs - ANS innocent, functional, organic

Listen to murmurs at Erbs point

Defects with increased pulmonary blood flow - ANS VSD, PDA

Defects with decreased pulmonary blood flow - ANS Tetralogy of Fallot

Defect with obstruction to blood flow - ANS Coarctation

VSD - ANS increased pulmonary blood flow, left to right shunt in 2 ventricles,

blood goes from left ventricle to right ventricle

Pulmonary hypertension and pulmonary congestion

S/S - murmurs, thrills, HF if large, pulmonary edema

least critical, depends on size and location of the hole

PDA - ANS increased pulmonary blood flow

blood flows from the aorta into the pulmonary circuit

causes recirculation of oxygenated blood


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