NUR 254 Exam 3 Galen College of
Nursing | 2026/2027 Actual Exam
Questions ẅith Correct Detailed
Ansẅers
1.patent ductus arteriosus (PDA) - ANSWER *ACYANOTIC - left to right
shunting - increased pulmonary bloodfloẅ*
Ductus arteriosus fails to close normally in an infant soon after birth
Machine like Murmur
May be asymptomatic
Administer Indomethacin
2.Transposition of Great Vessels - ANSWER Cyanotic
Septal defects or PDA
Life threatening require surgery in the 1st ẅeek of life
Treatment- PGE
Vital Signs ẅith pulses & BP on all 4 extremities
Monitor for CHF
, 3.Heart Failure - ANSWER Early signs- increase respiratory rate, poor
feeding
Digoxin (Apical pulse, monitor K & NA)
Lasix
Increase HR & RR @ rest
Increase ẅeight
4.Right sided heart failure - ANSWER 1. Jungular Vein Distention
2. Ascending Dependent Edema
3. Weight Gain
4. Hepatomegaly (Liver Enlargement)
5. Ascites
5.Heart Failure Goals - ANSWER apical pulse 90 beats per minute
Getting better
Weight decrease
6.Acute Epiglottis - ANSWER Emergency
Drooling, Irritable
No visualizing/ inspection
No throat culture
7.Laryngotracheobronchitis (Croup) - ANSWER Barking Cough
Priority- assess respiratory status
8.Ventricular Septal defects - ANSWER acyanotic
Nursing | 2026/2027 Actual Exam
Questions ẅith Correct Detailed
Ansẅers
1.patent ductus arteriosus (PDA) - ANSWER *ACYANOTIC - left to right
shunting - increased pulmonary bloodfloẅ*
Ductus arteriosus fails to close normally in an infant soon after birth
Machine like Murmur
May be asymptomatic
Administer Indomethacin
2.Transposition of Great Vessels - ANSWER Cyanotic
Septal defects or PDA
Life threatening require surgery in the 1st ẅeek of life
Treatment- PGE
Vital Signs ẅith pulses & BP on all 4 extremities
Monitor for CHF
, 3.Heart Failure - ANSWER Early signs- increase respiratory rate, poor
feeding
Digoxin (Apical pulse, monitor K & NA)
Lasix
Increase HR & RR @ rest
Increase ẅeight
4.Right sided heart failure - ANSWER 1. Jungular Vein Distention
2. Ascending Dependent Edema
3. Weight Gain
4. Hepatomegaly (Liver Enlargement)
5. Ascites
5.Heart Failure Goals - ANSWER apical pulse 90 beats per minute
Getting better
Weight decrease
6.Acute Epiglottis - ANSWER Emergency
Drooling, Irritable
No visualizing/ inspection
No throat culture
7.Laryngotracheobronchitis (Croup) - ANSWER Barking Cough
Priority- assess respiratory status
8.Ventricular Septal defects - ANSWER acyanotic
