NSG 3600 Peds Exam 2 2026 Questions
and Answers Graded A+ 2026/2027
Congestive Heart Failure Etiology - Correct answer-Inability of the heart to
perform is function of moving blood forward. Caused by CHD, dysrhythmias,
cardiomyopathy, Kawasaki's.
Congestive Heart Failure Signs and Symptoms for Baby - Correct answer-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.
Congestive Heart Failure Treatment/Interventions - Correct answer-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)).
What is important information to know about Digoxin? - Correct answer-Makes
the heart pump harder so we need to make sure we DO NOT give this medication
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,if their heart rate is less than 90 in infant OR 70 in child. Toxicity of this drug can
cause bradycardia and NV.
What is important information we need to know about Furosemide when it comes
to Congestive Heart Failure? - Correct answer-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.
Atrial Septal Defect (ASD) - Correct answer-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.
Ventricular Septal Defect (VSD) - Correct answer-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.
Treatment for Atrial Septal Defect (ASD) and Ventricular Septal Defect (VSD) -
Correct answer-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.
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, Patent Ductus Arteriosus (PDA) - Correct answer-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.
Patent Ductus Arteriosus (PDA) Clinical Manifestations - Correct answer-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.
Patent Ductus Arteriosus (PDA) Therapeutic Management - Correct answer-
Medical care is usually closure by surgery or a transcatheter device. Postop
measures are wound care, monitoring vital signs, hydration/nutrition.
Pulmonic Stenosis: Pathophysiology - Correct answer-Malformation of the
pulmonary artery or pulmonic valve. Increase workload on right ventricle.
Pulmonic Stenosis: Clinical Manifestations - Correct answer-These kids could
have their valve replace. If any of these kids have oxygen issues while on wall
oxygen there are more issues and other problems.
Pulmonic Stenosis: Therapeutic Management - Correct answer-Reducing stressful
situations that may cause high blood pressure. Angioplasty or valvulopasty.
©COPYRIGHT 2025,ALL RIGHTS RESERVED 3
and Answers Graded A+ 2026/2027
Congestive Heart Failure Etiology - Correct answer-Inability of the heart to
perform is function of moving blood forward. Caused by CHD, dysrhythmias,
cardiomyopathy, Kawasaki's.
Congestive Heart Failure Signs and Symptoms for Baby - Correct answer-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.
Congestive Heart Failure Treatment/Interventions - Correct answer-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)).
What is important information to know about Digoxin? - Correct answer-Makes
the heart pump harder so we need to make sure we DO NOT give this medication
©COPYRIGHT 2025,ALL RIGHTS RESERVED 1
,if their heart rate is less than 90 in infant OR 70 in child. Toxicity of this drug can
cause bradycardia and NV.
What is important information we need to know about Furosemide when it comes
to Congestive Heart Failure? - Correct answer-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.
Atrial Septal Defect (ASD) - Correct answer-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.
Ventricular Septal Defect (VSD) - Correct answer-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.
Treatment for Atrial Septal Defect (ASD) and Ventricular Septal Defect (VSD) -
Correct answer-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.
©COPYRIGHT 2025,ALL RIGHTS RESERVED 2
, Patent Ductus Arteriosus (PDA) - Correct answer-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.
Patent Ductus Arteriosus (PDA) Clinical Manifestations - Correct answer-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.
Patent Ductus Arteriosus (PDA) Therapeutic Management - Correct answer-
Medical care is usually closure by surgery or a transcatheter device. Postop
measures are wound care, monitoring vital signs, hydration/nutrition.
Pulmonic Stenosis: Pathophysiology - Correct answer-Malformation of the
pulmonary artery or pulmonic valve. Increase workload on right ventricle.
Pulmonic Stenosis: Clinical Manifestations - Correct answer-These kids could
have their valve replace. If any of these kids have oxygen issues while on wall
oxygen there are more issues and other problems.
Pulmonic Stenosis: Therapeutic Management - Correct answer-Reducing stressful
situations that may cause high blood pressure. Angioplasty or valvulopasty.
©COPYRIGHT 2025,ALL RIGHTS RESERVED 3
