A nurse is assessing a 1-year-old child who has Tetralogy of Fallot. Which of the following findings should the nurse expect?
single ventricle anatomy, aortic atresia, atrial septal defect
right ventricular hypertrophy, pulmonary stenosis, ventricular septal defect, overriding aorta
ventricular septal defect, atrial septal defect, overriding aorta
overriding aorta, atrial septal defect, left ventricular hypertrophy
The Correct Answer is B
A. Single ventricle anatomy, aortic atresia, and atrial septal defect are elements of other congenital heart defects such as those seen in hypoplastic left heart syndrome.
B. Right ventricular hypertrophy, pulmonary stenosis, ventricular septal defect (VSD), and overriding aorta – These four classic defects define Tetralogy of Fallot (TOF).
C. Atrial septal defect is not part of tetralogy of Fallot.
D. Atrial septal defect and left ventricular hypertrophy are not part of tetralogy of Fallot (TOF). Instead, ventricular septal defect and right ventricular hypertrophy are part of TOF.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. HepB is given in infancy, with the final dose typically administered by 18 months.
B. Hib is usually completed by 15 months and is not routinely given at 4 years.
C. The second dose of the varicella (VAR) vaccine is recommended between ages 4–6 years.
D. MCV4 is recommended at 11–12 years, not at 4 years.
Correct Answer is D
Explanation
A. The influenza vaccine is not routinely given before 6 months of age.
B. DTaP is not contraindicated and should be given on schedule.
C. Withholding vaccines unnecessarily delays protection.
D. The presence of a mild illness or exposure to illness (such as flu) is not a contraindication to routine vaccinations. The infant should receive all scheduled vaccines.
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