MVU NURS 629 CERTIFICATION
EVALUATION 2026 EXAM SCRIPT FULLY
SOLVED QUESTION SET
◉Holosystolic murmur at LLSB. Answer: Continuous heart sound
throughout contraction at lower left sternal border
◉Atrial Septal Defect (ASD). Answer: Opening between left and right
atrium, causing increased pulmonary blood flow
-murmur L sternal border, split heart sounds
-surgical closure or patch, cardiac cath with septal occluder
◉Patent Ductus Arteriosus (PAD). Answer: Failure of fetal vessel
closure, causes blood flow from the aorta to PA with increased blood
flow to the lungs; RV hypertrophy
-bounding pulse, dyspnea, tachypnea, may be asymptomatic
,-Indomethacin
NSAID
Surgical ligation
Surgical closure
◉Ventricular Septal Defect (VSD). Answer: Hole between ventricles
causing increased pulmonary blood flow
-dyspnea, tachypnea, holosystolic murmur LLSB
-may close spontaneously, rashkind procedure, abx, digoxin, or
diuretics
◉Innocent murmur vs. pathological murmur. Answer:
Distinguishing between harmless and harmful heart sounds
◉Rheumatic fever. Answer: Inflammatory disorder post Group A
Streptococcus infection
◉Hordeolum. Answer: Stye caused by eyelid gland obstruction
◉Chalazion. Answer: Chronic eyelid inflammation from blocked
gland
, ◉Bacterial Conjunctivitis. Answer: Eye infection causing redness
and discharge
◉Allergic Conjunctivitis. Answer: Eye inflammation due to allergic
reactions
◉Viral Conjunctivitis. Answer: Eye infection by viruses like
adenovirus
◉herpes simplex. Answer: Recurring viral infection that often
presents as a fever blister or cold sore.
· Oral Antiviral: Acyclovir 20-40mg/kg/day x5 days (start within 48-
72 hours)
· Topical Antiviral: Acyclovir 5% five times a day
◉Roseola. Answer: caused by herpes simplex viruses 6 & 7;
occurs before age 2
-fever and rash
-tx: rest, fluids, tylenol, ibuprofen
◉Coryza (seen in measles). Answer: increased mucous and
inflammation of mucous membrane in the nose
EVALUATION 2026 EXAM SCRIPT FULLY
SOLVED QUESTION SET
◉Holosystolic murmur at LLSB. Answer: Continuous heart sound
throughout contraction at lower left sternal border
◉Atrial Septal Defect (ASD). Answer: Opening between left and right
atrium, causing increased pulmonary blood flow
-murmur L sternal border, split heart sounds
-surgical closure or patch, cardiac cath with septal occluder
◉Patent Ductus Arteriosus (PAD). Answer: Failure of fetal vessel
closure, causes blood flow from the aorta to PA with increased blood
flow to the lungs; RV hypertrophy
-bounding pulse, dyspnea, tachypnea, may be asymptomatic
,-Indomethacin
NSAID
Surgical ligation
Surgical closure
◉Ventricular Septal Defect (VSD). Answer: Hole between ventricles
causing increased pulmonary blood flow
-dyspnea, tachypnea, holosystolic murmur LLSB
-may close spontaneously, rashkind procedure, abx, digoxin, or
diuretics
◉Innocent murmur vs. pathological murmur. Answer:
Distinguishing between harmless and harmful heart sounds
◉Rheumatic fever. Answer: Inflammatory disorder post Group A
Streptococcus infection
◉Hordeolum. Answer: Stye caused by eyelid gland obstruction
◉Chalazion. Answer: Chronic eyelid inflammation from blocked
gland
, ◉Bacterial Conjunctivitis. Answer: Eye infection causing redness
and discharge
◉Allergic Conjunctivitis. Answer: Eye inflammation due to allergic
reactions
◉Viral Conjunctivitis. Answer: Eye infection by viruses like
adenovirus
◉herpes simplex. Answer: Recurring viral infection that often
presents as a fever blister or cold sore.
· Oral Antiviral: Acyclovir 20-40mg/kg/day x5 days (start within 48-
72 hours)
· Topical Antiviral: Acyclovir 5% five times a day
◉Roseola. Answer: caused by herpes simplex viruses 6 & 7;
occurs before age 2
-fever and rash
-tx: rest, fluids, tylenol, ibuprofen
◉Coryza (seen in measles). Answer: increased mucous and
inflammation of mucous membrane in the nose
