NURS 629 Exam 3 | Latest Questions and
Answers | 2026 Update
• Hearing Test -✓✓Evaluation of hearing; normal range -10 to +15; severe loss 71-90
• Viral vs. bacterial pharyngitis -✓✓Pharyngitis causes: viral (common), bacterial (Group
A Beta Hemolytic strep)
• Mono (Mononucleosis) -✓✓Epstein-Barr Virus infection; classic triad: fever, exudative
pharyngitis, posterior cervical adenopathy
• Impetigo -✓✓Contagious skin infection; causes: Streptococci, Staphylococci
• Hand foot and mouth -✓✓Coxsackievirus A16 infection; affects children <10; spread
via contact with fluids
oral lesions first; should resolve in 7 days
• Fifth disease -✓✓Human Parovirus B19 infection; common in 5-15-year-olds;
characterized by distinct rash phases
• Tinea corporis -✓✓Ringworm skin infection; rash: pink, scaly, round with raised border
• Pityriasis rosea -✓✓Benign viral skin eruption; common in winter; presents with herald
patch
• Eczema (Atopic Dermatitis) -✓✓Inflammatory skin condition; intensely itchy red rash,
lichenification, excoriations
• Scarlet Fever -✓✓Strep throat complication; multisystem disease; characteristic rash,
strawberry tongue
• Kawasaki disease -✓✓Acute febrile illness; signs include rash, injected eyes,
strawberry tongue, coronary aneurysms
• Kolpik spots -✓✓Small white papules inside cheeks by rear molar in measles
• Varicella-zoster virus -✓✓Agent causing chickenpox
• VZV PCR -✓✓Preferred test for chickenpox diagnosis
• Erythrocyte sedimentation rate (ESR) -✓✓Blood test for inflammation levels
,• Vitamin A dosing for measles -✓✓50,000 IU for infants <6 months, 100,000 IU for 6-11
months, 200,000 IU for children ≥12 months
• Corticosteroids in resistant cases -✓✓Used when standard treatment fails in certain
diseases
• Pertussis stages -✓✓Catarrhal, paroxysmal, and convalescent stages
• Tetralogy of Fallot -✓✓Congenital heart defect with four issues: pulmonary stenosis,
VSD, RV hypertrophy, overriding aorta
-cyanosis improved with squatting, hypoxia, metabolic acidosis, exercise intolerance,
murmur
-boot shaped xray findings
-surgical correction
• High dose aspirin -✓✓Administered when risk factors for complications are present
• Direct fluorescent antibody (DFA) -✓✓Diagnostic test for chickenpox
• Croup -✓✓Acute onset in children with tracheal swelling and barking cough
• Community-acquired pneumonia (CAP) management -✓✓Decide outpatient vs.
hospitalization based on severity and age
• Chickenpox incubation period -✓✓Up to 21 days before symptoms appear
• Measles IgM antibody -✓✓Lab test to confirm measles diagnosis
• Hypertension stages -✓✓Stage 1: >95th percentile, Stage 2: >95th% + 12mmHg
• Corticosteroids in croup -✓✓Mainstay treatment for all croup severities
• Bronchiolitis management -✓✓Focus on hydration and supportive care
• Acyclovir in severe chickenpox -✓✓Treatment for severe cases or
immunocompromised patients
• Measles transmission -✓✓Through contact, droplet, and airborne routes
• Acellular pertussis vaccine -✓✓Recommended for universal childhood immunization
, • Corticosteroids in CAP -✓✓Oral corticosteroids for all CAP severity levels
• CRP -✓✓C-reactive protein blood test for inflammation
• Varicella vaccine -✓✓Administered at 1 & 5 years of age
• Polycythemia -✓✓Excess red blood cells in the bloodstream
• Metabolic acidosis -✓✓Excessive acidity in the body's fluids
• Systolic murmur at 2nd left ICS -✓✓Abnormal heart sound during contraction at 2nd
intercostal space
• Holosystolic murmur at LLSB -✓✓Continuous heart sound throughout contraction at
lower left sternal border
• Atrial Septal Defect (ASD) -✓✓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) -✓✓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) -✓✓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 -✓✓Distinguishing between harmless and
harmful heart sounds
• Rheumatic fever -✓✓Inflammatory disorder post Group A Streptococcus infection
Answers | 2026 Update
• Hearing Test -✓✓Evaluation of hearing; normal range -10 to +15; severe loss 71-90
• Viral vs. bacterial pharyngitis -✓✓Pharyngitis causes: viral (common), bacterial (Group
A Beta Hemolytic strep)
• Mono (Mononucleosis) -✓✓Epstein-Barr Virus infection; classic triad: fever, exudative
pharyngitis, posterior cervical adenopathy
• Impetigo -✓✓Contagious skin infection; causes: Streptococci, Staphylococci
• Hand foot and mouth -✓✓Coxsackievirus A16 infection; affects children <10; spread
via contact with fluids
oral lesions first; should resolve in 7 days
• Fifth disease -✓✓Human Parovirus B19 infection; common in 5-15-year-olds;
characterized by distinct rash phases
• Tinea corporis -✓✓Ringworm skin infection; rash: pink, scaly, round with raised border
• Pityriasis rosea -✓✓Benign viral skin eruption; common in winter; presents with herald
patch
• Eczema (Atopic Dermatitis) -✓✓Inflammatory skin condition; intensely itchy red rash,
lichenification, excoriations
• Scarlet Fever -✓✓Strep throat complication; multisystem disease; characteristic rash,
strawberry tongue
• Kawasaki disease -✓✓Acute febrile illness; signs include rash, injected eyes,
strawberry tongue, coronary aneurysms
• Kolpik spots -✓✓Small white papules inside cheeks by rear molar in measles
• Varicella-zoster virus -✓✓Agent causing chickenpox
• VZV PCR -✓✓Preferred test for chickenpox diagnosis
• Erythrocyte sedimentation rate (ESR) -✓✓Blood test for inflammation levels
,• Vitamin A dosing for measles -✓✓50,000 IU for infants <6 months, 100,000 IU for 6-11
months, 200,000 IU for children ≥12 months
• Corticosteroids in resistant cases -✓✓Used when standard treatment fails in certain
diseases
• Pertussis stages -✓✓Catarrhal, paroxysmal, and convalescent stages
• Tetralogy of Fallot -✓✓Congenital heart defect with four issues: pulmonary stenosis,
VSD, RV hypertrophy, overriding aorta
-cyanosis improved with squatting, hypoxia, metabolic acidosis, exercise intolerance,
murmur
-boot shaped xray findings
-surgical correction
• High dose aspirin -✓✓Administered when risk factors for complications are present
• Direct fluorescent antibody (DFA) -✓✓Diagnostic test for chickenpox
• Croup -✓✓Acute onset in children with tracheal swelling and barking cough
• Community-acquired pneumonia (CAP) management -✓✓Decide outpatient vs.
hospitalization based on severity and age
• Chickenpox incubation period -✓✓Up to 21 days before symptoms appear
• Measles IgM antibody -✓✓Lab test to confirm measles diagnosis
• Hypertension stages -✓✓Stage 1: >95th percentile, Stage 2: >95th% + 12mmHg
• Corticosteroids in croup -✓✓Mainstay treatment for all croup severities
• Bronchiolitis management -✓✓Focus on hydration and supportive care
• Acyclovir in severe chickenpox -✓✓Treatment for severe cases or
immunocompromised patients
• Measles transmission -✓✓Through contact, droplet, and airborne routes
• Acellular pertussis vaccine -✓✓Recommended for universal childhood immunization
, • Corticosteroids in CAP -✓✓Oral corticosteroids for all CAP severity levels
• CRP -✓✓C-reactive protein blood test for inflammation
• Varicella vaccine -✓✓Administered at 1 & 5 years of age
• Polycythemia -✓✓Excess red blood cells in the bloodstream
• Metabolic acidosis -✓✓Excessive acidity in the body's fluids
• Systolic murmur at 2nd left ICS -✓✓Abnormal heart sound during contraction at 2nd
intercostal space
• Holosystolic murmur at LLSB -✓✓Continuous heart sound throughout contraction at
lower left sternal border
• Atrial Septal Defect (ASD) -✓✓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) -✓✓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) -✓✓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 -✓✓Distinguishing between harmless and
harmful heart sounds
• Rheumatic fever -✓✓Inflammatory disorder post Group A Streptococcus infection
