NURS 629 Exam 3 | Actual Exam Questions and
Answers | 2026 Update | 100% Correct
Most common cyanotic cardiac lesion (disorder) -✓✓Tetralogy of Fallot
What is Tetralogy of Fallot? -✓✓a congenital heart condition involving four abnormalities
occurring together:
1) Pulmonary valve stenosis
2) RT vent hypertrophy
3)Vent septum Defect
4)Aorta overrides Vent Septum
What would be seen on X-ray with TOF -✓✓Boot shaped heart and Rt vent hypertrophy
What are the common s/s of tetralogy of Fallot? -✓✓*Cyanosis (hypoxia)
*SOB w/exercise
*clubbing fingers and toes
*delayed growth
*systolic and holosystolic murmurs
What criteria would you have to consider inpatient admission in a patient with
pneumonia -✓✓Comorbidities: lung dz, congenital Heart dz, DM, grunting child, O2
<92%
What to expect of a 2-mo old visual acuity? -✓✓*Vision of 20/400
*Can fix and follow objects
S/S of viral conjunctivitis -✓✓*Starts bilaterally
*usually occurs with upper resp tract infection (adenovirus)
*serous(watery) drainage
*injected conjunctiva
*Enlarged or tender preauricular nodes
Clinical findings of of viral conjunctivitis -✓✓*Normal visual acuity
*injected conjunctiva
*Preauricular lymphadenopathy
Treatment of viral conjunctivitis -✓✓* Symptomatic only
* Warm or Cool compresses
* Strict eye/hand hygiene
* avoid contacts for a while
, What do you do for a patient with an elevated B/P on initial visit? -✓✓*Repeat in 1-2
weeks and average over 3 visits
*Pt to keep log for review
*Encourage healthy lifestyle choices
Asthma is disruptive several times during the night/interrupting sleep at least 3 times a
week, what's the next step? -✓✓Moderate persistant; prescribe inhaled steroid (flovent)
Causative organism of bronchiolitis -✓✓(RSV) Respiratory syncytial virus most likely
cause
what type of murmur is caused by normal blood flow thru normal cardiac structures in
up to 80% children; Midsystolic; can come and go; Gets louder with fever, exercise, and
anxiety -✓✓functional or innocent murmur
When do innocent murmurs develop? -✓✓(book p 763) age 3-4; (module 10 lect) age 2-
6
type of murmur caused by turbulent blood flow caused by a defect or abnormal cardiac
structures; Dystolic; Grade ≥ IV; increases with sitting or standing -✓✓pathological
murmur
symptoms of croup -✓✓· Barking cough
· Fever
· URI symptoms
s/s of bronchiolitis -✓✓· inspiratory and expiratory wheezing accompanied by:
*fever
*URI symptoms including profuse clear nasal discharge
When to use inhaler to treat exercise induced asthma -✓✓Use rescue inhaler 15-30
minute prior to activity
Condition caused by a defect or hole in the atrial septum -✓✓Atrial Septum Defect
(ASD)
When should children be screened for hyperlipidemia? -✓✓between 9-11 years then 17-
21 years
Idiopathic multisystem disease characterized by vasculitis of small and medium blood
vessels including coronary arteries -✓✓Kawasaki
What can develop in 15% - 25% of untreated children with Kawasaki disease? -
✓✓Coronary artery aneurysms
Answers | 2026 Update | 100% Correct
Most common cyanotic cardiac lesion (disorder) -✓✓Tetralogy of Fallot
What is Tetralogy of Fallot? -✓✓a congenital heart condition involving four abnormalities
occurring together:
1) Pulmonary valve stenosis
2) RT vent hypertrophy
3)Vent septum Defect
4)Aorta overrides Vent Septum
What would be seen on X-ray with TOF -✓✓Boot shaped heart and Rt vent hypertrophy
What are the common s/s of tetralogy of Fallot? -✓✓*Cyanosis (hypoxia)
*SOB w/exercise
*clubbing fingers and toes
*delayed growth
*systolic and holosystolic murmurs
What criteria would you have to consider inpatient admission in a patient with
pneumonia -✓✓Comorbidities: lung dz, congenital Heart dz, DM, grunting child, O2
<92%
What to expect of a 2-mo old visual acuity? -✓✓*Vision of 20/400
*Can fix and follow objects
S/S of viral conjunctivitis -✓✓*Starts bilaterally
*usually occurs with upper resp tract infection (adenovirus)
*serous(watery) drainage
*injected conjunctiva
*Enlarged or tender preauricular nodes
Clinical findings of of viral conjunctivitis -✓✓*Normal visual acuity
*injected conjunctiva
*Preauricular lymphadenopathy
Treatment of viral conjunctivitis -✓✓* Symptomatic only
* Warm or Cool compresses
* Strict eye/hand hygiene
* avoid contacts for a while
, What do you do for a patient with an elevated B/P on initial visit? -✓✓*Repeat in 1-2
weeks and average over 3 visits
*Pt to keep log for review
*Encourage healthy lifestyle choices
Asthma is disruptive several times during the night/interrupting sleep at least 3 times a
week, what's the next step? -✓✓Moderate persistant; prescribe inhaled steroid (flovent)
Causative organism of bronchiolitis -✓✓(RSV) Respiratory syncytial virus most likely
cause
what type of murmur is caused by normal blood flow thru normal cardiac structures in
up to 80% children; Midsystolic; can come and go; Gets louder with fever, exercise, and
anxiety -✓✓functional or innocent murmur
When do innocent murmurs develop? -✓✓(book p 763) age 3-4; (module 10 lect) age 2-
6
type of murmur caused by turbulent blood flow caused by a defect or abnormal cardiac
structures; Dystolic; Grade ≥ IV; increases with sitting or standing -✓✓pathological
murmur
symptoms of croup -✓✓· Barking cough
· Fever
· URI symptoms
s/s of bronchiolitis -✓✓· inspiratory and expiratory wheezing accompanied by:
*fever
*URI symptoms including profuse clear nasal discharge
When to use inhaler to treat exercise induced asthma -✓✓Use rescue inhaler 15-30
minute prior to activity
Condition caused by a defect or hole in the atrial septum -✓✓Atrial Septum Defect
(ASD)
When should children be screened for hyperlipidemia? -✓✓between 9-11 years then 17-
21 years
Idiopathic multisystem disease characterized by vasculitis of small and medium blood
vessels including coronary arteries -✓✓Kawasaki
What can develop in 15% - 25% of untreated children with Kawasaki disease? -
✓✓Coronary artery aneurysms
