NURS 629 EXAM ONE COMPREHENSIVE
TEST PAPER 2026 FULL QUESTIONS AND
VERIFIED SOLUTIONS GRADED A+
⩥ Toddler development.
Answer: ■ Toddler
● Weight gain 4-6lbs per year
● Height: 3 inches per year
● Visual acuity 20/40
● Brain growth is 75% completed
● Respiratory tract is rapidly developing closer to that of an adult, but
still anatomically is much smaller.
● Immune system is weakened, increased risk for any kind of
complications
● Measurements: height, weight, head circumference up until 2 years of
age
● Physical exam
○ HEENT
■ Anterior fontanel - make sure it is getting smaller and closing
● It usually closes by 18 months - 2 years
■ Screen for strabismus
■ Look for tooth eruption and/or dental decay
,● If by 18 months they do not have a first tooth eruption, order x-ray
○ Musculoskeletal
■ Assess for hip dysplasia, gait, out-toeing, bowlegged
○ Neurological
■ Deep tendon reflex
■ Babinski
⩥ Preschool development and assessment.
Answer: ● Weight gain 5 lbs/year
● Height 2-3 inches/year
● Head circumference, no needed since the anterior fontanelle should
have closed 18 months - 2 years
● Screening: vision and hearing
⩥ School age children development/ assessment.
Answer: ■ Slow but steady growth
● Height: increases 2 in/year
● Weight: 4 ½ - 6 ½ lbs/year
● Skeletal lengthening & fat diminution
● Strength increases yet muscles remain functionally immature
● Start to lose those primary teeth and develop their permanent teeth
● GI system, cardiovascular system becomes that of an adult
,● Bladder capacity increases
● Immune system improves
● Bones become hard and they are not as pliable as it was in the early
ages
● Prepubescent
● Vital signs: approaching adult values by the end of the school age
○ Blood pressure
○ Vision screening
○ Hearing screening
⩥ Adolescence development and assessment.
Answer: ■ Extremities grow faster than trunk and head
■ Facial proportions change
● Nose and chin enlarge first
■ Figure changes
● Pelvis enlarges in females
● Shoulders enlarge in male
■ Subcutaneous fat increases
■ Increased function of sweat glands
■ Increased function of sebaceous glands
■ Puberty begins
● Girls: 9-13 years
, ● Boys: 11-14 years
■ Girls
● Breast enlargement begins 8-13 years
● Axillary hair develops 11-13 years
● Pubic hair develops 10-12 years
● Menarche begins 10-16 years
■ Boys
● Genital enlargement begins 9-13 years
● Axillary hair begins 12-14 years
● Facial hair develops 11-14 years
● Pubic hair develops 12-15 years
■ Physical Exam
● Vitals, height & weight with BMI
● Head to toe examinations
○ Acne
○ Athletic teens may have lower heart rate
○ Changes related to puberty - including Tanner staging
⩥ Neonate milestones and red flags.
Answer: Milestones
Strong reflexes. Minimum of 6-8 bowel movements per day. Urinates 8
times a day
TEST PAPER 2026 FULL QUESTIONS AND
VERIFIED SOLUTIONS GRADED A+
⩥ Toddler development.
Answer: ■ Toddler
● Weight gain 4-6lbs per year
● Height: 3 inches per year
● Visual acuity 20/40
● Brain growth is 75% completed
● Respiratory tract is rapidly developing closer to that of an adult, but
still anatomically is much smaller.
● Immune system is weakened, increased risk for any kind of
complications
● Measurements: height, weight, head circumference up until 2 years of
age
● Physical exam
○ HEENT
■ Anterior fontanel - make sure it is getting smaller and closing
● It usually closes by 18 months - 2 years
■ Screen for strabismus
■ Look for tooth eruption and/or dental decay
,● If by 18 months they do not have a first tooth eruption, order x-ray
○ Musculoskeletal
■ Assess for hip dysplasia, gait, out-toeing, bowlegged
○ Neurological
■ Deep tendon reflex
■ Babinski
⩥ Preschool development and assessment.
Answer: ● Weight gain 5 lbs/year
● Height 2-3 inches/year
● Head circumference, no needed since the anterior fontanelle should
have closed 18 months - 2 years
● Screening: vision and hearing
⩥ School age children development/ assessment.
Answer: ■ Slow but steady growth
● Height: increases 2 in/year
● Weight: 4 ½ - 6 ½ lbs/year
● Skeletal lengthening & fat diminution
● Strength increases yet muscles remain functionally immature
● Start to lose those primary teeth and develop their permanent teeth
● GI system, cardiovascular system becomes that of an adult
,● Bladder capacity increases
● Immune system improves
● Bones become hard and they are not as pliable as it was in the early
ages
● Prepubescent
● Vital signs: approaching adult values by the end of the school age
○ Blood pressure
○ Vision screening
○ Hearing screening
⩥ Adolescence development and assessment.
Answer: ■ Extremities grow faster than trunk and head
■ Facial proportions change
● Nose and chin enlarge first
■ Figure changes
● Pelvis enlarges in females
● Shoulders enlarge in male
■ Subcutaneous fat increases
■ Increased function of sweat glands
■ Increased function of sebaceous glands
■ Puberty begins
● Girls: 9-13 years
, ● Boys: 11-14 years
■ Girls
● Breast enlargement begins 8-13 years
● Axillary hair develops 11-13 years
● Pubic hair develops 10-12 years
● Menarche begins 10-16 years
■ Boys
● Genital enlargement begins 9-13 years
● Axillary hair begins 12-14 years
● Facial hair develops 11-14 years
● Pubic hair develops 12-15 years
■ Physical Exam
● Vitals, height & weight with BMI
● Head to toe examinations
○ Acne
○ Athletic teens may have lower heart rate
○ Changes related to puberty - including Tanner staging
⩥ Neonate milestones and red flags.
Answer: Milestones
Strong reflexes. Minimum of 6-8 bowel movements per day. Urinates 8
times a day
