MVU NURS 629 EXAM 4 | COMPLETE PRACTICE
EXAMINATION | STUDY GUIDE | LATEST UPDATE 2026/2027 |
ACTUAL EXAM | PRACTICE QUESTIONS AND ANSWERS |
EXAM REVIEW | 100% CORRECT ANSWERS | VERIFIED
SOLUTIONS
This comprehensive practice examination is designed for graduate nursing students preparing
for the MVU NURS 629 Exam 4 (Maryville University). It covers advanced pediatric and family
health care topics including gastrointestinal, genitourinary, neurological, musculoskeletal,
endocrine, psychological, and sensory processing disorders. Each question is crafted to reflect
the rigor and format of the actual examination, with verified answers and detailed rationales to
help you master the material and achieve a top score on your 2026/2027 assessment.
Table of Contents
1. Gastrointestinal Disorders
2. Genitourinary Disorders
3. Neurological Disorders
4. Musculoskeletal Disorders
5. Endocrine Disorders
6. Psychological and Behavioral Health
7. Sensory Processing and Neurodevelopmental Disorders
8. Infectious Diseases and Miscellaneous
,Question 1:
A 3-day-old newborn presents with yellow discoloration of the skin and sclera. The mother
reports adequate feeding. Laboratory results show a total bilirubin of 12 mg/dL. What is the most
appropriate initial intervention?
A) Immediate phototherapy initiation
B) Discharge with follow-up in 1 week
C) Encourage frequent breastfeeding and monitor bilirubin
D) Administer intravenous immunoglobulin
Correct Answer: C
Physiological jaundice typically appears within 2-4 days of life with bilirubin levels under 15
mg/dL in term infants. Frequent breastfeeding promotes bilirubin excretion through stooling.
Phototherapy is indicated for higher levels, and IVIG is used for hemolytic disease. Option B is
inappropriate without monitoring, and Option A is premature at this bilirubin level.
Question 2:
Which assessment finding in a 2-year-old with suspected asthma requires immediate nursing
intervention?
A) Wheezing on expiration
B) Mild tachypnea
C) Decreased breath sounds
D) Peak flow 60% of baseline
Correct Answer: C
Decreased breath sounds indicate severe airway obstruction and impending respiratory failure.
This is more concerning than wheezing (which may improve with treatment) and requires
immediate intervention including oxygen and possible intubation preparation. Peak flow 60% of
baseline indicates moderate obstruction but is not the most urgent finding.
Question 3:
A nurse is administering acetaminophen to a 5 kg infant. The prescribed dose is 15 mg/kg. The
available concentration is 160 mg/5 mL. What volume should the nurse administer?
A) 1.2 mL
B) 2.0 mL
,C) 2.5 mL
D) 3.0 mL
Correct Answer: C
Dose = 15 mg/kg × 5 kg = 75 mg. Volume = (75 mg ÷ 160 mg) × 5 mL = 2.34 mL. The closest
answer is 2.5 mL. Option A (1.2 mL) would underdose the patient significantly. Option B (2.0
mL) would also be insufficient. Option D (3.0 mL) would result in a dose of 96 mg, exceeding the
prescribed amount.
(Page 2)
Question 4:
A child presents with symptoms of viral gastroenteritis. What is the most common complication
in children with this condition?
A) Sepsis
B) Dehydration
C) Electrolyte imbalance
D) Malabsorption
Correct Answer: B
Dehydration is the most common complication in children with viral gastroenteritis. Treatment
involves small, frequent amounts of oral rehydration solution. While electrolyte imbalance can
occur, it is secondary to dehydration. Sepsis and malabsorption are less common complications.
Question 5:
What is the initial step in evaluating a child for suspected growth hormone deficiency?
A) Perform an MRI of the pituitary gland
B) Obtain a detailed medical history and physical examination
C) Conduct a blood test for growth hormone levels
D) Administer a growth hormone stimulation test
Correct Answer: B
The first step in evaluating a child for suspected growth hormone deficiency is obtaining a
detailed medical history and physical examination, including assessment of growth parameters.
, Initial evaluation also includes thyroid function tests, screening for hypoglycemia, and possible
GI illness workup. MRI and stimulation tests are subsequent steps.
Question 6:
A child presents with a grade 2 ankle sprain after playing soccer. What immediate steps should
be taken to manage the injury effectively?
A) Encourage the child to continue playing
B) Implement the RICE method
C) Perform physical therapy immediately
D) Apply heat to the ankle
Correct Answer: B
The RICE method (Rest, Ice, Compression, Elevation) is the immediate treatment for a grade 2
ankle sprain. Cold should be applied for 20 minutes, off for 20-45 minutes, repeated during the
first 24-48 hours. Heat is contraindicated acutely. Physical therapy is a later intervention.
Question 7:
A client comes to the emergency department complaining of pain in the right lower quadrant.
Rebound tenderness is present, and the nurse assesses for referred rebound pain. The patient
experiences pain in the right lower quadrant when pressure is applied to the left lower quadrant
and released. The nurse interprets this as which of the following?
A) Positive Rovsing's sign
B) Positive skin hypersensitivity test
C) Obturator sign
D) Psoas sign
Correct Answer: A
Rovsing's sign is elicited by applying pressure to the left lower quadrant; pain felt on the right
side when pressure is released is a positive sign, indicating peritoneal irritation often associated
with appendicitis. The obturator sign and psoas sign are different maneuvers for assessing
appendicitis.
(Page 3)
EXAMINATION | STUDY GUIDE | LATEST UPDATE 2026/2027 |
ACTUAL EXAM | PRACTICE QUESTIONS AND ANSWERS |
EXAM REVIEW | 100% CORRECT ANSWERS | VERIFIED
SOLUTIONS
This comprehensive practice examination is designed for graduate nursing students preparing
for the MVU NURS 629 Exam 4 (Maryville University). It covers advanced pediatric and family
health care topics including gastrointestinal, genitourinary, neurological, musculoskeletal,
endocrine, psychological, and sensory processing disorders. Each question is crafted to reflect
the rigor and format of the actual examination, with verified answers and detailed rationales to
help you master the material and achieve a top score on your 2026/2027 assessment.
Table of Contents
1. Gastrointestinal Disorders
2. Genitourinary Disorders
3. Neurological Disorders
4. Musculoskeletal Disorders
5. Endocrine Disorders
6. Psychological and Behavioral Health
7. Sensory Processing and Neurodevelopmental Disorders
8. Infectious Diseases and Miscellaneous
,Question 1:
A 3-day-old newborn presents with yellow discoloration of the skin and sclera. The mother
reports adequate feeding. Laboratory results show a total bilirubin of 12 mg/dL. What is the most
appropriate initial intervention?
A) Immediate phototherapy initiation
B) Discharge with follow-up in 1 week
C) Encourage frequent breastfeeding and monitor bilirubin
D) Administer intravenous immunoglobulin
Correct Answer: C
Physiological jaundice typically appears within 2-4 days of life with bilirubin levels under 15
mg/dL in term infants. Frequent breastfeeding promotes bilirubin excretion through stooling.
Phototherapy is indicated for higher levels, and IVIG is used for hemolytic disease. Option B is
inappropriate without monitoring, and Option A is premature at this bilirubin level.
Question 2:
Which assessment finding in a 2-year-old with suspected asthma requires immediate nursing
intervention?
A) Wheezing on expiration
B) Mild tachypnea
C) Decreased breath sounds
D) Peak flow 60% of baseline
Correct Answer: C
Decreased breath sounds indicate severe airway obstruction and impending respiratory failure.
This is more concerning than wheezing (which may improve with treatment) and requires
immediate intervention including oxygen and possible intubation preparation. Peak flow 60% of
baseline indicates moderate obstruction but is not the most urgent finding.
Question 3:
A nurse is administering acetaminophen to a 5 kg infant. The prescribed dose is 15 mg/kg. The
available concentration is 160 mg/5 mL. What volume should the nurse administer?
A) 1.2 mL
B) 2.0 mL
,C) 2.5 mL
D) 3.0 mL
Correct Answer: C
Dose = 15 mg/kg × 5 kg = 75 mg. Volume = (75 mg ÷ 160 mg) × 5 mL = 2.34 mL. The closest
answer is 2.5 mL. Option A (1.2 mL) would underdose the patient significantly. Option B (2.0
mL) would also be insufficient. Option D (3.0 mL) would result in a dose of 96 mg, exceeding the
prescribed amount.
(Page 2)
Question 4:
A child presents with symptoms of viral gastroenteritis. What is the most common complication
in children with this condition?
A) Sepsis
B) Dehydration
C) Electrolyte imbalance
D) Malabsorption
Correct Answer: B
Dehydration is the most common complication in children with viral gastroenteritis. Treatment
involves small, frequent amounts of oral rehydration solution. While electrolyte imbalance can
occur, it is secondary to dehydration. Sepsis and malabsorption are less common complications.
Question 5:
What is the initial step in evaluating a child for suspected growth hormone deficiency?
A) Perform an MRI of the pituitary gland
B) Obtain a detailed medical history and physical examination
C) Conduct a blood test for growth hormone levels
D) Administer a growth hormone stimulation test
Correct Answer: B
The first step in evaluating a child for suspected growth hormone deficiency is obtaining a
detailed medical history and physical examination, including assessment of growth parameters.
, Initial evaluation also includes thyroid function tests, screening for hypoglycemia, and possible
GI illness workup. MRI and stimulation tests are subsequent steps.
Question 6:
A child presents with a grade 2 ankle sprain after playing soccer. What immediate steps should
be taken to manage the injury effectively?
A) Encourage the child to continue playing
B) Implement the RICE method
C) Perform physical therapy immediately
D) Apply heat to the ankle
Correct Answer: B
The RICE method (Rest, Ice, Compression, Elevation) is the immediate treatment for a grade 2
ankle sprain. Cold should be applied for 20 minutes, off for 20-45 minutes, repeated during the
first 24-48 hours. Heat is contraindicated acutely. Physical therapy is a later intervention.
Question 7:
A client comes to the emergency department complaining of pain in the right lower quadrant.
Rebound tenderness is present, and the nurse assesses for referred rebound pain. The patient
experiences pain in the right lower quadrant when pressure is applied to the left lower quadrant
and released. The nurse interprets this as which of the following?
A) Positive Rovsing's sign
B) Positive skin hypersensitivity test
C) Obturator sign
D) Psoas sign
Correct Answer: A
Rovsing's sign is elicited by applying pressure to the left lower quadrant; pain felt on the right
side when pressure is released is a positive sign, indicating peritoneal irritation often associated
with appendicitis. The obturator sign and psoas sign are different maneuvers for assessing
appendicitis.
(Page 3)
