NURS 629 – EXAM Focused Review (Maryville
University – Most Tested Topics & Questions)
Questions with 100% Correct Answers
Here is a clean, numbered set of high-yield NURS 629
practice questions with answers and rationales, starting
from #1. These are compiled from the most commonly
tested items across Maryville University NURS 629 Exams
| # | Question | Correct Answer & Rationale |
|---|----------|----------------------------|
| 1 | A 4-month-old infant has mild esotropia on exam
with normal convergence and accommodation. What is
the next step? | *Refer to pediatric
ophthalmology*<br>Rationale: Esotropia persisting
beyond 3–4 months is not physiologic and requires early
referral to prevent amblyopia. |
| 2 | A 3-year-old fails vision screening with 20/50 OU
and poor cooperation. Next step? | *Rescreen in 1–3
,months*<br>Rationale: Poor cooperation can cause false
failure; repeat before referral. |
| 3 | Fluorescein exam under cobalt blue light shows no
uptake and a cloudy cornea appearance. Interpretation?
| *Normal finding*<br>Rationale: No green uptake =
intact corneal epithelium. Cloudy appearance is normal
dye distribution. |
| 4 | A school-age child with PE tubes has vertigo, foul-
smelling otorrhea, and a pearly-white mass behind the
tympanic membrane. Diagnosis? |
*Cholesteatoma*<br>Rationale: Classic triad; requires
urgent ENT referral for surgical removal. |
| 5 | Classic symptoms of peritonsillar abscess (PTA)? |
*High fever, drooling, trismus, “hot potato” voice, uvula
deviation*<br>Rationale: Complication of tonsillitis;
needs needle aspiration + IV antibiotics. |
| 6 | A 7-day-old neonate has thick purulent eye
discharge and eyelid swelling. Most likely etiology? |
*Gonococcal conjunctivitis*<br>Rationale: Requires
immediate Gram stain, culture, and IV/systemic
antibiotics. |
, | 7 | A 4-year-old has a grade 2/6 vibratory systolic
murmur, loudest at mid-left sternal border, otherwise
well. Diagnosis? | *Still’s murmur
(innocent)*<br>Rationale: Most common innocent
murmur in children 2–6 years. |
| 8 | A 12-year-old with BMI 78th percentile has BP
readings of 128/82, 130/84, 126/80 on three separate
visits. Classification? | *Stage 1
hypertension*<br>Rationale: 95th percentile to <99th
percentile + 5 mmHg = Stage 1. |
| 9 | At what age does the AAP recommend the first
objective vision screening (not red reflex)? | *Age 3
years*<br>Rationale: Chart-based screening begins at 36
months. |
| 10 | A 6-year-old refuses school, frequently complains
of stomach aches with normal exam. Best initial action? |
*Screen for anxiety and depression*<br>Rationale: Rule
out school refusal due to anxiety, bullying, or learning
issues before labeling somatic symptoms. |
| 11 | A 2-week-old has chemical conjunctivitis from
silver nitrate prophylaxis. Management? | *Supportive
University – Most Tested Topics & Questions)
Questions with 100% Correct Answers
Here is a clean, numbered set of high-yield NURS 629
practice questions with answers and rationales, starting
from #1. These are compiled from the most commonly
tested items across Maryville University NURS 629 Exams
| # | Question | Correct Answer & Rationale |
|---|----------|----------------------------|
| 1 | A 4-month-old infant has mild esotropia on exam
with normal convergence and accommodation. What is
the next step? | *Refer to pediatric
ophthalmology*<br>Rationale: Esotropia persisting
beyond 3–4 months is not physiologic and requires early
referral to prevent amblyopia. |
| 2 | A 3-year-old fails vision screening with 20/50 OU
and poor cooperation. Next step? | *Rescreen in 1–3
,months*<br>Rationale: Poor cooperation can cause false
failure; repeat before referral. |
| 3 | Fluorescein exam under cobalt blue light shows no
uptake and a cloudy cornea appearance. Interpretation?
| *Normal finding*<br>Rationale: No green uptake =
intact corneal epithelium. Cloudy appearance is normal
dye distribution. |
| 4 | A school-age child with PE tubes has vertigo, foul-
smelling otorrhea, and a pearly-white mass behind the
tympanic membrane. Diagnosis? |
*Cholesteatoma*<br>Rationale: Classic triad; requires
urgent ENT referral for surgical removal. |
| 5 | Classic symptoms of peritonsillar abscess (PTA)? |
*High fever, drooling, trismus, “hot potato” voice, uvula
deviation*<br>Rationale: Complication of tonsillitis;
needs needle aspiration + IV antibiotics. |
| 6 | A 7-day-old neonate has thick purulent eye
discharge and eyelid swelling. Most likely etiology? |
*Gonococcal conjunctivitis*<br>Rationale: Requires
immediate Gram stain, culture, and IV/systemic
antibiotics. |
, | 7 | A 4-year-old has a grade 2/6 vibratory systolic
murmur, loudest at mid-left sternal border, otherwise
well. Diagnosis? | *Still’s murmur
(innocent)*<br>Rationale: Most common innocent
murmur in children 2–6 years. |
| 8 | A 12-year-old with BMI 78th percentile has BP
readings of 128/82, 130/84, 126/80 on three separate
visits. Classification? | *Stage 1
hypertension*<br>Rationale: 95th percentile to <99th
percentile + 5 mmHg = Stage 1. |
| 9 | At what age does the AAP recommend the first
objective vision screening (not red reflex)? | *Age 3
years*<br>Rationale: Chart-based screening begins at 36
months. |
| 10 | A 6-year-old refuses school, frequently complains
of stomach aches with normal exam. Best initial action? |
*Screen for anxiety and depression*<br>Rationale: Rule
out school refusal due to anxiety, bullying, or learning
issues before labeling somatic symptoms. |
| 11 | A 2-week-old has chemical conjunctivitis from
silver nitrate prophylaxis. Management? | *Supportive
