NUNP 6541 PEDIATRIC FINAL EXAM-
WALDEN U QUESTIONS AND
ANSWERS WITH VERIFIED
SOLUTIONS UPDATE 2026
What would your response to be a 8 month old with a spiral fracture? - CORRECT
ANSWES -- Child abuse
5 year old has mild leg bowing, what labs would you order? - CORRECT ANSWES --
Vitamin D, Phosphorus
The Varicella vaccine is used to protect against - CORRECT ANSWES -- Chickenpox
The MMR vaccine is used to protect against - CORRECT ANSWES -- measles,
mumps, rubella
The Hib vaccine is used to protect against - CORRECT ANSWES -- Haemophilus
influenza B virus
The rotavirus vaccine is used to protect against - CORRECT ANSWES -- developing
diarrhea, vomiting, and stomach pain caused by rotavirus
The DTap vaccine is used to protect against - CORRECT ANSWES -- Tetanus,
Diptheria, and Pertussis
The Inactivated Polio Virus (IPV) vaccine is used to protect against - CORRECT
ANSWES -- Polio
The pneumococcal vaccine is used to protect against - CORRECT ANSWES --
Pneumococcal meningitis and pneumococcal pneumonia
The Hepatitis A vaccine is used to protect against - CORRECT ANSWES -- Hep A
The Hepatitis B vaccine is used to protect against - CORRECT ANSWES -- Heb B
The HPV vaccine is used to protect against - CORRECT ANSWES -- Human Papilloma
Virus
,The Meningococcal vaccine is used to protect against - CORRECT ANSWES --
Meningococcal disease caused by Neisseria menigitidis
Common trigger for acute asthma - CORRECT ANSWES -- Allergen
Child in daycare more likely to be exposed to what infections? - CORRECT ANSWES
-- respiratory infections, ear infections, and diarrheal disease
Appropriate treatment for influenza A - CORRECT ANSWES -- Supportive care
If they are severely symptomatic, give tamiflu within 2 days of showing symptoms
Common s/s of fifths disease - CORRECT ANSWES -- Slapped cheek appearance
followed by flu-like symptoms
Slipped Capital Femoral Epiphysis (SCFE) - CORRECT ANSWES -- A dislocation of
the epiphyseal end of the femur, usually found in children and adolescents
Salter Harris type 1 fracture
Stress around the hip causes shear force to be applied to the growth plate
Occurs after onset of puberty,often in overweight and slightly skeletally immature boys.
Also seen in children with delayed puberty
Manifestations: pain in groin or diffusely over the knee or anterior thigh
Decreased internal rotation
External rotation of thigh when hip is flexed
Limited abduction and extension
Skin symptom of Lyme disease - CORRECT ANSWES -- Bullseye rash
Recommended treatment for RSV in a 7 month old (outpatient) - CORRECT ANSWES
-- Use of saline drops and suctioning of the nares. Indications of when to use
antipyretics. Signs of respiratory distress or dehydration. Guidelines for feeding an
infant with signs of mild respiratory distress which includes smaller more frequent
feedings; monitoring of the respiratory rate; and guarding against vomiting. The parents
should be educated that the child may have the symptoms over the course of 2-3 weeks
Epiglottitis s/s - CORRECT ANSWES -- Acute and rapid onset of high fever, chills, and
toxicity. Severe sore throat and drooling saliva. Will not eat or drink, muffled (hot potato)
voice, and anxiety. Sitting posture with hyperextended neck with open-mouth breathing.
Stridor, tachycardia, and tachypnea
Epiglottitis prevention - CORRECT ANSWES -- Haemophilus influenzae type B (Hib)
vaccine
Steeple sign - CORRECT ANSWES -- a radiologic sign found on radiograph where the
subglottic tracheal narrowing produces a shape of a church steeple which supports a
diagnosis of croup
, Foreign body aspiration antibiotic? - CORRECT ANSWES -- Depends on the nature of
the material aspirated, plus the location and degree of obstruction. Bronchial or
laryngeal foreign body aspiration, a bronchoscopy must be performed for removal of the
foreign body
Antibiotics for bronchiolitis? - CORRECT ANSWES -- Use of saline drops and
suctioning of the nares. There is no evidence to support the routine use of antibiotics
Antibiotics for croup? - CORRECT ANSWES -- Nebulized epinephrine, corticosteroids
(dexamethasone oral or IM), blow by oxygen or heliox in severe croup. Racemic
epinephrine with the use of corticosteroids to limit rebound swelling
Antibiotics for epiglottitis? - CORRECT ANSWES -- Establish an airway preferably by
nasotracheal intubation. Administer IV antibiotics such as rocephin to cover
H.influenzae. Administer oxygen and respiratory support. Antibiotics should be
continued for 10 days. Rifampin prophylaxis 20 mg/kg in a single dose (maximum of
600 mg) for 4 days for infants and children, 600 mg once a day for adults for 4 days.
Should be provided for household contacts who are at risk (Younger than 4 years old
who is non-immunized or incompletely immunized, children less than 12 months who
have not received primary series of Hib, and immunocompromised children.
Asthma treatment - CORRECT ANSWES -- The pharmacological management of
asthma in children is based on the severity of asthma and the child's age. After initial
control, decrease treatment to the least amount of medication needed to maintain
control. Systemic corticosteroids may be needed at any time and stepped up if there is
a major flare-up of symptoms.
Step 1 Asthma management for children 0-4 years old - CORRECT ANSWES -- Step
1: SABA (Short acting beta2-agonist) PRN: With viral respiratory symptoms short acting
beta 2-agonist should be used every 4-6 hours up to 24 hours (longer with a physician
consult). Consider short course of oral systemic corticosteroids if severe exacerbation.
Frequent use of SABA may indicate the need to step up treatment
Step 2 Asthma management for children 0-4 years old - CORRECT ANSWES -- Step
2: Consider consultation with asthma specialist. Low dose of inhaled corticosteroids.
Step 3 asthma mgmt for children 0-4 yrs - CORRECT ANSWES -- Step 3: Medium-
dose of inhaled corticosteroids
Steps 4-6 asthma mgmt for children 0-4 yrs - CORRECT ANSWES -- Step 4: Medium-
dose ICS and Long acting beta2-agonist or montelukast.
Step 5: High dose ICS and Long acting beta 2-agonist or montelukast.
Step 6: High dose of ICS and LABA or montelukast and oral corticosteroids
WALDEN U QUESTIONS AND
ANSWERS WITH VERIFIED
SOLUTIONS UPDATE 2026
What would your response to be a 8 month old with a spiral fracture? - CORRECT
ANSWES -- Child abuse
5 year old has mild leg bowing, what labs would you order? - CORRECT ANSWES --
Vitamin D, Phosphorus
The Varicella vaccine is used to protect against - CORRECT ANSWES -- Chickenpox
The MMR vaccine is used to protect against - CORRECT ANSWES -- measles,
mumps, rubella
The Hib vaccine is used to protect against - CORRECT ANSWES -- Haemophilus
influenza B virus
The rotavirus vaccine is used to protect against - CORRECT ANSWES -- developing
diarrhea, vomiting, and stomach pain caused by rotavirus
The DTap vaccine is used to protect against - CORRECT ANSWES -- Tetanus,
Diptheria, and Pertussis
The Inactivated Polio Virus (IPV) vaccine is used to protect against - CORRECT
ANSWES -- Polio
The pneumococcal vaccine is used to protect against - CORRECT ANSWES --
Pneumococcal meningitis and pneumococcal pneumonia
The Hepatitis A vaccine is used to protect against - CORRECT ANSWES -- Hep A
The Hepatitis B vaccine is used to protect against - CORRECT ANSWES -- Heb B
The HPV vaccine is used to protect against - CORRECT ANSWES -- Human Papilloma
Virus
,The Meningococcal vaccine is used to protect against - CORRECT ANSWES --
Meningococcal disease caused by Neisseria menigitidis
Common trigger for acute asthma - CORRECT ANSWES -- Allergen
Child in daycare more likely to be exposed to what infections? - CORRECT ANSWES
-- respiratory infections, ear infections, and diarrheal disease
Appropriate treatment for influenza A - CORRECT ANSWES -- Supportive care
If they are severely symptomatic, give tamiflu within 2 days of showing symptoms
Common s/s of fifths disease - CORRECT ANSWES -- Slapped cheek appearance
followed by flu-like symptoms
Slipped Capital Femoral Epiphysis (SCFE) - CORRECT ANSWES -- A dislocation of
the epiphyseal end of the femur, usually found in children and adolescents
Salter Harris type 1 fracture
Stress around the hip causes shear force to be applied to the growth plate
Occurs after onset of puberty,often in overweight and slightly skeletally immature boys.
Also seen in children with delayed puberty
Manifestations: pain in groin or diffusely over the knee or anterior thigh
Decreased internal rotation
External rotation of thigh when hip is flexed
Limited abduction and extension
Skin symptom of Lyme disease - CORRECT ANSWES -- Bullseye rash
Recommended treatment for RSV in a 7 month old (outpatient) - CORRECT ANSWES
-- Use of saline drops and suctioning of the nares. Indications of when to use
antipyretics. Signs of respiratory distress or dehydration. Guidelines for feeding an
infant with signs of mild respiratory distress which includes smaller more frequent
feedings; monitoring of the respiratory rate; and guarding against vomiting. The parents
should be educated that the child may have the symptoms over the course of 2-3 weeks
Epiglottitis s/s - CORRECT ANSWES -- Acute and rapid onset of high fever, chills, and
toxicity. Severe sore throat and drooling saliva. Will not eat or drink, muffled (hot potato)
voice, and anxiety. Sitting posture with hyperextended neck with open-mouth breathing.
Stridor, tachycardia, and tachypnea
Epiglottitis prevention - CORRECT ANSWES -- Haemophilus influenzae type B (Hib)
vaccine
Steeple sign - CORRECT ANSWES -- a radiologic sign found on radiograph where the
subglottic tracheal narrowing produces a shape of a church steeple which supports a
diagnosis of croup
, Foreign body aspiration antibiotic? - CORRECT ANSWES -- Depends on the nature of
the material aspirated, plus the location and degree of obstruction. Bronchial or
laryngeal foreign body aspiration, a bronchoscopy must be performed for removal of the
foreign body
Antibiotics for bronchiolitis? - CORRECT ANSWES -- Use of saline drops and
suctioning of the nares. There is no evidence to support the routine use of antibiotics
Antibiotics for croup? - CORRECT ANSWES -- Nebulized epinephrine, corticosteroids
(dexamethasone oral or IM), blow by oxygen or heliox in severe croup. Racemic
epinephrine with the use of corticosteroids to limit rebound swelling
Antibiotics for epiglottitis? - CORRECT ANSWES -- Establish an airway preferably by
nasotracheal intubation. Administer IV antibiotics such as rocephin to cover
H.influenzae. Administer oxygen and respiratory support. Antibiotics should be
continued for 10 days. Rifampin prophylaxis 20 mg/kg in a single dose (maximum of
600 mg) for 4 days for infants and children, 600 mg once a day for adults for 4 days.
Should be provided for household contacts who are at risk (Younger than 4 years old
who is non-immunized or incompletely immunized, children less than 12 months who
have not received primary series of Hib, and immunocompromised children.
Asthma treatment - CORRECT ANSWES -- The pharmacological management of
asthma in children is based on the severity of asthma and the child's age. After initial
control, decrease treatment to the least amount of medication needed to maintain
control. Systemic corticosteroids may be needed at any time and stepped up if there is
a major flare-up of symptoms.
Step 1 Asthma management for children 0-4 years old - CORRECT ANSWES -- Step
1: SABA (Short acting beta2-agonist) PRN: With viral respiratory symptoms short acting
beta 2-agonist should be used every 4-6 hours up to 24 hours (longer with a physician
consult). Consider short course of oral systemic corticosteroids if severe exacerbation.
Frequent use of SABA may indicate the need to step up treatment
Step 2 Asthma management for children 0-4 years old - CORRECT ANSWES -- Step
2: Consider consultation with asthma specialist. Low dose of inhaled corticosteroids.
Step 3 asthma mgmt for children 0-4 yrs - CORRECT ANSWES -- Step 3: Medium-
dose of inhaled corticosteroids
Steps 4-6 asthma mgmt for children 0-4 yrs - CORRECT ANSWES -- Step 4: Medium-
dose ICS and Long acting beta2-agonist or montelukast.
Step 5: High dose ICS and Long acting beta 2-agonist or montelukast.
Step 6: High dose of ICS and LABA or montelukast and oral corticosteroids
