NRNP 6541 CLINICAL PSYCHOTHERAPY
CERTIFICATION EVALUATION 2026
DETAILED SOLUTIONS ADVANCED
PRACTICE GUIDE
◉ diet for cystic fibrosis patients.
Answer: High calorie with added salt
◉ A child has not received abx for a bacterial respiratory infection,
what would you treat them with?.
Answer: Amoxicillin
◉ A 7-month old presents with 1-day cough, yellow sinus drainage
and a low grade temp, treatment options?.
Answer: Tylenol and monitor
◉ A 3 yr old presents with wheezing for past 3 months, what tests
would you order?.
Answer: Spirometry
◉ RSV symptoms in 6 wk old infant.
,Answer: In very young infants (less than 6 months old), the only
symptoms of RSV infection may be:
irritability
decreased activity
decreased appetite
apnea (pauses while breathing)
Fever may not always occur with RSV infections
◉ Rhinovirus symptoms in 6 wk old infant.
Answer: The first indication of the common cold in a baby is often:
A congested or runny nose
Nasal discharge that may be clear at first but might thicken and turn
yellow or green
Other signs and symptoms of a common cold in a baby may include:
Fever
Sneezing
Coughing
Decreased appetite
Irritability
,Difficulty sleeping
Trouble nursing or taking a bottle due to nasal congestion
◉ Streptococcus pneumonia in 6 wk old infant.
Answer: Pneumonia in infants aged three weeks to three months is
most often bacterial; Streptococcus pneumoniae is the most
common pathogen
◉ Listeria in 6 wk old infant.
Answer: Listeriosis is caused by an infection with the bacterium
Listeria monocytogenes . These bacteria can be carried by many
animals and birds, and they have been found in soil, water, sewage,
and animal feed. Listeriosis is considered a food-borne illness
because most people are probably infected after eating food
contaminated with Listeria monocytogenes
When a full-term baby becomes infected with Listeria during
childbirth, that situation is called late-onset disease. Commonly,
symptoms of late-onset listeriosis appear about two weeks after
birth. Babies with late-term disease typically have meningitis; yet
they have a better chance of surviving than those with early-onset
disease
Listeriosis is treated with the antibiotics ampicillin or
sulfamethoxazole-trimethoprim
◉ Chlamydia trichomonas in 6 wk old infant.
, Answer: 5 to 30% of infected neonates will develop pneumonia.
Approximately half of these infants will have a history of C.
Trachomatis conjunctivitis.
The condition is generally recognized between 4 and 12 weeks of
age, although most infants are symptomatic as early as 8 weeks of
age.
Cough and nasal congestion without discharge are common,
although discharge can be thick.
Onset is insidious and characteristic features include a staccato
cough, tachypnea.
Rales is common upon auscultation, but wheezing is not.
The liver and spleen may be palpable secondary to hyperinflated
lungs.
The patient is usually afebrile, and does not appear particularly ill.
WBC is normal, but eosinophils can be elevated.
Arterial blood gas shows moderate hypoxemia.
Chest X-ray shows hyperinflation with bilateral, symmetrical
interstitial infiltrates
◉ 2-year-old girl with increased work of breathing had a fever,
abdominal pain, post-tussive emesis and no diarrhea. What lab test
would be beneficial?.
Answer: Rapid flu test, respiratory viral panel
CERTIFICATION EVALUATION 2026
DETAILED SOLUTIONS ADVANCED
PRACTICE GUIDE
◉ diet for cystic fibrosis patients.
Answer: High calorie with added salt
◉ A child has not received abx for a bacterial respiratory infection,
what would you treat them with?.
Answer: Amoxicillin
◉ A 7-month old presents with 1-day cough, yellow sinus drainage
and a low grade temp, treatment options?.
Answer: Tylenol and monitor
◉ A 3 yr old presents with wheezing for past 3 months, what tests
would you order?.
Answer: Spirometry
◉ RSV symptoms in 6 wk old infant.
,Answer: In very young infants (less than 6 months old), the only
symptoms of RSV infection may be:
irritability
decreased activity
decreased appetite
apnea (pauses while breathing)
Fever may not always occur with RSV infections
◉ Rhinovirus symptoms in 6 wk old infant.
Answer: The first indication of the common cold in a baby is often:
A congested or runny nose
Nasal discharge that may be clear at first but might thicken and turn
yellow or green
Other signs and symptoms of a common cold in a baby may include:
Fever
Sneezing
Coughing
Decreased appetite
Irritability
,Difficulty sleeping
Trouble nursing or taking a bottle due to nasal congestion
◉ Streptococcus pneumonia in 6 wk old infant.
Answer: Pneumonia in infants aged three weeks to three months is
most often bacterial; Streptococcus pneumoniae is the most
common pathogen
◉ Listeria in 6 wk old infant.
Answer: Listeriosis is caused by an infection with the bacterium
Listeria monocytogenes . These bacteria can be carried by many
animals and birds, and they have been found in soil, water, sewage,
and animal feed. Listeriosis is considered a food-borne illness
because most people are probably infected after eating food
contaminated with Listeria monocytogenes
When a full-term baby becomes infected with Listeria during
childbirth, that situation is called late-onset disease. Commonly,
symptoms of late-onset listeriosis appear about two weeks after
birth. Babies with late-term disease typically have meningitis; yet
they have a better chance of surviving than those with early-onset
disease
Listeriosis is treated with the antibiotics ampicillin or
sulfamethoxazole-trimethoprim
◉ Chlamydia trichomonas in 6 wk old infant.
, Answer: 5 to 30% of infected neonates will develop pneumonia.
Approximately half of these infants will have a history of C.
Trachomatis conjunctivitis.
The condition is generally recognized between 4 and 12 weeks of
age, although most infants are symptomatic as early as 8 weeks of
age.
Cough and nasal congestion without discharge are common,
although discharge can be thick.
Onset is insidious and characteristic features include a staccato
cough, tachypnea.
Rales is common upon auscultation, but wheezing is not.
The liver and spleen may be palpable secondary to hyperinflated
lungs.
The patient is usually afebrile, and does not appear particularly ill.
WBC is normal, but eosinophils can be elevated.
Arterial blood gas shows moderate hypoxemia.
Chest X-ray shows hyperinflation with bilateral, symmetrical
interstitial infiltrates
◉ 2-year-old girl with increased work of breathing had a fever,
abdominal pain, post-tussive emesis and no diarrhea. What lab test
would be beneficial?.
Answer: Rapid flu test, respiratory viral panel
