NRNP 6541 MENTAL HEALTH
COMPREHENSIVE TEST 2026 FULL
QUESTIONS ACCURATE RESPONSES
EXPERT REVIEW
◉ Epiglottitis s/s.
Answer: 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.
Answer: Haemophilus influenzae type B (Hib) vaccine
◉ Steeple sign.
Answer: 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?.
,Answer: 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?.
Answer: Use of saline drops and suctioning of the nares. There is no
evidence to support the routine use of antibiotics
◉ Antibiotics for croup?.
Answer: 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?.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: Step 2: Consider consultation with asthma specialist. Low
dose of inhaled corticosteroids.
◉ Step 3 asthma mgmt for children 0-4 yrs.
Answer: Step 3: Medium-dose of inhaled corticosteroids
◉ Steps 4-6 asthma mgmt for children 0-4 yrs.
, Answer: 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
◉ Steps 1-3 asthma mgmt for children 5-11 yrs.
Answer: Step 1: SABA (Short acting beta 2-agonist) PRN: Increasing
the use of short-acting beta 2-agonist or use greater than 2 days a
week for symptom relief generally indicates inadequate control and
the need to step up treatment.
Step 2: Consider consultation with asthma specialist. Low dose of
inhaled corticosteroids.
Step 3: Low dose of inhaled corticosteroid and LABA. Or medium
dose of inhaled corticosteroids.
◉ Steps 4-6 asthma mgmt for children 5-11 yrs.
Answer: Step 4: Medium-dose ICS and LABA or medium dose of
inhaled corticosteroid and leukotriene receptor antagonist or
theophylline. .
COMPREHENSIVE TEST 2026 FULL
QUESTIONS ACCURATE RESPONSES
EXPERT REVIEW
◉ Epiglottitis s/s.
Answer: 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.
Answer: Haemophilus influenzae type B (Hib) vaccine
◉ Steeple sign.
Answer: 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?.
,Answer: 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?.
Answer: Use of saline drops and suctioning of the nares. There is no
evidence to support the routine use of antibiotics
◉ Antibiotics for croup?.
Answer: 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?.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: Step 2: Consider consultation with asthma specialist. Low
dose of inhaled corticosteroids.
◉ Step 3 asthma mgmt for children 0-4 yrs.
Answer: Step 3: Medium-dose of inhaled corticosteroids
◉ Steps 4-6 asthma mgmt for children 0-4 yrs.
, Answer: 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
◉ Steps 1-3 asthma mgmt for children 5-11 yrs.
Answer: Step 1: SABA (Short acting beta 2-agonist) PRN: Increasing
the use of short-acting beta 2-agonist or use greater than 2 days a
week for symptom relief generally indicates inadequate control and
the need to step up treatment.
Step 2: Consider consultation with asthma specialist. Low dose of
inhaled corticosteroids.
Step 3: Low dose of inhaled corticosteroid and LABA. Or medium
dose of inhaled corticosteroids.
◉ Steps 4-6 asthma mgmt for children 5-11 yrs.
Answer: Step 4: Medium-dose ICS and LABA or medium dose of
inhaled corticosteroid and leukotriene receptor antagonist or
theophylline. .
