NURP 532 Test 1 ACTUAL EXAM APPROVED QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH RATIONALES (A NEW
UPDATED VERSION 2026) |GUARANTEED PASS A+ |FULL
REVISED CESCP EXAM
pediatric fever red flags (10)
o Ill or toxic appearing, even if no fever is present
o Skin color is ashen blue, mottled, or pale
o Lethargic, weak, high-pitched cry, poor feeding, decreased response
o Tachypnea or tachycardia
o Cap refill more than three seconds
o Decreased urine output
o Bulging fontanel
o Non-blanching skin rash
o Underlying health problem, including prematurity
o Unreliable caretakers
,Infants and children who are ill or toxic appearing regardless of age
or presence of fever require
a sepsis work-up
-CBC with differential
-Serum glucose (to compare with CSF glucose)
-CSF testing -r/o meningitis
-Inflammatory markers (CRP and PCT) (done in combination
with WBC count to increase sensitivity)
-Urinalysis and urine culture (catheterization or suprapubic aspiration)
-Blood cultures
-Chest x-ray
-Stool culture if diarrhea or blood or mucus in stool
Management of neonatal less than 28 days with fever
require a full workup and hospitalization
,well-appearing infants between 29 and 60 days of age with fever
require
-CBC/diff
-Blood culture
-UA and urine culture
-PCT, CRP if available within 60 minutes
-CXR if signs of respiratory symptoms
-Lumbar puncture only if any one of the following:
1) WBC count less than 5,000 microL or greater than 15,000 microL
2) Absolute band count greater than 1,500 microL 3)PCT greater
than 0.5 ng/ml
4)CRP greater than 20 mg/L Pneumonia
on CXR Use clinical judgement
Evaluation of infants between 61 to 90 days of age. Infants who are
well appearing and have no focal infection or viral infection, such as
flu or RSV
Urinalysis and urine culture via
catheterization Possible CBC with diff,
blood culture, and PCT
Urine testing to r/o UTI is generally recommended for
· infants and children over three months of age
females under 12 months of age and uncircumcised males,
especially if the fever is greater than 102.2 degrees Fahrenheit and
its duration is longer than 24 to 48 hours
, Urinalysis for fever
UA and culture required for all infants less than 90 days who
present with fever
UA and culture also recommended for older infants and toddlers age
3-24 months at risk; risk factors include temperature greater than
102.2°F, females less than 12 months of age, uncircumsized males,
duration of fever (greater than 24-48 hours) and absence of another
infection
Can also use UTI calculator, which reduces the need for urine
sampling and lower rate of missed UTIs
Criteria for management of fever in infants between 29 and 90 days of
age
-step-by-step approach.
-It identifies low-risk infants who do not require a lumbar
puncture. Depends on whether the child is low-risk Reliable
caregivers, ability to return to clinic if symptoms worsen, and the
family feels comfortable
-Low-risk: full-term infant (more than 37 weeks); normal UA, WBC, and
PCT; less than 1,500 bands; previously healthy; appears well; no
focal bacterial infection; nl CXR if performed
-If infant is low-risk and has reliable caregivers and follow up,
discharge home and close f/u in 12-24 hours
-If low-risk criteria not met, the child should be admitted and have
CSF studies and receive IV antibiotics
-If low-risk criteria met but unreliable caregivers or follow-up, the
child should be admitted for observation
CORRECT VERIFIED ANSWERS WITH RATIONALES (A NEW
UPDATED VERSION 2026) |GUARANTEED PASS A+ |FULL
REVISED CESCP EXAM
pediatric fever red flags (10)
o Ill or toxic appearing, even if no fever is present
o Skin color is ashen blue, mottled, or pale
o Lethargic, weak, high-pitched cry, poor feeding, decreased response
o Tachypnea or tachycardia
o Cap refill more than three seconds
o Decreased urine output
o Bulging fontanel
o Non-blanching skin rash
o Underlying health problem, including prematurity
o Unreliable caretakers
,Infants and children who are ill or toxic appearing regardless of age
or presence of fever require
a sepsis work-up
-CBC with differential
-Serum glucose (to compare with CSF glucose)
-CSF testing -r/o meningitis
-Inflammatory markers (CRP and PCT) (done in combination
with WBC count to increase sensitivity)
-Urinalysis and urine culture (catheterization or suprapubic aspiration)
-Blood cultures
-Chest x-ray
-Stool culture if diarrhea or blood or mucus in stool
Management of neonatal less than 28 days with fever
require a full workup and hospitalization
,well-appearing infants between 29 and 60 days of age with fever
require
-CBC/diff
-Blood culture
-UA and urine culture
-PCT, CRP if available within 60 minutes
-CXR if signs of respiratory symptoms
-Lumbar puncture only if any one of the following:
1) WBC count less than 5,000 microL or greater than 15,000 microL
2) Absolute band count greater than 1,500 microL 3)PCT greater
than 0.5 ng/ml
4)CRP greater than 20 mg/L Pneumonia
on CXR Use clinical judgement
Evaluation of infants between 61 to 90 days of age. Infants who are
well appearing and have no focal infection or viral infection, such as
flu or RSV
Urinalysis and urine culture via
catheterization Possible CBC with diff,
blood culture, and PCT
Urine testing to r/o UTI is generally recommended for
· infants and children over three months of age
females under 12 months of age and uncircumcised males,
especially if the fever is greater than 102.2 degrees Fahrenheit and
its duration is longer than 24 to 48 hours
, Urinalysis for fever
UA and culture required for all infants less than 90 days who
present with fever
UA and culture also recommended for older infants and toddlers age
3-24 months at risk; risk factors include temperature greater than
102.2°F, females less than 12 months of age, uncircumsized males,
duration of fever (greater than 24-48 hours) and absence of another
infection
Can also use UTI calculator, which reduces the need for urine
sampling and lower rate of missed UTIs
Criteria for management of fever in infants between 29 and 90 days of
age
-step-by-step approach.
-It identifies low-risk infants who do not require a lumbar
puncture. Depends on whether the child is low-risk Reliable
caregivers, ability to return to clinic if symptoms worsen, and the
family feels comfortable
-Low-risk: full-term infant (more than 37 weeks); normal UA, WBC, and
PCT; less than 1,500 bands; previously healthy; appears well; no
focal bacterial infection; nl CXR if performed
-If infant is low-risk and has reliable caregivers and follow up,
discharge home and close f/u in 12-24 hours
-If low-risk criteria not met, the child should be admitted and have
CSF studies and receive IV antibiotics
-If low-risk criteria met but unreliable caregivers or follow-up, the
child should be admitted for observation
