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CMN568 FINAL EXAM /CMN568 INTRO TO FAMILY NP
FINAL NEWEST 2025 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+||LATEST VERSION!!/SOUTH ALABAMA
Incidence of Fever - Answer-One of most common
reasons for parents to seek medical care.
Preschoolers have an average 6-8 febrile illnesses a year.
Definition of fever - Answer-Rectal temperature ≥ 100.4°F
Tympanic temperature - Answer-Not accurate in infants
under 3 months
Fever Causes - Answer-Most common Benign viral illness,
can also caused by bacterial or fungal infections, drug
reactions including immunizations, malignancies,
autoimmune or metabolic disorders, CNS disorders,
excessive environmental temperatures.
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Factors that increase likelihood of serious bacterial illness
- Answer-Age under 3 months, history of prematurity,
chronic medical conditions such as immunosupression or
aspenia, previous hospitalizations, daycare. Toxic
appearance
Non-Toxic appearance - Answer-Strong cry
Consolable
Alert and easy to arouse
Pink skin tones
Good hydration; good turgor, tears, moist mucous
membranes
Smiles, responsive to environment
Toxic appearance - Answer-Weak or high pitched cry
Inconsolable
Difficult to arouse
Pale, ashen, cyanotic, or mottled skin tones
Poor hydration; poor turgor, dry mucous membranes, no
tears
No smile, listless, dull, infant won't alert to environment
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Signs of serious illness - Answer-Fever greater than 40
(105)
Nuchal rigidity
Petechial skin rash
Seizure activity
Stridor or increased WOB
Physical exam signs of serious infection: Skin - Answer-
Petechiae, rashes
Physical exam signs of serious infection: head/neck -
Answer-Sunken or bulging fontanelles, nuchal rigidity
Physical exam signs of serious infection: ears - Answer-
Bulging TM, AOM, mastoiditis
Physical exam signs of serious infection: Chest - Answer-
Tachypnea, wheezing, rales, rhonchi
Physical exam signs of serious infection: Heart - Answer-
Murmurs
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Physical exam signs of serious infection: Abdomen -
Answer-Tenderness, distension
Physical exam signs of serious infection: Musculoskeletal -
Answer-Refusal to bear weight or use an extremity,
erythema/warmth over joint
Diagnostic tests for fever in infant and young child -
Answer-CBC w/ Diff (WBC > 15,000 may indicate SBI.
Child with overwhelming sepsis my have WBC <5,000)
UA/ C&S: R/O UTI
CXR: R/O Pneumonia
Lumbar Puncture: R/O meningitis
Blood cultures: R/O Bacteremia
Stools for C&S: R/O Infectious diarrhea
Management of fever in infant < 4 weeks - Answer-Refer
to pediatrician
Hospitalization
Full septic workup
IV antibiotics pending culture results
CMN568 FINAL EXAM /CMN568 INTRO TO FAMILY NP
FINAL NEWEST 2025 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+||LATEST VERSION!!/SOUTH ALABAMA
Incidence of Fever - Answer-One of most common
reasons for parents to seek medical care.
Preschoolers have an average 6-8 febrile illnesses a year.
Definition of fever - Answer-Rectal temperature ≥ 100.4°F
Tympanic temperature - Answer-Not accurate in infants
under 3 months
Fever Causes - Answer-Most common Benign viral illness,
can also caused by bacterial or fungal infections, drug
reactions including immunizations, malignancies,
autoimmune or metabolic disorders, CNS disorders,
excessive environmental temperatures.
,2|Page
Factors that increase likelihood of serious bacterial illness
- Answer-Age under 3 months, history of prematurity,
chronic medical conditions such as immunosupression or
aspenia, previous hospitalizations, daycare. Toxic
appearance
Non-Toxic appearance - Answer-Strong cry
Consolable
Alert and easy to arouse
Pink skin tones
Good hydration; good turgor, tears, moist mucous
membranes
Smiles, responsive to environment
Toxic appearance - Answer-Weak or high pitched cry
Inconsolable
Difficult to arouse
Pale, ashen, cyanotic, or mottled skin tones
Poor hydration; poor turgor, dry mucous membranes, no
tears
No smile, listless, dull, infant won't alert to environment
,3|Page
Signs of serious illness - Answer-Fever greater than 40
(105)
Nuchal rigidity
Petechial skin rash
Seizure activity
Stridor or increased WOB
Physical exam signs of serious infection: Skin - Answer-
Petechiae, rashes
Physical exam signs of serious infection: head/neck -
Answer-Sunken or bulging fontanelles, nuchal rigidity
Physical exam signs of serious infection: ears - Answer-
Bulging TM, AOM, mastoiditis
Physical exam signs of serious infection: Chest - Answer-
Tachypnea, wheezing, rales, rhonchi
Physical exam signs of serious infection: Heart - Answer-
Murmurs
, 4|Page
Physical exam signs of serious infection: Abdomen -
Answer-Tenderness, distension
Physical exam signs of serious infection: Musculoskeletal -
Answer-Refusal to bear weight or use an extremity,
erythema/warmth over joint
Diagnostic tests for fever in infant and young child -
Answer-CBC w/ Diff (WBC > 15,000 may indicate SBI.
Child with overwhelming sepsis my have WBC <5,000)
UA/ C&S: R/O UTI
CXR: R/O Pneumonia
Lumbar Puncture: R/O meningitis
Blood cultures: R/O Bacteremia
Stools for C&S: R/O Infectious diarrhea
Management of fever in infant < 4 weeks - Answer-Refer
to pediatrician
Hospitalization
Full septic workup
IV antibiotics pending culture results
