NR 602 FINAL EXAM EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

NR 602 FINAL EXAM EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) 1. Step 1 Asthma approach-Intermittent Correct Answer symptoms 2x or less per week asymptomatic and normal PED requires SABA 2 days/week no interference with normal activities brief exacerbations nighttime symptoms 2x or less a month lung fx- FEV80% predicted 2. Step 2 Asthma Approach-Mild persistent Correct Answer Symptoms 2 x a week, less than once per day requires SABA more than 2days/week, no more than once a day exacerbations may affect activity nighttime symptoms 3-4x a month FEV 80% predicted 3. Step 3 Asthma Approach-Moderate Persistant Correct Answer daily symptoms daily use of SABA some limitations 2x or more per week exacerbations nighttime symptoms more than 1x per week, not nightly FEV 60% but 80% 4. Step 4 Asthma Approach-Severe Persistent Correct Answer continual symptoms requires SABA multiple x a day extremely limited activity nighttime symptoms 7x a week FEV 60% 5. Tx of asthma Correct Answer Stepwise approach step 1: SABA PRN step 2: low dose ICS Step 3: low dose ICS+ LABA or medium dose ICS step 4: Medium dose ICS+LABA Step 5: high dose ICS+ LABA Step 6: High dose ICS+LABA + corticosteroid 6. Step 6 Asthma Approach: 7. Bulbar/palpebral conjunctival infection Correct Answer May be unilateral or bilateral 8. Leukocoria Correct Answer abnormal appearance of a white film in the pupil; immediate referral to pediatric ophthalmologist warranted Causes: retinal detachment, cataract, retinal dysplasia, newborn retinoblastoma 9. Visual screening in children Correct Answer At least once between ages 3-5 y/o according to USPSTF 10. AOM Correct Answer RF: genetics, males, Native American, siblings, low economic status, ages 6mo-3y, winter, supine bottle feeding, daycare, tobacco smoke 11. S/S of AOM Correct Answer erythema, otalgia, bulging TM, absent cone of light 12. Dx of AOM Correct Answer Audiometry, tympanometry, possible lateral neck xray to r/o mass 13. TX of AOM Correct Answer uncomplicated: supportive with tylenol/ibuprofen; watchful waiting 48-72 in 6m-2y/o; 5 benzocaine otic drops 1st line antx: amoxicillin 80-90mg/kg/day Q12 x 10days if allergy to PCN- augmentin, cefuroxime 14. Bacterial rhinosinusitis Correct Answer Preceded by URI-typically worsens after 5-7 days- not resolved in 2 weeks 15. Sx of bacterial rhinosinusitis Correct Answer Purulant nasal congestion, drainage, facial pain, headache, fever No imaging required- if no improvement refer to ENT 16. Bronchiolitis: Usually caused by RSV wheezing present 2 y/o other causes; influenza, adenovirus, rhinovirus 17. S/s of bronchiolitis Correct Answer Increased work of breathing, prolonged expiration, grunting, retractions, nasal flaring 18. Croup sx Correct Answer Low grade fever, URI symptoms, barking cough, inspiratory stridor can occur 19. Croup dx Correct Answer Made from symptoms 20. Croup tx Correct Answer Glucocorticoids possibly 0.6mg/kg-1mg/kg humidified air bronchodilators 21. Lead poisoning Correct Answer Inactivated heme synthesis by inhibiting insertion of iron-leads to microcytic hypochromic anemia 22. Source of lead poisoning Correct Answer Lead based pain 23. Those at risk for lead poisoning Correct Answer Children 2-3 y/o summer months 24. Lead poisoning testing Correct Answer Children with Medicaid need lead level @ 12 months and 24 months-capillary finger stick with venous sample as f/u AAP recommends mo as well as 3-4-5-6 y/o 25. Lead levels Correct Answer 5 is normal 69 requires chelation