BRAINSCAPE1
NCC NNP Exam with complete
solutions latest version
more neuro and less cardiac/systemic symptoms - CORRECT ANSWER-How does late
onset sepsis present
staph epi, aureus, MRSA - CORRECT ANSWER-What is the most common nosocomial
cause
Seen in 3-7 day of birth - CORRECT ANSWER-Early onset sepsis is
in utero- STORCH - CORRECT ANSWER-Early onset sepsis is acquired
inhibits normal defenses to allow for other infections - CORRECT ANSWER-Meconium
is not a cause of infection but
Erythromycin - CORRECT ANSWER-Treatment for chlamydia
pneumonia - CORRECT ANSWER-what can chlamydia cause
intrapartum delivery - CORRECT ANSWER-Most common way for HIV to be acquired
IgM - CORRECT ANSWER-DX of inter uterine infection is detected by
Endotoxin
TNF
Interleuken-1 - CORRECT ANSWER-Septic triad caused by a mediator
complement cascade and coagulation - CORRECT ANSWER-Endotoxin released from
bacterial cell wall activate
worseing hypotension
systemic edema
BRAINSCAPE1
, BRAINSCAPE1
DIC - CORRECT ANSWER-Endotoxins can cause
Liver
alveolar cells - CORRECT ANSWER-Where is complement proteins produced
antibody/antigen mediated - CORRECT ANSWER-What is the classic pathway
endotoxin release - CORRECT ANSWER-What is alternative pathway
bradykinin formation and increases hypotension - CORRECT ANSWER-What does
initiating the clotting cascade result in
phagocytosis - CORRECT ANSWER-What is the most important function of neutrophils
from extension of ear or sinus infections - CORRECT ANSWER-How can osteomyelitis
occur
after endotoxin release - CORRECT ANSWER-WHen do TNF levels rise
clotting cascade
PAF
release of interleukin 1
prostaglandins
free oxygen radicals - CORRECT ANSWER-What does TNF stimulate
synergy to TNF
worsens hypotension
induces hyperdynamic cardiovascular function
causes- fever, leukocytosis, metabolic changes - CORRECT ANSWER-what does IL-1
stimulation cause
hypotension
gi ischemia
alveolar thickening
ATN - CORRECT ANSWER-Consequences to inflammatory mediators
Suprapubic aspiration - CORRECT ANSWER-Gold standard of UTI
>0.2 - CORRECT ANSWER-What is considered a left shift on I/T
intermediate risk - CORRECT ANSWER-ANC of 500-1000 is
increased risk of sepsis - CORRECT ANSWER-ANC <500 is
acute phase protein - CORRECT ANSWER-What is CRP
within 24 hrs of infection
BRAINSCAPE1
, BRAINSCAPE1
peak 2-3 days - CORRECT ANSWER-When does CRP rise and peak
increased WBC
high protein
low glucose - CORRECT ANSWER-LP results showing meningitis
GBS - CORRECT ANSWER-gram positive cocci in pairs or chains
Entercoccus- nosocomial - CORRECT ANSWER-gram negative, can be in EBM,
passed rectal/oral
staph - CORRECT ANSWER-gram positive in clusters
Staphylococcus aureus - CORRECT ANSWER-staph coag positive is
septic joint
sepsis
osteo
pneumonia
scalded skin
MRSA - CORRECT ANSWER-staph aureus can cause
staph epi-worse in those immunocompromised - CORRECT ANSWER-staph coag
negative is
Gram pos
H flu
proteus
listeria - CORRECT ANSWER-What does Ampicillin treat
Gram neg
ecoli
pseudomonas
enterococcus - CORRECT ANSWER-What does Gent cover
7-10 days - CORRECT ANSWER-treat positive blood cultures for
10days - CORRECT ANSWER-length of treatment for UTI
10days or more - CORRECT ANSWER-length of treatment for pneumonia
21 days - CORRECT ANSWER-length of treatment for gram neg meningitis
14 days - CORRECT ANSWER-length of treatment for gram pos meningitis
papular or vascular rash with erythematous base - CORRECT ANSWER-what does
cutaneous candidiasis look like
BRAINSCAPE1
NCC NNP Exam with complete
solutions latest version
more neuro and less cardiac/systemic symptoms - CORRECT ANSWER-How does late
onset sepsis present
staph epi, aureus, MRSA - CORRECT ANSWER-What is the most common nosocomial
cause
Seen in 3-7 day of birth - CORRECT ANSWER-Early onset sepsis is
in utero- STORCH - CORRECT ANSWER-Early onset sepsis is acquired
inhibits normal defenses to allow for other infections - CORRECT ANSWER-Meconium
is not a cause of infection but
Erythromycin - CORRECT ANSWER-Treatment for chlamydia
pneumonia - CORRECT ANSWER-what can chlamydia cause
intrapartum delivery - CORRECT ANSWER-Most common way for HIV to be acquired
IgM - CORRECT ANSWER-DX of inter uterine infection is detected by
Endotoxin
TNF
Interleuken-1 - CORRECT ANSWER-Septic triad caused by a mediator
complement cascade and coagulation - CORRECT ANSWER-Endotoxin released from
bacterial cell wall activate
worseing hypotension
systemic edema
BRAINSCAPE1
, BRAINSCAPE1
DIC - CORRECT ANSWER-Endotoxins can cause
Liver
alveolar cells - CORRECT ANSWER-Where is complement proteins produced
antibody/antigen mediated - CORRECT ANSWER-What is the classic pathway
endotoxin release - CORRECT ANSWER-What is alternative pathway
bradykinin formation and increases hypotension - CORRECT ANSWER-What does
initiating the clotting cascade result in
phagocytosis - CORRECT ANSWER-What is the most important function of neutrophils
from extension of ear or sinus infections - CORRECT ANSWER-How can osteomyelitis
occur
after endotoxin release - CORRECT ANSWER-WHen do TNF levels rise
clotting cascade
PAF
release of interleukin 1
prostaglandins
free oxygen radicals - CORRECT ANSWER-What does TNF stimulate
synergy to TNF
worsens hypotension
induces hyperdynamic cardiovascular function
causes- fever, leukocytosis, metabolic changes - CORRECT ANSWER-what does IL-1
stimulation cause
hypotension
gi ischemia
alveolar thickening
ATN - CORRECT ANSWER-Consequences to inflammatory mediators
Suprapubic aspiration - CORRECT ANSWER-Gold standard of UTI
>0.2 - CORRECT ANSWER-What is considered a left shift on I/T
intermediate risk - CORRECT ANSWER-ANC of 500-1000 is
increased risk of sepsis - CORRECT ANSWER-ANC <500 is
acute phase protein - CORRECT ANSWER-What is CRP
within 24 hrs of infection
BRAINSCAPE1
, BRAINSCAPE1
peak 2-3 days - CORRECT ANSWER-When does CRP rise and peak
increased WBC
high protein
low glucose - CORRECT ANSWER-LP results showing meningitis
GBS - CORRECT ANSWER-gram positive cocci in pairs or chains
Entercoccus- nosocomial - CORRECT ANSWER-gram negative, can be in EBM,
passed rectal/oral
staph - CORRECT ANSWER-gram positive in clusters
Staphylococcus aureus - CORRECT ANSWER-staph coag positive is
septic joint
sepsis
osteo
pneumonia
scalded skin
MRSA - CORRECT ANSWER-staph aureus can cause
staph epi-worse in those immunocompromised - CORRECT ANSWER-staph coag
negative is
Gram pos
H flu
proteus
listeria - CORRECT ANSWER-What does Ampicillin treat
Gram neg
ecoli
pseudomonas
enterococcus - CORRECT ANSWER-What does Gent cover
7-10 days - CORRECT ANSWER-treat positive blood cultures for
10days - CORRECT ANSWER-length of treatment for UTI
10days or more - CORRECT ANSWER-length of treatment for pneumonia
21 days - CORRECT ANSWER-length of treatment for gram neg meningitis
14 days - CORRECT ANSWER-length of treatment for gram pos meningitis
papular or vascular rash with erythematous base - CORRECT ANSWER-what does
cutaneous candidiasis look like
BRAINSCAPE1
