NRNP 6541 WEEK 11 FINAL EXAM 3 LATEST
VERSIONS 2024/2025 ACTUAL EXAM EACH
VERSION CONTAINS 100 QUESTIONS AND
CORRECT DETAILED ANSWERS
Save
Use of saline drops and suctioning of the nares.
Indications of when to use antipyretics. Signs of
respiratory distress or dehydration. Guidelines for
Recommended treatment feeding an infant with signs of mild respiratory distress
for RSV in a 7 month old which includes smaller more frequent feedings;
(outpatient) monitoring of the respiratory rate; and guarding
against vomiting. The parents should be educated that
the child may have the symptoms over the course of
2-3 weeks
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
Epiglottitis s/s
anxiety. Sitting posture with hyperextended neck with
open-mouth breathing. Stridor, tachycardia, and
tachypnea
Epiglottitis prevention Haemophilus influenzae type B (Hib) vaccine
a radiologic sign found on radiograph where the
Steeple sign subglottic tracheal narrowing produces a shape of a
church steeple which supports a diagnosis of croup
, Depends on the nature of the material aspirated, plus
Foreign body aspiration the location and degree of obstruction. Bronchial or
antibiotic? laryngeal foreign body aspiration, a bronchoscopy
must be performed for removal of the foreign body
Use of saline drops and suctioning of the nares. There
Antibiotics for
is no evidence to support the routine use of
bronchiolitis?
antibiotics
Nebulized epinephrine, corticosteroids
(dexamethasone oral or IM), blow by oxygen or
Antibiotics for croup?
heliox in severe croup. Racemic epinephrine with the
use of corticosteroids to limit rebound swelling
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
Antibiotics for epiglottitis?
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.
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
Asthma treatment 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: SABA (Short acting beta2-agonist) PRN: With
viral respiratory symptoms short acting beta 2-agonist
Step 1 Asthma should be used every 4-6 hours up to 24 hours
management for children (longer with a physician consult). Consider short
0-4 years old course of oral systemic corticosteroids if severe
exacerbation. Frequent use of SABA may indicate the
need to step up treatment
Step 2 Asthma Step 2: Consider consultation with asthma specialist.
management for children Low dose of inhaled corticosteroids.
0-4 years old
Step 3 asthma mgmt for Step 3: Medium-dose of inhaled corticosteroids
children 0-4 yrs
Step 4: Medium-dose ICS and Long acting beta2-
agonist or montelukast.
Steps 4-6 asthma mgmt Step 5: High dose ICS and Long acting beta 2-agonist
for children 0-4 yrs or montelukast.
Step 6: High dose of ICS and LABA or montelukast
and oral corticosteroids
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.
Steps 1-3 asthma mgmt for
children 5-11 yrs
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.
, Step 4: Medium-dose ICS and LABA or medium dose
of inhaled corticosteroid and leukotriene receptor
antagonist or theophylline. .
Step 5: High dose ICS and LABA or high dose of
inhaled corticosteroid and leukotriene receptor
Steps 4-6 asthma mgmt antagonist or theophylline. .
for children 5-11 yrs
Step 6: High dose of ICS and LABA and oral
corticosteroids or high dose of inhaled
corticosteroids and leukotriene receptor antagonist
or theophylline and oral corticosteroids.
** Theophylline levels must be monitored.
Strep pharyngitis
Peritonsillar abscess
Differentials for patient
Viral pharyngitis
with sore throat
Infectious mononucleosis
Epiglottitis
Trisomy 18
small-for-gestational-age Holt-Olram
infants: which type of Trisomy 13
chromosomal analysis Turner Syndrome
should be included? Trisomy 21
Prader-Willi Syndrome
Atrioventricular Septal Defect
heart defects associated Ventricular Septal Defect
with Down syndrome Persistant Ductus Arteriosus
Tetrology of Fallot
Contact sports with Do not recommend due to atlantoaxial instability
Down's Syndrome
VERSIONS 2024/2025 ACTUAL EXAM EACH
VERSION CONTAINS 100 QUESTIONS AND
CORRECT DETAILED ANSWERS
Save
Use of saline drops and suctioning of the nares.
Indications of when to use antipyretics. Signs of
respiratory distress or dehydration. Guidelines for
Recommended treatment feeding an infant with signs of mild respiratory distress
for RSV in a 7 month old which includes smaller more frequent feedings;
(outpatient) monitoring of the respiratory rate; and guarding
against vomiting. The parents should be educated that
the child may have the symptoms over the course of
2-3 weeks
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
Epiglottitis s/s
anxiety. Sitting posture with hyperextended neck with
open-mouth breathing. Stridor, tachycardia, and
tachypnea
Epiglottitis prevention Haemophilus influenzae type B (Hib) vaccine
a radiologic sign found on radiograph where the
Steeple sign subglottic tracheal narrowing produces a shape of a
church steeple which supports a diagnosis of croup
, Depends on the nature of the material aspirated, plus
Foreign body aspiration the location and degree of obstruction. Bronchial or
antibiotic? laryngeal foreign body aspiration, a bronchoscopy
must be performed for removal of the foreign body
Use of saline drops and suctioning of the nares. There
Antibiotics for
is no evidence to support the routine use of
bronchiolitis?
antibiotics
Nebulized epinephrine, corticosteroids
(dexamethasone oral or IM), blow by oxygen or
Antibiotics for croup?
heliox in severe croup. Racemic epinephrine with the
use of corticosteroids to limit rebound swelling
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
Antibiotics for epiglottitis?
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.
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
Asthma treatment 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: SABA (Short acting beta2-agonist) PRN: With
viral respiratory symptoms short acting beta 2-agonist
Step 1 Asthma should be used every 4-6 hours up to 24 hours
management for children (longer with a physician consult). Consider short
0-4 years old course of oral systemic corticosteroids if severe
exacerbation. Frequent use of SABA may indicate the
need to step up treatment
Step 2 Asthma Step 2: Consider consultation with asthma specialist.
management for children Low dose of inhaled corticosteroids.
0-4 years old
Step 3 asthma mgmt for Step 3: Medium-dose of inhaled corticosteroids
children 0-4 yrs
Step 4: Medium-dose ICS and Long acting beta2-
agonist or montelukast.
Steps 4-6 asthma mgmt Step 5: High dose ICS and Long acting beta 2-agonist
for children 0-4 yrs or montelukast.
Step 6: High dose of ICS and LABA or montelukast
and oral corticosteroids
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.
Steps 1-3 asthma mgmt for
children 5-11 yrs
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.
, Step 4: Medium-dose ICS and LABA or medium dose
of inhaled corticosteroid and leukotriene receptor
antagonist or theophylline. .
Step 5: High dose ICS and LABA or high dose of
inhaled corticosteroid and leukotriene receptor
Steps 4-6 asthma mgmt antagonist or theophylline. .
for children 5-11 yrs
Step 6: High dose of ICS and LABA and oral
corticosteroids or high dose of inhaled
corticosteroids and leukotriene receptor antagonist
or theophylline and oral corticosteroids.
** Theophylline levels must be monitored.
Strep pharyngitis
Peritonsillar abscess
Differentials for patient
Viral pharyngitis
with sore throat
Infectious mononucleosis
Epiglottitis
Trisomy 18
small-for-gestational-age Holt-Olram
infants: which type of Trisomy 13
chromosomal analysis Turner Syndrome
should be included? Trisomy 21
Prader-Willi Syndrome
Atrioventricular Septal Defect
heart defects associated Ventricular Septal Defect
with Down syndrome Persistant Ductus Arteriosus
Tetrology of Fallot
Contact sports with Do not recommend due to atlantoaxial instability
Down's Syndrome
