NUNP 6541 Pediatric Final Exam-Walden U Actual Exam Questions and CORRECT Answers
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Course
NUNP 6541 Pediatric
Institution
NUNP 6541 Pediatric
NUNP 6541 Pediatric Final Exam-Walden
U Actual Exam Questions and CORRECT
Answers
Recommended treatment for RSV in a 7 month old (outpatient) - CORRECT ANSWER-
Use of saline drops and suctioning of the nares. Indications of when to use antipyretics.
Signs of respiratory distress or dehydrat...
NUNP 6541 Pediatric Final Exam-Walden
U Actual Exam Questions and CORRECT
Answers
Recommended treatment for RSV in a 7 month old (outpatient) - CORRECT ANSWER-
✔✔Use of saline drops and suctioning of the nares. Indications of when to use antipyretics.
Signs of respiratory distress or dehydration. Guidelines for feeding an infant with signs of
mild respiratory distress which includes smaller more frequent feedings; 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
Epiglottitis s/s - CORRECT ANSWER- ✔✔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 anxiety. Sitting posture with hyperextended neck with open-mouth breathing.
Stridor, tachycardia, and tachypnea
Epiglottitis prevention - CORRECT ANSWER- ✔✔Haemophilus influenzae type B (Hib)
vaccine
Steeple sign - CORRECT ANSWER- ✔✔a radiologic sign found on radiograph where the
subglottic tracheal narrowing produces a shape of a church steeple which supports a
diagnosis of croup
Foreign body aspiration antibiotic? - CORRECT ANSWER- ✔✔Depends on the nature of the
material aspirated, plus the location and degree of obstruction. Bronchial or laryngeal foreign
body aspiration, a bronchoscopy must be performed for removal of the foreign body
Antibiotics for bronchiolitis? - CORRECT ANSWER- ✔✔Use of saline drops and suctioning
of the nares. There is no evidence to support the routine use of antibiotics
Antibiotics for croup? - CORRECT ANSWER- ✔✔Nebulized epinephrine, corticosteroids
(dexamethasone oral or IM), blow by oxygen or heliox in severe croup. Racemic epinephrine
with the use of corticosteroids to limit rebound swelling
, Antibiotics for epiglottitis? - CORRECT ANSWER- ✔✔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 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.
Asthma treatment - CORRECT ANSWER- ✔✔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 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 Asthma management for children 0-4 years old - CORRECT ANSWER- ✔✔Step 1:
SABA (Short acting beta2-agonist) PRN: With viral respiratory symptoms short acting beta
2-agonist should be used every 4-6 hours up to 24 hours (longer with a physician consult).
Consider short course of oral systemic corticosteroids if severe exacerbation. Frequent use of
SABA may indicate the need to step up treatment
Step 2 Asthma management for children 0-4 years old - CORRECT ANSWER- ✔✔Step 2:
Consider consultation with asthma specialist. Low dose of inhaled corticosteroids.
Step 3 asthma mgmt for children 0-4 yrs - CORRECT ANSWER- ✔✔Step 3: Medium-dose
of inhaled corticosteroids
Steps 4-6 asthma mgmt for children 0-4 yrs - CORRECT ANSWER- ✔✔Step 4: Medium-
dose ICS and Long acting beta2-agonist or montelukast.
Step 5: High dose ICS and Long acting beta 2-agonist or montelukast.
Step 6: High dose of ICS and LABA or montelukast and oral corticosteroids
Steps 1-3 asthma mgmt for children 5-11 yrs - CORRECT ANSWER- ✔✔Step 1: SABA
(Short acting beta 2-agonist) PRN: Increasing the use of short-acting beta 2-agonist or use
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