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NR602 Final Exam Questions and Answers 2024 / 2025 (Verified Answers by Expert)
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NR602 Final Exam Questions and Answers 2024 / 2025 (Verified Answers by Expert)
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NR 602 Final exam.pdf file:///C:/Users/HP/Desktop/eewwww/NR%20602%20Final%20examNR 602 Final Exam
1. Step 1 Asthma approach-Intermittent
ANS 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- FEV>80% predicted
2. Step 2 Asthma Approach-Mild persistent
ANS 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
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ANS 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
ANS continual symptoms requires SABA multiple x a day
extremely limited activity nighttime
symptoms 7x a week FEV <60%
5. Tx of asthma
ANS 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
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high dose ICS+ LABA
Step 6
High dose ICS+LABA + corticosteroid
6. Step 6 Asthma Approach
ANS
7. Bulbar/palpebral conjunctival infection
ANS May be unilateral or bilateral
8. Leukocoria
ANS 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
ANS At least once between ages 3-5 y/o according to USPSTF
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10. AOM
ANS RF
genetics, males, Native American, siblings, low economic status, ages 6mo-3y, winter, supine
bottle feeding, daycare, tobacco smoke
11. S/S of AOM
ANS erythema, otalgia, bulging TM, absent cone of light
12. Dx of AOM
ANS Audiometry, tympanometry, possible lateral neck xray to r/o mass
13. TX of AOM
ANS 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
ANS Preceded by URI-typically worsens after 5-7 days- not resolved in 2 weeks
15. Sx of bacterial rhinosinusitis
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