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NR 602 Final Exam Questions And Answers Latest Update 2024/2025
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NR 602 Final Exam Questions And Answers Latest Update 2024/2025
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NR 602 Final Exam Questions And AnswersLatest Update 2024/2025
Step 1 Asthma approach-Intermittent 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- FEV>80% predicted
Step 2 Asthma Approach-Mild persistent 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
Step 3 Asthma Approach-Moderate Persistant 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%
,Step 4 Asthma Approach-Severe Persistent Answer: continual symptoms
requires SABA multiple x a day
extremely limited activity
nighttime symptoms 7x a week
FEV <60%
Tx of asthma 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
Step 6 Asthma Approach Answer:
Bulbar/palpebral conjunctival infection Answer: May be unilateral or bilateral
Leukocoria Answer: abnormal appearance of a white film in the pupil; immediate referral to
pediatric ophthalmologist warranted
Causes: retinal detachment, cataract, retinal dysplasia, newborn retinoblastoma
Visual screening in children Answer: At least once between ages 3-5 y/o according to USPSTF
AOM Answer: RF: genetics, males, Native American, siblings, low economic status, ages 6mo-3y,
winter, supine bottle feeding, daycare, tobacco smoke
, S/S of AOM Answer: erythema, otalgia, bulging TM, absent cone of light
Dx of AOM Answer: Audiometry, tympanometry, possible lateral neck xray to r/o mass
TX of AOM 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
Bacterial rhinosinusitis Answer: Preceded by URI-typically worsens after 5-7 days- not resolved in 2
weeks
Sx of bacterial rhinosinusitis Answer: Purulant nasal congestion, drainage, facial pain, headache,
fever
No imaging required- if no improvement refer to ENT
Bronchiolitis Answer: Usually caused by RSV
wheezing present
<2 y/o
other causes; influenza, adenovirus, rhinovirus
S/s of bronchiolitis Answer: Increased work of breathing, prolonged expiration, grunting,
retractions, nasal flaring
Croup sx Answer: Low grade fever, URI symptoms, barking cough, inspiratory stridor can occur
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