2026\2027 A+ Grade
A 3 year old presents with suspected asthma, As part of the work up for this diagnosis, the NP should
order ____
- correct answer chest xray
A 6-month-old presents to the clinic with a fever of 104 F rectally, and no identifiable source for the
fever. Which of the following would be most concerning:
- correct answer spun urine WBC of >10HPF
A 3-year-old is being followed for a chronic serous effusion following diagnosis of otitis media 3 months
ago. Now at the 3 month follow-up visit the effusion is still present. The best course of action by the
nurse practitioner is __________
- correct answer Refer to ENT
A 2-year old is on amoxicillin for his first episode of acute otitis media. The toddler has shown no
improvement after 3 days on the antibiotic, but is drinking normally. What is the next best action.
- correct answer change to augmentin
The nurse practitioner identifies all of these findings in a 2-month-old. Which one is most consistent
with acute otitis media
- correct answer abscense of TM mobility
A 2-year-old is diagnosed with croup. He has a barking cough all day long, and has inspiratory stridor. He
does not appear to be in any acute distress. The nurse practitioner's best course of action is to prescribe
________
- correct answer single does of dexamethasone
The most acceptable way in an office to obtain a urine specimen from an infant is __________
- correct answer straight cath