FNP: PRIMARY CARE EXAM 1 WITH ALL CORRECT
& VERIFIED ANSWERS (UPDATED TO PASS)
1. What does
Ear pain, irritability, fever, younger children may pull at their ear; may
acute otitis
have URI s/s (cough, nasal congestion, chest congestion); TM may be
media pre-
bulging, dull, retracted; mobility may be decreased; erythema within the
sent like?
inner ear and canal
2. What is the
first First line antibiotic is amoxicillin, 80-90mg/kg/day, usually in 2 divided
doses
line treatment for per day; recommended duration of therapy is 10 days, but a course
of 5-7 days
acute otits a child with abnormal breath sounds?
media in
children?
3. Ibuprofen vs
Tylenol for
pedi- atrics:
age? indi-
cation?
4. 2. What is
the treatment
of choice for
bac- terial
pneumonia in
pediatric pa-
tients (know
dose as well)?
5. 3. What would
be a diagnostic
eval- uation for
1/
23
, FNP: PRIMARY CARE EXAM 1 WITH ALL CORRECT
& VERIFIED ANSWERS (UPDATED TO PASS)
may be considered for every 6-8 hours (max dose is 40mg/kg/day); OTC pediatric labeling for
uncomplicated or isolated ibuprofen is 7.5mg/kg/dose every 6-8 hours, for children 6 months - 11
cases is children > 2 years years; Tylenol can be given at 0-3 months for
old; Azithromycin may be 6-11lbs or 2.7-5.3kg at a dose of 40mg, every 4-6 hours
used for those allergic to
PCNs; Second line 5 months to 5 years old: Amoxicillin 80-100mg/kg/day either divided TID
or BID
antibiotic is Augmentin
At 6 months, children can
have Ibuprofen - ibuprofen
is indicated for fever 102.5
or greater - for children 6
months to 12 years give
5mg/kg/dose for fevers
<102.5, for fevers > Pulse oximetry, spirometry (FEV1, FVC, peak flow), vital signs (HR, RR, BP,
102.5 give 10mg/kg/dose tem- perature); consider CXR or CT thorax depending on H&P; also
consider CBC with ditterential, CMP, ABGs if clinically indicated
6. Neonates and most infants are admitted to the hospital for UTIs;
Common pathogens: E. coli, Klebsiella spp., enterococcus, proteus
mirabilis; 10%
2/
23
, FNP: Primary Care
Exam 1
4. How do of infants/babies with have a negative urine dipstick so a urine
you treat an culture must be obtained; treatment of choice for neonates: IV
infant with Ampicillin and gentamycin or
a UTI? 3rd generation cephalosporin, such as ceftriaxone until clinically
improved; oral treatment is 10-14 days; lower tract infection is treated
orally with amoxicillin or Bactrim (for infants over 2 months),
cephalexin, Augmentin for 5-7 days
Repeat urine culture if fever >3 days, not improving; obtain another UA
7. 5. What would and culture for subsequent febrile illnesses
be
Signs patient should be admitted: lethargy, poor perfusion, cyanosis, hypo
or
criteria for admit- hyper-ventilation (toxic appearance); signs of bacteriemia: petechial or
purpuric
ting vs. not rashes (purpura: associated more often with meningococcemia than in
ad- mitting a the pres- ence of petechiae alone); nuchal rigidity may not be seen in
young infants (unlike
child with a fever? kids/teens) with bacterial meningitis;
8. Signs of seri- 10. what are the Ba- sic red flags that may
ous bacterial warrant ad- mission (peds)
ill- ness in
children 3
months to 3
years
9. Signs of
serious illness
in chil- dren
older than 1
month
3/
23
& VERIFIED ANSWERS (UPDATED TO PASS)
1. What does
Ear pain, irritability, fever, younger children may pull at their ear; may
acute otitis
have URI s/s (cough, nasal congestion, chest congestion); TM may be
media pre-
bulging, dull, retracted; mobility may be decreased; erythema within the
sent like?
inner ear and canal
2. What is the
first First line antibiotic is amoxicillin, 80-90mg/kg/day, usually in 2 divided
doses
line treatment for per day; recommended duration of therapy is 10 days, but a course
of 5-7 days
acute otits a child with abnormal breath sounds?
media in
children?
3. Ibuprofen vs
Tylenol for
pedi- atrics:
age? indi-
cation?
4. 2. What is
the treatment
of choice for
bac- terial
pneumonia in
pediatric pa-
tients (know
dose as well)?
5. 3. What would
be a diagnostic
eval- uation for
1/
23
, FNP: PRIMARY CARE EXAM 1 WITH ALL CORRECT
& VERIFIED ANSWERS (UPDATED TO PASS)
may be considered for every 6-8 hours (max dose is 40mg/kg/day); OTC pediatric labeling for
uncomplicated or isolated ibuprofen is 7.5mg/kg/dose every 6-8 hours, for children 6 months - 11
cases is children > 2 years years; Tylenol can be given at 0-3 months for
old; Azithromycin may be 6-11lbs or 2.7-5.3kg at a dose of 40mg, every 4-6 hours
used for those allergic to
PCNs; Second line 5 months to 5 years old: Amoxicillin 80-100mg/kg/day either divided TID
or BID
antibiotic is Augmentin
At 6 months, children can
have Ibuprofen - ibuprofen
is indicated for fever 102.5
or greater - for children 6
months to 12 years give
5mg/kg/dose for fevers
<102.5, for fevers > Pulse oximetry, spirometry (FEV1, FVC, peak flow), vital signs (HR, RR, BP,
102.5 give 10mg/kg/dose tem- perature); consider CXR or CT thorax depending on H&P; also
consider CBC with ditterential, CMP, ABGs if clinically indicated
6. Neonates and most infants are admitted to the hospital for UTIs;
Common pathogens: E. coli, Klebsiella spp., enterococcus, proteus
mirabilis; 10%
2/
23
, FNP: Primary Care
Exam 1
4. How do of infants/babies with have a negative urine dipstick so a urine
you treat an culture must be obtained; treatment of choice for neonates: IV
infant with Ampicillin and gentamycin or
a UTI? 3rd generation cephalosporin, such as ceftriaxone until clinically
improved; oral treatment is 10-14 days; lower tract infection is treated
orally with amoxicillin or Bactrim (for infants over 2 months),
cephalexin, Augmentin for 5-7 days
Repeat urine culture if fever >3 days, not improving; obtain another UA
7. 5. What would and culture for subsequent febrile illnesses
be
Signs patient should be admitted: lethargy, poor perfusion, cyanosis, hypo
or
criteria for admit- hyper-ventilation (toxic appearance); signs of bacteriemia: petechial or
purpuric
ting vs. not rashes (purpura: associated more often with meningococcemia than in
ad- mitting a the pres- ence of petechiae alone); nuchal rigidity may not be seen in
young infants (unlike
child with a fever? kids/teens) with bacterial meningitis;
8. Signs of seri- 10. what are the Ba- sic red flags that may
ous bacterial warrant ad- mission (peds)
ill- ness in
children 3
months to 3
years
9. Signs of
serious illness
in chil- dren
older than 1
month
3/
23
