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The primary care pediatric nurse practitioner manages care in conjunction with a pediatric pulmonologist for a child with cystic fibrosis. Which medication regimen is used to facilitate airway clearance for this child? Ibuprofen and azithromycin Inhaled dornase alfa Correct Ivacaftor Prophylactic clindamycin

After 14 days of treatment with amoxicillin 45 mg/kg/day for acute rhinosinusitis, a child continues to have mucopurulent nasal discharge along with induration, swelling, and erythema of both eyelids, proptosis, and decreased extraocular movement. What is the next course of treatment? Amoxicillin 80 mg/kg/day for 14 days Amoxicillin-clavulanate for 10 to 14 days Antibiotic ophthalmic drops for 5 to 7 days Admission for evaluation and IV antibiotics Correct

A 4-year-old child diagnosed with an upper respiratory tract infection has cloudy nasal discharge and moderate nasal congestion interfering with sleep. The parent asks what product to use to help with symptoms. What will the primary care pediatric nurse practitioner recommend? Antihistamines Decongestant sprays Saline rinses Correct Zinc supplements

During a routine well child exam on a 5-year-old child, the primary care pediatric nurse practitioner auscultates a grade II/VI, harsh, late systolic ejection murmur at the upper left sternal border that transmits to both lung fields. The child has normal growth and development. What will the nurse practitioner suspect? Aortic stenosis (AS) Patent ductus arteriosus (PDA) Pulmonic stenosis Correct Tricuspid atresia

A 6-year-old child has a systolic blood pressure between the 95th and 99th percentile for age, sex, and height and a diastolic blood pressure between the 90th and the 95th percentile on three separate clinic visits. This child’s blood pressure is placed in which classification? Normotensive Pre-hypertensive Stage 1 hypertensive Correct Stage 2 hypertensive

The primary care pediatric nurse practitioner (PNP) is performing a sports physical on an adolescent whose history reveals mild aortic stenosis (AS). What will the nurse practitioner recommend? Avoidance of all sports to prevent sudden death Clearance for any sports since this is mild Evaluation by a cardiologist prior to participation Correct Low-intensity sports, such as golf or bowling

A child who has been diagnosed with asthma for several years has been using a short-acting B2-agonist (SABA) to control symptoms. The primary care pediatric nurse practitioner learns that the child has recently begun using the SABA two or three times each week to treat wheezing and shortness of breath. The child currently has clear breath sounds and an FEV1 of 75% of personal best. What will the nurse practitioner do next? Add a daily inhaled corticosteroid. Correct Administer 3 SABA treatments. Continue the current treatment. Order an oral corticosteroid.

A 9-month-old infant has a grade III/VI, harsh, rumbling, continuous murmur in the left infraclavicular fossa and pulmonic area. A chest radiograph reveals cardiac enlargement. The primary care pediatric nurse practitioner will refer the infant to a pediatric cardiologist and prepare the parents for which intervention to repair this defect? Cardiopulmonary bypass surgery Coil insertion in the catheterization laboratory Correct Indomethacin administration Observation for spontaneous closure

A school-age child who uses a short-acting beta2-agonist (SABA) and an inhaled corticosteroid medication is seen in the clinic for an acute asthma exacerbation. After 4 puffs of an inhaled short-acting B2-agonist (SABA) every 20 minutes for three treatments, spirometry testing shows an FEV1 of 60% of the child’s personal best. What will the primary care pediatric nurse practitioner do next? Administer an oral corticosteroid and repeat the three treatments of the inhaled SABA. Admit the child to the hospital for every 2 hour inhaled SABA and intravenous steroids. Give the child 2 mg/kg of an oral corticosteroid and have the child taken to the emergency department. Order an oral corticosteroid, continue the SABA every 3 to 4 hours, and follow closely. Correct

VI. Proof A DON’T FORGET TO SHOW completely ripped up scrap paper to camera BEFORE submitting exam, OR LOSE minimum 10 points! NO excuses. A. 1. X + Z)  >  (P + ~O)   2. (W > T)  >  (~Z v X)3. ~(P v ~T)          / ~(T > Z)