Pediatric FNP Exam Questions and Verified
Answers| New 2023/ 2024 Update| Grade A
Q What is the danger of febrile seizures?
✓ Answer:
... [Show More] Febrile seizures are not in themselves dangerous. Rule out
meningitis. Give antipyretics after seizure has abated. Advise transport
to ED if seizure lasts >10 minutes. History of febrile seizures rarely has
lasting consequences and rarely advances to epilepsy.
Q What is the first line antibiotic choice for acute otitis media?
✓ Answer: Amoxil. If Amoxil has been used within the last 30 days step
up to augmentin.
Q How is recurrent or persistent otitis media usually treated?
✓ Answer: With referral to ENT specialist for possible
tympanostomy/tube placement.
Q How is asymptomatic chronic otitis media with effusion usually treated?
✓ Answer: 3 month watchful waiting. Referral to otolaryngologist if
effusion persists for possible tube placement.
Q How are nontraumatic TM perforations secondary to otitis media treated?
✓ Answer: Resolve the ear infection with antibiotics. Swimming, water in
the ears, and inserting anything into the ears is forbidden. Watch for
healing of the TM (most usually heal within several weeks). Referral to
ENT is not usually done for at least three months (watchful waiting).
Q What is the number one causative agent of pharyngitis?
✓ Answer: Viruses (adenovirus).
Q What are some symptoms of EBV pharyngitis (mono)?
✓ Answer: Tonsilar exudates, fever, malaise, soft palate petechiae, and
anterior and posterior cervical adenopathy.
Q When can children with GABS pharyngitis return to school?
✓ Answer: When afebrile and after being on antibiotics for 24 hours.
Q When should a child with rhinosinusitis be treated with antibiotics?
✓ Answer: With a daytime cough and nasal discharge lasting for >10
days, fever higher than 102.2F with nasal dc x 3 days, with severe
presentation or worsening on symptoms, antibiotics should be started.
Q Infection of the respiratory tract caused by a bacteria, symptoms include fever, grayish
pseudomembrane of the nose, pharynx, or trachea, sore throat, oral lesions, neck
swelling, is rare in the U.S. and the last reported case was in 2003.
✓ Answer: Diptheria
Q Known as whooping cough, inspiratory whoop is noted after coughing, may cause apnea
with seizures in those less than 6 months of age.
✓ Answer: Pertussis.
Q How is pertussis treated?
✓ Answer: Macrolide antibiotics x 5 days.
Q How are close contact of those with pertussis treated?
✓ Answer: DTap or Td vaccine.
Q How are nosebleeds in pediatric patients treated?
✓ Answer: Have the pt lean forward, apply direct pressure x 10 minutes.
Ice. Occasionally vasoconstrictive drugs may be applied. Increase air
humidity. Avoid picking the nose. Silver nitrite sticks may be used for
cauterization if bleeding persists.
Q What is the causative agent of epiglottitis?
✓ Answer: Haemophilus influenzae B (Hib). [Show Less]