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Certified Pediatric Nurse Exam

Subjects : certifications, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. Sickle Cell Disease
MVA - bike accidents and falls
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

2. Neonatal Jaundice
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
# of stools per day - goal=2-3 stools per day
Equal to

3. Define Magical thinking

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4. Signs and Symptoms that indicate and adverse reaction to a vaccine
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
E. Coli
Adequate O2 adequatte hydration
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

5. Age that birth length doubles
4 years
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
decrease in myocardial contractility - cause congestion of the circulatory system. the heart is unable to pump adequate amounts of bld to meet the bodys needs
2.5 inches

6. What Pharmalogical measures can be used to treat GERD?
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Foreskin is used during the surgical repair

7. Diagnose Reye's Syndrome
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Liver Biopsy
Low fiber - high calorie and protein

8. Part of body that grows the fastest in infancy
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
maternal nutrition and genetics
head

9. Pathophysiology of Chronic Asthma
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
inflammation and hypersensitivity to triggers
E. Coli
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

10. Encoperesis
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
fecal soiling
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
13 years

11. Diastat rectal diazepam gel

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12. Temp of home water heater to avoid burns
Less than 120 f.
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Growth spurt

13. Leading cause of bacterial meningitis in Neonates
Group B Streptococcus
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
measures the largest velocity which occurs during a forced exhale
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

14. Contraindications to all vaccines
Dust - mold - animal dander - viral infections
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Low fiber - high calorie and protein
Successful management is based on early diagnosis and aggressive therapy

15. Test to evaluate a Seizure disorder
Family history - EEG - CBC - LP and MRI
parainfluenza - RSV - Influenza A&B - M. pneumonia
Viral---Varicella or influenza
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

16. Nursing interventions for hemophilia
Airborne and contact
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

17. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
# of stools per day - goal=2-3 stools per day
Abdominal ultrasound - Upper GI
Less than 120 f.

18. Celiac Disease
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Enteropathy caused by an insensitivity to the gluten found in wheat
10 inches
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

19. What can promote dryness in a child with enuresis?
double birth weight
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Small bowel biopsy
Abdominal ultrasound - Upper GI

20. Risk factors of tuberculosis
O2 status of blood - acid-base balance
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
12-24 days
crowded living conditions - homeless and low income

21. What is the treatment for epiglottitis?
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Hepatoxicity - pancreatitis
Mechanical Ventalation - high inhaled o2 concentration

22. Signs and symptoms of tuberculosis
Vaso-occulisive crisis - infection and sepsis
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
high protien and calorie - multivitamins - extra enzymes for high fat food

23. What is an acute otitis media?
12 years
inflammation located in the middle ear
older preschool age and young school age-believe that they have caused an event such as a sibling's illness or hospitalization is a form of punishment
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

24. Age group the limbs grow the fastest
Airborne and contact
Give freedom and choices - save battles for the important things
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
School age

25. Treatment of celiac disease
20 inches
Length Chart
glutten free diet - no wheat - rye - barley and oats - may use corn - rice - millet - multivitam - folic acid -iron. Avoid high fiber during periods of bowel inflammation
E. Coli

26. At what age is a length board required?
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
0-24 months
gum hypertrophy
Erythroblastosis Fetalis

27. Incubation period for TB
1-6 months
Regular diet with low sodium an no added salt
Rinse mouth and brush teeth
Liver Biopsy

28. Pathophysiology related to Head Trauma
Directly related to force - Acceleration-Deceleration= brain striking part of skull - Shearing force= stretching caused by unequal rate of movement of the brain tissue resulting in small tearing of the cerbral vessels
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

29. Signs and Symptoms of Asthma
Swelling or obstruction of the Larynx
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Day 3 of life

30. How many days after birth do bilirubin levels return to normal limits?
Milk - Ice cream - Malts - Grains
12-24 days
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Sterile-caused by blockage of thick mucous at the vas deferens

31. At birth - head circumference is ____ compared to chest circumference
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
larger
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Epstein Barr Virus - transmitted with intimate contact

32. Two important assessment rules related to coarctation of the aorta?
20 inches
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
13 years
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

33. Bilirubin encephalopathy
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Urethral opening is positioned below the glans penis
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

34. Signs and Symptoms of Celiac Disease
decrease in myocardial contractility - cause congestion of the circulatory system. the heart is unable to pump adequate amounts of bld to meet the bodys needs
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Day 3 of life
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

35. treatment of hemolytic disease of the newborn
10 years
Phototherapy - exchange transfusion
Small bowel biopsy
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

36. Side effects of benzodiazepines
Excessive stool fat
drooling
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
A mild self limiting condition affecting 50% of newborns because of increin - increase RBC Hemolysis - Decrease in RBC life span - decrease ability to conjugate bilirubrubin - decrease ability to excrete bilirubin in feces

37. Teaching for Mononucleosis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Enteropathy caused by an insensitivity to the gluten found in wheat

38. Pathophysiology of hirschsprung's disease
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Time and discription of seizure
used for prolonged sz's
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

39. Rheumatic Fever
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
No - it can only be controlled
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Dental procedures - gum disease and urinary tract infections

40. Clinicla manifestations of sickle cell disease
Airborne and contact
Vaso-occulisive crisis - infection and sepsis
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
high protien and calorie - multivitamins - extra enzymes for high fat food

41. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
one portion of the intestine 'telescopes' into another leading to lymphatic and venous obstruction which causes ischemia - mucous backflow into the intestine and leaking of blood into the intestine
School age
2 snacks

42. ABG
O2 status of blood - acid-base balance
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Foreskin is used during the surgical repair
< 5%

43. Etiology of GERD
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Abdominal ultrasound - Upper GI
from head to toe

44. Can Asthma be cured?
Epstein Barr Virus - transmitted with intimate contact
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
No - it can only be controlled
none

45. What confirms a positive TB infection?
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
12-24 days
chest x-ray following a Positive PPD skin test
Foreskin is used during the surgical repair

46. Childs weight at 6 months compared to birth weight
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
double birth weight
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

47. Screening for overweight or underweight child on chart
BMI chart
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
GERD is the complications and symptoms that happen because of GER
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

48. Signs and symptoms of varicella Prodromal
Directly related to force - Acceleration-Deceleration= brain striking part of skull - Shearing force= stretching caused by unequal rate of movement of the brain tissue resulting in small tearing of the cerbral vessels
Kawasaki disease - w/o treatment 25% will have permanent heart damage
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
A narrowing within the Aorta resulting in collateral circulation

49. What is used to diagnose GER?
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Regular diet with low sodium an no added salt
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
head

50. Signs of increased ICP
5ml/dl
12 years
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis