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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. Steatorrhea
Barium enema
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
head
Excessive stool fat

2. At what age is a stadiometer required to measure linear growth?
Repeated involuntary urination in a child who should already by toilet trained at night
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
36 months
13 years

3. Temp of home water heater to avoid burns
inflammation located in the middle ear
13 years
Less than 120 f.
gum hypertrophy

4. Complications of acute otitis media
hearing loss - scarring - mastoiditis - meningitis
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Group B Streptococcus
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

5. Males Reproductive issues for CF patients
Sterile-caused by blockage of thick mucous at the vas deferens
complete physical and psychosocial assessment to rule out underlying disorders
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Time and discription of seizure

6. Complications of meningitis
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Kawasaki disease - w/o treatment 25% will have permanent heart damage
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Brain damage - hearing loss and learning disabilities

7. What Pharmalogical measures can be used to treat GERD?
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

8. Age of children at half their adult height
2 years
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Mid puberty

9. Viral Meningitis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
10 years
Triple
Low fiber - high calorie and protein

10. Clinical signs of infection wilth sickle cell disease
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
0-24 months
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
crowded living conditions - homeless and low income

11. ABG
O2 status of blood - acid-base balance
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
0-24 months
2 years

12. Sequence of resp distress
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
high protien and calorie - multivitamins - extra enzymes for high fat food
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Kawasaki disease - w/o treatment 25% will have permanent heart damage

13. Signs and symptoms of neonatal meningitis
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Repeated involuntary urination in a child who should already by toilet trained at night
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
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

14. During an abdominal assessment when should auscultation occur
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
gum hypertrophy
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

15. Kawasaki Disease
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
lethargy - irritability - decrease feedings - fever - seizures
High persistent fever for 5 days - swelling of the conjunctiva w/o drainage - inflammation of the mouth-lips-tongue - swollen red hands & feet - rash - cervical lymphadinopathy
measures the largest velocity which occurs during a forced exhale

16. Main cause of urinary tract infections
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Airborne and contact
crowded living conditions - homeless and low income
E. Coli

17. Non-pharmalogical measures to treat GER
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
diazepam - lorazapam
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Milk - Ice cream - Malts - Grains

18. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
Liver Biopsy
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
lethargy - irritability - decrease feedings - fever - seizures
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

19. Age group affected by mononucleosis
Length board standiometer
<25 yrs old
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

20. How is mononucleosis diagnosed
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
A typical lymphocytosis - mono-spot - EBV serology
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

21. Pathophysiology of cystic fibrosis
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Time and discription of seizure
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Sterile-caused by blockage of thick mucous at the vas deferens

22. Focus of adolescent discipline
Give freedom and choices - save battles for the important things
10 inches
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
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

23. Nursing care for Cystic Fibrosis
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
provide airway clearance (CPT - postural drainage - coughing & deep breathing) prevent infection - aggressively treat any infection with IV antibiotics - pt family education - adequate nutrition - psychosocial support
1-6 months
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

24. Screening for overweight or underweight child on chart
BMI chart
up to 14 days
Day 3 of life
Viral---Varicella or influenza

25. What should be observed in a case of a seizure?
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
5ml/dl
Time and discription of seizure

26. Can Asthma be cured?
No - it can only be controlled
They are people - need a balance of limits and independence
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
trunk - gonads and associative tissue

27. Reyes Syndrome
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
3 years
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

28. Why avoid circumcision in a baby with hypospadias?
Cool mist therapy - encourage oral intake - s/sx of resp. distress
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Foreskin is used during the surgical repair
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

29. What is enuresis?
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
double birth weight
Repeated involuntary urination in a child who should already by toilet trained at night
from head to toe

30. Leading cause of acquired heart disease in children
A typical lymphocytosis - mono-spot - EBV serology
parainfluenza - RSV - Influenza A&B - M. pneumonia
hearing loss - scarring - mastoiditis - meningitis
Kawasaki disease - w/o treatment 25% will have permanent heart damage

31. Treatment for sickle cell disease
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Regular diet with low sodium an no added salt
chest x-ray following a Positive PPD skin test

32. Key nursing intervention for subacute bacterial endocarditis
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
prevention - po antibiotics should be given before and after an invasive procedure
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
<25 yrs old

33. Nursing care for child with seizure

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34. Pertussis?
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Salicylates

35. What should be used for feeding a child during the post operative period following cleft palate surgery?
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

36. Age that birth length doubles
E. Coli
lethargy - irritability - decrease feedings - fever - seizures
4 years
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

37. Head circumference should be assessed until what age
Milk - Ice cream - Malts - Grains
3 years
from head to toe
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

38. Average age of breast development
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
10 years
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

39. Pathophysiology of a fever and infection with sickle cell disease
Excessive stool fat
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

40. Prevention of bronchiolitis spreading
Contact isolation - gown - gloves and handwashing
Group B Streptococcus
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
Dust - mold - animal dander - viral infections

41. Asthma inhaler - what can be done to decrease risk of thrush
diazepam - lorazapam
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Rinse mouth and brush teeth
12-24 days

42. Signs and Symptoms of Celiac Disease
Less than 120 f.
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
crowded living conditions - homeless and low income
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

43. GER (gastroesophageal reflux)
from head to toe
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
passage of abdominal contents to the esophagus
Between 6-12 months

44. S/Sx of pyloric stenosis
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
provide airway clearance (CPT - postural drainage - coughing & deep breathing) prevent infection - aggressively treat any infection with IV antibiotics - pt family education - adequate nutrition - psychosocial support
Growth spurt
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

45. Teaching for Mononucleosis
Milk - Ice cream - Malts - Grains
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

46. What is heart failure?
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
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
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

47. Term infant --Bilirubin peaks at what day of life
<25 yrs old
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Day 3 of life
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

48. Hirschsprung's Disease
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

49. Linear growth event happens in Adolescents
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Growth spurt
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

50. Predisposing factors to subacute bacterial endocarditis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
complete physical and psychosocial assessment to rule out underlying disorders
Dental procedures - gum disease and urinary tract infections
Length board standiometer