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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. Treatment for Varicella
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Vaso-occulisive crisis - infection and sepsis
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
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

2. Diagnose Reye's Syndrome
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Excessive stool fat
# of stools per day - goal=2-3 stools per day
Liver Biopsy

3. Teaching for RSV
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
13 years
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

4. What can promote dryness in a child with enuresis?
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
A typical lymphocytosis - mono-spot - EBV serology
Dust - mold - animal dander - viral infections
Salicylates

5. Considerations should be taken when treating a child with cystic fibrosis who has a ___________ tx promptly since bacterial colonization increases destruction of lung tissue----prevention is key
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
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
E. Coli
fever and infection

6. During an abdominal assessment when should auscultation occur
Urethral opening is positioned below the glans penis
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Length Chart

7. Puberty for boys
larger
12 years
12-24 days
>95%

8. What occurs in a subacute baterial endocarditis?
An Acute inflamation of the meninges and CSF often caused by Enterovirus
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
Brain damage - hearing loss and learning disabilities
Bacteria enter the blood stream from a site of localized infection and grows in the heart

9. How does pertussis present?
Urethral opening is positioned below the glans penis
A typical lymphocytosis - mono-spot - EBV serology
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

10. S/SX of Hirschsprungs
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
2 years
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

11. Pathophysiology of hirschsprung's 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
Less than 120 f.
An Acute inflamation of the meninges and CSF often caused by Enterovirus
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

12. Signs of increased ICP
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
gum hypertrophy

13. Childs weight at 6 months compared to birth weight
double birth weight
head
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

14. Signs and Symptoms that indicate and adverse reaction to a vaccine
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
lethargy - irritability - decrease feedings - fever - seizures
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

15. Most cases of Reye's Syndrome follows what type of illness?
head
Growth spurt
Viral---Varicella or influenza
used for prolonged sz's

16. How many days after birth do bilirubin levels return to normal limits?
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Equal to
12-24 days

17. Age that birth length doubles
4 years
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
chest x-ray following a Positive PPD skin test
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

18. What is an acute otitis media?
2.5 inches
< 5%
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
inflammation located in the middle ear

19. Normal presentation of cystic fibrosis
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

20. Why avoid circumcision in a baby with hypospadias?
none
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Foreskin is used during the surgical repair
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

21. Age of children at half their adult height
10 inches
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
1-6 months
2 years

22. What is the treatment for epiglottitis?
Vaso-occulisive crisis - infection and sepsis
Give freedom and choices - save battles for the important things
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

23. Signs and symptoms of Reye's Syndrome
Enteropathy caused by an insensitivity to the gluten found in wheat
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
fever and infection

24. Lead screening should begin. at ..
9 months
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

25. What is Cystic Fibrosis?
poor feeding - wt loss - fatigue - develop. delays - edema
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

26. At what age is a stadiometer required to measure linear growth?
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
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
36 months

27. What interventions prevent urinary tract infections?
Enteropathy caused by an insensitivity to the gluten found in wheat
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
13 years
Growth spurt

28. Normal Bilirubin
12 years
< 1
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

29. Assess the cause of enuresis
# of stools per day - goal=2-3 stools per day
complete physical and psychosocial assessment to rule out underlying disorders
Airborne and contact
0-24 months

30. signs and symptoms of meningitis in older children
Erythroblastosis Fetalis
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
9 months
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

31. Reyes Syndrome
Successful management is based on early diagnosis and aggressive therapy
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Low fiber - high calorie and protein
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

32. What confirms a positive TB infection?
Successful management is based on early diagnosis and aggressive therapy
double birth weight
chest x-ray following a Positive PPD skin test
Family history - EEG - CBC - LP and MRI

33. Equipment used to measure a 24 to 36 month old height
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Maternal infection - premature rupture of membranes
Length board standiometer
10 years

34. 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
lethargy - irritability - decrease feedings - fever - seizures
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Cool mist therapy - encourage oral intake - s/sx of resp. distress

35. Term infant --Bilirubin peaks at what day of life
Day 3 of life
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
Length Chart
>95%

36. treatment of intussusception
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Low fiber - high calorie and protein
MVA - bike accidents and falls
Dental procedures - gum disease and urinary tract infections

37. first tooth
gum hypertrophy
prevention - po antibiotics should be given before and after an invasive procedure
10 years
6 months

38. Contraindications to all vaccines
Low fiber - high calorie and protein
Length board standiometer
Previous history of life threatening reaction - Mod-severe illness w/wo fever
from head to toe

39. Causes of Bronchopulmonary Dysplasia
Mechanical Ventalation - high inhaled o2 concentration
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
2.5 inches

40. Sequence of resp distress
lethargy - irritability - decrease feedings - fever - seizures
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Erythroblastosis Fetalis
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

41. What Component of Aspirin cause's Reye's Syndrome?
Mid puberty
A narrowing within the Aorta resulting in collateral circulation
Salicylates
larger

42. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
2 snacks
Length Chart
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Bacteria enter the blood stream from a site of localized infection and grows in the heart

43. Predisposing factors to subacute bacterial endocarditis
Dental procedures - gum disease and urinary tract infections
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
12 years

44. Asthma
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
measures the largest velocity which occurs during a forced exhale

45. Cause of bronchiolitis
measures the largest velocity which occurs during a forced exhale
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
13 years

46. Varicella communicable
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Previous history of life threatening reaction - Mod-severe illness w/wo fever
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Equal to

47. Diet for Hirschsprung's prior to corrction and treatment
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
complete physical and psychosocial assessment to rule out underlying disorders
Low fiber - high calorie and protein

48. What is enuresis?
0-24 months
Repeated involuntary urination in a child who should already by toilet trained at night
Airborne and contact
Penicillin Prophylaxis (BID)

49. Common Asthma irritants
1-6 months
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Dust - mold - animal dander - viral infections

50. S/Sx of pyloric stenosis
Abdominal ultrasound - Upper GI
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing