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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. Nursing care of patient with Meningitis
Urethral opening is positioned below the glans penis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Mechanical Ventalation - high inhaled o2 concentration
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

2. Signs and Symptoms of mononucleosis
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
from head to toe
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
5 inches

3. Females reproductive issues for CF patients
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
12 years
Length board standiometer
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

4. Kawasaki Disease
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
They are people - need a balance of limits and independence
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
2 years

5. Risk factors of tuberculosis
10 inches
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
crowded living conditions - homeless and low income
0-24 months

6. Pathophysiology of Acute Asthma
Swelling of the airways - mucous production - bronchospasms
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
inflammation located in the middle ear
10 inches

7. Teaching for RSV
high protien and calorie - multivitamins - extra enzymes for high fat food
Brain damage - hearing loss and learning disabilities
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
1-6 months

8. Signs and symptoms of varicella Prodromal
Milk - Ice cream - Malts - Grains
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

9. What is Pyloric stenosis?
Swelling of the airways - mucous production - bronchospasms
Between 6-12 months
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

10. Can Asthma be cured?
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
complete physical and psychosocial assessment to rule out underlying disorders
parainfluenza - RSV - Influenza A&B - M. pneumonia
No - it can only be controlled

11. treatment of hemolytic disease of the newborn
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Phototherapy - exchange transfusion
>95%
No - it can only be controlled

12. BMI- overweight
gum hypertrophy
>95%
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
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

13. Prevention of infection in Sickle Cell Disease
Penicillin Prophylaxis (BID)
fecal soiling
Swelling or obstruction of the Larynx
Foreskin is used during the surgical repair

14. Equipment used to measure a 24 to 36 month old height
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
0-24 months
Length board standiometer
poor feeding - wt loss - fatigue - develop. delays - edema

15. Sickle Cell Disease
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Swelling or obstruction of the Larynx

16. Nursing interventions for hemophilia
from trunk to extremities
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Time and discription of seizure

17. What Component of Aspirin cause's Reye's Syndrome?
Salicylates
head
drooling
poor feeding - wt loss - fatigue - develop. delays - edema

18. Cause of bronchiolitis
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Swelling or obstruction of the Larynx
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

19. Assess the cause of enuresis
complete physical and psychosocial assessment to rule out underlying disorders
Between 6-12 months
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
An Acute inflamation of the meninges and CSF often caused by Enterovirus

20. What is the cause of mononucleosis and its method of transmission?
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Epstein Barr Virus - transmitted with intimate contact
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

21. Post Op treatment of a VP shunt
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Enteropathy caused by an insensitivity to the gluten found in wheat
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

22. 2 factors that determine birth weight
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
maternal nutrition and genetics
poor feeding - wt loss - fatigue - develop. delays - edema
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

23. Why is early diagnosis important w. Reye's Syndrome?
Regular diet with low sodium an no added salt
3 years
Successful management is based on early diagnosis and aggressive therapy
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

24. At what age is a length board required?
0-24 months
Abdominal ultrasound - Upper GI
E. Coli
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

25. Age group affected by mononucleosis
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
<25 yrs old
drooling
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

26. Why avoid circumcision in a baby with hypospadias?
Erythroblastosis Fetalis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Foreskin is used during the surgical repair
inflammation and hypersensitivity to triggers

27. Pathophysiology of hirschsprung's disease
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Milk - Ice cream - Malts - Grains
used for prolonged sz's
prevention - po antibiotics should be given before and after an invasive procedure

28. Childs weight at 6 months compared to birth weight
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
Kawasaki disease - w/o treatment 25% will have permanent heart damage
double birth weight
Length Chart

29. Another name for Hemolytic Disease of the Newborn
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Erythroblastosis Fetalis
passage of abdominal contents to the esophagus
Low fiber - high calorie and protein

30. Reyes Syndrome
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Abdominal ultrasound - Upper GI
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

31. Average Birth Length
20 inches
Milk - Ice cream - Malts - Grains
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
A narrowing within the Aorta resulting in collateral circulation

32. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Successful management is based on early diagnosis and aggressive therapy
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
O2 status of blood - acid-base balance
up to 14 days

33. Leading cause of acquired heart disease in children
Length board standiometer
Kawasaki disease - w/o treatment 25% will have permanent heart damage
head
Mid puberty

34. Treatment of a bleed in hemophilia
Mechanical Ventalation - high inhaled o2 concentration
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Maternal infection - premature rupture of membranes
Barium enema

35. Neonatal Jaundice
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Milk - Ice cream - Malts - Grains
Group B Streptococcus
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

36. What is epiglottitis?
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Foreskin is used during the surgical repair
2 snacks
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

37. Pathophysiology of cystic fibrosis
Airborne and contact
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
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

38. Define Magical thinking

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39. Causes of Bronchopulmonary Dysplasia
from trunk to extremities
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
<25 yrs old
Mechanical Ventalation - high inhaled o2 concentration

40. Treatment for Varicella
Contact isolation - gown - gloves and handwashing
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
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

41. Nursing care for a child with Reye's Syndrome
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
maternal nutrition and genetics
Group B Streptococcus
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

42. Pertussis?
A narrowing within the Aorta resulting in collateral circulation
>95%
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

43. What is the treatment for epiglottitis?
none
Dental procedures - gum disease and urinary tract infections
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

44. Average rate of growth for the 1st year
Give freedom and choices - save battles for the important things
10 inches
Dust - mold - animal dander - viral infections
Swelling of the airways - mucous production - bronchospasms

45. first tooth
No - it can only be controlled
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
6 months

46. What promotes unsickling of RBC's?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
parainfluenza - RSV - Influenza A&B - M. pneumonia
Triple
Adequate O2 adequatte hydration

47. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
# of stools per day - goal=2-3 stools per day
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Brain damage - hearing loss and learning disabilities
measures the largest velocity which occurs during a forced exhale

48. Normal presentation of cystic fibrosis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
10 years
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

49. Nursing care of the infant with pyloric stenosis
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
2.5 inches
trunk - gonads and associative tissue
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

50. What is Cystic Fibrosis?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
poor feeding - wt loss - fatigue - develop. delays - edema
Length board standiometer