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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. Signs and symptoms of Reye's Syndrome
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Give freedom and choices - save battles for the important things
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

2. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

3. Why avoid circumcision in a baby with hypospadias?
Mechanical Ventalation - high inhaled o2 concentration
Foreskin is used during the surgical repair
5ml/dl
used for prolonged sz's

4. Varicella communicable
Day 3 of life
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Vaso-occulisive crisis - infection and sepsis
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

5. Age group affected by mononucleosis
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
<25 yrs old
used for prolonged sz's
fecal soiling

6. Key nursing intervention for subacute bacterial endocarditis
prevention - po antibiotics should be given before and after an invasive procedure
GERD is the complications and symptoms that happen because of GER
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Low fiber - high calorie and protein

7. Age of children at half their adult height
9 months
prevention - po antibiotics should be given before and after an invasive procedure
2 years
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

8. Average Birth Length
Urethral opening is positioned below the glans penis
20 inches
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
E. Coli

9. Why is early diagnosis important w. Reye's Syndrome?
Maternal infection - premature rupture of membranes
<25 yrs old
Successful management is based on early diagnosis and aggressive therapy
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities

10. What should be observed in a case of a seizure?
O2 status of blood - acid-base balance
Time and discription of seizure
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
5 inches

11. Nursing care of the infant with pyloric stenosis
none
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Foreskin is used during the surgical repair
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

12. Part of body that grows the fastest in infancy
head
diazepam - lorazapam
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
E. Coli

13. At what age is a length board required?
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
0-24 months

14. What is Cystic Fibrosis?
>95%
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
2.5 inches

15. Age group the limbs grow the fastest
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
trunk - gonads and associative tissue
School age

16. Females reproductive issues for CF patients
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
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
fecal soiling
inflammation and hypersensitivity to triggers

17. Asthma
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Less than 120 f.
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

18. Cephalocaudal
from head to toe
gum hypertrophy
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Family history - EEG - CBC - LP and MRI

19. Bronchiolitis
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
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
2 years

20. What has the HIB vaccine been successful in reducing?
double birth weight
Time and discription of seizure
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

21. Signs and Symptoms of Celiac Disease
Mechanical Ventalation - high inhaled o2 concentration
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Equal to
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

22. Signs and Symptoms of mononucleosis
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
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Low fiber - high calorie and protein

23. Nursing care for a child with Reye's Syndrome
lethargy - irritability - decrease feedings - fever - seizures
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
< 5%
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

24. Celiac Disease
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
poor feeding - wt loss - fatigue - develop. delays - edema
Enteropathy caused by an insensitivity to the gluten found in wheat
double birth weight

25. What is an acute otitis media?
Dental procedures - gum disease and urinary tract infections
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
inflammation located in the middle ear
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

26. Growth spurt for adolescent boys
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Barium enema
Mid puberty
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

27. Non-pharmalogical measures to treat GER
Triple
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
poor feeding - wt loss - fatigue - develop. delays - edema

28. Temp of home water heater to avoid burns
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Less than 120 f.
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

29. Pathophysiology of celiac disease
85-95%
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

30. Signs and Symptoms of Asthma
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
inflammation and hypersensitivity to triggers

31. Most cases of Reye's Syndrome follows what type of illness?
Triple
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Viral---Varicella or influenza
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

32. Clinical signs of infection wilth sickle cell disease
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
85-95%
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

33. Diet for a child with glumerlonephritis
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
They are people - need a balance of limits and independence
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Regular diet with low sodium an no added salt

34. What are the S/SX of bleeds in hemophilia?
< 5%
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Low fiber - high calorie and protein
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

35. GER (gastroesophageal reflux)
Erythroblastosis Fetalis
Epstein Barr Virus - transmitted with intimate contact
trunk
passage of abdominal contents to the esophagus

36. What foods are prohibited for a person with Celiac Disease?
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
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
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Milk - Ice cream - Malts - Grains

37. What is enuresis?
Length board standiometer
Repeated involuntary urination in a child who should already by toilet trained at night
Foreskin is used during the surgical repair
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

38. What is Pyloric stenosis?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
5ml/dl
GERD is the complications and symptoms that happen because of GER

39. Normal Bilirubin
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Vaso-occulisive crisis - infection and sepsis
< 1

40. BMI-@ risk for overweight
85-95%
Previous history of life threatening reaction - Mod-severe illness w/wo fever
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Kawasaki disease - w/o treatment 25% will have permanent heart damage

41. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
12-24 days
Length board standiometer
Length Chart
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

42. Assess the cause of enuresis
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
complete physical and psychosocial assessment to rule out underlying disorders
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
12 years

43. Treatment for Hirschsprungs
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Adequate O2 adequatte hydration
gum hypertrophy
Equal to

44. Sickle Cell Disease
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
< 5%
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

45. Peak flow meter
measures the largest velocity which occurs during a forced exhale
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Group B Streptococcus

46. Nursing care for child with seizure

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47. Where does the adolescent experience rapid growth?
trunk - gonads and associative tissue
Equal to
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
36 months

48. During an abdominal assessment when should auscultation occur
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Dust - mold - animal dander - viral infections
Regular diet with low sodium an no added salt

49. Teaching for Croup
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Cool mist therapy - encourage oral intake - s/sx of resp. distress
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

50. Viral Meningitis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Length Chart
drooling