Test your basic knowledge |

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. Clinicla manifestations of sickle cell disease
Vaso-occulisive crisis - infection and sepsis
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Phototherapy - exchange transfusion

2. Risk factors of tuberculosis
crowded living conditions - homeless and low income
# of stools per day - goal=2-3 stools per day
Give freedom and choices - save battles for the important things
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

3. Teaching for RSV
Penicillin Prophylaxis (BID)
Growth spurt
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

4. Nursing care for Kawasaki Disease
Growth spurt
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

5. Clinical signs of infection wilth sickle cell disease
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
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
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

6. Signs of increased ICP
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Barium enema
4 years
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

7. At what age is a stadiometer required to measure linear growth?
measures the largest velocity which occurs during a forced exhale
36 months
Mechanical Ventalation - high inhaled o2 concentration
inflammation located in the middle ear

8. GER (gastroesophageal reflux)
passage of abdominal contents to the esophagus
Airborne and contact
MVA - bike accidents and falls
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

9. Diastat rectal diazepam gel

10. Prevention of infection in Sickle Cell Disease
Penicillin Prophylaxis (BID)
Low fiber - high calorie and protein
Liver Biopsy
Epstein Barr Virus - transmitted with intimate contact

11. Post Op treatment of a VP shunt
Contact isolation - gown - gloves and handwashing
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
No - it can only be controlled

12. Age of children at half their adult height
2 years
Sterile-caused by blockage of thick mucous at the vas deferens
5 inches
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

13. Pathophysiology of a fever and infection with sickle cell disease
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
# of stools per day - goal=2-3 stools per day
Repeated involuntary urination in a child who should already by toilet trained at night
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

14. Asthma
0-24 months
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
2 years
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

15. Assessment of a patient with suspected epiglottitis
Erythroblastosis Fetalis
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Dust - mold - animal dander - viral infections
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

16. Signs and symptoms of neonatal meningitis
36 months
Mechanical Ventalation - high inhaled o2 concentration
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

17. Asthma inhaler - what can be done to decrease risk of thrush
used for prolonged sz's
>95%
Rinse mouth and brush teeth
Airborne and contact

18. What are the S/SX of bleeds in hemophilia?
maternal nutrition and genetics
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
gum hypertrophy

19. Nursing care of patient with Meningitis
Contact isolation - gown - gloves and handwashing
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Length board standiometer

20. Screening for overweight or underweight child on chart
BMI chart
Length Chart
Between 6-12 months
Vaso-occulisive crisis - infection and sepsis

21. Diagnose Intussusception by
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
trunk
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Barium enema

22. Another name for Hemolytic Disease of the Newborn
Adequate O2 adequatte hydration
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Erythroblastosis Fetalis
inflammation located in the middle ear

23. Females reproductive issues for CF patients
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
hearing loss - scarring - mastoiditis - meningitis
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities

24. What interventions prevent urinary tract infections?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Barium enema
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

25. Why is early diagnosis important w. Reye's Syndrome?
Urethral opening is positioned below the glans penis
lethargy - irritability - decrease feedings - fever - seizures
Successful management is based on early diagnosis and aggressive therapy
4 years

26. Treatment of celiac disease
none
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
Group B Streptococcus
0-24 months

27. Assess the cause of enuresis
complete physical and psychosocial assessment to rule out underlying disorders
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Successful management is based on early diagnosis and aggressive therapy

28. BMI- overweight
>95%
Family history - EEG - CBC - LP and MRI
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
<25 yrs old

29. Define Proximodistal
from trunk to extremities
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
parainfluenza - RSV - Influenza A&B - M. 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

30. Part of body that grows the fastest in infancy
head
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
trunk
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

31. S/Sx of pyloric stenosis
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
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

32. Contraindications to all vaccines
Previous history of life threatening reaction - Mod-severe illness w/wo fever
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
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

33. Puberty for boys
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
12 years
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

34. What is an acute otitis media?
diazepam - lorazapam
5ml/dl
Sterile-caused by blockage of thick mucous at the vas deferens
inflammation located in the middle ear

35. Main cause of urinary tract infections
No - it can only be controlled
E. Coli
Give freedom and choices - save battles for the important things
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

36. Signs and Symptoms of mononucleosis
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
10 inches
Time and discription of seizure
Milk - Ice cream - Malts - Grains

37. BMI - underweight
0-24 months
< 5%
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

38. Part of the body that grows the fastest in the toddler-preschool age
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
A typical lymphocytosis - mono-spot - EBV serology
E. Coli
trunk

39. Kawasaki Disease
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
1-6 months
Salicylates
passage of abdominal contents to the esophagus

40. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Sterile-caused by blockage of thick mucous at the vas deferens
2 years
Length Chart
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

41. Signs and Symptoms of Hemolytic Disease of the newborn
Equal to
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

42. What level does the bilirubin need to be at in order for jaundice to occur?
5ml/dl
2.5 inches
lethargy - irritability - decrease feedings - fever - seizures
trunk - gonads and associative tissue

43. Teaching for Mononucleosis
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
< 5%
2 snacks

44. Diet for a child with glumerlonephritis
from head to toe
Erythroblastosis Fetalis
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Regular diet with low sodium an no added salt

45. 2 factors that determine birth weight
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
maternal nutrition and genetics
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
lethargy - irritability - decrease feedings - fever - seizures

46. Predisposing factors to subacute bacterial endocarditis
GERD is the complications and symptoms that happen because of GER
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
4 years
Dental procedures - gum disease and urinary tract infections

47. difference btwn GER and GERD
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
GERD is the complications and symptoms that happen because of GER
Abdominal ultrasound - Upper GI
maternal nutrition and genetics

48. Cephalocaudal
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
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
from head to toe
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

49. What occurs in a subacute baterial endocarditis?
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Hepatoxicity - pancreatitis
Regular diet with low sodium an no added salt
Bacteria enter the blood stream from a site of localized infection and grows in the heart

50. Two important assessment rules related to coarctation of the aorta?
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Excessive stool fat
Milk - Ice cream - Malts - Grains