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Certified Pediatric Nurse Exam

Subjects : certifications, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
hearing loss - scarring - mastoiditis - meningitis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

2. BMI - underweight
Length board standiometer
< 5%
Mid puberty
Triple

3. Pathophysiology of a fever and infection with sickle cell disease
fever and infection
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
< 5%
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

4. Average Birth Length
20 inches
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

5. Asthma
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Equal to
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
< 5%

6. What is Hemolytic Disease of the Newborn
gum hypertrophy
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
trunk
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

7. Sequence of resp distress
2 snacks
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

8. 3 main causes of Bacterial meningitis in children
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
high protien and calorie - multivitamins - extra enzymes for high fat food
< 5%

9. Nursing care of patient with Meningitis
Epstein Barr Virus - transmitted with intimate contact
Enteropathy caused by an insensitivity to the gluten found in wheat
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

10. Prevention of infection in Sickle Cell Disease
birth-36 months
Penicillin Prophylaxis (BID)
poor feeding - wt loss - fatigue - develop. delays - edema
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

11. Risk factors of tuberculosis
crowded living conditions - homeless and low income
head
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
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

12. Clinical signs of infection wilth sickle cell disease
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Abdominal ultrasound - Upper GI
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
hearing loss - scarring - mastoiditis - meningitis

13. Diagnose Intussusception by
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
Barium enema
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
10 years

14. At what age is a length board required?
0-24 months
Swelling or obstruction of the Larynx
Equal to
Length board standiometer

15. What Component of Aspirin cause's Reye's Syndrome?
1-6 months
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Salicylates
2.5 inches

16. Males Reproductive issues for CF patients
A narrowing within the Aorta resulting in collateral circulation
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Sterile-caused by blockage of thick mucous at the vas deferens
prevention - po antibiotics should be given before and after an invasive procedure

17. Pathophysiology of Acute Asthma
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Swelling of the airways - mucous production - bronchospasms
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
< 5%

18. At 6-24 months - head circumference is what size in relationship to chest circumference
9 months
Dust - mold - animal dander - viral infections
12-24 days
Equal to

19. treatment of intussusception
5ml/dl
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Adequate O2 adequatte hydration
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

20. At what age is a stadiometer required to measure linear growth?
Low fiber - high calorie and protein
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
85-95%
36 months

21. What is epiglottitis?
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
from trunk to extremities
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
crowded living conditions - homeless and low income

22. 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
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Excessive stool fat
Previous history of life threatening reaction - Mod-severe illness w/wo fever

23. Pertussis?
Adequate O2 adequatte hydration
parainfluenza - RSV - Influenza A&B - M. pneumonia
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

24. Part of body that grows the fastest in infancy
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Brain damage - hearing loss and learning disabilities
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
head

25. What is an acute otitis media?
inflammation located in the middle ear
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Day 3 of life

26. Treatment and nursing care for pertussis
10 inches
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Contact isolation - gown - gloves and handwashing
Triple

27. Signs and Symptoms of mononucleosis
2 years
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

28. Assessment of a patient with suspected epiglottitis
Successful management is based on early diagnosis and aggressive therapy
No - it can only be controlled
Swelling of the airways - mucous production - bronchospasms
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

29. Head circumference should be assessed until what age
Swelling of the airways - mucous production - bronchospasms
3 years
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
Excessive stool fat

30. What confirms a positive TB infection?
inflammation located in the middle ear
3 years
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
chest x-ray following a Positive PPD skin test

31. Signs and Symptoms of Asthma
Swelling or obstruction of the Larynx
1-6 months
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
larger

32. Two examples of benzodiazepines
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
diazepam - lorazapam
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
5ml/dl

33. ABG
36 months
O2 status of blood - acid-base balance
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Adequate O2 adequatte hydration

34. S/sx of GERD
passage of abdominal contents to the esophagus
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
parainfluenza - RSV - Influenza A&B - M. pneumonia
Enteropathy caused by an insensitivity to the gluten found in wheat

35. What are development considerations for hemophilia?
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
used for prolonged sz's
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

36. How many meals and snacks should a 1-3 yr old have in a day 3 meals
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
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
10 years
2 snacks

37. S/Sx of pyloric stenosis
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
drooling
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

38. What Pharmalogical measures can be used to treat GERD?
fever and infection
Swelling of the airways - mucous production - bronchospasms
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

39. Why is early diagnosis important w. Reye's Syndrome?
Successful management is based on early diagnosis and aggressive therapy
Salicylates
20 inches
Contact isolation - gown - gloves and handwashing

40. What promotes unsickling of RBC's?
Adequate O2 adequatte hydration
School age
diazepam - lorazapam
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

41. first tooth
6 months
Brain damage - hearing loss and learning disabilities
Liver Biopsy
double birth weight

42. Two important assessment rules related to coarctation of the aorta?
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Length Chart
MVA - bike accidents and falls
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

43. What is enuresis?
from trunk to extremities
Repeated involuntary urination in a child who should already by toilet trained at night
Sterile-caused by blockage of thick mucous at the vas deferens
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

44. What is the rate of growth each year from 3 yrs until puberty?
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
used for prolonged sz's
2.5 inches
Less than 120 f.

45. Leading cause of acquired heart disease in children
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
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
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Kawasaki disease - w/o treatment 25% will have permanent heart damage

46. Linear growth event happens in Adolescents
Less than 120 f.
<25 yrs old
Growth spurt
Contact isolation - gown - gloves and handwashing

47. Nursing care of the infant with pyloric stenosis
They are people - need a balance of limits and independence
Dust - mold - animal dander - viral infections
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

48. Bilirubin encephalopathy
10 inches
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
13 years
GERD is the complications and symptoms that happen because of GER

49. GER (gastroesophageal reflux)
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
passage of abdominal contents to the esophagus

50. Leading cause of bacterial meningitis in Neonates
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Group B Streptococcus

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Certified Pediatric Nurse Exam

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