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. Males Reproductive issues for CF patients
12 years
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Length Chart
Sterile-caused by blockage of thick mucous at the vas deferens

2. Another name for Hemolytic Disease of the Newborn
Phototherapy - exchange transfusion
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Erythroblastosis Fetalis
measures the largest velocity which occurs during a forced exhale

3. Nursing care for child with seizure

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

4. Nursing care of patient with Meningitis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
3 years
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

5. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
1-6 months
Time and discription of seizure
Length Chart

6. Cephalocaudal
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
measures the largest velocity which occurs during a forced exhale
from head to toe

7. difference btwn GER and GERD
12 years
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
GERD is the complications and symptoms that happen because of GER
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

8. What Pharmalogical measures can be used to treat GERD?
>95%
Small bowel biopsy
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
head

9. What confirms a positive TB infection?
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
A narrowing within the Aorta resulting in collateral circulation
chest x-ray following a Positive PPD skin test
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

10. Treatment for Hirschsprungs
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

11. What are the four main causes of viral croup?
parainfluenza - RSV - Influenza A&B - M. pneumonia
lethargy - irritability - decrease feedings - fever - seizures
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Swelling or obstruction of the Larynx

12. What is 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
Adequate O2 adequatte hydration
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

13. Pathophysiology related to Head Trauma
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
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
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

14. Diastat rectal diazepam gel

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

15. Signs and Symptoms that indicate and adverse reaction to a vaccine
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Sterile-caused by blockage of thick mucous at the vas deferens
larger

16. At 6-24 months - head circumference is what size in relationship to chest circumference
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Equal to
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
A typical lymphocytosis - mono-spot - EBV serology

17. Signs and Symptoms of intussusception
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
crowded living conditions - homeless and low income
fever and infection
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

18. Treatment of celiac disease
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
85-95%
Mid puberty
Kawasaki disease - w/o treatment 25% will have permanent heart damage

19. Diet for CF patients
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
2 years
high protien and calorie - multivitamins - extra enzymes for high fat food
Previous history of life threatening reaction - Mod-severe illness w/wo fever

20. Precaustions needed for pt's with varicella
Airborne and contact
high protien and calorie - multivitamins - extra enzymes for high fat food
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

21. What is the treatment for epiglottitis?
2 years
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

22. How many days after birth do bilirubin levels return to normal limits?
12-24 days
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
trunk - gonads and associative tissue
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

23. Signs and symptoms of tuberculosis
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Group B Streptococcus
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

24. Age group the limbs grow the fastest
Previous history of life threatening reaction - Mod-severe illness w/wo fever
School age
double birth weight
1-6 months

25. Teaching for Mononucleosis
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

26. What can promote dryness in a child with enuresis?
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Brain damage - hearing loss and learning disabilities

27. At what age is a length board required?
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
0-24 months

28. Reyes Syndrome
hearing loss - scarring - mastoiditis - meningitis
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
chest x-ray following a Positive PPD skin test

29. Predisposing factors to subacute bacterial endocarditis
Less than 120 f.
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Dental procedures - gum disease and urinary tract infections
Urethral opening is positioned below the glans penis

30. Risk factors of tuberculosis
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
crowded living conditions - homeless and low income
fecal soiling
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

31. signs and symptoms of meningitis in older children
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

32. Diet for Hirschsprung's prior to corrction and treatment
Low fiber - high calorie and protein
used for prolonged sz's
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
>95%

33. Teaching for Croup
Between 6-12 months
12 years
birth-36 months
Cool mist therapy - encourage oral intake - s/sx of resp. distress

34. Hypospadias
Urethral opening is positioned below the glans penis
2.5 inches
13 years
chest x-ray following a Positive PPD skin test

35. Why is early diagnosis important w. Reye's Syndrome?
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Successful management is based on early diagnosis and aggressive therapy
chest x-ray following a Positive PPD skin test

36. Bilirubin encephalopathy
O2 status of blood - acid-base balance
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Time and discription of seizure
chest x-ray following a Positive PPD skin test

37. 3 main causes of Bacterial meningitis in children
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Give freedom and choices - save battles for the important things

38. What is the rate of growth each year from 3 yrs until puberty?
Liver Biopsy
2.5 inches
Between 6-12 months
head

39. Contraindications to all vaccines
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
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
Small bowel biopsy

40. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
They are people - need a balance of limits and independence
inflammation and hypersensitivity to triggers
complete physical and psychosocial assessment to rule out underlying disorders
# of stools per day - goal=2-3 stools per day

41. Signs and symptoms of neonatal meningitis
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Growth spurt
crowded living conditions - homeless and low income
Contact isolation - gown - gloves and handwashing

42. What Component of Aspirin cause's Reye's Syndrome?
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Salicylates
none
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

43. 2 factors that determine birth weight
Equal to
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
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
maternal nutrition and genetics

44. Assess the cause of enuresis
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
<25 yrs old
complete physical and psychosocial assessment to rule out underlying disorders

45. Signs and Symptoms of Asthma
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
<25 yrs old
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

46. Average Birth Length
20 inches
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
MVA - bike accidents and falls
Excessive stool fat

47. What is Cystic Fibrosis?
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Hepatoxicity - pancreatitis

48. Most cases of Reye's Syndrome follows what type of illness?
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Viral---Varicella or influenza
trunk - gonads and associative tissue

49. RSV contagious for ...
A narrowing within the Aorta resulting in collateral circulation
passage of abdominal contents to the esophagus
up to 14 days
fever and infection

50. Signs and Symptoms of mononucleosis
Salicylates
Liver Biopsy
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
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