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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. Diagnose Reye's Syndrome
Liver Biopsy
chest x-ray following a Positive PPD skin test
fecal soiling
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

2. Clinical signs of infection wilth sickle cell disease
5ml/dl
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
0-24 months
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

3. Temp of home water heater to avoid burns
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Growth spurt
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Less than 120 f.

4. Age of children at half their adult height
MVA - bike accidents and falls
20 inches
Repeated involuntary urination in a child who should already by toilet trained at night
2 years

5. Side effects of dilatin hirsuitism (body hair)
gum hypertrophy
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
School age

6. Cause of bronchiolitis
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Group B Streptococcus
4 years
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

7. Treatment of Kawasaki disease
Dental procedures - gum disease and urinary tract infections
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Foreskin is used during the surgical repair
inflammation and hypersensitivity to triggers

8. Main cause of urinary tract infections
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
E. Coli
>95%
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

9. Signs and Symptoms of intussusception
Give freedom and choices - save battles for the important things
none
complete physical and psychosocial assessment to rule out underlying disorders
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

10. How is mononucleosis diagnosed
from head to toe
Time and discription of seizure
A typical lymphocytosis - mono-spot - EBV serology
Growth spurt

11. S/Sx of pyloric stenosis
poor feeding - wt loss - fatigue - develop. delays - edema
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
used for prolonged sz's

12. Males Reproductive issues for CF patients
Sterile-caused by blockage of thick mucous at the vas deferens
Urethral opening is positioned below the glans penis
< 1
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

13. Nursing care for Kawasaki Disease
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
6 months
Maternal infection - premature rupture of membranes
12 years

14. Average rate of growth for the 1st year
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
10 inches
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

15. 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
up to 14 days
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

16. 2 key factors to consider when caring for a preschooler
head
larger
They are people - need a balance of limits and independence
from head to toe

17. Where does the adolescent experience rapid growth?
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
trunk - gonads and associative tissue
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

18. Average Birth Length
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
20 inches
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

19. Viral Croup
Swelling or obstruction of the Larynx
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
2 years
up to 14 days

20. Asthma inhaler - what can be done to decrease risk of thrush
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Rinse mouth and brush teeth
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
No - it can only be controlled

21. Diastat rectal diazepam gel

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22. Causes of Bronchopulmonary Dysplasia
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
inflammation located in the middle ear
Mechanical Ventalation - high inhaled o2 concentration
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

23. At what age is a stadiometer required to measure linear growth?
larger
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
36 months
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

24. GER (gastroesophageal reflux)
passage of abdominal contents to the esophagus
Small bowel biopsy
used for prolonged sz's
high protien and calorie - multivitamins - extra enzymes for high fat food

25. Average rate of growth for the 2nd year of lif
poor feeding - wt loss - fatigue - develop. delays - edema
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
birth-36 months
5 inches

26. Teaching for Croup
Cool mist therapy - encourage oral intake - s/sx of resp. distress
passage of abdominal contents to the esophagus
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
9 months

27. Bilirubin encephalopathy
>95%
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Hepatoxicity - pancreatitis

28. Signs and Symptoms that indicate and adverse reaction to a vaccine
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Between 6-12 months

29. Contraindications to all vaccines
Adequate O2 adequatte hydration
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Give freedom and choices - save battles for the important things

30. Nursing care for Cystic Fibrosis
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
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
Excessive stool fat
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

31. Basic defect in coarctation of the aorta
Enteropathy caused by an insensitivity to the gluten found in wheat
A narrowing within the Aorta resulting in collateral circulation
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
fecal soiling

32. Age group affected by mononucleosis
up to 14 days
20 inches
Adequate O2 adequatte hydration
<25 yrs old

33. S/SX of Hirschsprungs
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
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
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

34. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Length Chart
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
GERD is the complications and symptoms that happen because of GER
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

35. Treatment of Meningitis

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36. Average age of breast development
inflammation and hypersensitivity to triggers
Barium enema
10 years
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

37. What foods are prohibited for a person with Celiac Disease?
Milk - Ice cream - Malts - Grains
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
<25 yrs old
< 1

38. Precaustions needed for pt's with varicella
Airborne and contact
Epstein Barr Virus - transmitted with intimate contact
<25 yrs old
Dental procedures - gum disease and urinary tract infections

39. Signs and Symptoms of Celiac Disease
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
from head to toe
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

40. What should be used for feeding a child during the post operative period following cleft palate surgery?
Low fiber - high calorie and protein
Length Chart
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

41. Part of the body that grows the fastest in the toddler-preschool age
trunk
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
< 1
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

42. Head circumference should be assessed until what age
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
3 years
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Dental procedures - gum disease and urinary tract infections

43. Cephalocaudal
2 snacks
double birth weight
from head to toe
used for prolonged sz's

44. S/sx of GERD
Brain damage - hearing loss and learning disabilities
MVA - bike accidents and falls
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Dust - mold - animal dander - viral infections

45. Nursing care for child with seizure

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46. Equipment used to measure a 24 to 36 month old height
Sterile-caused by blockage of thick mucous at the vas deferens
Viral---Varicella or influenza
Length board standiometer
2 years

47. Diet for Hirschsprung's prior to corrction and treatment
Dust - mold - animal dander - viral infections
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Low fiber - high calorie and protein

48. What are the S/SX of bleeds in hemophilia?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Bacteria enter the blood stream from a site of localized infection and grows in the heart
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
measures the largest velocity which occurs during a forced exhale

49. What should be observed in a case of a seizure?
Time and discription of seizure
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Family history - EEG - CBC - LP and MRI

50. Peak flow meter
measures the largest velocity which occurs during a forced exhale
< 1
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
0-24 months