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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. S/sx of GERD
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Length Chart
GERD is the complications and symptoms that happen because of GER
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

2. What is epiglottitis?
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Time and discription of seizure
crowded living conditions - homeless and low income
Triple

3. Asthma inhaler - what can be done to decrease risk of thrush
Milk - Ice cream - Malts - Grains
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Group B Streptococcus
Rinse mouth and brush teeth

4. Two important assessment rules related to coarctation of the aorta?
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
larger
Swelling or obstruction of the Larynx
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

5. Average rate of growth for the 2nd year of lif
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
5 inches
fecal soiling
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

6. GER (gastroesophageal reflux)
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
passage of abdominal contents to the esophagus

7. At what age is a length board required?
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Growth spurt
trunk - gonads and associative tissue
0-24 months

8. What is the cause of mononucleosis and its method of transmission?
Epstein Barr Virus - transmitted with intimate contact
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

9. Signs and Symptoms of mononucleosis
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
GERD is the complications and symptoms that happen because of GER
O2 status of blood - acid-base balance

10. What is heart failure?
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Liver Biopsy
Excessive stool fat
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

11. Signs and Symptoms of intussusception
Swelling of the airways - mucous production - bronchospasms
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

12. What are the S/SX of bleeds in hemophilia?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Maternal infection - premature rupture of membranes
Successful management is based on early diagnosis and aggressive therapy

13. Risk factors of tuberculosis
up to 14 days
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Rinse mouth and brush teeth
crowded living conditions - homeless and low income

14. Treatment of Meningitis

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15. Linear growth event happens in Adolescents
Growth spurt
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
1-6 months
A narrowing within the Aorta resulting in collateral circulation

16. What should be observed in a case of a seizure?
Time and discription of seizure
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
5ml/dl
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

17. How does pertussis present?
Regular diet with low sodium an no added salt
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
diazepam - lorazapam
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

18. Treatment and nursing care for pertussis
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Repeated involuntary urination in a child who should already by toilet trained at night
Group B Streptococcus
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

19. Most cases of Reye's Syndrome follows what type of illness?
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Viral---Varicella or influenza
Vaso-occulisive crisis - infection and sepsis

20. What are development considerations for hemophilia?
GERD is the complications and symptoms that happen because of GER
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
prevention - po antibiotics should be given before and after an invasive procedure
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

21. Where does the adolescent experience rapid growth?
Hepatoxicity - pancreatitis
larger
trunk - gonads and associative tissue
6 months

22. Why is early diagnosis important w. Reye's Syndrome?
Excessive stool fat
from trunk to extremities
Successful management is based on early diagnosis and aggressive therapy
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

23. Rheumatic Fever
Viral---Varicella or influenza
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Low fiber - high calorie and protein

24. What is Pyloric stenosis?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Bacteria enter the blood stream from a site of localized infection and grows in the heart
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities

25. Side effects of dilatin hirsuitism (body hair)
Previous history of life threatening reaction - Mod-severe illness w/wo fever
gum hypertrophy
passage of abdominal contents to the esophagus
Successful management is based on early diagnosis and aggressive therapy

26. 2 key factors to consider when caring for a preschooler
Regular diet with low sodium an no added salt
They are people - need a balance of limits and independence
Erythroblastosis Fetalis
Dust - mold - animal dander - viral infections

27. Signs and Symptoms of Celiac Disease
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
head
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

28. 3 symptoms of coarctation of the aorta
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Regular diet with low sodium an no added salt
# of stools per day - goal=2-3 stools per day
Adequate O2 adequatte hydration

29. What is broncho-pulmonary dysplasia?
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
12 years
Erythroblastosis Fetalis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

30. Nursing care for Kawasaki Disease
double birth weight
Length board standiometer
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

31. RSV contagious for ...
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
up to 14 days
20 inches
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

32. Part of body that grows the fastest in infancy
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
head
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

33. Leading cause of bacterial meningitis in Neonates
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Group B Streptococcus
drooling

34. How is mononucleosis diagnosed
A typical lymphocytosis - mono-spot - EBV serology
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
>95%

35. Age group affected by mononucleosis
Liver Biopsy
drooling
Sterile-caused by blockage of thick mucous at the vas deferens
<25 yrs old

36. ABG
O2 status of blood - acid-base balance
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
measures the largest velocity which occurs during a forced exhale
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

37. When does the surgery to correct hypospadias usually occur?
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Between 6-12 months

38. Nursing care of patient with Meningitis
20 inches
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
drooling
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

39. Average Birth Length
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
20 inches
fever and infection
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

40. Growth spurt for adolescent boys
10 years
10 inches
Mid puberty
from head to toe

41. Etiology of GERD
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
none
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

42. Prevention of infection in Sickle Cell Disease
They are people - need a balance of limits and independence
A narrowing within the Aorta resulting in collateral circulation
Penicillin Prophylaxis (BID)
inflammation located in the middle ear

43. Post Op treatment of a VP shunt
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Mid puberty
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

44. Define Proximodistal
from trunk to extremities
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
inflammation and hypersensitivity to triggers
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

45. Clinical signs of infection wilth sickle cell disease
Brain damage - hearing loss and learning disabilities
from head to toe
1-6 months
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

46. Pertussis?
Kawasaki disease - w/o treatment 25% will have permanent heart damage
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
from head to toe
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

47. Average age of breast development
Time and discription of seizure
10 years
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
prevention - po antibiotics should be given before and after an invasive procedure

48. What is the rate of growth each year from 3 yrs until puberty?
Between 6-12 months
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
2.5 inches
Maternal infection - premature rupture of membranes

49. Nursing care of the infant with pyloric stenosis
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
9 months
Give freedom and choices - save battles for the important things
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

50. Varicella communicable
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
inflammation located in the middle ear
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)