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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. Part of the body that grows the fastest in the toddler-preschool age
trunk
Erythroblastosis Fetalis
Dental procedures - gum disease and urinary tract infections
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

2. Normal presentation of cystic fibrosis
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
inflammation and hypersensitivity to triggers
double birth weight
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

3. Pathophysiology of intussusception

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4. Hypospadias
Urethral opening is positioned below the glans penis
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
measures the largest velocity which occurs during a forced exhale
MVA - bike accidents and falls

5. At birth - head circumference is ____ compared to chest circumference
larger
Sterile-caused by blockage of thick mucous at the vas deferens
Family history - EEG - CBC - LP and MRI
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

6. What are major risk factors for neonatal meningitis?
Maternal infection - premature rupture of membranes
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
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
Dental procedures - gum disease and urinary tract infections

7. Diet for Hirschsprung's prior to corrction and treatment
drooling
Day 3 of life
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Low fiber - high calorie and protein

8. How is mononucleosis diagnosed
poor feeding - wt loss - fatigue - develop. delays - edema
used for prolonged sz's
Swelling or obstruction of the Larynx
A typical lymphocytosis - mono-spot - EBV serology

9. What interventions prevent urinary tract infections?
high protien and calorie - multivitamins - extra enzymes for high fat food
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
Foreskin is used during the surgical repair
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

10. Sickle Cell Disease
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
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
passage of abdominal contents to the esophagus
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

11. What is used to diagnose pyloric stenosis?
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Abdominal ultrasound - Upper GI
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
A typical lymphocytosis - mono-spot - EBV serology

12. Signs of heart failure
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
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
poor feeding - wt loss - fatigue - develop. delays - edema
Swelling of the airways - mucous production - bronchospasms

13. Focus of adolescent discipline
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Give freedom and choices - save battles for the important things
9 months

14. Two examples of benzodiazepines
hearing loss - scarring - mastoiditis - meningitis
85-95%
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
diazepam - lorazapam

15. Treatment of Kawasaki disease
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
inflammation located in the middle ear
>95%

16. What occurs in a subacute baterial endocarditis?
Triple
from trunk to extremities
Bacteria enter the blood stream from a site of localized infection and grows in the heart
10 inches

17. Diet for a child with glumerlonephritis
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Foreskin is used during the surgical repair
1-6 months
Regular diet with low sodium an no added salt

18. difference btwn GER and GERD
double birth weight
Dental procedures - gum disease and urinary tract infections
GERD is the complications and symptoms that happen because of GER
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

19. What should be done to minimize the risks of Sudden infant death syndrome?
< 5%
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Triple

20. Screening for overweight or underweight child on chart
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
BMI chart
3 years
Urethral opening is positioned below the glans penis

21. Signs of increased ICP
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Excessive stool fat
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

22. Bronchiolitis
Bacteria enter the blood stream from a site of localized infection and grows in the heart
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Small bowel biopsy
Milk - Ice cream - Malts - Grains

23. At 6-24 months - head circumference is what size in relationship to chest circumference
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
36 months
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Equal to

24. Assessment of a patient with suspected epiglottitis
GERD is the complications and symptoms that happen because of GER
< 5%
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

25. Complications of acute otitis media
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
from head to toe
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
hearing loss - scarring - mastoiditis - meningitis

26. Etiology of GERD
4 years
parainfluenza - RSV - Influenza A&B - M. pneumonia
Salicylates
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

27. Assess the cause of enuresis
Liver Biopsy
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
measures the largest velocity which occurs during a forced exhale
complete physical and psychosocial assessment to rule out underlying disorders

28. S/SX of Hirschsprungs
A typical lymphocytosis - mono-spot - EBV serology
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
0-24 months
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

29. Average age of menarche
GERD is the complications and symptoms that happen because of GER
13 years
12-24 days
2 years

30. Nursing care for Kawasaki Disease
Airborne and contact
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

31. Incubation period for TB
Salicylates
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
O2 status of blood - acid-base balance
1-6 months

32. Nursing care of patient with Meningitis
high protien and calorie - multivitamins - extra enzymes for high fat food
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

33. What is the cause of mononucleosis and its method of transmission?
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
36 months
Epstein Barr Virus - transmitted with intimate contact

34. Signs and symptoms of neonatal meningitis
O2 status of blood - acid-base balance
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

35. Average Birth Length
20 inches
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
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
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

36. What can promote dryness in a child with enuresis?
Give freedom and choices - save battles for the important things
Penicillin Prophylaxis (BID)
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

37. What are development considerations for hemophilia?
< 1
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

38. What is Hemolytic Disease of the Newborn
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
4 years
chest x-ray following a Positive PPD skin test
Day 3 of life

39. Pathophysiology of Chronic Asthma
inflammation and hypersensitivity to triggers
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Maternal infection - premature rupture of membranes
>95%

40. What is enuresis?
Epstein Barr Virus - transmitted with intimate contact
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
O2 status of blood - acid-base balance
Repeated involuntary urination in a child who should already by toilet trained at night

41. Steatorrhea
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Excessive stool fat
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

42. Nursing interventions for hemophilia
passage of abdominal contents to the esophagus
2 years
maternal nutrition and genetics
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

43. signs and symptoms of meningitis in older children
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
crowded living conditions - homeless and low income
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

44. RSV contagious for ...
Penicillin Prophylaxis (BID)
Mid puberty
up to 14 days
used for prolonged sz's

45. 2 key factors to consider when caring for a preschooler
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Sterile-caused by blockage of thick mucous at the vas deferens
They are people - need a balance of limits and independence
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

46. Treatment for Hirschsprungs
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Abdominal ultrasound - Upper GI
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Foreskin is used during the surgical repair

47. ABG
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Growth spurt
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
O2 status of blood - acid-base balance

48. What is the treatment for epiglottitis?
Day 3 of life
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
5ml/dl
Triple

49. Reyes Syndrome
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
MVA - bike accidents and falls

50. Puberty for boys
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
12 years
Contact isolation - gown - gloves and handwashing

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Certified Pediatric Nurse Exam

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