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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. treatment of intussusception
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Erythroblastosis Fetalis
E. Coli

2. What is enuresis?
2.5 inches
up to 14 days
Adequate O2 adequatte hydration
Repeated involuntary urination in a child who should already by toilet trained at night

3. Non-pharmalogical measures to treat GER
Mid puberty
Length board standiometer
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

4. Prevention of bronchiolitis spreading
Low fiber - high calorie and protein
Contact isolation - gown - gloves and handwashing
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
from trunk to extremities

5. Head circumference should be assessed until what age
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
3 years
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
School age

6. Signs and Symptoms of Celiac Disease
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Length Chart
2.5 inches
inflammation and hypersensitivity to triggers

7. Reyes Syndrome
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
inflammation and hypersensitivity to triggers
double birth weight

8. Treatment for Hirschsprungs
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
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Phototherapy - exchange transfusion
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

9. What Pharmalogical measures can be used to treat GERD?
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Maternal infection - premature rupture of membranes
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Length board standiometer

10. Contraindications to all vaccines
2 years
Foreskin is used during the surgical repair
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Mid puberty

11. Nursing care of patient with Meningitis
trunk
>95%
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

12. Nursing care for Kawasaki Disease
fecal soiling
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
larger
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

13. Childs weight at 6 months compared to birth weight
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
4 years
double birth weight
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

14. Signs and symptoms of tuberculosis
none
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Swelling of the airways - mucous production - bronchospasms
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

15. What is an acute otitis media?
20 inches
inflammation located in the middle ear
Repeated involuntary urination in a child who should already by toilet trained at night
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

16. When does the surgery to correct hypospadias usually occur?
Between 6-12 months
Epstein Barr Virus - transmitted with intimate contact
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
from head to toe

17. Age of children at half their adult height
from trunk to extremities
2 years
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

18. How many meals and snacks should a 1-3 yr old have in a day 3 meals
E. Coli
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
fecal soiling
2 snacks

19. Linear growth event happens in Adolescents
Rinse mouth and brush teeth
fever and infection
Between 6-12 months
Growth spurt

20. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
lethargy - irritability - decrease feedings - fever - seizures
1-6 months
Small bowel biopsy
maternal nutrition and genetics

21. 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
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Length board standiometer

22. Why avoid circumcision in a baby with hypospadias?
Foreskin is used during the surgical repair
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Between 6-12 months
trunk

23. S/Sx of pyloric stenosis
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
chest x-ray following a Positive PPD skin test

24. What Component of Aspirin cause's Reye's Syndrome?
Salicylates
Dental procedures - gum disease and urinary tract infections
from trunk to extremities
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

25. Another name for Hemolytic Disease of the Newborn
Equal to
2 snacks
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
Erythroblastosis Fetalis

26. Characteristics of the RBC's in sickle cell

27. Incubation period for TB
fecal soiling
1-6 months
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

28. treatment of hemolytic disease of the newborn
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Phototherapy - exchange transfusion
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

29. Neonatal Jaundice
10 years
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Excessive stool fat
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

30. S/SX of Hirschsprungs
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Salicylates
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

31. Growth spurt for adolescent boys
fecal soiling
Mid puberty
1-6 months
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

32. Diet for a child with glumerlonephritis
Regular diet with low sodium an no added salt
measures the largest velocity which occurs during a forced exhale
Triple
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

33. GER (gastroesophageal reflux)
10 years
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
passage of abdominal contents to the esophagus
Rinse mouth and brush teeth

34. What is used to diagnose GER?
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
used for prolonged sz's
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

35. What is Hemolytic Disease of the Newborn
Abdominal ultrasound - Upper GI
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

36. Treatment and nursing care for pertussis
from head to toe
double birth weight
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Viral---Varicella or influenza

37. What are the side effects of depakote?
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Hepatoxicity - pancreatitis
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

38. RSV contagious for ...
GERD is the complications and symptoms that happen because of GER
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
up to 14 days
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

39. Pathophysiology of Chronic Asthma
diazepam - lorazapam
Day 3 of life
hearing loss - scarring - mastoiditis - meningitis
inflammation and hypersensitivity to triggers

40. Two important assessment rules related to coarctation of the aorta?
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Adequate O2 adequatte hydration
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

41. Complications related to varicella
12-24 days
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
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
<25 yrs old

42. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Salicylates
Erythroblastosis Fetalis
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
fecal soiling

43. Can Asthma be cured?
No - it can only be controlled
diazepam - lorazapam
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
# of stools per day - goal=2-3 stools per day

44. Complications of acute otitis media
hearing loss - scarring - mastoiditis - meningitis
Brain damage - hearing loss and learning disabilities
trunk
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

45. Part of the body that grows the fastest in the toddler-preschool age
trunk
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
2 years
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

46. Viral Croup
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
85-95%
Swelling or obstruction of the Larynx
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

47. Teaching for Croup
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Urethral opening is positioned below the glans penis
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
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

48. Precaustions needed for pt's with varicella
Mid puberty
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
Airborne and contact
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

49. Prevention of infection in Sickle Cell Disease
Penicillin Prophylaxis (BID)
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Brain damage - hearing loss and learning disabilities
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

50. Cephalocaudal
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
from head to toe
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides