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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. Assess the cause of enuresis
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
complete physical and psychosocial assessment to rule out underlying disorders
Regular diet with low sodium an no added salt
Length Chart

2. Linear growth event happens in Adolescents
Growth spurt
5 inches
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

3. Signs and Symptoms that indicate and adverse reaction to a vaccine
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
double birth weight
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

4. Focus of adolescent discipline
up to 14 days
Give freedom and choices - save battles for the important things
measures the largest velocity which occurs during a forced exhale
6 months

5. What is Cystic Fibrosis?
Less than 120 f.
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
none
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

6. Term infant --Bilirubin peaks at what day of life
1-6 months
9 months
2 snacks
Day 3 of life

7. Age group affected by mononucleosis
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
<25 yrs old
Day 3 of life
No - it can only be controlled

8. Where does the adolescent experience rapid growth?
Rinse mouth and brush teeth
2.5 inches
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
trunk - gonads and associative tissue

9. Define Magical thinking

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10. Two examples of benzodiazepines
36 months
diazepam - lorazapam
GERD is the complications and symptoms that happen because of GER
inflammation and hypersensitivity to triggers

11. Complications of acute otitis media
hearing loss - scarring - mastoiditis - meningitis
<25 yrs old
drooling
9 months

12. How many meals and snacks should a 1-3 yr old have in a day 3 meals
10 inches
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
lethargy - irritability - decrease feedings - fever - seizures
2 snacks

13. Nursing care for Kawasaki Disease
maternal nutrition and genetics
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
3 years
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

14. What is an acute otitis media?
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
inflammation located in the middle ear
Abdominal ultrasound - Upper GI
6 months

15. What promotes unsickling of RBC's?
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
double birth weight
Adequate O2 adequatte hydration
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

16. What should a child's wt be at 1 yr compared to birth weight?
Small bowel biopsy
Triple
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

17. Nursing care of patient with Meningitis
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
85-95%
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
School age

18. What should be used for feeding a child during the post operative period following cleft palate surgery?
GERD is the complications and symptoms that happen because of GER
Viral---Varicella or influenza
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
crowded living conditions - homeless and low income

19. What is physiologic Jaundice?
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
Mid puberty
Growth spurt
10 years

20. What is heart failure?
Brain damage - hearing loss and learning disabilities
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
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

21. Teaching for RSV
Length board standiometer
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

22. Assessment of a patient with suspected epiglottitis
< 1
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
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

23. Nursing care for a child with Reye's Syndrome
birth-36 months
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
<25 yrs old

24. Growth spurt for adolescent boys
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Mid puberty

25. Treatment for Varicella
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
>95%
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

26. S/sx of GERD
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
BMI chart
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

27. Predisposing factors to subacute bacterial endocarditis
trunk
Dental procedures - gum disease and urinary tract infections
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

28. Neonatal Jaundice
passage of abdominal contents to the esophagus
12-24 days
birth-36 months
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

29. Pertussis?
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
O2 status of blood - acid-base balance
chest x-ray following a Positive PPD skin test
Viral---Varicella or influenza

30. At what age is a stadiometer required to measure linear growth?
BMI chart
36 months
Growth spurt
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

31. Teaching for Croup
Cool mist therapy - encourage oral intake - s/sx of resp. distress
fecal soiling
used for prolonged sz's
3 years

32. What is the cause of mononucleosis and its method of transmission?
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Epstein Barr Virus - transmitted with intimate contact

33. Treatment for sickle cell disease
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
<25 yrs old

34. What Pharmalogical measures can be used to treat GERD?
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Give freedom and choices - save battles for the important things

35. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
No - it can only be controlled
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
# of stools per day - goal=2-3 stools per day
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

36. Signs of heart failure
Enteropathy caused by an insensitivity to the gluten found in wheat
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)
poor feeding - wt loss - fatigue - develop. delays - edema

37. How is mononucleosis diagnosed
O2 status of blood - acid-base balance
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
A typical lymphocytosis - mono-spot - EBV serology
lethargy - irritability - decrease feedings - fever - seizures

38. Viral Meningitis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
6 months
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

39. Etiology of GERD
passage of abdominal contents to the esophagus
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
E. Coli
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

40. Signs and symptoms of Reye's Syndrome
Triple
lethargy - irritability - decrease feedings - fever - seizures
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Enteropathy caused by an insensitivity to the gluten found in wheat

41. Treatment and nursing care for pertussis
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Length board standiometer
Barium enema
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

42. Leading cause of head injury
MVA - bike accidents and falls
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
2 snacks
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

43. Incubation period for TB
passage of abdominal contents to the esophagus
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Maternal infection - premature rupture of membranes
1-6 months

44. Signs and Symptoms of mononucleosis
none
Low fiber - high calorie and protein
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

45. How does pertussis present?
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

46. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
<25 yrs old
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
They are people - need a balance of limits and independence
Abdominal ultrasound - Upper GI

47. 2 factors that determine birth weight
maternal nutrition and genetics
10 years
passage of abdominal contents to the esophagus
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

48. Childs weight at 6 months compared to birth weight
double birth weight
prevention - po antibiotics should be given before and after an invasive procedure
20 inches
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

49. Treatment of a bleed in hemophilia
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
A typical lymphocytosis - mono-spot - EBV serology

50. What confirms a positive TB infection?
chest x-ray following a Positive PPD skin test
Dust - mold - animal dander - viral infections
5ml/dl
double birth weight