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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. What occurs in a subacute baterial endocarditis?
head
No - it can only be controlled
Swelling or obstruction of the Larynx
Bacteria enter the blood stream from a site of localized infection and grows in the heart

2. Post Op treatment of a VP shunt
hearing loss - scarring - mastoiditis - meningitis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
They are people - need a balance of limits and independence

3. difference btwn GER and GERD
They are people - need a balance of limits and independence
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
School age
GERD is the complications and symptoms that happen because of GER

4. Side effects of benzodiazepines
trunk - gonads and associative tissue
Time and discription of seizure
20 inches
drooling

5. Kawasaki Disease
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
Dust - mold - animal dander - viral infections
Adequate O2 adequatte hydration
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

6. Test to evaluate a Seizure disorder
parainfluenza - RSV - Influenza A&B - M. pneumonia
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Family history - EEG - CBC - LP and MRI
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

7. Age of children at half their adult height
They are people - need a balance of limits and independence
2 years
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

8. What should a child's wt be at 1 yr compared to birth weight?
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
poor feeding - wt loss - fatigue - develop. delays - edema
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Triple

9. Can Asthma be cured?
Penicillin Prophylaxis (BID)
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Erythroblastosis Fetalis
No - it can only be controlled

10. What Pharmalogical measures can be used to treat GERD?
complete physical and psychosocial assessment to rule out underlying disorders
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Length Chart
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

11. Temp of home water heater to avoid burns
Maternal infection - premature rupture of membranes
Between 6-12 months
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Less than 120 f.

12. Varicella communicable
double birth weight
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
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
Maternal infection - premature rupture of membranes

13. Signs and Symptoms of Asthma
double birth weight
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Family history - EEG - CBC - LP and MRI
5ml/dl

14. What foods are prohibited for a person with Celiac Disease?
Airborne and contact
diazepam - lorazapam
MVA - bike accidents and falls
Milk - Ice cream - Malts - Grains

15. Why is early diagnosis important w. Reye's Syndrome?
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Maternal infection - premature rupture of membranes
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Successful management is based on early diagnosis and aggressive therapy

16. How is Celiac Disease diagnosed?
Urethral opening is positioned below the glans penis
Small bowel biopsy
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Previous history of life threatening reaction - Mod-severe illness w/wo fever

17. Why avoid circumcision in a baby with hypospadias?
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
parainfluenza - RSV - Influenza A&B - M. pneumonia
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Foreskin is used during the surgical repair

18. Assessment of a patient with suspected epiglottitis
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
2 snacks
12 years
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

19. Signs and Symptoms that indicate and adverse reaction to a vaccine
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
4 years
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

20. What is the rate of growth each year from 3 yrs until puberty?
none
Previous history of life threatening reaction - Mod-severe illness w/wo fever
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
2.5 inches

21. Predisposing factors to subacute bacterial endocarditis
Dental procedures - gum disease and urinary tract infections
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Family history - EEG - CBC - LP and MRI
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

22. Two important assessment rules related to coarctation of the aorta?
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Give freedom and choices - save battles for the important things
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

23. What interventions prevent urinary tract infections?
measures the largest velocity which occurs during a forced exhale
Triple
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

24. Hirschsprung's Disease
fecal soiling
double birth weight
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
2.5 inches

25. At what age is a stadiometer required to measure linear growth?
36 months
Dust - mold - animal dander - viral infections
fever and infection
from head to toe

26. BMI - underweight
< 5%
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

27. Pathophysiology of celiac disease
Growth spurt
2 years
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
36 months

28. Term infant --Bilirubin peaks at what day of life
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Day 3 of life

29. Diastat rectal diazepam gel

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30. signs and symptoms of meningitis in older children
lethargy - irritability - decrease feedings - fever - seizures
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Airborne and contact
Family history - EEG - CBC - LP and MRI

31. ABG
No - it can only be controlled
O2 status of blood - acid-base balance
Maternal infection - premature rupture of membranes
Swelling or obstruction of the Larynx

32. Leading cause of bacterial meningitis in Neonates
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Group B Streptococcus
Swelling of the airways - mucous production - bronchospasms

33. Cephalocaudal
from head to toe
Excessive stool fat
School age
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

34. 2 factors that determine birth weight
Between 6-12 months
maternal nutrition and genetics
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
3 years

35. Childs weight at 6 months compared to birth weight
13 years
double birth weight
E. Coli
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

36. What is used to diagnose pyloric stenosis?
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Abdominal ultrasound - Upper GI
gum hypertrophy

37. What confirms a positive TB infection?
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
chest x-ray following a Positive PPD skin test
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

38. first tooth
4 years
Erythroblastosis Fetalis
Length Chart
6 months

39. Clinicla manifestations of sickle cell disease
measures the largest velocity which occurs during a forced exhale
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
Low fiber - high calorie and protein
Vaso-occulisive crisis - infection and sepsis

40. What is Pyloric stenosis?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
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

41. S/Sx of pyloric stenosis
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
20 inches
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
measures the largest velocity which occurs during a forced exhale

42. What promotes unsickling of RBC's?
Adequate O2 adequatte hydration
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Day 3 of life
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

43. What should be used for feeding a child during the post operative period following cleft palate surgery?
from trunk to extremities
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Maternal infection - premature rupture of membranes
poor feeding - wt loss - fatigue - develop. delays - edema

44. Diet for Hirschsprung's prior to corrction and treatment
Low fiber - high calorie and protein
Triple
Milk - Ice cream - Malts - Grains
No - it can only be controlled

45. Pathophysiology of Acute Asthma
Swelling of the airways - mucous production - bronchospasms
none
maternal nutrition and genetics
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

46. What is heart failure?
none
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
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
An Acute inflamation of the meninges and CSF often caused by Enterovirus

47. What are the four main causes of viral croup?
Hepatoxicity - pancreatitis
parainfluenza - RSV - Influenza A&B - M. pneumonia
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

48. Pathophysiology of a fever and infection with sickle cell disease
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
complete physical and psychosocial assessment to rule out underlying disorders
They are people - need a balance of limits and independence

49. Signs and Symptoms of intussusception
lethargy - irritability - decrease feedings - fever - seizures
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Family history - EEG - CBC - LP and MRI
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

50. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Repeated involuntary urination in a child who should already by toilet trained at night
parainfluenza - RSV - Influenza A&B - M. pneumonia
2 snacks
Viral---Varicella or influenza