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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.
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. first tooth
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
6 months
Equal to
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

2. What is the rate of growth each year from 3 yrs until puberty?
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
2.5 inches
Excessive stool fat
10 years

3. Hypospadias
Urethral opening is positioned below the glans penis
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
maternal nutrition and genetics
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

4. Growth spurt for adolescent boys
0-24 months
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Mid puberty
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

5. Nursing care for a child with Reye's Syndrome
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
5 inches
birth-36 months

6. Signs and Symptoms of Asthma
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

7. Screening for overweight or underweight child on chart
BMI chart
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Mid puberty

8. Treatment for mononucleosis
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Erythroblastosis Fetalis
< 1
none

9. Head circumference should be assessed until what age
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
fever and infection
Low fiber - high calorie and protein
3 years

10. Leading cause of bacterial meningitis in Neonates
passage of abdominal contents to the esophagus
Rinse mouth and brush teeth
Give freedom and choices - save battles for the important things
Group B Streptococcus

11. Leading cause of head injury
MVA - bike accidents and falls
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
No - it can only be controlled
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

12. Nursing care for Kawasaki Disease
Dental procedures - gum disease and urinary tract infections
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

13. Assess the cause of enuresis
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
complete physical and psychosocial assessment to rule out underlying disorders

14. Lead screening should begin. at ..
9 months
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
chest x-ray following a Positive PPD skin test

15. Define Proximodistal
hearing loss - scarring - mastoiditis - meningitis
from trunk to extremities
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

16. Viral Croup
Swelling or obstruction of the Larynx
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
BMI chart
Rinse mouth and brush teeth

17. What confirms a positive TB infection?
Epstein Barr Virus - transmitted with intimate contact
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
chest x-ray following a Positive PPD skin test
36 months

18. Normal Bilirubin
< 1
Low fiber - high calorie and protein
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

19. Celiac Disease
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Enteropathy caused by an insensitivity to the gluten found in wheat
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

20. What Component of Aspirin cause's Reye's Syndrome?
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Salicylates

21. Signs and Symptoms of Celiac Disease
Liver Biopsy
Mechanical Ventalation - high inhaled o2 concentration
1-6 months
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

22. Two important assessment rules related to coarctation of the aorta?
20 inches
0-24 months
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

23. Asthma
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
trunk - gonads and associative tissue
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
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

24. Define Magical thinking
Low fiber - high calorie and protein
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
Excessive stool fat
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

25. Treatment for Hirschsprungs
used for prolonged sz's
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

26. [email protected] risk for overweight
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
85-95%
5ml/dl
fecal soiling

27. Why is early diagnosis important w. Reye's Syndrome?
Successful management is based on early diagnosis and aggressive therapy
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

28. Cause of bronchiolitis
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
13 years
hearing loss - scarring - mastoiditis - meningitis
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

29. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
2 snacks
Day 3 of life
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

30. Hourly maintenance Fluid Requirements
Previous history of life threatening reaction - Mod-severe illness w/wo fever
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
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

31. Females reproductive issues for CF patients
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
hearing loss - scarring - mastoiditis - meningitis
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

32. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
12-24 days
Sterile-caused by blockage of thick mucous at the vas deferens
# of stools per day - goal=2-3 stools per day
Kawasaki disease - w/o treatment 25% will have permanent heart damage

33. What level does the bilirubin need to be at in order for jaundice to occur?
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
5ml/dl
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

34. What are major risk factors for neonatal meningitis?
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
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Maternal infection - premature rupture of membranes
# of stools per day - goal=2-3 stools per day

35. Signs and symptoms of varicella Prodromal
Swelling or obstruction of the Larynx
Liver Biopsy
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Erythroblastosis Fetalis

36. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Growth spurt
Brain damage - hearing loss and learning disabilities
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

37. Can Asthma be cured?
9 months
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
No - it can only be controlled
4 years

38. Diagnose Reye's Syndrome
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Epstein Barr Virus - transmitted with intimate contact
Liver Biopsy
Foreskin is used during the surgical repair

39. Age that birth length doubles
Growth spurt
crowded living conditions - homeless and low income
4 years
Penicillin Prophylaxis (BID)

40. What foods are prohibited for a person with Celiac Disease?
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
up to 14 days
Milk - Ice cream - Malts - Grains
one portion of the intestine 'telescopes' into another leading to lymphatic and venous obstruction which causes ischemia - mucous backflow into the intestine and leaking of blood into the intestine

41. BMI- overweight
>95%
head
Foreskin is used during the surgical repair
fecal soiling

42. What is broncho-pulmonary dysplasia?
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
high protien and calorie - multivitamins - extra enzymes for high fat food
crowded living conditions - homeless and low income
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

43. Reyes Syndrome
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
up to 14 days
Enteropathy caused by an insensitivity to the gluten found in wheat
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

44. Pathophysiology of a fever and infection with sickle cell disease
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Enteropathy caused by an insensitivity to the gluten found in wheat
Dental procedures - gum disease and urinary tract infections
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

45. Nursing interventions for hemophilia
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
85-95%
trunk
maternal nutrition and genetics

46. Signs and Symptoms of intussusception
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Day 3 of life
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

47. Incubation period for TB
1-6 months
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Hepatoxicity - pancreatitis
O2 status of blood - acid-base balance

48. Signs and symptoms of Reye's Syndrome
2 snacks
Epstein Barr Virus - transmitted with intimate contact
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Milk - Ice cream - Malts - Grains

49. What is physiologic Jaundice?
high protien and calorie - multivitamins - extra enzymes for high fat food
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
2 snacks
>95%

50. What are development considerations for hemophilia?
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
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
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

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Certified Pediatric Nurse Exam

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