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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. Test to evaluate a Seizure disorder
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
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
E. Coli

2. Diet for CF patients
parainfluenza - RSV - Influenza A&B - M. pneumonia
high protien and calorie - multivitamins - extra enzymes for high fat food
12 years
Contact isolation - gown - gloves and handwashing

3. Age group the limbs grow the fastest
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
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
2.5 inches
School age

4. What is Cystic Fibrosis?
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

5. Normal presentation of cystic fibrosis
Excessive stool fat
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Viral---Varicella or influenza
10 inches

6. Nursing care for Cystic Fibrosis
4 years
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
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
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

7. Hourly maintenance Fluid Requirements
Small bowel biopsy
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
drooling
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

8. Signs and Symptoms of Asthma
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
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
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

9. Post Op treatment of a VP shunt
Maternal infection - premature rupture of membranes
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

10. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Kawasaki disease - w/o treatment 25% will have permanent heart damage
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
2 snacks

11. Another name for Hemolytic Disease of the Newborn
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
birth-36 months
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Erythroblastosis Fetalis

12. Average rate of growth for the 2nd year of lif
Vaso-occulisive crisis - infection and sepsis
Airborne and contact
5 inches
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

13. What can promote dryness in a child with enuresis?
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
6 months

14. What is broncho-pulmonary dysplasia?
< 5%
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Between 6-12 months

15. Varicella communicable
up to 14 days
Abdominal ultrasound - Upper GI
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
fever and infection

16. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
# of stools per day - goal=2-3 stools per day
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
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
< 5%

17. Treatment of Kawasaki disease
0-24 months
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
12 years
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

18. Kawasaki Disease
Rinse mouth and brush teeth
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
10 years
Abdominal ultrasound - Upper GI

19. Bronchiolitis
Cool mist therapy - encourage oral intake - s/sx of resp. distress
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Foreskin is used during the surgical repair
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

20. Why avoid circumcision in a baby with hypospadias?
Foreskin is used during the surgical repair
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
Dental procedures - gum disease and urinary tract infections
Salicylates

21. Prevention of bronchiolitis spreading
Contact isolation - gown - gloves and handwashing
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
GERD is the complications and symptoms that happen because of GER

22. At what age is a length board required?
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
crowded living conditions - homeless and low income
0-24 months

23. Complications of meningitis
Brain damage - hearing loss and learning disabilities
Dental procedures - gum disease and urinary tract infections
< 1
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

24. Precaustions needed for pt's with varicella
Airborne and contact
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Triple

25. How many days after birth do bilirubin levels return to normal limits?
12-24 days
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
Family history - EEG - CBC - LP and MRI
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

26. Key nursing intervention for subacute bacterial endocarditis
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Excessive stool fat
prevention - po antibiotics should be given before and after an invasive procedure
Successful management is based on early diagnosis and aggressive therapy

27. What is Pyloric stenosis?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
used for prolonged sz's
Triple
prevention - po antibiotics should be given before and after an invasive procedure

28. When does the surgery to correct hypospadias usually occur?
Between 6-12 months
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Salicylates
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

29. Treatment for Varicella
Low fiber - high calorie and protein
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Between 6-12 months
Salicylates

30. Two examples of benzodiazepines
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
diazepam - lorazapam
complete physical and psychosocial assessment to rule out underlying disorders
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

31. Age range that is appropriate to use a length chart
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Foreskin is used during the surgical repair
birth-36 months

32. Diastat rectal diazepam gel

33. Average rate of growth for the 1st year
10 inches
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Length board standiometer
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

34. Signs and symptoms of neonatal meningitis
Swelling or obstruction of the Larynx
10 inches
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
1-6 months

35. Temp of home water heater to avoid burns
Less than 120 f.
crowded living conditions - homeless and low income
from trunk to extremities
parainfluenza - RSV - Influenza A&B - M. pneumonia

36. Pathophysiology of celiac disease
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
hearing loss - scarring - mastoiditis - meningitis

37. Childs weight at 6 months compared to birth weight
School age
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
double birth weight

38. Treatment of celiac disease
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
drooling
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

39. Leading cause of acquired heart disease in children
Foreskin is used during the surgical repair
Kawasaki disease - w/o treatment 25% will have permanent heart damage
2 years
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

40. Males Reproductive issues for CF patients
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
complete physical and psychosocial assessment to rule out underlying disorders
Sterile-caused by blockage of thick mucous at the vas deferens

41. first tooth
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Foreskin is used during the surgical repair
6 months
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

42. Risk factors of tuberculosis
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
crowded living conditions - homeless and low income
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
fecal soiling

43. treatment of intussusception
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Triple
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
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

44. Growth spurt for adolescent boys
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Successful management is based on early diagnosis and aggressive therapy
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
Mid puberty

45. signs and symptoms of meningitis in older children
passage of abdominal contents to the esophagus
0-24 months
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

46. Hirschsprung's Disease
No - it can only be controlled
Growth spurt
head
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

47. Assessment of a patient with suspected epiglottitis
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
maternal nutrition and genetics

48. Average Birth Length
Growth spurt
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
20 inches
Liver Biopsy

49. 2 factors that determine birth weight
10 inches
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
maternal nutrition and genetics
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

50. 2 key factors to consider when caring for a preschooler
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Kawasaki disease - w/o treatment 25% will have permanent heart damage
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
They are people - need a balance of limits and independence