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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 can promote dryness in a child with enuresis?
from head to toe
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
complete physical and psychosocial assessment to rule out underlying disorders
Length board standiometer

2. Signs of increased ICP
12 years
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Brain damage - hearing loss and learning disabilities

3. What level does the bilirubin need to be at in order for jaundice to occur?
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
5ml/dl
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
lethargy - irritability - decrease feedings - fever - seizures

4. Leading cause of bacterial meningitis in Neonates
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Group B Streptococcus
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
up to 14 days

5. Celiac Disease
fecal soiling
Small bowel biopsy
Enteropathy caused by an insensitivity to the gluten found in wheat
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

6. Asthma
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
up to 14 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

7. Complications of acute otitis media
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
hearing loss - scarring - mastoiditis - meningitis
Urethral opening is positioned below the glans penis
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

8. At 6-24 months - head circumference is what size in relationship to chest circumference
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Equal to
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
chest x-ray following a Positive PPD skin test

9. Main cause of urinary tract infections
E. Coli
Airborne and contact
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Kawasaki disease - w/o treatment 25% will have permanent heart damage

10. Diet for a child with glumerlonephritis
MVA - bike accidents and falls
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Regular diet with low sodium an no added salt

11. Define Magical thinking

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12. difference btwn GER and GERD
head
Growth spurt
85-95%
GERD is the complications and symptoms that happen because of GER

13. Teaching for Croup
Previous history of life threatening reaction - Mod-severe illness w/wo fever
A narrowing within the Aorta resulting in collateral circulation
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Cool mist therapy - encourage oral intake - s/sx of resp. distress

14. What is broncho-pulmonary dysplasia?
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
12-24 days
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

15. Lead screening should begin. at ..
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
9 months
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

16. Another name for Hemolytic Disease of the Newborn
crowded living conditions - homeless and low income
Erythroblastosis Fetalis
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
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

17. What should be done to minimize the risks of Sudden infant death syndrome?
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
BMI chart
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
lethargy - irritability - decrease feedings - fever - seizures

18. Common Asthma irritants
birth-36 months
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Dust - mold - animal dander - viral infections

19. What is epiglottitis?
A narrowing within the Aorta resulting in collateral circulation
< 1
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

20. Treatment for Varicella
2 snacks
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

21. Where does the adolescent experience rapid growth?
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
9 months
trunk - gonads and associative tissue
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

22. Pathophysiology of intussusception

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23. What is used to diagnose GER?
# of stools per day - goal=2-3 stools per day
Barium enema
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

24. Temp of home water heater to avoid burns
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Foreskin is used during the surgical repair
inflammation located in the middle ear
Less than 120 f.

25. What confirms a positive TB infection?
high protien and calorie - multivitamins - extra enzymes for high fat food
chest x-ray following a Positive PPD skin test
Dust - mold - animal dander - viral infections
Barium enema

26. Age group affected by mononucleosis
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
<25 yrs old
chest x-ray following a Positive PPD skin test
Equal to

27. Part of the body that grows the fastest in the toddler-preschool age
Swelling of the airways - mucous production - bronchospasms
Penicillin Prophylaxis (BID)
Growth spurt
trunk

28. Reyes Syndrome
Equal to
Enteropathy caused by an insensitivity to the gluten found in wheat
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

29. Cephalocaudal
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
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
Day 3 of life
from head to toe

30. Linear growth event happens in Adolescents
2 snacks
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Growth spurt
A typical lymphocytosis - mono-spot - EBV serology

31. Nursing care for a child with Reye's Syndrome
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
They are people - need a balance of limits and independence
lethargy - irritability - decrease feedings - fever - seizures

32. 3 main causes of Bacterial meningitis in children
Adequate O2 adequatte hydration
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Enteropathy caused by an insensitivity to the gluten found in wheat
double birth weight

33. Nursing care for Kawasaki Disease
maternal nutrition and genetics
drooling
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
2.5 inches

34. Leading cause of acquired heart disease in children
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
high protien and calorie - multivitamins - extra enzymes for high fat food
Kawasaki disease - w/o treatment 25% will have permanent heart damage
maternal nutrition and genetics

35. How many days after birth do bilirubin levels return to normal limits?
12-24 days
poor feeding - wt loss - fatigue - develop. delays - edema
inflammation located in the middle ear
10 inches

36. Age of children at half their adult height
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Adequate O2 adequatte hydration
Growth spurt
2 years

37. S/Sx of pyloric stenosis
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
BMI chart

38. Normal presentation of cystic fibrosis
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Dental procedures - gum disease and urinary tract infections
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

39. RSV contagious for ...
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
up to 14 days
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

40. Average rate of growth for the 1st year
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
10 inches
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

41. Complications of meningitis
Brain damage - hearing loss and learning disabilities
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Growth spurt
Successful management is based on early diagnosis and aggressive therapy

42. What are major risk factors for neonatal meningitis?
maternal nutrition and genetics
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
6 months
Maternal infection - premature rupture of membranes

43. Basic defect in coarctation of the aorta
Bacteria enter the blood stream from a site of localized infection and grows in the heart
BMI chart
A narrowing within the Aorta resulting in collateral circulation
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

44. Clinical signs of infection wilth sickle cell disease
12-24 days
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

45. treatment of hemolytic disease of the newborn
double birth weight
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Phototherapy - exchange transfusion

46. Contraindications to all vaccines
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Swelling of the airways - mucous production - bronchospasms
Previous history of life threatening reaction - Mod-severe illness w/wo fever

47. Males Reproductive issues for CF patients
3 years
Sterile-caused by blockage of thick mucous at the vas deferens
20 inches
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

48. How is mononucleosis diagnosed
Length board standiometer
Excessive stool fat
A typical lymphocytosis - mono-spot - EBV serology
Dental procedures - gum disease and urinary tract infections

49. Females reproductive issues for CF patients
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
lethargy - irritability - decrease feedings - fever - seizures

50. Age that birth length doubles
4 years
Barium enema
Penicillin Prophylaxis (BID)
from head to toe