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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. Where does the adolescent experience rapid growth?
poor feeding - wt loss - fatigue - develop. delays - edema
trunk - gonads and associative tissue
5 inches
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

2. What occurs in a subacute baterial endocarditis?
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
20 inches
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Bacteria enter the blood stream from a site of localized infection and grows in the heart

3. Sequence of resp distress
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Small bowel biopsy
Viral---Varicella or influenza
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

4. Leading cause of acquired heart disease in children
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Swelling of the airways - mucous production - bronchospasms
Kawasaki disease - w/o treatment 25% will have permanent heart damage

5. What can promote dryness in a child with enuresis?
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
GERD is the complications and symptoms that happen because of GER
<25 yrs old
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

6. What foods are prohibited for a person with Celiac Disease?
Milk - Ice cream - Malts - Grains
20 inches
No - it can only be controlled
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

7. Varicella communicable
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
12-24 days
Bacteria enter the blood stream from a site of localized infection and grows in the heart
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

8. Test to evaluate a Seizure disorder
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Family history - EEG - CBC - LP and MRI
Brain damage - hearing loss and learning disabilities

9. Why avoid circumcision in a baby with hypospadias?
Epstein Barr Virus - transmitted with intimate contact
Foreskin is used during the surgical repair
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
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

10. Nursing care for child with seizure

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11. Pertussis?
Swelling of the airways - mucous production - bronchospasms
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
O2 status of blood - acid-base balance
measures the largest velocity which occurs during a forced exhale

12. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Previous history of life threatening reaction - Mod-severe illness w/wo fever

13. What are development considerations for hemophilia?
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
10 inches
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

14. Nursing care for a child with Reye's Syndrome
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
< 1

15. Signs of heart failure
No - it can only be controlled
MVA - bike accidents and falls
complete physical and psychosocial assessment to rule out underlying disorders
poor feeding - wt loss - fatigue - develop. delays - edema

16. Common Asthma irritants
Day 3 of life
Erythroblastosis Fetalis
Dust - mold - animal dander - viral infections
>95%

17. What should be used for feeding a child during the post operative period following cleft palate surgery?
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
5ml/dl
Hepatoxicity - pancreatitis
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

18. Causes of Bronchopulmonary Dysplasia
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
No - it can only be controlled
Mechanical Ventalation - high inhaled o2 concentration
Abdominal ultrasound - Upper GI

19. Contraindications to all vaccines
Less than 120 f.
# of stools per day - goal=2-3 stools per day
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Previous history of life threatening reaction - Mod-severe illness w/wo fever

20. Growth spurt for adolescent boys
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Regular diet with low sodium an no added salt
Mid puberty
fecal soiling

21. What should be observed in a case of a seizure?
Foreskin is used during the surgical repair
Excessive stool fat
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Time and discription of seizure

22. What level does the bilirubin need to be at in order for jaundice to occur?
none
<25 yrs old
5ml/dl
measures the largest velocity which occurs during a forced exhale

23. Risk factors of tuberculosis
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Dental procedures - gum disease and urinary tract infections
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
crowded living conditions - homeless and low income

24. Normal presentation of cystic fibrosis
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

25. What is heart failure?
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
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
Hepatoxicity - pancreatitis

26. Head circumference should be assessed until what age
Mechanical Ventalation - high inhaled o2 concentration
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
3 years

27. GER (gastroesophageal reflux)
20 inches
passage of abdominal contents to the esophagus
Sterile-caused by blockage of thick mucous at the vas deferens
6 months

28. Age range that is appropriate to use a length chart
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
No - it can only be controlled
85-95%
birth-36 months

29. Treatment and nursing care for pertussis
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
double birth weight
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

30. How is mononucleosis diagnosed
Mechanical Ventalation - high inhaled o2 concentration
poor feeding - wt loss - fatigue - develop. delays - edema
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
A typical lymphocytosis - mono-spot - EBV serology

31. Average age of breast development
Kawasaki disease - w/o treatment 25% will have permanent heart damage
10 years
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
They are people - need a balance of limits and independence

32. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Maternal infection - premature rupture of membranes
2 snacks
Family history - EEG - CBC - LP and MRI
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

33. How does pertussis present?
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
0-24 months
Erythroblastosis Fetalis
Barium enema

34. treatment of intussusception
prevention - po antibiotics should be given before and after an invasive procedure
4 years
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
85-95%

35. 3 main causes of Bacterial meningitis in children
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
School age

36. At 6-24 months - head circumference is what size in relationship to chest circumference
Equal to
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Sterile-caused by blockage of thick mucous at the vas deferens

37. Post Op treatment of a VP shunt
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
5 inches

38. Diagnose Reye's Syndrome
double birth weight
Low fiber - high calorie and protein
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Liver Biopsy

39. Treatment for sickle cell disease
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Time and discription of seizure

40. What should be done to minimize the risks of Sudden infant death syndrome?
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
complete physical and psychosocial assessment to rule out underlying disorders

41. S/Sx of pyloric stenosis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
head

42. What is Cystic Fibrosis?
Sterile-caused by blockage of thick mucous at the vas deferens
A narrowing within the Aorta resulting in collateral circulation
10 years
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

43. Viral Croup
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
larger
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Swelling or obstruction of the Larynx

44. Sickle Cell Disease
Enteropathy caused by an insensitivity to the gluten found in wheat
# of stools per day - goal=2-3 stools per day
Swelling or obstruction of the Larynx
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

45. Pathophysiology related to Head Trauma
2 snacks
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
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

46. Treatment for mononucleosis
none
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

47. Pathophysiology of hirschsprung's disease
Length Chart
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Previous history of life threatening reaction - Mod-severe illness w/wo fever
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

48. Kawasaki Disease
Low fiber - high calorie and protein
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
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
< 5%

49. Average rate of growth for the 2nd year of lif
Family history - EEG - CBC - LP and MRI
Hepatoxicity - pancreatitis
inflammation located in the middle ear
5 inches

50. Cause of bronchiolitis
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Excessive stool fat
trunk