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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. Characteristics of the RBC's in sickle cell

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2. BMI- overweight
>95%
complete physical and psychosocial assessment to rule out underlying disorders
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
O2 status of blood - acid-base balance

3. Pathophysiology of intussusception

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4. Signs and symptoms of neonatal meningitis
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
fever and infection
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

5. Treatment for sickle cell disease
trunk
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
lethargy - irritability - decrease feedings - fever - seizures

6. Bronchiolitis
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Sterile-caused by blockage of thick mucous at the vas deferens
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

7. What are the side effects of depakote?
Hepatoxicity - pancreatitis
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Length board standiometer
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

8. Bilirubin encephalopathy
Epstein Barr Virus - transmitted with intimate contact
Successful management is based on early diagnosis and aggressive therapy
85-95%
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

9. Considerations should be taken when treating a child with cystic fibrosis who has a ___________ tx promptly since bacterial colonization increases destruction of lung tissue----prevention is key
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
birth-36 months
fever and infection
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

10. Hourly maintenance Fluid Requirements
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

11. Diet for a child with glumerlonephritis
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Regular diet with low sodium an no added salt
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
Between 6-12 months

12. What are the four main causes of viral croup?
parainfluenza - RSV - Influenza A&B - M. pneumonia
# of stools per day - goal=2-3 stools per day
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

13. Equipment used to measure a 24 to 36 month old height
Length board standiometer
fecal soiling
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
13 years

14. What promotes unsickling of RBC's?
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
fever and infection
Adequate O2 adequatte hydration
Sterile-caused by blockage of thick mucous at the vas deferens

15. Rheumatic Fever
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Enteropathy caused by an insensitivity to the gluten found in wheat
Erythroblastosis Fetalis
Airborne and contact

16. Steatorrhea
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
0-24 months
9 months
Excessive stool fat

17. What is Cystic Fibrosis?
9 months
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Enteropathy caused by an insensitivity to the gluten found in wheat

18. What is an acute otitis media?
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
inflammation located in the middle ear
Milk - Ice cream - Malts - Grains
Foreskin is used during the surgical repair

19. Complications related to varicella
Swelling or obstruction of the Larynx
Give freedom and choices - save battles for the important things
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

20. Average age of menarche
13 years
Less than 120 f.
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
measures the largest velocity which occurs during a forced exhale

21. Growth spurt for adolescent boys
Mid puberty
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
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
gum hypertrophy

22. Hirschsprung's Disease
13 years
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
< 1
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

23. What can promote dryness in a child with enuresis?
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Rinse mouth and brush teeth
double birth weight
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

24. Can Asthma be cured?
Regular diet with low sodium an no added salt
No - it can only be controlled
Bacteria enter the blood stream from a site of localized infection and grows in the heart
BMI chart

25. Side effects of benzodiazepines
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
high protien and calorie - multivitamins - extra enzymes for high fat food
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
drooling

26. What has the HIB vaccine been successful in reducing?
fecal soiling
used for prolonged sz's
MVA - bike accidents and falls
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

27. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
2 snacks

28. Diagnose Intussusception by
Barium enema
head
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

29. Screening for overweight or underweight child on chart
Less than 120 f.
Sterile-caused by blockage of thick mucous at the vas deferens
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
BMI chart

30. Complications of meningitis
fecal soiling
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Brain damage - hearing loss and learning disabilities

31. Term infant --Bilirubin peaks at what day of life
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
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Day 3 of life
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

32. Basic defect in coarctation of the aorta
A narrowing within the Aorta resulting in collateral circulation
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
BMI chart

33. first tooth
3 years
6 months
parainfluenza - RSV - Influenza A&B - M. pneumonia
Contact isolation - gown - gloves and handwashing

34. What is the cause of mononucleosis and its method of transmission?
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Epstein Barr Virus - transmitted with intimate contact
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
10 inches

35. At birth - head circumference is ____ compared to chest circumference
12 years
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
larger
inflammation and hypersensitivity to triggers

36. What Component of Aspirin cause's Reye's Syndrome?
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
lethargy - irritability - decrease feedings - fever - seizures
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Salicylates

37. Age range that is appropriate to use a length chart
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Growth spurt
diazepam - lorazapam
birth-36 months

38. How does pertussis present?
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Give freedom and choices - save battles for the important things
School age

39. Age group affected by mononucleosis
Swelling or obstruction of the Larynx
inflammation and hypersensitivity to triggers
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
<25 yrs old

40. What should be done to minimize the risks of Sudden infant death syndrome?
chest x-ray following a Positive PPD skin test
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Milk - Ice cream - Malts - Grains

41. Teaching for Croup
birth-36 months
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
trunk - gonads and associative tissue

42. At what age is a length board required?
Swelling of the airways - mucous production - bronchospasms
0-24 months
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
passage of abdominal contents to the esophagus

43. GER (gastroesophageal reflux)
Vaso-occulisive crisis - infection and sepsis
GERD is the complications and symptoms that happen because of GER
<25 yrs old
passage of abdominal contents to the esophagus

44. BMI - underweight
< 5%
Previous history of life threatening reaction - Mod-severe illness w/wo fever
No - it can only be controlled
Excessive stool fat

45. Signs and symptoms of Reye's Syndrome
Mid puberty
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
5ml/dl
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

46. Nursing care for child with seizure

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47. Etiology of GERD
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Adequate O2 adequatte hydration
Give freedom and choices - save battles for the important things

48. Why avoid circumcision in a baby with hypospadias?
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
Foreskin is used during the surgical repair
gum hypertrophy
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

49. Age that birth length doubles
4 years
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Barium enema
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

50. treatment of intussusception
inflammation located in the middle ear
Small bowel biopsy
10 inches
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium