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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. At birth - head circumference is ____ compared to chest circumference
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Low fiber - high calorie and protein
larger
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

2. Males Reproductive issues for CF patients
Equal to
O2 status of blood - acid-base balance
Sterile-caused by blockage of thick mucous at the vas deferens
Enteropathy caused by an insensitivity to the gluten found in wheat

3. Basic defect in coarctation of the aorta
A narrowing within the Aorta resulting in collateral circulation
from trunk to extremities
Maternal infection - premature rupture of membranes
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

4. What is used to diagnose pyloric stenosis?
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Dental procedures - gum disease and urinary tract infections
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Abdominal ultrasound - Upper GI

5. Most cases of Reye's Syndrome follows what type of illness?
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Viral---Varicella or influenza
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
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

6. Bronchiolitis
parainfluenza - RSV - Influenza A&B - M. pneumonia
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

7. Teaching for Croup
Equal to
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Cool mist therapy - encourage oral intake - s/sx of resp. distress
10 years

8. What should be done to minimize the risks of Sudden infant death syndrome?
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
2 years

9. Nursing care for a child with Reye's Syndrome
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Cool mist therapy - encourage oral intake - s/sx of resp. distress
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
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. Signs of increased ICP
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

11. Celiac Disease
Less than 120 f.
Enteropathy caused by an insensitivity to the gluten found in wheat
Contact isolation - gown - gloves and handwashing
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

12. What is the cause of mononucleosis and its method of transmission?
Epstein Barr Virus - transmitted with intimate contact
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
< 1
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

13. How is Celiac Disease diagnosed?
Small bowel biopsy
Give freedom and choices - save battles for the important things
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

14. Rheumatic Fever
Erythroblastosis Fetalis
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
5 inches

15. Predisposing factors to subacute bacterial endocarditis
They are people - need a balance of limits and independence
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Dental procedures - gum disease and urinary tract infections
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

16. Signs and Symptoms of mononucleosis
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
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
< 1

17. Why avoid circumcision in a baby with hypospadias?
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
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
A typical lymphocytosis - mono-spot - EBV serology
Foreskin is used during the surgical repair

18. Average age of breast development
Successful management is based on early diagnosis and aggressive therapy
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
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

19. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
trunk
Regular diet with low sodium an no added salt
# of stools per day - goal=2-3 stools per day
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

20. Focus of adolescent discipline
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Give freedom and choices - save battles for the important things
Penicillin Prophylaxis (BID)

21. At what age is a stadiometer required to measure linear growth?
Day 3 of life
Dust - mold - animal dander - viral infections
36 months
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

22. Nursing care of the infant with pyloric stenosis
GERD is the complications and symptoms that happen because of GER
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
6 months

23. What is an acute otitis media?
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Sterile-caused by blockage of thick mucous at the vas deferens
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
inflammation located in the middle ear

24. Steatorrhea
crowded living conditions - homeless and low income
0-24 months
13 years
Excessive stool fat

25. 3 main causes of Bacterial meningitis in children
Enteropathy caused by an insensitivity to the gluten found in wheat
They are people - need a balance of limits and independence
Airborne and contact
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

26. treatment of intussusception
Milk - Ice cream - Malts - Grains
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

27. Leading cause of acquired heart disease in children
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Kawasaki disease - w/o treatment 25% will have permanent heart damage
crowded living conditions - homeless and low income

28. Hypospadias
used for prolonged sz's
Urethral opening is positioned below the glans penis
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
5ml/dl

29. Average Birth Length
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Give freedom and choices - save battles for the important things
20 inches
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

30. Assess the cause of enuresis
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
complete physical and psychosocial assessment to rule out underlying disorders
measures the largest velocity which occurs during a forced exhale
GERD is the complications and symptoms that happen because of GER

31. Viral Croup
trunk
36 months
Swelling or obstruction of the Larynx
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

32. Precaustions needed for pt's with varicella
12-24 days
Barium enema
Repeated involuntary urination in a child who should already by toilet trained at night
Airborne and contact

33. Signs and symptoms of varicella Prodromal
Enteropathy caused by an insensitivity to the gluten found in wheat
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
A narrowing within the Aorta resulting in collateral circulation

34. Treatment for Hirschsprungs
6 months
Group B Streptococcus
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

35. Post Op treatment of a VP shunt
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
20 inches
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
12-24 days

36. Encoperesis
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
fecal soiling
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

37. Risk factors of tuberculosis
6 months
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
crowded living conditions - homeless and low income
Give freedom and choices - save battles for the important things

38. Signs and symptoms of neonatal meningitis
fever and infection
4 years
5 inches
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

39. Diastat rectal diazepam gel

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40. Growth spurt for adolescent boys
Mid puberty
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
12 years
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

41. GER (gastroesophageal reflux)
passage of abdominal contents to the esophagus
from head to toe
complete physical and psychosocial assessment to rule out underlying disorders
13 years

42. What is broncho-pulmonary dysplasia?
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Group B Streptococcus
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
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
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
1-6 months
Growth spurt

44. Diagnose Intussusception by
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Abdominal ultrasound - Upper GI
Barium enema

45. What are development considerations for hemophilia?
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Enteropathy caused by an insensitivity to the gluten found in wheat
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

46. Average rate of growth for the 1st year
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
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
10 inches

47. Assessment of a patient with suspected epiglottitis
Maternal infection - premature rupture of membranes
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
6 months

48. Average age of menarche
Kawasaki disease - w/o treatment 25% will have permanent heart damage
13 years
gum hypertrophy
Small bowel biopsy

49. Diet for a child with glumerlonephritis
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
maternal nutrition and genetics
Regular diet with low sodium an no added salt

50. Pertussis?
Low fiber - high calorie and protein
9 months
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
inflammation located in the middle ear