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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. Post Op treatment of a VP shunt
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
crowded living conditions - homeless and low income
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
>95%

2. What are major risk factors for neonatal meningitis?
used for prolonged sz's
Triple
Maternal infection - premature rupture of membranes
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

3. How many days after birth do bilirubin levels return to normal limits?
13 years
12-24 days
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

4. Pathophysiology of intussusception

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5. Hourly maintenance Fluid Requirements
12 years
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Swelling of the airways - mucous production - bronchospasms

6. Most cases of Reye's Syndrome follows what type of illness?
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Erythroblastosis Fetalis
Mechanical Ventalation - high inhaled o2 concentration
Viral---Varicella or influenza

7. Linear growth event happens in Adolescents
Repeated involuntary urination in a child who should already by toilet trained at night
Growth spurt
< 5%
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

8. Risk factors of tuberculosis
trunk
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
inflammation and hypersensitivity to triggers
crowded living conditions - homeless and low income

9. Pathophysiology related to Head Trauma
Abdominal ultrasound - Upper GI
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
drooling
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

10. What occurs in a subacute baterial endocarditis?
Bacteria enter the blood stream from a site of localized infection and grows in the heart
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
diazepam - lorazapam
School age

11. Signs and Symptoms of mononucleosis
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Barium enema
up to 14 days

12. At 6-24 months - head circumference is what size in relationship to chest circumference
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Equal to
Hepatoxicity - pancreatitis
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

13. Hirschsprung's Disease
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Length Chart
passage of abdominal contents to the esophagus

14. Teaching for Croup
inflammation located in the middle ear
crowded living conditions - homeless and low income
Cool mist therapy - encourage oral intake - s/sx of resp. distress
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

15. Signs of increased ICP
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
passage of abdominal contents to the esophagus
Foreskin is used during the surgical repair
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

16. Side effects of dilatin hirsuitism (body hair)
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
BMI chart
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
gum hypertrophy

17. What is used to diagnose GER?
Mechanical Ventalation - high inhaled o2 concentration
Penicillin Prophylaxis (BID)
Mid puberty
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

18. Clinicla manifestations of sickle cell disease
Viral---Varicella or influenza
Rinse mouth and brush teeth
Vaso-occulisive crisis - infection and sepsis
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

19. Contraindications to all vaccines
20 inches
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
chest x-ray following a Positive PPD skin test
Previous history of life threatening reaction - Mod-severe illness w/wo fever

20. Males Reproductive issues for CF patients
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
crowded living conditions - homeless and low income
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Sterile-caused by blockage of thick mucous at the vas deferens

21. What should be done to minimize the risks of Sudden infant death syndrome?
5ml/dl
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

22. What should be observed in a case of a seizure?
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
fecal soiling
Day 3 of life
Time and discription of seizure

23. Celiac Disease
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Enteropathy caused by an insensitivity to the gluten found in wheat
Swelling of the airways - mucous production - bronchospasms
Give freedom and choices - save battles for the important things

24. Growth spurt for adolescent boys
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Mid puberty
larger

25. Age group the limbs grow the fastest
inflammation located in the middle ear
Sterile-caused by blockage of thick mucous at the vas deferens
School age
# of stools per day - goal=2-3 stools per day

26. S/Sx of pyloric stenosis
Time and discription of seizure
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Swelling of the airways - mucous production - bronchospasms
Previous history of life threatening reaction - Mod-severe illness w/wo fever

27. Leading cause of head injury
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
MVA - bike accidents and falls
Regular diet with low sodium an no added salt
Salicylates

28. What is used to diagnose pyloric stenosis?
Small bowel biopsy
Abdominal ultrasound - Upper GI
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

29. Part of body that grows the fastest in infancy
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
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
diazepam - lorazapam
head

30. Signs and symptoms of varicella Prodromal
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
< 5%
Swelling or obstruction of the Larynx
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

31. treatment of intussusception
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Low fiber - high calorie and protein
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

32. Signs and symptoms of Reye's Syndrome
12-24 days
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Penicillin Prophylaxis (BID)

33. What is the treatment for epiglottitis?
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
BMI chart
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

34. Etiology of GERD
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
larger
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

35. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
20 inches
Dust - mold - animal dander - viral infections
Hepatoxicity - pancreatitis

36. Focus of adolescent discipline
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
13 years
Give freedom and choices - save battles for the important things
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

37. Age of children at half their adult height
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
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
Salicylates
2 years

38. Why is early diagnosis important w. Reye's Syndrome?
from trunk to extremities
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Successful management is based on early diagnosis and aggressive therapy
Between 6-12 months

39. Nursing care for Cystic Fibrosis
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
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

40. Prevention of infection in Sickle Cell Disease
trunk - gonads and associative tissue
6 months
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Penicillin Prophylaxis (BID)

41. Characteristics of the RBC's in sickle cell

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42. Define Proximodistal
Dental procedures - gum disease and urinary tract infections
3 years
Swelling of the airways - mucous production - bronchospasms
from trunk to extremities

43. 2 factors that determine birth weight
complete physical and psychosocial assessment to rule out underlying disorders
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
maternal nutrition and genetics
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

44. Treatment of celiac disease
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
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
MVA - bike accidents and falls

45. What are the four main causes of viral croup?
passage of abdominal contents to the esophagus
parainfluenza - RSV - Influenza A&B - M. pneumonia
A typical lymphocytosis - mono-spot - EBV serology
10 inches

46. What is an acute otitis media?
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
inflammation located in the middle ear

47. Signs and Symptoms of Asthma
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
# of stools per day - goal=2-3 stools per day
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

48. Main cause of urinary tract infections
inflammation located in the middle ear
6 months
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
E. Coli

49. 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
2.5 inches
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

50. Kawasaki Disease
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
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Length Chart
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months