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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. Nursing care of the infant with pyloric stenosis
chest x-ray following a Positive PPD skin test
10 years
from trunk to extremities
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

2. Age group the limbs grow the fastest
School age
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

3. At what age is a stadiometer required to measure linear growth?
Brain damage - hearing loss and learning disabilities
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Regular diet with low sodium an no added salt
36 months

4. What is the rate of growth each year from 3 yrs until puberty?
2.5 inches
0-24 months
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

5. What are the four main causes of viral croup?
Triple
12 years
parainfluenza - RSV - Influenza A&B - M. pneumonia
< 5%

6. Hourly maintenance Fluid Requirements
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Brain damage - hearing loss and learning disabilities
larger
Excessive stool fat

7. Signs and symptoms of tuberculosis
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
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
hearing loss - scarring - mastoiditis - meningitis
Phototherapy - exchange transfusion

8. Nursing care for Kawasaki Disease
Urethral opening is positioned below the glans penis
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

9. Age group affected by mononucleosis
<25 yrs old
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Hepatoxicity - pancreatitis

10. How is Celiac Disease diagnosed?
Cool mist therapy - encourage oral intake - s/sx of resp. distress
A typical lymphocytosis - mono-spot - EBV serology
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Small bowel biopsy

11. Average Birth Length
< 5%
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
20 inches
gum hypertrophy

12. Clinicla manifestations of sickle cell disease
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
2 years
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Vaso-occulisive crisis - infection and sepsis

13. Childs weight at 6 months compared to birth weight
lethargy - irritability - decrease feedings - fever - seizures
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
double birth weight
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

14. At what age is a length board required?
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
They are people - need a balance of limits and independence
0-24 months
Cool mist therapy - encourage oral intake - s/sx of resp. distress

15. Growth spurt for adolescent boys
Airborne and contact
Mid puberty
6 months
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

16. Treatment and nursing care for pertussis
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
MVA - bike accidents and falls
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

17. Age range that is appropriate to use a length chart
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
fecal soiling
birth-36 months

18. What confirms a positive TB infection?
Repeated involuntary urination in a child who should already by toilet trained at night
Contact isolation - gown - gloves and handwashing
chest x-ray following a Positive PPD skin test
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

19. Assessment of a patient with suspected epiglottitis
Growth spurt
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

20. Side effects of dilatin hirsuitism (body hair)
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
gum hypertrophy
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
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

21. Signs of heart failure
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
poor feeding - wt loss - fatigue - develop. delays - edema
E. Coli
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

22. Characteristics of the RBC's in sickle cell

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23. Nursing care for Cystic Fibrosis
Equal to
Barium enema
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
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

24. Reyes Syndrome
Day 3 of life
maternal nutrition and genetics
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

25. Age that birth length doubles
4 years
Less than 120 f.
up to 14 days
Cool mist therapy - encourage oral intake - s/sx of resp. distress

26. Peak flow meter
measures the largest velocity which occurs during a forced exhale
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Between 6-12 months
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

27. treatment of intussusception
Phototherapy - exchange transfusion
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Hepatoxicity - pancreatitis
85-95%

28. Signs of increased ICP
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
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

29. Nursing care of patient with Meningitis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Phototherapy - exchange transfusion
Growth spurt
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

30. Linear growth event happens in Adolescents
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Growth spurt
Maternal infection - premature rupture of membranes

31. How many days after birth do bilirubin levels return to normal limits?
12-24 days
Excessive stool fat
Adequate O2 adequatte hydration
poor feeding - wt loss - fatigue - develop. delays - edema

32. Another name for Hemolytic Disease of the Newborn
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Erythroblastosis Fetalis
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

33. Focus of adolescent discipline
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Epstein Barr Virus - transmitted with intimate contact
Give freedom and choices - save battles for the important things

34. What should be used for feeding a child during the post operative period following cleft palate surgery?
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
No - it can only be controlled
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Small bowel biopsy

35. Complications related to varicella
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
high protien and calorie - multivitamins - extra enzymes for high fat food
Give freedom and choices - save battles for the important things
lethargy - irritability - decrease feedings - fever - seizures

36. Diagnose Intussusception by
< 5%
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Barium enema
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

37. Hirschsprung's Disease
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Swelling of the airways - mucous production - bronchospasms
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
6 months

38. Males Reproductive issues for CF patients
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
Sterile-caused by blockage of thick mucous at the vas deferens
Swelling or obstruction of the Larynx
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

39. What is the treatment for epiglottitis?
Rinse mouth and brush teeth
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

40. Cause of bronchiolitis
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
BMI chart

41. Incubation period for TB
1-6 months
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Mechanical Ventalation - high inhaled o2 concentration
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

42. Diagnose Reye's Syndrome
Liver Biopsy
12 years
fever and infection
Previous history of life threatening reaction - Mod-severe illness w/wo fever

43. Contraindications to all vaccines
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Foreskin is used during the surgical repair
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

44. Sickle Cell Disease
O2 status of blood - acid-base balance
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

45. Signs and symptoms of varicella Prodromal
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

46. What is physiologic Jaundice?
high protien and calorie - multivitamins - extra enzymes for high fat food
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
Low fiber - high calorie and protein
O2 status of blood - acid-base balance

47. Average age of menarche
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Rinse mouth and brush teeth
13 years
prevention - po antibiotics should be given before and after an invasive procedure

48. 3 main causes of Bacterial meningitis in children
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
measures the largest velocity which occurs during a forced exhale
2 years
12 years

49. Treatment for Hirschsprungs
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
4 years
Erythroblastosis Fetalis
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

50. Average rate of growth for the 2nd year of lif
5 inches
10 inches
high protien and calorie - multivitamins - extra enzymes for high fat food
Less than 120 f.