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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
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
larger
Excessive stool fat

2. Assessment of a patient with suspected epiglottitis
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
measures the largest velocity which occurs during a forced exhale
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

3. first tooth
Milk - Ice cream - Malts - Grains
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
6 months
2 years

4. difference btwn GER and GERD
none
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
GERD is the complications and symptoms that happen because of GER
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

5. Teaching for RSV
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
diazepam - lorazapam

6. What promotes unsickling of RBC's?
gum hypertrophy
< 1
Adequate O2 adequatte hydration
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

7. Pathophysiology of celiac disease
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Adequate O2 adequatte hydration

8. Signs and symptoms of varicella Prodromal
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
hearing loss - scarring - mastoiditis - meningitis
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

9. Age group affected by mononucleosis
>95%
Equal to
Vaso-occulisive crisis - infection and sepsis
<25 yrs old

10. Sickle Cell Disease
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
fever and infection
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

11. Leading cause of acquired heart disease in children
Excessive stool fat
Successful management is based on early diagnosis and aggressive therapy
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Equal to

12. Average rate of growth for the 1st year
< 1
from head to toe
Previous history of life threatening reaction - Mod-severe illness w/wo fever
10 inches

13. Diet for CF patients
Less than 120 f.
Give freedom and choices - save battles for the important things
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
high protien and calorie - multivitamins - extra enzymes for high fat food

14. Precaustions needed for pt's with varicella
Airborne and contact
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
<25 yrs old

15. Characteristics of the RBC's in sickle cell

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16. What has the HIB vaccine been successful in reducing?
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Erythroblastosis Fetalis
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Kawasaki disease - w/o treatment 25% will have permanent heart damage

17. Teaching for Croup
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Abdominal ultrasound - Upper GI
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

18. Nursing care for Cystic Fibrosis
Group B Streptococcus
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
Length Chart
Viral---Varicella or influenza

19. Part of body that grows the fastest in infancy
Low fiber - high calorie and protein
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
head
Erythroblastosis Fetalis

20. Diagnose Reye's Syndrome
E. Coli
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Low fiber - high calorie and protein
Liver Biopsy

21. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Epstein Barr Virus - transmitted with intimate contact
5ml/dl

22. What is broncho-pulmonary dysplasia?
Cool mist therapy - encourage oral intake - s/sx of resp. distress
up to 14 days
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

23. Assess the cause of enuresis
complete physical and psychosocial assessment to rule out underlying disorders
chest x-ray following a Positive PPD skin test
A narrowing within the Aorta resulting in collateral circulation
MVA - bike accidents and falls

24. What is physiologic Jaundice?
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
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
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
trunk - gonads and associative tissue

25. Rheumatic Fever
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Equal to
A narrowing within the Aorta resulting in collateral circulation
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

26. Females reproductive issues for CF patients
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Triple
5ml/dl
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

27. Head circumference should be assessed until what age
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
parainfluenza - RSV - Influenza A&B - M. pneumonia
Growth spurt
3 years

28. Teaching for Mononucleosis
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
2.5 inches
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

29. Cephalocaudal
O2 status of blood - acid-base balance
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
from head to toe
E. Coli

30. Define Proximodistal
Swelling or obstruction of the Larynx
0-24 months
Less than 120 f.
from trunk to extremities

31. Treatment of Meningitis

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32. Signs and Symptoms that indicate and adverse reaction to a vaccine
Phototherapy - exchange transfusion
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Day 3 of life
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

33. Varicella communicable
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
MVA - bike accidents and falls

34. treatment of hemolytic disease of the newborn
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Phototherapy - exchange transfusion
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
none

35. Puberty for boys
12 years
measures the largest velocity which occurs during a forced exhale
# of stools per day - goal=2-3 stools per day
A narrowing within the Aorta resulting in collateral circulation

36. Hirschsprung's Disease
Equal to
Erythroblastosis Fetalis
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

37. Another name for Hemolytic Disease of the Newborn
Erythroblastosis Fetalis
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
maternal nutrition and genetics
GERD is the complications and symptoms that happen because of GER

38. Treatment of celiac disease
4 years
Length board standiometer
Kawasaki disease - w/o treatment 25% will have permanent heart damage
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

39. Pathophysiology of a fever and infection with sickle cell disease
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
10 years
measures the largest velocity which occurs during a forced exhale

40. Leading cause of bacterial meningitis in Neonates
<25 yrs old
Mechanical Ventalation - high inhaled o2 concentration
Group B Streptococcus
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

41. Bronchiolitis
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
10 years
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

42. What is epiglottitis?
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
gum hypertrophy
none
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

43. Childs weight at 6 months compared to birth weight
double birth weight
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
They are people - need a balance of limits and independence
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

44. 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
diazepam - lorazapam
fever and infection
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Contact isolation - gown - gloves and handwashing

45. Signs and symptoms of tuberculosis
# of stools per day - goal=2-3 stools per day
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Enteropathy caused by an insensitivity to the gluten found in wheat

46. Basic defect in coarctation of the aorta
Swelling of the airways - mucous production - bronchospasms
Salicylates
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
A narrowing within the Aorta resulting in collateral circulation

47. At what age is a stadiometer required to measure linear growth?
head
36 months
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

48. 3 symptoms of coarctation of the aorta
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
A typical lymphocytosis - mono-spot - EBV serology
double birth weight
2 snacks

49. Treatment of a bleed in hemophilia
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Abdominal ultrasound - Upper GI
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

50. Average rate of growth for the 2nd year of lif
drooling
12 years
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
5 inches