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Certified Pediatric Nurse Exam

Subjects : certifications, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. What can promote dryness in a child with enuresis?
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Vaso-occulisive crisis - infection and sepsis
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

2. What is Cystic Fibrosis?
used for prolonged sz's
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
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Sterile-caused by blockage of thick mucous at the vas deferens

3. Average age of menarche
13 years
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
fecal soiling
Hepatoxicity - pancreatitis

4. Nursing care for Kawasaki Disease
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
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

5. Hypospadias
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Urethral opening is positioned below the glans penis
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

6. Nursing care of the infant with pyloric stenosis
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
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
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

7. 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
3 years
fever and infection
Family history - EEG - CBC - LP and MRI
Erythroblastosis Fetalis

8. Leading cause of head injury
Phototherapy - exchange transfusion
9 months
MVA - bike accidents and falls
Adequate O2 adequatte hydration

9. How is mononucleosis diagnosed
2 years
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Length Chart
A typical lymphocytosis - mono-spot - EBV serology

10. What is used to diagnose GER?
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

11. Age of children at half their adult height
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
2 years
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

12. Two important assessment rules related to coarctation of the aorta?
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
complete physical and psychosocial assessment to rule out underlying disorders
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

13. Most cases of Reye's Syndrome follows what type of illness?
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
double birth weight
Viral---Varicella or influenza
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

14. Diet for a child with glumerlonephritis
0-24 months
Mechanical Ventalation - high inhaled o2 concentration
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
Regular diet with low sodium an no added salt

15. What should a child's wt be at 1 yr compared to birth weight?
fever and infection
Triple
Small bowel biopsy
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

16. Incubation period for TB
from head to toe
trunk
1-6 months
head

17. GER (gastroesophageal reflux)
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
passage of abdominal contents to the esophagus
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Salicylates

18. Focus of adolescent discipline
Milk - Ice cream - Malts - Grains
Less than 120 f.
Give freedom and choices - save battles for the important things
from head to toe

19. Assess the cause of enuresis
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
complete physical and psychosocial assessment to rule out underlying disorders
Day 3 of life
Hepatoxicity - pancreatitis

20. Assessment of a patient with suspected epiglottitis
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Day 3 of life
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

21. Diagnose Reye's Syndrome
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Liver Biopsy
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Airborne and contact

22. During an abdominal assessment when should auscultation occur
Repeated involuntary urination in a child who should already by toilet trained at night
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
gum hypertrophy
Regular diet with low sodium an no added salt

23. Signs and Symptoms of mononucleosis
Regular diet with low sodium an no added salt
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
1-6 months
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

24. Signs and symptoms of tuberculosis
Swelling or obstruction of the Larynx
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
2 snacks
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

25. difference btwn GER and GERD
Length board standiometer
Mid puberty
GERD is the complications and symptoms that happen because of GER
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping

26. Cause of bronchiolitis
Time and discription of seizure
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
An Acute inflamation of the meninges and CSF often caused by Enterovirus
none

27. Average rate of growth for the 1st year
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
10 inches
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

28. What is the cause of mononucleosis and its method of transmission?
fecal soiling
GERD is the complications and symptoms that happen because of GER
Epstein Barr Virus - transmitted with intimate contact
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping

29. Predisposing factors to subacute bacterial endocarditis
Dental procedures - gum disease and urinary tract infections
Growth spurt
< 5%
Equal to

30. Normal presentation of cystic fibrosis
< 1
crowded living conditions - homeless and low income
lethargy - irritability - decrease feedings - fever - seizures
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

31. What is epiglottitis?
MVA - bike accidents and falls
Small bowel biopsy
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
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

32. Linear growth event happens in Adolescents
Growth spurt
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Rinse mouth and brush teeth
Equal to

33. Bilirubin encephalopathy
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
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

34. When does the surgery to correct hypospadias usually occur?
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
# of stools per day - goal=2-3 stools per day
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Between 6-12 months

35. Males Reproductive issues for CF patients
Excessive stool fat
Sterile-caused by blockage of thick mucous at the vas deferens
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Barium enema

36. Side effects of benzodiazepines
drooling
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

37. Hirschsprung's Disease
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Vaso-occulisive crisis - infection and sepsis
Contact isolation - gown - gloves and handwashing

38. treatment of hemolytic disease of the newborn
1-6 months
Phototherapy - exchange transfusion
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
10 years

39. BMI-@ risk for overweight
head
Enteropathy caused by an insensitivity to the gluten found in wheat
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
85-95%

40. What has the HIB vaccine been successful in reducing?
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
They are people - need a balance of limits and independence
Viral---Varicella or influenza
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

41. Treatment of celiac disease
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
2 snacks
Group B Streptococcus
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

42. Rheumatic Fever
2 years
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
one portion of the intestine 'telescopes' into another leading to lymphatic and venous obstruction which causes ischemia - mucous backflow into the intestine and leaking of blood into the intestine
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

43. At what age is a stadiometer required to measure linear growth?
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
3 years
36 months

44. What is broncho-pulmonary dysplasia?
drooling
5ml/dl
Dust - mold - animal dander - viral infections
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

45. Signs and Symptoms of Hemolytic Disease of the newborn
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
2 snacks
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

46. Test to evaluate a Seizure disorder
Family history - EEG - CBC - LP and MRI
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
parainfluenza - RSV - Influenza A&B - M. pneumonia
BMI chart

47. Part of body that grows the fastest in infancy
13 years
head
Bacteria enter the blood stream from a site of localized infection and grows in the heart
20 inches

48. Celiac Disease
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Enteropathy caused by an insensitivity to the gluten found in wheat
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
O2 status of blood - acid-base balance

49. Pathophysiology of hirschsprung's disease
birth-36 months
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Milk - Ice cream - Malts - Grains
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

50. Cephalocaudal
chest x-ray following a Positive PPD skin test
< 1
from head to toe
Mid puberty

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Certified Pediatric Nurse Exam

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