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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 what age is a length board required?
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Enteropathy caused by an insensitivity to the gluten found in wheat
0-24 months
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

2. What is physiologic Jaundice?
parainfluenza - RSV - Influenza A&B - M. pneumonia
13 years
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
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

3. Main cause of urinary tract infections
E. Coli
double birth weight
BMI chart
GERD is the complications and symptoms that happen because of GER

4. Peak flow meter
Barium enema
measures the largest velocity which occurs during a forced exhale
Growth spurt
Length board standiometer

5. During an abdominal assessment when should auscultation occur
A typical lymphocytosis - mono-spot - EBV serology
Regular diet with low sodium an no added salt
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
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

6. Treatment for Hirschsprungs
Urethral opening is positioned below the glans penis
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
They are people - need a balance of limits and independence
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

7. Non-pharmalogical measures to treat GER
An Acute inflamation of the meninges and CSF often caused by Enterovirus
inflammation located in the middle ear
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping

8. What occurs in a subacute baterial endocarditis?
Length board standiometer
Bacteria enter the blood stream from a site of localized infection and grows in the heart
from trunk to extremities
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

9. Encoperesis
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
fecal soiling
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Maternal infection - premature rupture of membranes

10. What promotes unsickling of RBC's?
Adequate O2 adequatte hydration
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
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

11. Why avoid circumcision in a baby with hypospadias?
Foreskin is used during the surgical repair
inflammation and hypersensitivity to triggers
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
MVA - bike accidents and falls

12. Define Proximodistal
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
from trunk to extremities
2.5 inches
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

13. Varicella communicable
crowded living conditions - homeless and low income
0-24 months
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
lethargy - irritability - decrease feedings - fever - seizures

14. Pathophysiology of intussusception

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15. S/SX of Hirschsprungs
fever and infection
drooling
maternal nutrition and genetics
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

16. Pertussis?
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

17. Treatment of celiac disease
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
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
crowded living conditions - homeless and low income
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

18. signs and symptoms of meningitis in older children
crowded living conditions - homeless and low income
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Phototherapy - exchange transfusion

19. Average rate of growth for the 2nd year of lif
BMI chart
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
5 inches
Contact isolation - gown - gloves and handwashing

20. What is epiglottitis?
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Length board standiometer
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

21. Where does the adolescent experience rapid growth?
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Salicylates
trunk - gonads and associative tissue
They are people - need a balance of limits and independence

22. Incubation period for TB
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
measures the largest velocity which occurs during a forced exhale
1-6 months
Penicillin Prophylaxis (BID)

23. Rheumatic Fever
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Rinse mouth and brush teeth
Barium enema
Mechanical Ventalation - high inhaled o2 concentration

24. Assess the cause of enuresis
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
complete physical and psychosocial assessment to rule out underlying disorders
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

25. Diet for a child with glumerlonephritis
Rinse mouth and brush teeth
Regular diet with low sodium an no added salt
Length Chart
trunk - gonads and associative tissue

26. What is Pyloric stenosis?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

27. What are development considerations for hemophilia?
< 5%
Excessive stool fat
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

28. What confirms a positive TB infection?
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
chest x-ray following a Positive PPD skin test
Regular diet with low sodium an no added salt

29. Age range that is appropriate to use a length chart
birth-36 months
Airborne and contact
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
none

30. Assessment of a patient with suspected epiglottitis
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Swelling or obstruction of the Larynx

31. Steatorrhea
Excessive stool fat
Dust - mold - animal dander - viral infections
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
larger

32. Age group affected by mononucleosis
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
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
<25 yrs old
used for prolonged sz's

33. What is used to diagnose GER?
Repeated involuntary urination in a child who should already by toilet trained at night
poor feeding - wt loss - fatigue - develop. delays - edema
gum hypertrophy
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

34. What level does the bilirubin need to be at in order for jaundice to occur?
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
5ml/dl
2 snacks
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

35. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
E. Coli
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Length Chart
5ml/dl

36. Treatment for mononucleosis
Triple
fever and infection
none
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

37. Neonatal Jaundice
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
36 months
3 years
GERD is the complications and symptoms that happen because of GER

38. What is broncho-pulmonary dysplasia?
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
passage of abdominal contents to the esophagus
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

39. Pathophysiology of Chronic Asthma
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
maternal nutrition and genetics
inflammation and hypersensitivity to triggers
Airborne and contact

40. What is heart failure?
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Adequate O2 adequatte hydration
BMI chart
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

41. Pathophysiology of cystic fibrosis
larger
12-24 days
Day 3 of life
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

42. Common Asthma irritants
No - it can only be controlled
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Dust - mold - animal dander - viral infections
1-6 months

43. Nursing care for Cystic Fibrosis
Abdominal ultrasound - Upper GI
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
36 months
gum hypertrophy

44. Linear growth event happens in Adolescents
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
School age
Growth spurt
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

45. Treatment for sickle cell disease
13 years
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

46. How is Celiac Disease diagnosed?
Epstein Barr Virus - transmitted with intimate contact
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Penicillin Prophylaxis (BID)
Small bowel biopsy

47. Diet for CF patients
high protien and calorie - multivitamins - extra enzymes for high fat food
parainfluenza - RSV - Influenza A&B - M. pneumonia
BMI chart
A narrowing within the Aorta resulting in collateral circulation

48. Pathophysiology of hirschsprung's disease
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
trunk
trunk - gonads and associative tissue
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

49. Contraindications to all vaccines
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
poor feeding - wt loss - fatigue - develop. delays - edema
Previous history of life threatening reaction - Mod-severe illness w/wo fever

50. Puberty for boys
diazepam - lorazapam
12 years
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
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2