Test your basic knowledge |

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. 3 symptoms of coarctation of the aorta
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Adequate O2 adequatte hydration

2. What is the rate of growth each year from 3 yrs until puberty?
2.5 inches
Time and discription of seizure
Growth spurt
Liver Biopsy

3. Define Proximodistal
trunk
double birth weight
from trunk to extremities
MVA - bike accidents and falls

4. Teaching for Croup
diazepam - lorazapam
Cool mist therapy - encourage oral intake - s/sx of resp. distress
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

5. treatment of hemolytic disease of the newborn
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Phototherapy - exchange transfusion
Viral---Varicella or influenza
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

6. Average age of menarche
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
2 snacks
A typical lymphocytosis - mono-spot - EBV serology
13 years

7. Screening for overweight or underweight child on chart
Hepatoxicity - pancreatitis
BMI chart
Equal to
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

8. Nursing care for child with seizure

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

9. 2 key factors to consider when caring for a preschooler
crowded living conditions - homeless and low income
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
They are people - need a balance of limits and independence

10. Treatment of Kawasaki disease
Successful management is based on early diagnosis and aggressive therapy
2 years
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
13 years

11. Reyes Syndrome
trunk - gonads and associative tissue
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

12. Asthma
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

13. What Component of Aspirin cause's Reye's Syndrome?
No - it can only be controlled
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Salicylates
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

14. Two examples of benzodiazepines
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Excessive stool fat
diazepam - lorazapam
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

15. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
Group B Streptococcus
# of stools per day - goal=2-3 stools per day
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
BMI chart

16. Pertussis?
passage of abdominal contents to the esophagus
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

17. 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
85-95%
diazepam - lorazapam
Equal to

18. Part of the body that grows the fastest in the toddler-preschool age
# of stools per day - goal=2-3 stools per day
trunk
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

19. How many meals and snacks should a 1-3 yr old have in a day 3 meals
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
2 snacks

20. Pathophysiology related to Head Trauma
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
An Acute inflamation of the meninges and CSF often caused by Enterovirus
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
from trunk to extremities

21. Signs and Symptoms of intussusception
2 snacks
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

22. Signs and Symptoms of Hemolytic Disease of the newborn
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
A typical lymphocytosis - mono-spot - EBV serology

23. Incubation period for TB
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
1-6 months
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

24. What are the side effects of depakote?
Hepatoxicity - pancreatitis
Enteropathy caused by an insensitivity to the gluten found in wheat
Regular diet with low sodium an no added salt
Equal to

25. Treatment for Varicella
Regular diet with low sodium an no added salt
from head to toe
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Time and discription of seizure

26. What should be observed in a case of a seizure?
parainfluenza - RSV - Influenza A&B - M. pneumonia
MVA - bike accidents and falls
Time and discription of seizure
Vaso-occulisive crisis - infection and sepsis

27. Nursing care of patient with Meningitis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
36 months
GERD is the complications and symptoms that happen because of GER
MVA - bike accidents and falls

28. Treatment of celiac disease
parainfluenza - RSV - Influenza A&B - M. pneumonia
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
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. What confirms a positive TB infection?
chest x-ray following a Positive PPD skin test
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
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
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

30. What promotes unsickling of RBC's?
Adequate O2 adequatte hydration
12-24 days
5ml/dl
An Acute inflamation of the meninges and CSF often caused by Enterovirus

31. Pathophysiology of cystic fibrosis
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
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
Mechanical Ventalation - high inhaled o2 concentration
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

32. At birth - head circumference is ____ compared to chest circumference
Small bowel biopsy
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
larger
Kawasaki disease - w/o treatment 25% will have permanent heart damage

33. Treatment and nursing care for pertussis
maternal nutrition and genetics
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

34. Diastat rectal diazepam gel

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

35. Age range that is appropriate to use a length chart
birth-36 months
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
drooling

36. Treatment for sickle cell disease
inflammation and hypersensitivity to triggers
Vaso-occulisive crisis - infection and sepsis
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
3 years

37. Cephalocaudal
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Mid puberty
from head to toe

38. Diet for a child with glumerlonephritis
Regular diet with low sodium an no added salt
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
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
Swelling or obstruction of the Larynx

39. Diet for Hirschsprung's prior to corrction and treatment
5ml/dl
Equal to
Low fiber - high calorie and protein
Airborne and contact

40. Diet for CF patients
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
85-95%
high protien and calorie - multivitamins - extra enzymes for high fat food
36 months

41. Complications of meningitis
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
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Brain damage - hearing loss and learning disabilities

42. Signs of heart failure
parainfluenza - RSV - Influenza A&B - M. pneumonia
poor feeding - wt loss - fatigue - develop. delays - edema
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
hearing loss - scarring - mastoiditis - meningitis

43. How is Celiac Disease diagnosed?
Small bowel biopsy
< 1
Hepatoxicity - pancreatitis
larger

44. Why is early diagnosis important w. Reye's Syndrome?
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Successful management is based on early diagnosis and aggressive therapy
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Cool mist therapy - encourage oral intake - s/sx of resp. distress

45. Signs and symptoms of Reye's Syndrome
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
5 inches
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Barium enema

46. What is the cause of mononucleosis and its method of transmission?
Mechanical Ventalation - high inhaled o2 concentration
Epstein Barr Virus - transmitted with intimate contact
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
gum hypertrophy

47. Normal Bilirubin
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
< 1
Bacteria enter the blood stream from a site of localized infection and grows in the heart

48. Viral Croup
Triple
Swelling or obstruction of the Larynx
lethargy - irritability - decrease feedings - fever - seizures
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

49. Sequence of resp distress
Swelling of the airways - mucous production - bronchospasms
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
< 1
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

50. difference btwn GER and GERD
A typical lymphocytosis - mono-spot - EBV serology
13 years
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
GERD is the complications and symptoms that happen because of GER