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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. Teaching for Mononucleosis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
passage of abdominal contents to the esophagus
BMI chart

2. Males Reproductive issues for CF patients
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Milk - Ice cream - Malts - Grains
Sterile-caused by blockage of thick mucous at the vas deferens
diazepam - lorazapam

3. Nursing care for a child with Reye's Syndrome
85-95%
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

4. What is used to diagnose GER?
>95%
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Dust - mold - animal dander - viral infections

5. Peak flow meter
Sterile-caused by blockage of thick mucous at the vas deferens
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Epstein Barr Virus - transmitted with intimate contact
measures the largest velocity which occurs during a forced exhale

6. Treatment of a bleed in hemophilia
5ml/dl
MVA - bike accidents and falls
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

7. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
diazepam - lorazapam
BMI chart
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Length Chart

8. treatment of hemolytic disease of the newborn
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
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
hearing loss - scarring - mastoiditis - meningitis
Phototherapy - exchange transfusion

9. Pathophysiology of Acute Asthma
1-6 months
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
passage of abdominal contents to the esophagus
Swelling of the airways - mucous production - bronchospasms

10. Predisposing factors to subacute bacterial endocarditis
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
gum hypertrophy
Dental procedures - gum disease and urinary tract infections
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

11. What should be used for feeding a child during the post operative period following cleft palate surgery?
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
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Enteropathy caused by an insensitivity to the gluten found in wheat
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

12. Pertussis?
Family history - EEG - CBC - LP and MRI
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
GERD is the complications and symptoms that happen because of GER

13. Contraindications to all vaccines
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Previous history of life threatening reaction - Mod-severe illness w/wo fever

14. How is mononucleosis diagnosed
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
A typical lymphocytosis - mono-spot - EBV serology
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

15. Assess the cause of enuresis
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
2 snacks
complete physical and psychosocial assessment to rule out underlying disorders
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

16. 3 main causes of Bacterial meningitis in children
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
5 inches
drooling
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

17. How does pertussis present?
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
passage of abdominal contents to the esophagus
Phototherapy - exchange transfusion
Epstein Barr Virus - transmitted with intimate contact

18. first tooth
6 months
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
crowded living conditions - homeless and low income
Repeated involuntary urination in a child who should already by toilet trained at night

19. Age of children at half their adult height
2 years
School age
Brain damage - hearing loss and learning disabilities
Abdominal ultrasound - Upper GI

20. What is Cystic Fibrosis?
Between 6-12 months
Low fiber - high calorie and protein
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

21. Pathophysiology of Chronic Asthma
GERD is the complications and symptoms that happen because of GER
none
Swelling or obstruction of the Larynx
inflammation and hypersensitivity to triggers

22. Signs and Symptoms of mononucleosis
Contact isolation - gown - gloves and handwashing
Phototherapy - exchange transfusion
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
diazepam - lorazapam

23. Childs weight at 6 months compared to birth weight
Enteropathy caused by an insensitivity to the gluten found in wheat
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Hepatoxicity - pancreatitis
double birth weight

24. Term infant --Bilirubin peaks at what day of life
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Successful management is based on early diagnosis and aggressive therapy
Between 6-12 months
Day 3 of life

25. Post Op treatment of a VP shunt
Regular diet with low sodium an no added salt
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
measures the largest velocity which occurs during a forced exhale
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

26. What can promote dryness in a child with enuresis?
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
used for prolonged sz's
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

27. Cause of bronchiolitis
Swelling of the airways - mucous production - bronchospasms
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Enteropathy caused by an insensitivity to the gluten found in wheat
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

28. 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
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
fever and infection
They are people - need a balance of limits and independence
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

29. Nursing interventions for hemophilia
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
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

30. Pathophysiology of hirschsprung's disease
MVA - bike accidents and falls
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
inflammation and hypersensitivity to triggers

31. Part of body that grows the fastest in infancy
hearing loss - scarring - mastoiditis - meningitis
head
A typical lymphocytosis - mono-spot - EBV serology
Swelling or obstruction of the Larynx

32. Linear growth event happens in Adolescents
Triple
Growth spurt
maternal nutrition and genetics
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

33. Average age of breast development
10 years
Time and discription of seizure
12 years
Contact isolation - gown - gloves and handwashing

34. Prevention of bronchiolitis spreading
E. Coli
Contact isolation - gown - gloves and handwashing
measures the largest velocity which occurs during a forced exhale
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

35. Risk factors of tuberculosis
>95%
crowded living conditions - homeless and low income
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
1-6 months

36. What is Pyloric stenosis?
MVA - bike accidents and falls
20 inches
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

37. Treatment for Hirschsprungs
Mid puberty
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

38. Signs and symptoms of varicella Prodromal
Length board standiometer
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

39. Average age of menarche
10 inches
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
13 years

40. Pathophysiology related to Head Trauma
Kawasaki disease - w/o treatment 25% will have permanent heart damage
5ml/dl
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
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

41. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
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
lethargy - irritability - decrease feedings - fever - seizures
crowded living conditions - homeless and low income

42. Celiac Disease
Enteropathy caused by an insensitivity to the gluten found in wheat
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Triple
gum hypertrophy

43. Focus of adolescent discipline
Triple
Give freedom and choices - save battles for the important things
Salicylates
used for prolonged sz's

44. Pathophysiology of celiac disease
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
from head to toe
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

45. What Component of Aspirin cause's Reye's Syndrome?
Salicylates
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
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
drooling

46. What is physiologic Jaundice?
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Sterile-caused by blockage of thick mucous at the vas deferens
2 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

47. What is the treatment for epiglottitis?
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
larger
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
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

48. How is Celiac Disease diagnosed?
Low fiber - high calorie and protein
from head to toe
Small bowel biopsy
Abdominal ultrasound - Upper GI

49. Part of the body that grows the fastest in the toddler-preschool age
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
12 years
trunk
Phototherapy - exchange transfusion

50. What level does the bilirubin need to be at in order for jaundice to occur?
MVA - bike accidents and falls
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
5ml/dl
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

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