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. Predisposing factors to subacute bacterial endocarditis
Adequate O2 adequatte hydration
10 years
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Dental procedures - gum disease and urinary tract infections

2. Pathophysiology of Chronic Asthma
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Regular diet with low sodium an no added salt
inflammation and hypersensitivity to triggers

3. Growth spurt for adolescent boys
Regular diet with low sodium an no added salt
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Mid puberty

4. Leading cause of head injury
MVA - bike accidents and falls
< 1
A typical lymphocytosis - mono-spot - EBV serology
13 years

5. Puberty for boys
Phototherapy - exchange transfusion
12 years
Milk - Ice cream - Malts - Grains
fecal soiling

6. What is the cause of mononucleosis and its method of transmission?
Epstein Barr Virus - transmitted with intimate contact
Successful management is based on early diagnosis and aggressive therapy
Mid puberty
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

7. first tooth
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
6 months
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

8. Clinical signs of infection wilth sickle cell disease
Regular diet with low sodium an no added salt
Length board standiometer
10 years
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

9. Pathophysiology of celiac disease
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
5ml/dl
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
A typical lymphocytosis - mono-spot - EBV serology

10. Average rate of growth for the 1st year
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
10 inches
double birth weight
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

11. What is Cystic Fibrosis?
Adequate O2 adequatte hydration
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Dental procedures - gum disease and urinary tract infections
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

12. Pathophysiology of a fever and infection with sickle cell disease
Less than 120 f.
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Foreskin is used during the surgical repair

13. Equipment used to measure a 24 to 36 month old height
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Length board standiometer
Abdominal ultrasound - Upper GI

14. Diet for CF patients
< 5%
School age
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
high protien and calorie - multivitamins - extra enzymes for high fat food

15. BMI-@ risk for overweight
Give freedom and choices - save battles for the important things
85-95%
Epstein Barr Virus - transmitted with intimate contact
GERD is the complications and symptoms that happen because of GER

16. What should be done to minimize the risks of Sudden infant death syndrome?
Barium enema
Penicillin Prophylaxis (BID)
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

17. Kawasaki Disease
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
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

18. S/SX of Hirschsprungs
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
crowded living conditions - homeless and low income
Phototherapy - exchange transfusion
Maternal infection - premature rupture of membranes

19. What is enuresis?
Brain damage - hearing loss and learning disabilities
Repeated involuntary urination in a child who should already by toilet trained at night
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Swelling of the airways - mucous production - bronchospasms

20. What confirms a positive TB infection?
Foreskin is used during the surgical repair
chest x-ray following a Positive PPD skin test
trunk - gonads and associative tissue
Salicylates

21. Nursing care for a child with Reye's Syndrome
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
13 years
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
inflammation located in the middle ear

22. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
5ml/dl
# of stools per day - goal=2-3 stools per day
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

23. Lead screening should begin. at ..
9 months
Family history - EEG - CBC - LP and MRI
Epstein Barr Virus - transmitted with intimate contact
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

24. signs and symptoms of meningitis in older children
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
drooling
Length board standiometer
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

25. Teaching for RSV
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
<25 yrs old
Give freedom and choices - save battles for the important things

26. What is Pyloric stenosis?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
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
1-6 months

27. At birth - head circumference is ____ compared to chest circumference
larger
Epstein Barr Virus - transmitted with intimate contact
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Adequate O2 adequatte hydration

28. Causes of Bronchopulmonary Dysplasia
Mechanical Ventalation - high inhaled o2 concentration
Between 6-12 months
Dust - mold - animal dander - viral infections
Vaso-occulisive crisis - infection and sepsis

29. Treatment for sickle cell disease
0-24 months
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
measures the largest velocity which occurs during a forced exhale

30. Signs of heart failure
13 years
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
poor feeding - wt loss - fatigue - develop. delays - edema
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

31. During an abdominal assessment when should auscultation occur
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

32. When does the surgery to correct hypospadias usually occur?
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Between 6-12 months
chest x-ray following a Positive PPD skin test
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

33. Treatment for mononucleosis
none
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
10 years
Family history - EEG - CBC - LP and MRI

34. Pertussis?
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
36 months
4 years
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

35. Encoperesis
fecal soiling
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
12-24 days

36. difference btwn GER and GERD
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Adequate O2 adequatte hydration
GERD is the complications and symptoms that happen because of GER
Between 6-12 months

37. Leading cause of acquired heart disease in children
measures the largest velocity which occurs during a forced exhale
fever and infection
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Kawasaki disease - w/o treatment 25% will have permanent heart damage

38. Treatment for Varicella
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Penicillin Prophylaxis (BID)
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Brain damage - hearing loss and learning disabilities

39. Nursing care for Kawasaki Disease
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Brain damage - hearing loss and learning disabilities
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

40. BMI- overweight
Small bowel biopsy
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Length Chart
>95%

41. What level does the bilirubin need to be at in order for jaundice to occur?
Dental procedures - gum disease and urinary tract infections
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
5ml/dl

42. Sequence of resp distress
10 inches
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Time and discription of seizure
<25 yrs old

43. Neonatal Jaundice
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
measures the largest velocity which occurs during a forced exhale

44. What is the rate of growth each year from 3 yrs until puberty?
< 5%
Viral---Varicella or influenza
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
2.5 inches

45. S/Sx of pyloric stenosis
head
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Day 3 of life

46. Nursing care of the infant with pyloric stenosis
larger
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

47. Asthma inhaler - what can be done to decrease risk of thrush
10 years
Repeated involuntary urination in a child who should already by toilet trained at night
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Rinse mouth and brush teeth

48. Where does the adolescent experience rapid growth?
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
trunk - gonads and associative tissue
Cool mist therapy - encourage oral intake - s/sx of resp. distress

49. Precaustions needed for pt's with varicella
Brain damage - hearing loss and learning disabilities
Airborne and contact
6 months
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping

50. GER (gastroesophageal reflux)
Urethral opening is positioned below the glans penis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
passage of abdominal contents to the esophagus
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting