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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. Hypospadias
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
trunk - gonads and associative tissue
trunk
Urethral opening is positioned below the glans penis

2. Treatment for Hirschsprungs
5 inches
crowded living conditions - homeless and low income
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
3 years

3. Nursing care for a child with Reye's Syndrome
Bacteria enter the blood stream from a site of localized infection and grows in the heart
passage of abdominal contents to the esophagus
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

4. Celiac Disease
inflammation and hypersensitivity to triggers
Excessive stool fat
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Enteropathy caused by an insensitivity to the gluten found in wheat

5. Signs of increased ICP
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
12 years
13 years
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

6. What is epiglottitis?
Between 6-12 months
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
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
>95%

7. Rheumatic Fever
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

8. Viral Meningitis
from head to toe
from trunk to extremities
gum hypertrophy
An Acute inflamation of the meninges and CSF often caused by Enterovirus

9. S/sx of GERD
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
none

10. Pertussis?
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Swelling of the airways - mucous production - bronchospasms
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

11. Average rate of growth for the 1st year
high protien and calorie - multivitamins - extra enzymes for high fat food
10 inches
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

12. What should be observed in a case of a seizure?
Mechanical Ventalation - high inhaled o2 concentration
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Time and discription of seizure

13. Complications of acute otitis media
hearing loss - scarring - mastoiditis - meningitis
crowded living conditions - homeless and low income
A narrowing within the Aorta resulting in collateral circulation
10 inches

14. Lead screening should begin. at ..
3 years
GERD is the complications and symptoms that happen because of GER
5 inches
9 months

15. Age group affected by mononucleosis
Mechanical Ventalation - high inhaled o2 concentration
Previous history of life threatening reaction - Mod-severe illness w/wo fever
<25 yrs old
hearing loss - scarring - mastoiditis - meningitis

16. Growth spurt for adolescent boys
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
Mid puberty
Regular diet with low sodium an no added salt
Successful management is based on early diagnosis and aggressive therapy

17. Puberty for boys
larger
2.5 inches
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
12 years

18. Average age of menarche
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
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
Triple

19. Prevention of infection in Sickle Cell Disease
Dental procedures - gum disease and urinary tract infections
13 years
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Penicillin Prophylaxis (BID)

20. Age range that is appropriate to use a length chart
fever and infection
birth-36 months
Bacteria enter the blood stream from a site of localized infection and grows in the heart
MVA - bike accidents and falls

21. Linear growth event happens in Adolescents
12 years
No - it can only be controlled
used for prolonged sz's
Growth spurt

22. 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
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
passage of abdominal contents to the esophagus

23. Basic defect in coarctation of the aorta
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Mechanical Ventalation - high inhaled o2 concentration
A narrowing within the Aorta resulting in collateral circulation

24. What are the side effects of depakote?
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Hepatoxicity - pancreatitis
chest x-ray following a Positive PPD skin test
Maternal infection - premature rupture of membranes

25. Signs and symptoms of neonatal meningitis
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
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
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

26. Average age of breast development
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
10 years
inflammation located in the middle ear
double birth weight

27. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
# of stools per day - goal=2-3 stools per day
double birth weight
1-6 months
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

28. GER (gastroesophageal reflux)
passage of abdominal contents to the esophagus
MVA - bike accidents and falls
Kawasaki disease - w/o treatment 25% will have permanent heart damage
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

29. What is physiologic Jaundice?
Equal to
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
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
Growth spurt

30. How does pertussis present?
Time and discription of seizure
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
head
1-6 months

31. Treatment for Varicella
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Length Chart
5 inches
crowded living conditions - homeless and low income

32. What is used to diagnose GER?
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
2 snacks
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
9 months

33. BMI- overweight
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
5 inches
>95%
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

34. Non-pharmalogical measures to treat GER
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
Small bowel biopsy
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

35. Clinical signs of infection wilth sickle cell disease
Equal to
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

36. What has the HIB vaccine been successful in reducing?
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
MVA - bike accidents and falls
3 years
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

37. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Length Chart
Less than 120 f.
2 years
Foreskin is used during the surgical repair

38. What confirms a positive TB infection?
crowded living conditions - homeless and low income
chest x-ray following a Positive PPD skin test
10 inches
Repeated involuntary urination in a child who should already by toilet trained at night

39. Pathophysiology of celiac disease
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
used for prolonged sz's

40. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
used for prolonged sz's
trunk - gonads and associative tissue
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

41. Signs and Symptoms of Hemolytic Disease of the newborn
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

42. Leading cause of head injury
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
trunk - gonads and associative tissue
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
MVA - bike accidents and falls

43. Contraindications to all vaccines
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

44. Another name for Hemolytic Disease of the Newborn
Erythroblastosis Fetalis
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Liver Biopsy
No - it can only be controlled

45. What is enuresis?
trunk
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Repeated involuntary urination in a child who should already by toilet trained at night
An Acute inflamation of the meninges and CSF often caused by Enterovirus

46. Signs and symptoms of tuberculosis
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
lethargy - irritability - decrease feedings - fever - seizures
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
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

47. What is an acute otitis media?
Viral---Varicella or influenza
inflammation located in the middle ear
Enteropathy caused by an insensitivity to the gluten found in wheat
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

48. BMI - underweight
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Swelling of the airways - mucous production - bronchospasms
lethargy - irritability - decrease feedings - fever - seizures
< 5%

49. Bronchiolitis
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
passage of abdominal contents to the esophagus
1-6 months
Maternal infection - premature rupture of membranes

50. At what age is a stadiometer required to measure linear growth?
Length board standiometer
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
36 months