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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. Most cases of Reye's Syndrome follows what type of illness?
Viral---Varicella or influenza
12-24 days
Between 6-12 months
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

2. Pathophysiology of hirschsprung's disease
trunk - gonads and associative tissue
10 inches
Kawasaki disease - w/o treatment 25% will have permanent heart damage
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

3. Pathophysiology of intussusception

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4. Celiac Disease
Enteropathy caused by an insensitivity to the gluten found in wheat
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
high protien and calorie - multivitamins - extra enzymes for high fat food
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

5. What can promote dryness in a child with enuresis?
gum hypertrophy
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
birth-36 months

6. Nursing care of patient with Meningitis
10 years
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
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

7. At what age is a stadiometer required to measure linear growth?
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Length Chart
36 months
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

8. Side effects of benzodiazepines
Mid puberty
drooling
Excessive stool fat
Give freedom and choices - save battles for the important things

9. Bilirubin encephalopathy
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
measures the largest velocity which occurs during a forced exhale
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
maternal nutrition and genetics

10. What are the S/SX of bleeds in hemophilia?
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Erythroblastosis Fetalis
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

11. Growth spurt for adolescent boys
Equal to
Dust - mold - animal dander - viral infections
Mid puberty
< 1

12. What interventions prevent urinary tract infections?
# of stools per day - goal=2-3 stools per day
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Liver Biopsy

13. Clinical signs of infection wilth sickle cell disease
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
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

14. Signs and Symptoms of Asthma
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Adequate O2 adequatte hydration
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

15. BMI-@ risk for overweight
Regular diet with low sodium an no added salt
85-95%
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

16. Main cause of urinary tract infections
E. Coli
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Time and discription of seizure
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

17. Signs of heart failure
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
poor feeding - wt loss - fatigue - develop. delays - edema
double birth weight
13 years

18. first tooth
6 months
4 years
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
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

19. Age group the limbs grow the fastest
School age
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Equal to
chest x-ray following a Positive PPD skin test

20. S/sx of GERD
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
crowded living conditions - homeless and low income
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

21. Normal presentation of cystic fibrosis
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Group B Streptococcus
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

22. Sequence of resp distress
complete physical and psychosocial assessment to rule out underlying disorders
prevention - po antibiotics should be given before and after an invasive procedure
from head to toe
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

23. 3 main causes of Bacterial meningitis in children
Hepatoxicity - pancreatitis
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
used for prolonged sz's

24. Pathophysiology of Acute Asthma
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Swelling of the airways - mucous production - bronchospasms
diazepam - lorazapam
fecal soiling

25. ABG
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Salicylates
O2 status of blood - acid-base balance
Small bowel biopsy

26. Nursing interventions for hemophilia
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
< 5%
O2 status of blood - acid-base balance
Excessive stool fat

27. Age that birth length doubles
3 years
4 years
hearing loss - scarring - mastoiditis - meningitis
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

28. Hypospadias
Urethral opening is positioned below the glans penis
Rinse mouth and brush teeth
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

29. Nursing care for Cystic Fibrosis
Triple
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
gum hypertrophy
from head to toe

30. Hirschsprung's Disease
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
inflammation located in the middle ear
Regular diet with low sodium an no added salt
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

31. How many days after birth do bilirubin levels return to normal limits?
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
12-24 days

32. What Component of Aspirin cause's Reye's Syndrome?
>95%
Mid puberty
from head to toe
Salicylates

33. Females reproductive issues for CF patients
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
GERD is the complications and symptoms that happen because of GER
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

34. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
Rinse mouth and brush teeth
# of stools per day - goal=2-3 stools per day
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

35. S/SX of Hirschsprungs
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Excessive stool fat
2 years

36. Signs and symptoms of neonatal meningitis
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
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
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
10 years

37. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
lethargy - irritability - decrease feedings - fever - seizures
up to 14 days

38. Bronchiolitis
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Milk - Ice cream - Malts - Grains
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

39. Lead screening should begin. at ..
9 months
3 years
Equal to
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

40. RSV contagious for ...
up to 14 days
double birth weight
drooling
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

41. difference btwn GER and GERD
An Acute inflamation of the meninges and CSF often caused by Enterovirus
GERD is the complications and symptoms that happen because of GER
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
0-24 months

42. What has the HIB vaccine been successful in reducing?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
< 5%
chest x-ray following a Positive PPD skin test
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

43. What should be done to minimize the risks of Sudden infant death syndrome?
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
trunk
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

44. Treatment of Meningitis

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45. Kawasaki Disease
Erythroblastosis Fetalis
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
O2 status of blood - acid-base balance
Successful management is based on early diagnosis and aggressive therapy

46. Rheumatic Fever
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Viral---Varicella or influenza
Less than 120 f.
MVA - bike accidents and falls

47. Teaching for Mononucleosis
Cool mist therapy - encourage oral intake - s/sx of resp. distress
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
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

48. Diastat rectal diazepam gel

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49. Incubation period for TB
1-6 months
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
larger
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

50. What foods are prohibited for a person with Celiac Disease?
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Milk - Ice cream - Malts - Grains
crowded living conditions - homeless and low income