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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. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Day 3 of life
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
4 years

2. Nursing care for Cystic Fibrosis
Time and discription of seizure
Low fiber - high calorie and protein
Viral---Varicella or influenza
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

3. Peak flow meter
measures the largest velocity which occurs during a forced exhale
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Give freedom and choices - save battles for the important things
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

4. Part of body that grows the fastest in infancy
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
>95%
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
head

5. Age range that is appropriate to use a length chart
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Length board standiometer
birth-36 months

6. Cephalocaudal
Penicillin Prophylaxis (BID)
Viral---Varicella or influenza
from head to toe
double birth weight

7. How is Celiac Disease diagnosed?
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Small bowel biopsy
Contact isolation - gown - gloves and handwashing
inflammation and hypersensitivity to triggers

8. Steatorrhea
13 years
5ml/dl
Salicylates
Excessive stool fat

9. What is the rate of growth each year from 3 yrs until puberty?
Barium enema
2.5 inches
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
prevention - po antibiotics should be given before and after an invasive procedure

10. Neonatal Jaundice
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
2 snacks
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

11. At what age is a stadiometer required to measure linear growth?
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
36 months
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

12. treatment of intussusception
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
1-6 months
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

13. What foods are prohibited for a person with Celiac Disease?
Milk - Ice cream - Malts - Grains
A typical lymphocytosis - mono-spot - EBV serology
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Urethral opening is positioned below the glans penis

14. What are development considerations for hemophilia?
5ml/dl
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

15. Two important assessment rules related to coarctation of the aorta?
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
birth-36 months
10 inches
Cool mist therapy - encourage oral intake - s/sx of resp. distress

16. At 6-24 months - head circumference is what size in relationship to chest circumference
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Equal to
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

17. Lead screening should begin. at ..
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
9 months
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

18. Signs and symptoms of varicella Prodromal
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
5ml/dl
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

19. What is the treatment for epiglottitis?
Sterile-caused by blockage of thick mucous at the vas deferens
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
E. Coli
parainfluenza - RSV - Influenza A&B - M. pneumonia

20. Clinical signs of infection wilth sickle cell disease
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

21. What is enuresis?
An Acute inflamation of the meninges and CSF often caused by Enterovirus
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Repeated involuntary urination in a child who should already by toilet trained at night
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

22. When does the surgery to correct hypospadias usually occur?
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Between 6-12 months

23. How does pertussis present?
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Bacteria enter the blood stream from a site of localized infection and grows in the heart

24. What Pharmalogical measures can be used to treat GERD?
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Dust - mold - animal dander - viral infections
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
>95%

25. treatment of hemolytic disease of the newborn
Salicylates
Phototherapy - exchange transfusion
10 inches
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

26. Complications related to varicella
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

27. Screening for overweight or underweight child on chart
BMI chart
< 1
Group B Streptococcus
Adequate O2 adequatte hydration

28. What occurs in a subacute baterial endocarditis?
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

29. Can Asthma be cured?
No - it can only be controlled
inflammation and hypersensitivity to triggers
lethargy - irritability - decrease feedings - fever - seizures
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

30. Treatment of Kawasaki disease
Successful management is based on early diagnosis and aggressive therapy
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
inflammation located in the middle ear
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

31. 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
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
fever and infection
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Cool mist therapy - encourage oral intake - s/sx of resp. distress

32. Treatment for mononucleosis
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
none
Brain damage - hearing loss and learning disabilities
4 years

33. Nursing care of patient with Meningitis
Give freedom and choices - save battles for the important things
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
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

34. Average rate of growth for the 1st year
Cool mist therapy - encourage oral intake - s/sx of resp. distress
crowded living conditions - homeless and low income
10 inches
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

35. What is used to diagnose GER?
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
MVA - bike accidents and falls
Family history - EEG - CBC - LP and MRI
trunk - gonads and associative tissue

36. first tooth
GERD is the complications and symptoms that happen because of GER
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
6 months
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

37. Asthma inhaler - what can be done to decrease risk of thrush
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Rinse mouth and brush teeth
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
GERD is the complications and symptoms that happen because of GER

38. Predisposing factors to subacute bacterial endocarditis
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Dental procedures - gum disease and urinary tract infections
Mechanical Ventalation - high inhaled o2 concentration

39. Signs of heart failure
poor feeding - wt loss - fatigue - develop. delays - edema
Milk - Ice cream - Malts - Grains
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Liver Biopsy

40. Bronchiolitis
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
1-6 months
< 1
36 months

41. Treatment and nursing care for pertussis
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
hearing loss - scarring - mastoiditis - meningitis
Length Chart
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

42. Head circumference should be assessed until what age
A typical lymphocytosis - mono-spot - EBV serology
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
3 years
<25 yrs old

43. Nursing care for Kawasaki Disease
They are people - need a balance of limits and independence
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

44. S/Sx of pyloric stenosis
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Penicillin Prophylaxis (BID)
up to 14 days

45. Temp of home water heater to avoid burns
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
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Less than 120 f.
Between 6-12 months

46. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
< 1
# of stools per day - goal=2-3 stools per day
Swelling or obstruction of the Larynx
Give freedom and choices - save battles for the important things

47. Treatment for Varicella
BMI chart
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Between 6-12 months
Penicillin Prophylaxis (BID)

48. Signs and symptoms of Reye's Syndrome
Swelling of the airways - mucous production - bronchospasms
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
3 years

49. Complications of acute otitis media
hearing loss - scarring - mastoiditis - meningitis
Milk - Ice cream - Malts - Grains
trunk
# of stools per day - goal=2-3 stools per day

50. S/sx of GERD
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
6 months