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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. Average age of breast development
10 years
inflammation located in the middle ear
GERD is the complications and symptoms that happen because of GER
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

2. Can Asthma be cured?
diazepam - lorazapam
Sterile-caused by blockage of thick mucous at the vas deferens
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
No - it can only be controlled

3. Diagnose Intussusception by
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
4 years
Barium enema
Erythroblastosis Fetalis

4. Neonatal Jaundice
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

5. What are the four main causes of viral croup?
parainfluenza - RSV - Influenza A&B - M. pneumonia
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
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Phototherapy - exchange transfusion

6. What should be used for feeding a child during the post operative period following cleft palate surgery?
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Give freedom and choices - save battles for the important things
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Mid puberty

7. Prevention of infection in Sickle Cell Disease
36 months
Viral---Varicella or influenza
Penicillin Prophylaxis (BID)
Mid puberty

8. Pathophysiology of a fever and infection with sickle cell disease
Salicylates
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Enteropathy caused by an insensitivity to the gluten found in wheat
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

9. What is enuresis?
inflammation located in the middle ear
Repeated involuntary urination in a child who should already by toilet trained at night
inflammation and hypersensitivity to triggers
Epstein Barr Virus - transmitted with intimate contact

10. Two important assessment rules related to coarctation of the aorta?
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
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
maternal nutrition and genetics

11. Signs and Symptoms of mononucleosis
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Enteropathy caused by an insensitivity to the gluten found in wheat
from head to toe
School age

12. Age that birth length doubles
Mid puberty
Milk - Ice cream - Malts - Grains
4 years
inflammation located in the middle ear

13. Signs and symptoms of varicella Prodromal
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
An Acute inflamation of the meninges and CSF often caused by Enterovirus
from head to toe
9 months

14. What are the S/SX of bleeds in hemophilia?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
BMI chart
# of stools per day - goal=2-3 stools per day

15. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Family history - EEG - CBC - LP and MRI
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Length Chart

16. Leading cause of bacterial meningitis in Neonates
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Group B Streptococcus
Triple
Repeated involuntary urination in a child who should already by toilet trained at night

17. Leading cause of acquired heart disease in children
Kawasaki disease - w/o treatment 25% will have permanent heart damage
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
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Penicillin Prophylaxis (BID)

18. Causes of Bronchopulmonary Dysplasia
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
drooling
Mechanical Ventalation - high inhaled o2 concentration
Enteropathy caused by an insensitivity to the gluten found in wheat

19. Bilirubin encephalopathy
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

20. Signs and Symptoms of Hemolytic Disease of the newborn
crowded living conditions - homeless and low income
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Dust - mold - animal dander - viral infections
complete physical and psychosocial assessment to rule out underlying disorders

21. Most cases of Reye's Syndrome follows what type of illness?
Viral---Varicella or influenza
<25 yrs old
10 inches
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

22. Signs of increased ICP
MVA - bike accidents and falls
Liver Biopsy
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

23. Why is early diagnosis important w. Reye's Syndrome?
Successful management is based on early diagnosis and aggressive therapy
inflammation and hypersensitivity to triggers
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
chest x-ray following a Positive PPD skin test

24. Lead screening should begin. at ..
Dust - mold - animal dander - viral infections
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
BMI chart
9 months

25. 2 factors that determine birth weight
maternal nutrition and genetics
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
poor feeding - wt loss - fatigue - develop. delays - edema

26. Signs and Symptoms of intussusception
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
parainfluenza - RSV - Influenza A&B - M. pneumonia
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
inflammation located in the middle ear

27. Viral Croup
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
double birth weight
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Swelling or obstruction of the Larynx

28. Basic defect in coarctation of the aorta
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
A narrowing within the Aorta resulting in collateral circulation
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
BMI chart

29. difference btwn GER and GERD
up to 14 days
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
>95%
GERD is the complications and symptoms that happen because of GER

30. How many days after birth do bilirubin levels return to normal limits?
12-24 days
drooling
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
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

31. BMI-@ risk for overweight
inflammation and hypersensitivity to triggers
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
85-95%
Cool mist therapy - encourage oral intake - s/sx of resp. distress

32. Define Magical thinking

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33. Post Op treatment of a VP shunt
School age
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
used for prolonged sz's
Abdominal ultrasound - Upper GI

34. Contraindications to all vaccines
Previous history of life threatening reaction - Mod-severe illness w/wo fever
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
3 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

35. Part of the body that grows the fastest in the toddler-preschool age
4 years
trunk
Enteropathy caused by an insensitivity to the gluten found in wheat
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

36. Non-pharmalogical measures to treat GER
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

37. Average rate of growth for the 2nd year of lif
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
inflammation and hypersensitivity to triggers
5 inches
passage of abdominal contents to the esophagus

38. What should a child's wt be at 1 yr compared to birth weight?
Triple
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
MVA - bike accidents and falls
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

39. What Pharmalogical measures can be used to treat GERD?
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
School age
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
measures the largest velocity which occurs during a forced exhale

40. What are the side effects of depakote?
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Hepatoxicity - pancreatitis
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Rinse mouth and brush teeth

41. Main cause of urinary tract infections
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
E. Coli

42. Teaching for Mononucleosis
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

43. Equipment used to measure a 24 to 36 month old height
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
20 inches
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Length board standiometer

44. treatment of hemolytic disease of the newborn
Low fiber - high calorie and protein
complete physical and psychosocial assessment to rule out underlying disorders
Phototherapy - exchange transfusion
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

45. What should be done to minimize the risks of Sudden infant death syndrome?
13 years
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
20 inches

46. Signs and Symptoms of Asthma
Group B Streptococcus
10 years
Swelling or obstruction of the Larynx
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

47. 2 key factors to consider when caring for a preschooler
10 inches
Low fiber - high calorie and protein
They are people - need a balance of limits and independence
Barium enema

48. Pertussis?
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
Give freedom and choices - save battles for the important things
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

49. Nursing care for Kawasaki Disease
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Swelling or obstruction of the Larynx
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

50. Hourly maintenance Fluid Requirements
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
An Acute inflamation of the meninges and CSF often caused by Enterovirus
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
dysfunction of the lower esophageal sphincter and delayed gastric emptying time