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. Age that birth length doubles
gum hypertrophy
4 years
Kawasaki disease - w/o treatment 25% will have permanent heart damage
none

2. Side effects of dilatin hirsuitism (body hair)
gum hypertrophy
Sterile-caused by blockage of thick mucous at the vas deferens
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Group B Streptococcus

3. Clinical signs of infection wilth sickle cell disease
3 years
Adequate O2 adequatte hydration
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
2 snacks

4. Age group affected by mononucleosis
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
<25 yrs old
larger

5. Age range that is appropriate to use a length chart
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
birth-36 months
12-24 days
trunk - gonads and associative tissue

6. What should a child's wt be at 1 yr compared to birth weight?
Triple
Length board standiometer
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Brain damage - hearing loss and learning disabilities

7. What is used to diagnose GER?
lethargy - irritability - decrease feedings - fever - seizures
Phototherapy - exchange transfusion
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
9 months

8. What is used to diagnose pyloric stenosis?
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
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Abdominal ultrasound - Upper GI
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

9. What is the rate of growth each year from 3 yrs until puberty?
2.5 inches
Vaso-occulisive crisis - infection and sepsis
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

10. Treatment of celiac disease
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Liver Biopsy
Salicylates
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

11. Sickle Cell Disease
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
double birth weight
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

12. What are major risk factors for neonatal meningitis?
Maternal infection - premature rupture of membranes
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

13. Hirschsprung's Disease
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Contact isolation - gown - gloves and handwashing
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Adequate O2 adequatte hydration

14. What is physiologic Jaundice?
< 5%
< 1
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
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

15. ABG
lethargy - irritability - decrease feedings - fever - seizures
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
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
O2 status of blood - acid-base balance

16. Diagnose Reye's Syndrome
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
Liver Biopsy
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
School age

17. Signs and symptoms of Reye's Syndrome
chest x-ray following a Positive PPD skin test
maternal nutrition and genetics
Less than 120 f.
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

18. Treatment for mononucleosis
Excessive stool fat
Mechanical Ventalation - high inhaled o2 concentration
13 years
none

19. What interventions prevent urinary tract infections?
Barium enema
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
4 years
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

20. Asthma
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
inflammation and hypersensitivity to triggers
Airborne and contact

21. Steatorrhea
A narrowing within the Aorta resulting in collateral circulation
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Excessive stool fat
Small bowel biopsy

22. Nursing care for child with seizure

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

23. Equipment used to measure a 24 to 36 month old height
complete physical and psychosocial assessment to rule out underlying disorders
Length board standiometer
Barium enema
Mid puberty

24. Nursing care for Kawasaki Disease
20 inches
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

25. What foods are prohibited for a person with Celiac Disease?
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Milk - Ice cream - Malts - Grains
Brain damage - hearing loss and learning disabilities

26. Precaustions needed for pt's with varicella
Vaso-occulisive crisis - infection and sepsis
Day 3 of life
Airborne and contact
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

27. Contraindications to all vaccines
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
85-95%
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Equal to

28. Prevention of infection in Sickle Cell Disease
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
<25 yrs old
Penicillin Prophylaxis (BID)
hearing loss - scarring - mastoiditis - meningitis

29. Average rate of growth for the 1st year
10 inches
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Triple

30. Viral Croup
maternal nutrition and genetics
Triple
Swelling or obstruction of the Larynx
Equal to

31. Diet for a child with glumerlonephritis
Rinse mouth and brush teeth
inflammation located in the middle ear
Regular diet with low sodium an no added salt
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

32. Hourly maintenance Fluid Requirements
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Cool mist therapy - encourage oral intake - s/sx of resp. distress
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
O2 status of blood - acid-base balance

33. Treatment for Varicella
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
5ml/dl

34. Another name for Hemolytic Disease of the Newborn
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Repeated involuntary urination in a child who should already by toilet trained at night
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Erythroblastosis Fetalis

35. Reyes Syndrome
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Length board standiometer
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Dust - mold - animal dander - viral infections

36. Temp of home water heater to avoid burns
high protien and calorie - multivitamins - extra enzymes for high fat food
Dental procedures - gum disease and urinary tract infections
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Less than 120 f.

37. Side effects of benzodiazepines
Regular diet with low sodium an no added salt
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
drooling
2 years

38. Encoperesis
Vaso-occulisive crisis - infection and sepsis
1-6 months
high protien and calorie - multivitamins - extra enzymes for high fat food
fecal soiling

39. What can promote dryness in a child with enuresis?
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Hepatoxicity - pancreatitis
Brain damage - hearing loss and learning disabilities

40. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
crowded living conditions - homeless and low income
maternal nutrition and genetics
# of stools per day - goal=2-3 stools per day

41. Leading cause of bacterial meningitis in Neonates
Group B Streptococcus
prevention - po antibiotics should be given before and after an invasive procedure
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Urethral opening is positioned below the glans penis

42. Complications of meningitis
Brain damage - hearing loss and learning disabilities
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
from head to toe
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

43. Causes of Bronchopulmonary Dysplasia
Mechanical Ventalation - high inhaled o2 concentration
GERD is the complications and symptoms that happen because of GER
9 months
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

44. Linear growth event happens in Adolescents
Airborne and contact
trunk
Growth spurt
They are people - need a balance of limits and independence

45. How is mononucleosis diagnosed
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Sterile-caused by blockage of thick mucous at the vas deferens
A typical lymphocytosis - mono-spot - EBV serology

46. What should be done to minimize the risks of Sudden infant death syndrome?
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
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
prevention - po antibiotics should be given before and after an invasive procedure
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

47. Signs and Symptoms of intussusception
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Penicillin Prophylaxis (BID)

48. Teaching for Mononucleosis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Less than 120 f.
Brain damage - hearing loss and learning disabilities
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

49. RSV contagious for ...
Between 6-12 months
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
hearing loss - scarring - mastoiditis - meningitis
up to 14 days

50. treatment of intussusception
inflammation and hypersensitivity to triggers
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Hepatoxicity - pancreatitis