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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. Two examples of benzodiazepines
Foreskin is used during the surgical repair
diazepam - lorazapam
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Dust - mold - animal dander - viral infections

2. How does pertussis present?
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
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

3. What are development considerations for hemophilia?
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
9 months
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
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

4. 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
2.5 inches
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

5. What are the four main causes of viral croup?
drooling
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
parainfluenza - RSV - Influenza A&B - M. pneumonia
6 months

6. Treatment of Meningitis

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7. What occurs in a subacute baterial endocarditis?
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
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Previous history of life threatening reaction - Mod-severe illness w/wo fever
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

8. Can Asthma be cured?
Family history - EEG - CBC - LP and MRI
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
fecal soiling
No - it can only be controlled

9. Another name for Hemolytic Disease of the Newborn
No - it can only be controlled
E. Coli
Erythroblastosis Fetalis
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

10. 2 factors that determine birth weight
Abdominal ultrasound - Upper GI
maternal nutrition and genetics
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
Low fiber - high calorie and protein

11. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

12. Teaching for Mononucleosis
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

13. Precaustions needed for pt's with varicella
Airborne and contact
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
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

14. Diet for a child with glumerlonephritis
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Regular diet with low sodium an no added salt
inflammation located in the middle ear
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

15. 3 main causes of Bacterial meningitis in children
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
maternal nutrition and genetics
They are people - need a balance of limits and independence

16. difference btwn GER and GERD
< 5%
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
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
GERD is the complications and symptoms that happen because of GER

17. Rheumatic Fever
up to 14 days
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
3 years
Group B Streptococcus

18. Bronchiolitis
inflammation and hypersensitivity to triggers
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
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

19. Lead screening should begin. at ..
12 years
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
9 months
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

20. Treatment of Kawasaki disease
2 snacks
Dental procedures - gum disease and urinary tract infections
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Brain damage - hearing loss and learning disabilities

21. At what age is a length board required?
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Barium enema
0-24 months
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

22. Diastat rectal diazepam gel

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23. Term infant --Bilirubin peaks at what day of life
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
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Day 3 of life
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

24. Leading cause of acquired heart disease in children
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Kawasaki disease - w/o treatment 25% will have permanent heart damage

25. Temp of home water heater to avoid burns
Adequate O2 adequatte hydration
Urethral opening is positioned below the glans penis
Less than 120 f.
Cool mist therapy - encourage oral intake - s/sx of resp. distress

26. Bilirubin encephalopathy
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
trunk
# of stools per day - goal=2-3 stools per day
inflammation and hypersensitivity to triggers

27. Cause of bronchiolitis
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Vaso-occulisive crisis - infection and sepsis

28. Main cause of urinary tract infections
E. Coli
13 years
Vaso-occulisive crisis - infection and sepsis
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

29. Two important assessment rules related to coarctation of the aorta?
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
from trunk to extremities
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

30. Define Magical thinking

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31. BMI - underweight
< 5%
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
<25 yrs old
Barium enema

32. Normal Bilirubin
fecal soiling
< 1
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
prevention - po antibiotics should be given before and after an invasive procedure

33. Part of body that grows the fastest in infancy
E. Coli
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
head

34. At birth - head circumference is ____ compared to chest circumference
Equal to
Less than 120 f.
larger
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

35. Treatment of a bleed in hemophilia
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
9 months

36. Diagnose Intussusception by
Barium enema
School age
Phototherapy - exchange transfusion
10 inches

37. Viral Croup
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Swelling or obstruction of the Larynx
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
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

38. Nursing care of patient with Meningitis
Dental procedures - gum disease and urinary tract infections
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

39. Define Proximodistal
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
from trunk to extremities
< 5%
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

40. Sickle Cell Disease
No - it can only be controlled
Airborne and contact
Family history - EEG - CBC - LP and MRI
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

41. Nursing care for Kawasaki Disease
Foreskin is used during the surgical repair
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
36 months
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

42. Treatment for Varicella
20 inches
10 years
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
double birth weight

43. What should be done to minimize the risks of Sudden infant death syndrome?
passage of abdominal contents to the esophagus
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

44. Nursing care for Cystic Fibrosis
No - it can only be controlled
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
10 inches
BMI chart

45. What promotes unsickling of RBC's?
trunk
Penicillin Prophylaxis (BID)
Adequate O2 adequatte hydration
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

46. Signs and Symptoms of Asthma
School age
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

47. Signs and Symptoms of Hemolytic Disease of the newborn
Enteropathy caused by an insensitivity to the gluten found in wheat
Length Chart
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

48. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Rinse mouth and brush teeth
used for prolonged sz's
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
2 snacks

49. Common Asthma irritants
Dust - mold - animal dander - viral infections
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
chest x-ray following a Positive PPD skin test
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

50. Age that birth length doubles
12-24 days
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
4 years
hearing loss - scarring - mastoiditis - meningitis