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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. Can Asthma be cured?
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
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
No - it can only be controlled
An Acute inflamation of the meninges and CSF often caused by Enterovirus

2. Part of body that grows the fastest in infancy
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
head

3. Signs and Symptoms of intussusception
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Regular diet with low sodium an no added salt
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

4. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Less than 120 f.
Dental procedures - gum disease and urinary tract infections
# of stools per day - goal=2-3 stools per day

5. Signs and Symptoms that indicate and adverse reaction to a vaccine
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Give freedom and choices - save battles for the important things
Swelling or obstruction of the Larynx
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

6. Equipment used to measure a 24 to 36 month old height
Length board standiometer
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
<25 yrs old

7. At birth - head circumference is ____ compared to chest circumference
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
trunk
larger
Give freedom and choices - save battles for the important things

8. Average Birth Length
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
36 months
Erythroblastosis Fetalis
20 inches

9. What is the treatment for epiglottitis?
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
inflammation located in the middle ear
Vaso-occulisive crisis - infection and sepsis
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

10. How is Celiac Disease diagnosed?
Family history - EEG - CBC - LP and MRI
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
12-24 days
Small bowel biopsy

11. Hourly maintenance Fluid Requirements
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
complete physical and psychosocial assessment to rule out underlying disorders
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

12. Average age of breast development
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
10 years
fever and infection
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

13. Characteristics of the RBC's in sickle cell

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14. Two examples of benzodiazepines
diazepam - lorazapam
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
chest x-ray following a Positive PPD skin test
birth-36 months

15. Treatment for Varicella
Family history - EEG - CBC - LP and MRI
inflammation located in the middle ear
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
9 months

16. Pathophysiology of intussusception

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17. Signs and Symptoms of Celiac Disease
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
5 inches
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

18. Viral Croup
hearing loss - scarring - mastoiditis - meningitis
Erythroblastosis Fetalis
Triple
Swelling or obstruction of the Larynx

19. Leading cause of bacterial meningitis in Neonates
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
A narrowing within the Aorta resulting in collateral circulation
Group B Streptococcus

20. What is used to diagnose pyloric stenosis?
Salicylates
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
Abdominal ultrasound - Upper GI
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

21. Term infant --Bilirubin peaks at what day of life
Day 3 of life
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Abdominal ultrasound - Upper GI
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

22. Basic defect in coarctation of the aorta
5 inches
0-24 months
36 months
A narrowing within the Aorta resulting in collateral circulation

23. What is the cause of mononucleosis and its method of transmission?
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Epstein Barr Virus - transmitted with intimate contact
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
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

24. RSV contagious for ...
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
up to 14 days
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Family history - EEG - CBC - LP and MRI

25. What foods are prohibited for a person with Celiac Disease?
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Milk - Ice cream - Malts - Grains
drooling

26. Age that birth length doubles
Family history - EEG - CBC - LP and MRI
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
4 years
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

27. S/sx of GERD
crowded living conditions - homeless and low income
chest x-ray following a Positive PPD skin test
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

28. Predisposing factors to subacute bacterial endocarditis
high protien and calorie - multivitamins - extra enzymes for high fat food
Dental procedures - gum disease and urinary tract infections
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
12 years

29. Age of children at half their adult height
Milk - Ice cream - Malts - Grains
2 years
Foreskin is used during the surgical repair
Repeated involuntary urination in a child who should already by toilet trained at night

30. How does pertussis present?
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
from head to toe

31. Neonatal Jaundice
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Small bowel biopsy
none
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

32. Pathophysiology of Chronic Asthma
inflammation and hypersensitivity to triggers
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
36 months
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

33. Complications related to varicella
2.5 inches
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
GERD is the complications and symptoms that happen because of GER

34. Lead screening should begin. at ..
Vaso-occulisive crisis - infection and sepsis
School age
9 months
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

35. Precaustions needed for pt's with varicella
Length Chart
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Airborne and contact

36. Nursing care of the infant with pyloric stenosis
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

37. 3 symptoms of coarctation of the aorta
Regular diet with low sodium an no added salt
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Airborne and contact

38. What level does the bilirubin need to be at in order for jaundice to occur?
5ml/dl
6 months
2 years
Phototherapy - exchange transfusion

39. Side effects of dilatin hirsuitism (body hair)
Length board standiometer
gum hypertrophy
< 1
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

40. Test to evaluate a Seizure disorder
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Family history - EEG - CBC - LP and MRI
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Salicylates

41. What is Hemolytic Disease of the Newborn
Erythroblastosis Fetalis
maternal nutrition and genetics
poor feeding - wt loss - fatigue - develop. delays - edema
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

42. Etiology of GERD
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
passage of abdominal contents to the esophagus
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

43. Signs and symptoms of varicella Prodromal
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
A narrowing within the Aorta resulting in collateral circulation

44. Treatment of Meningitis

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45. What is broncho-pulmonary dysplasia?
5 inches
Hepatoxicity - pancreatitis
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
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

46. Signs of increased ICP
They are people - need a balance of limits and independence
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Airborne and contact
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

47. Males Reproductive issues for CF patients
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Maternal infection - premature rupture of membranes
Sterile-caused by blockage of thick mucous at the vas deferens
hearing loss - scarring - mastoiditis - meningitis

48. Varicella communicable
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
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
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

49. 3 main causes of Bacterial meningitis in children
Erythroblastosis Fetalis
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
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

50. Pathophysiology of hirschsprung's disease
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Abdominal ultrasound - Upper GI
Time and discription of seizure
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli