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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. ABG
O2 status of blood - acid-base balance
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
1-6 months

2. What are the side effects of depakote?
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
MVA - bike accidents and falls
Hepatoxicity - pancreatitis
20 inches

3. Kawasaki Disease
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Phototherapy - exchange transfusion
Regular diet with low sodium an no added salt
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

4. What interventions prevent urinary tract infections?
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
BMI chart
high protien and calorie - multivitamins - extra enzymes for high fat food
Rinse mouth and brush teeth

5. Varicella communicable
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
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
20 inches

6. Test to evaluate a Seizure disorder
10 inches
Cool mist therapy - encourage oral intake - s/sx of resp. distress
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
Family history - EEG - CBC - LP and MRI

7. Define Proximodistal
10 years
from trunk to extremities
parainfluenza - RSV - Influenza A&B - M. pneumonia
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

8. Signs and symptoms of Reye's Syndrome
No - it can only be controlled
Contact isolation - gown - gloves and handwashing
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
crowded living conditions - homeless and low income

9. What is the cause of mononucleosis and its method of transmission?
Liver Biopsy
>95%
Epstein Barr Virus - transmitted with intimate contact
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

10. Signs and Symptoms of Asthma
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Repeated involuntary urination in a child who should already by toilet trained at night
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Dental procedures - gum disease and urinary tract infections

11. Puberty for boys
12 years
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Maternal infection - premature rupture of membranes
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

12. S/Sx of pyloric stenosis
double birth weight
1-6 months
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

13. Treatment of Meningitis

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14. Clinicla manifestations of sickle cell disease
Liver Biopsy
Length board standiometer
Vaso-occulisive crisis - infection and sepsis
< 5%

15. At what age is a length board required?
prevention - po antibiotics should be given before and after an invasive procedure
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
0-24 months
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

16. Males Reproductive issues for CF patients
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
inflammation located in the middle ear
Sterile-caused by blockage of thick mucous at the vas deferens

17. Treatment for mononucleosis
Urethral opening is positioned below the glans penis
none
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
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

18. Pathophysiology of intussusception

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19. During an abdominal assessment when should auscultation occur
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Phototherapy - exchange transfusion

20. Clinical signs of infection wilth sickle cell disease
Time and discription of seizure
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
fever and infection

21. Pathophysiology of hirschsprung's disease
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
GERD is the complications and symptoms that happen because of GER
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

22. treatment of intussusception
Swelling of the airways - mucous production - bronchospasms
complete physical and psychosocial assessment to rule out underlying disorders
Adequate O2 adequatte hydration
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

23. Cephalocaudal
Group B Streptococcus
from head to toe
Day 3 of life
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

24. Pathophysiology of Acute Asthma
Contact isolation - gown - gloves and handwashing
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Swelling of the airways - mucous production - bronchospasms

25. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
13 years
Group B Streptococcus
# of stools per day - goal=2-3 stools per day
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

26. Signs and symptoms of tuberculosis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
A typical lymphocytosis - mono-spot - EBV serology
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

27. 2 factors that determine birth weight
Vaso-occulisive crisis - infection and sepsis
maternal nutrition and genetics
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

28. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
inflammation and hypersensitivity to triggers
MVA - bike accidents and falls
Length Chart
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

29. Screening for overweight or underweight child on chart
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
BMI chart
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

30. What is an acute otitis media?
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
inflammation located in the middle ear

31. Complications of meningitis
Brain damage - hearing loss and learning disabilities
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
fever and infection
12-24 days

32. Diastat rectal diazepam gel

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33. Females reproductive issues for CF patients
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Abdominal ultrasound - Upper GI
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

34. Signs and Symptoms of intussusception
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Growth spurt
measures the largest velocity which occurs during a forced exhale

35. Pathophysiology of cystic fibrosis
up to 14 days
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

36. Bilirubin encephalopathy
complete physical and psychosocial assessment to rule out underlying disorders
Excessive stool fat
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
An Acute inflamation of the meninges and CSF often caused by Enterovirus

37. Post Op treatment of a VP shunt
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Equal to
An Acute inflamation of the meninges and CSF often caused by Enterovirus
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

38. Signs and symptoms of varicella Prodromal
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Swelling or obstruction of the Larynx
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Repeated involuntary urination in a child who should already by toilet trained at night

39. Predisposing factors to subacute bacterial endocarditis
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Growth spurt
MVA - bike accidents and falls
Dental procedures - gum disease and urinary tract infections

40. At what age is a stadiometer required to measure linear growth?
36 months
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
from head to toe

41. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
lethargy - irritability - decrease feedings - fever - seizures
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Airborne and contact
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

42. How is Celiac Disease diagnosed?
2 snacks
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Triple
Small bowel biopsy

43. What Pharmalogical measures can be used to treat GERD?
prevention - po antibiotics should be given before and after an invasive procedure
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
lethargy - irritability - decrease feedings - fever - seizures
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

44. What is used to diagnose pyloric stenosis?
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
Abdominal ultrasound - Upper GI
36 months
5 inches

45. Common Asthma irritants
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Dust - mold - animal dander - viral infections
0-24 months
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

46. How many days after birth do bilirubin levels return to normal limits?
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Penicillin Prophylaxis (BID)
12-24 days
Between 6-12 months

47. first tooth
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
6 months

48. Normal Bilirubin
< 1
Hepatoxicity - pancreatitis
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
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

49. Signs and Symptoms of Hemolytic Disease of the newborn
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Swelling or obstruction of the Larynx
hearing loss - scarring - mastoiditis - meningitis
Vaso-occulisive crisis - infection and sepsis

50. Encoperesis
fecal soiling
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Previous history of life threatening reaction - Mod-severe illness w/wo fever