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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. At what age is a stadiometer required to measure linear growth?
Enteropathy caused by an insensitivity to the gluten found in wheat
36 months
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

2. Diagnose Reye's Syndrome
Vaso-occulisive crisis - infection and sepsis
parainfluenza - RSV - Influenza A&B - M. pneumonia
gum hypertrophy
Liver Biopsy

3. Signs and symptoms of varicella Prodromal
Swelling of the airways - mucous production - bronchospasms
none
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
drooling

4. What should be done to minimize the risks of Sudden infant death syndrome?
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
E. Coli
1-6 months
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

5. What is physiologic Jaundice?
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
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
< 1
No - it can only be controlled

6. Complications of meningitis
MVA - bike accidents and falls
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Brain damage - hearing loss and learning disabilities
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

7. At what age is a length board required?
# of stools per day - goal=2-3 stools per day
0-24 months
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
A narrowing within the Aorta resulting in collateral circulation

8. Growth spurt for adolescent boys
Triple
Milk - Ice cream - Malts - Grains
Mid puberty
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

9. Leading cause of head injury
MVA - bike accidents and falls
5 inches
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Family history - EEG - CBC - LP and MRI

10. Kawasaki Disease
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Adequate O2 adequatte hydration
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
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

11. Viral Meningitis
trunk
An Acute inflamation of the meninges and CSF often caused by Enterovirus
up to 14 days
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

12. Equipment used to measure a 24 to 36 month old height
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
lethargy - irritability - decrease feedings - fever - seizures
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Length board standiometer

13. Encoperesis
School age
poor feeding - wt loss - fatigue - develop. delays - edema
Length Chart
fecal soiling

14. How many meals and snacks should a 1-3 yr old have in a day 3 meals
They are people - need a balance of limits and independence
Sterile-caused by blockage of thick mucous at the vas deferens
2 snacks
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

15. Age range that is appropriate to use a length chart
gum hypertrophy
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
Small bowel biopsy
birth-36 months

16. Why avoid circumcision in a baby with hypospadias?
Sterile-caused by blockage of thick mucous at the vas deferens
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Foreskin is used during the surgical repair
Length Chart

17. Pertussis?
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
chest x-ray following a Positive PPD skin test
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

18. Treatment and nursing care for pertussis
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
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
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
2 snacks

19. Hirschsprung's Disease
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
< 1
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

20. What is epiglottitis?
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
< 1
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

21. Signs and symptoms of Reye's Syndrome
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Sterile-caused by blockage of thick mucous at the vas deferens
from trunk to extremities

22. Teaching for Croup
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
1-6 months
Regular diet with low sodium an no added salt
Cool mist therapy - encourage oral intake - s/sx of resp. distress

23. Incubation period for TB
Cool mist therapy - encourage oral intake - s/sx of resp. distress
1-6 months
double birth weight
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

24. Nursing care for a child with Reye's Syndrome
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
chest x-ray following a Positive PPD skin test
6 months
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

25. BMI - underweight
Low fiber - high calorie and protein
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
Penicillin Prophylaxis (BID)
< 5%

26. Nursing interventions for hemophilia
Low fiber - high calorie and protein
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

27. treatment of hemolytic disease of the newborn
Phototherapy - exchange transfusion
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Time and discription of seizure
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

28. What is heart failure?
They are people - need a balance of limits and independence
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
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
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

29. Hypospadias
1-6 months
Urethral opening is positioned below the glans penis
>95%
Sterile-caused by blockage of thick mucous at the vas deferens

30. At 6-24 months - head circumference is what size in relationship to chest circumference
gum hypertrophy
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Equal to

31. difference btwn GER and GERD
from head to toe
Previous history of life threatening reaction - Mod-severe illness w/wo fever
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
GERD is the complications and symptoms that happen because of GER

32. Pathophysiology of a fever and infection with sickle cell disease
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
20 inches
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

33. Treatment of Kawasaki disease
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
inflammation and hypersensitivity to triggers
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

34. What is Pyloric stenosis?
Phototherapy - exchange transfusion
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
BMI chart

35. Females reproductive issues for CF patients
inflammation located in the middle ear
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
none

36. Childs weight at 6 months compared to birth weight
5 inches
double birth weight
parainfluenza - RSV - Influenza A&B - M. pneumonia
Successful management is based on early diagnosis and aggressive therapy

37. Treatment for Hirschsprungs
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
1-6 months
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

38. What is the rate of growth each year from 3 yrs until puberty?
Bacteria enter the blood stream from a site of localized infection and grows in the heart
fever and infection
Viral---Varicella or influenza
2.5 inches

39. Signs and Symptoms of Celiac Disease
hearing loss - scarring - mastoiditis - meningitis
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

40. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
lethargy - irritability - decrease feedings - fever - seizures
Kawasaki disease - w/o treatment 25% will have permanent heart damage
larger
fever and infection

41. What is enuresis?
Successful management is based on early diagnosis and aggressive therapy
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Repeated involuntary urination in a child who should already by toilet trained at night
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

42. Post Op treatment of a VP shunt
A typical lymphocytosis - mono-spot - EBV serology
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

43. Nursing care for Kawasaki Disease
prevention - po antibiotics should be given before and after an invasive procedure
Penicillin Prophylaxis (BID)
Erythroblastosis Fetalis
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

44. Complications of acute otitis media
used for prolonged sz's
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
hearing loss - scarring - mastoiditis - meningitis
They are people - need a balance of limits and independence

45. Screening for overweight or underweight child on chart
O2 status of blood - acid-base balance
12-24 days
BMI chart
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

46. Treatment of Meningitis

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47. What is Cystic Fibrosis?
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Hepatoxicity - pancreatitis
used for prolonged sz's
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

48. Pathophysiology of celiac disease
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
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
from head to toe
double birth weight

49. Signs and symptoms of tuberculosis
Hepatoxicity - pancreatitis
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
birth-36 months

50. What interventions prevent urinary tract infections?
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
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough