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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. Teaching for Croup
gum hypertrophy
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Low fiber - high calorie and protein
They are people - need a balance of limits and independence

2. Head circumference should be assessed until what age
inflammation located in the middle ear
2 years
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
3 years

3. Treatment of Kawasaki disease
O2 status of blood - acid-base balance
A typical lymphocytosis - mono-spot - EBV serology
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

4. Complications of meningitis
6 months
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Brain damage - hearing loss and learning disabilities

5. treatment of intussusception
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Cool mist therapy - encourage oral intake - s/sx of resp. distress
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
# of stools per day - goal=2-3 stools per day

6. What has the HIB vaccine been successful in reducing?
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
10 inches
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

7. Nursing interventions for hemophilia
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
larger
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

8. S/Sx of pyloric stenosis
2.5 inches
Barium enema
5ml/dl
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

9. S/SX of Hirschsprungs
6 months
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

10. What is the rate of growth each year from 3 yrs until puberty?
20 inches
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
2.5 inches
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

11. Nursing care for child with seizure

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12. Growth spurt for adolescent boys
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Mid puberty
Triple
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

13. Term infant --Bilirubin peaks at what day of life
Day 3 of life
Between 6-12 months
3 years
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

14. What Component of Aspirin cause's Reye's Syndrome?
Growth spurt
Salicylates
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

15. Nursing care for Kawasaki Disease
high protien and calorie - multivitamins - extra enzymes for high fat food
Swelling of the airways - mucous production - bronchospasms
Length board standiometer
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

16. What is used to diagnose pyloric stenosis?
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
20 inches
Abdominal ultrasound - Upper GI
Less than 120 f.

17. Sickle Cell Disease
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
none

18. Treatment and nursing care for pertussis
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Enteropathy caused by an insensitivity to the gluten found in wheat
A typical lymphocytosis - mono-spot - EBV serology
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

19. Treatment for mononucleosis
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
none
used for prolonged sz's
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

20. treatment of hemolytic disease of the newborn
Phototherapy - exchange transfusion
measures the largest velocity which occurs during a forced exhale
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Triple

21. At what age is a stadiometer required to measure linear growth?
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Previous history of life threatening reaction - Mod-severe illness w/wo fever
36 months
birth-36 months

22. Treatment of celiac disease
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
Between 6-12 months
from head to toe
Liver Biopsy

23. Signs of heart failure
13 years
poor feeding - wt loss - fatigue - develop. delays - edema
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

24. 3 symptoms of coarctation of the aorta
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Erythroblastosis Fetalis
Vaso-occulisive crisis - infection and sepsis

25. Define Proximodistal
from trunk to extremities
Liver Biopsy
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Give freedom and choices - save battles for the important things

26. Hypospadias
Urethral opening is positioned below the glans penis
fecal soiling
GERD is the complications and symptoms that happen because of GER
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

27. How is Celiac Disease diagnosed?
larger
10 inches
Small bowel biopsy
< 1

28. Treatment of Meningitis

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29. Incubation period for TB
1-6 months
Erythroblastosis Fetalis
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Swelling of the airways - mucous production - bronchospasms

30. Post Op treatment of a VP shunt
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
Less than 120 f.
5 inches
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

31. Causes of Bronchopulmonary Dysplasia
Hepatoxicity - pancreatitis
2 years
Mechanical Ventalation - high inhaled o2 concentration
< 1

32. 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
Airborne and contact
2.5 inches
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

33. Age that birth length doubles
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
4 years
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

34. At 6-24 months - head circumference is what size in relationship to chest circumference
<25 yrs old
10 years
Equal to
poor feeding - wt loss - fatigue - develop. delays - edema

35. Cephalocaudal
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Barium enema
from head to toe

36. Cause of bronchiolitis
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
trunk - gonads and associative tissue
prevention - po antibiotics should be given before and after an invasive procedure

37. Signs of increased ICP
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
from head to toe
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Swelling or obstruction of the Larynx

38. Prevention of infection in Sickle Cell Disease
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
They are people - need a balance of limits and independence
Penicillin Prophylaxis (BID)

39. Side effects of dilatin hirsuitism (body hair)
5ml/dl
gum hypertrophy
Erythroblastosis Fetalis
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

40. Side effects of benzodiazepines
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
GERD is the complications and symptoms that happen because of GER
drooling
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

41. What should a child's wt be at 1 yr compared to birth weight?
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Previous history of life threatening reaction - Mod-severe illness w/wo fever
A typical lymphocytosis - mono-spot - EBV serology
Triple

42. Normal presentation of cystic fibrosis
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
hearing loss - scarring - mastoiditis - meningitis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

43. Average age of breast development
10 years
gum hypertrophy
An Acute inflamation of the meninges and CSF often caused by Enterovirus
drooling

44. What is Hemolytic Disease of the Newborn
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Airborne and contact
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

45. Leading cause of bacterial meningitis in Neonates
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Group B Streptococcus
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Low fiber - high calorie and protein

46. 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
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
MVA - bike accidents and falls

47. Teaching for RSV
lethargy - irritability - decrease feedings - fever - seizures
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Rinse mouth and brush teeth
Vaso-occulisive crisis - infection and sepsis

48. Average rate of growth for the 2nd year of lif
1-6 months
up to 14 days
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
5 inches

49. Why is early diagnosis important w. Reye's Syndrome?
parainfluenza - RSV - Influenza A&B - M. pneumonia
Successful management is based on early diagnosis and aggressive therapy
10 years
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

50. RSV contagious for ...
diazepam - lorazapam
Less than 120 f.
up to 14 days
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)