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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. RSV contagious for ...
Between 6-12 months
Brain damage - hearing loss and learning disabilities
up to 14 days
Epstein Barr Virus - transmitted with intimate contact

2. Treatment for mononucleosis
none
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
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

3. Nursing care of the infant with pyloric stenosis
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
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Kawasaki disease - w/o treatment 25% will have permanent heart damage

4. What is physiologic Jaundice?
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Abdominal ultrasound - Upper GI
complete physical and psychosocial assessment to rule out underlying disorders
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

5. Pathophysiology of a fever and infection with sickle cell disease
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

6. Assess the cause of enuresis
hearing loss - scarring - mastoiditis - meningitis
13 years
complete physical and psychosocial assessment to rule out underlying disorders
up to 14 days

7. How is Celiac Disease diagnosed?
Swelling or obstruction of the Larynx
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Small bowel biopsy
# of stools per day - goal=2-3 stools per day

8. Treatment of Kawasaki disease
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
10 inches
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

9. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
E. Coli
Milk - Ice cream - Malts - Grains
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
lethargy - irritability - decrease feedings - fever - seizures

10. Diastat rectal diazepam gel

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11. What is the rate of growth each year from 3 yrs until puberty?
diazepam - lorazapam
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
2.5 inches
Airborne and contact

12. At what age is a length board required?
lethargy - irritability - decrease feedings - fever - seizures
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
0-24 months
trunk - gonads and associative tissue

13. BMI - underweight
>95%
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
< 5%
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

14. What Pharmalogical measures can be used to treat GERD?
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
high protien and calorie - multivitamins - extra enzymes for high fat food
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Rinse mouth and brush teeth

15. Treatment of celiac disease
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Maternal infection - premature rupture of membranes
inflammation located in the middle ear
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

16. What are the side effects of depakote?
A typical lymphocytosis - mono-spot - EBV serology
Viral---Varicella or influenza
GERD is the complications and symptoms that happen because of GER
Hepatoxicity - pancreatitis

17. Age of children at half their adult height
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
2 years

18. Hourly maintenance Fluid Requirements
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Viral---Varicella or influenza

19. Pathophysiology of Acute Asthma
Swelling of the airways - mucous production - bronchospasms
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Mid puberty
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

20. Pathophysiology of hirschsprung's disease
85-95%
inflammation and hypersensitivity to triggers
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

21. Puberty for boys
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
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
12 years
Rinse mouth and brush teeth

22. Another name for Hemolytic Disease of the Newborn
Erythroblastosis Fetalis
2.5 inches
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
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

23. Causes of Bronchopulmonary Dysplasia
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Mechanical Ventalation - high inhaled o2 concentration
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

24. Sickle Cell Disease
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
trunk
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Dental procedures - gum disease and urinary tract infections

25. Key nursing intervention for subacute bacterial endocarditis
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
10 inches
prevention - po antibiotics should be given before and after an invasive procedure

26. 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 at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
birth-36 months
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

27. Diet for a child with glumerlonephritis
4 years
Regular diet with low sodium an no added salt
Abdominal ultrasound - Upper GI
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

28. Teaching for Mononucleosis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
prevention - po antibiotics should be given before and after an invasive procedure
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

29. Nursing care for child with seizure

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30. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Length Chart
Swelling of the airways - mucous production - bronchospasms
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

31. Precaustions needed for pt's with varicella
No - it can only be controlled
drooling
BMI chart
Airborne and contact

32. Etiology of GERD
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
36 months
Enteropathy caused by an insensitivity to the gluten found in wheat

33. Signs and symptoms of tuberculosis
85-95%
Time and discription of seizure
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

34. What is the cause of mononucleosis and its method of transmission?
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Excessive stool fat
Penicillin Prophylaxis (BID)
Epstein Barr Virus - transmitted with intimate contact

35. Two examples of benzodiazepines
0-24 months
10 inches
diazepam - lorazapam
Foreskin is used during the surgical repair

36. Clinicla manifestations of sickle cell disease
Vaso-occulisive crisis - infection and sepsis
O2 status of blood - acid-base balance
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

37. Part of body that grows the fastest in infancy
Successful management is based on early diagnosis and aggressive therapy
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Milk - Ice cream - Malts - Grains
head

38. Age range that is appropriate to use a length chart
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
birth-36 months
GERD is the complications and symptoms that happen because of GER
Repeated involuntary urination in a child who should already by toilet trained at night

39. Complications of meningitis
complete physical and psychosocial assessment to rule out underlying disorders
Brain damage - hearing loss and learning disabilities
Regular diet with low sodium an no added salt
20 inches

40. Nursing care of patient with Meningitis
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Give freedom and choices - save battles for the important things
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Dust - mold - animal dander - viral infections

41. Incubation period for TB
trunk - gonads and associative tissue
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Urethral opening is positioned below the glans penis
1-6 months

42. What is an acute otitis media?
fever and infection
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
inflammation located in the middle ear
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

43. ABG
head
O2 status of blood - acid-base balance
Excessive stool fat
Enteropathy caused by an insensitivity to the gluten found in wheat

44. treatment of intussusception
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Between 6-12 months
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
from trunk to extremities

45. What is used to diagnose pyloric stenosis?
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Regular diet with low sodium an no added salt
Abdominal ultrasound - Upper GI
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 and symptoms of varicella Prodromal
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Maternal infection - premature rupture of membranes
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

47. first tooth
3 years
12-24 days
prevention - po antibiotics should be given before and after an invasive procedure
6 months

48. Leading cause of bacterial meningitis in Neonates
Group B Streptococcus
Hepatoxicity - pancreatitis
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
1-6 months

49. Non-pharmalogical measures to treat GER
5 inches
Time and discription of seizure
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

50. Side effects of dilatin hirsuitism (body hair)
birth-36 months
gum hypertrophy
fecal soiling
fever and infection