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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. Side effects of benzodiazepines
Growth spurt
E. Coli
drooling
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

2. Bronchiolitis
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
School age
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Low fiber - high calorie and protein

3. Leading cause of acquired heart disease in children
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Sterile-caused by blockage of thick mucous at the vas deferens
Give freedom and choices - save battles for the important things
complete physical and psychosocial assessment to rule out underlying disorders

4. What confirms a positive TB infection?
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Foreskin is used during the surgical repair
chest x-ray following a Positive PPD skin test
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

5. Equipment used to measure a 24 to 36 month old height
Length board standiometer
birth-36 months
They are people - need a balance of limits and independence
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

6. Assessment of a patient with suspected epiglottitis
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Day 3 of life

7. How many days after birth do bilirubin levels return to normal limits?
12-24 days
used for prolonged sz's
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

8. What is the rate of growth each year from 3 yrs until puberty?
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
12-24 days
Phototherapy - exchange transfusion
2.5 inches

9. Pathophysiology of a fever and infection with sickle cell disease
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Length board standiometer
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

10. Asthma inhaler - what can be done to decrease risk of thrush
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Rinse mouth and brush teeth
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

11. At birth - head circumference is ____ compared to chest circumference
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
larger
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

12. RSV contagious for ...
gum hypertrophy
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
up to 14 days
Abdominal ultrasound - Upper GI

13. Sequence of resp distress
Swelling of the airways - mucous production - bronchospasms
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
O2 status of blood - acid-base balance
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

14. Complications of acute otitis media
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Epstein Barr Virus - transmitted with intimate contact
hearing loss - scarring - mastoiditis - meningitis
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

15. Treatment of Kawasaki disease
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Length Chart
double birth weight
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

16. Treatment of Meningitis

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17. Diet for CF patients
Contact isolation - gown - gloves and handwashing
36 months
high protien and calorie - multivitamins - extra enzymes for high fat food
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

18. Age that birth length doubles
9 months
5 inches
6 months
4 years

19. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Phototherapy - exchange transfusion
2 snacks
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

20. What occurs in a subacute baterial endocarditis?
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
1-6 months
0-24 months
Bacteria enter the blood stream from a site of localized infection and grows in the heart

21. What should be observed in a case of a seizure?
2 years
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Time and discription of seizure

22. Common Asthma irritants
2 years
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Dust - mold - animal dander - viral infections
Penicillin Prophylaxis (BID)

23. Clinical signs of infection wilth sickle cell disease
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

24. Screening for overweight or underweight child on chart
Bacteria enter the blood stream from a site of localized infection and grows in the heart
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
lethargy - irritability - decrease feedings - fever - seizures
BMI chart

25. Characteristics of the RBC's in sickle cell

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26. Puberty for boys
Milk - Ice cream - Malts - Grains
Previous history of life threatening reaction - Mod-severe illness w/wo fever
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
12 years

27. Cause of bronchiolitis
Low fiber - high calorie and protein
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

28. What is used to diagnose GER?
Length board standiometer
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

29. What is Hemolytic Disease of the Newborn
Length board standiometer
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Time and discription of seizure

30. Another name for Hemolytic Disease of the Newborn
complete physical and psychosocial assessment to rule out underlying disorders
Rinse mouth and brush teeth
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Erythroblastosis Fetalis

31. Risk factors of tuberculosis
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
lethargy - irritability - decrease feedings - fever - seizures
crowded living conditions - homeless and low income
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

32. Causes of Bronchopulmonary Dysplasia
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Dental procedures - gum disease and urinary tract infections
2.5 inches
Mechanical Ventalation - high inhaled o2 concentration

33. Nursing care for Cystic Fibrosis
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Maternal infection - premature rupture of membranes
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

34. Define Magical thinking

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35. Bilirubin encephalopathy
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
5ml/dl
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

36. Nursing care of patient with Meningitis
O2 status of blood - acid-base balance
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
from trunk to extremities
>95%

37. During an abdominal assessment when should auscultation occur
prevention - po antibiotics should be given before and after an invasive procedure
Foreskin is used during the surgical repair
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

38. At what age is a length board required?
0-24 months
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
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

39. treatment of hemolytic disease of the newborn
>95%
Family history - EEG - CBC - LP and MRI
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Phototherapy - exchange transfusion

40. ABG
O2 status of blood - acid-base balance
E. Coli
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Brain damage - hearing loss and learning disabilities

41. Age group the limbs grow the fastest
Adequate O2 adequatte hydration
School age
2 years
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

42. What Pharmalogical measures can be used to treat GERD?
13 years
Swelling of the airways - mucous production - bronchospasms
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

43. Part of the body that grows the fastest in the toddler-preschool age
trunk
chest x-ray following a Positive PPD skin test
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
prevention - po antibiotics should be given before and after an invasive procedure

44. What foods are prohibited for a person with Celiac Disease?
Small bowel biopsy
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Milk - Ice cream - Malts - Grains

45. Neonatal Jaundice
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
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
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
O2 status of blood - acid-base balance

46. Growth spurt for adolescent boys
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
trunk
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Mid puberty

47. Signs and symptoms of Reye's Syndrome
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

48. When does the surgery to correct hypospadias usually occur?
Between 6-12 months
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
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

49. Teaching for Mononucleosis
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 bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
diazepam - lorazapam
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

50. Assess the cause of enuresis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
complete physical and psychosocial assessment to rule out underlying disorders
Give freedom and choices - save battles for the important things
Contact isolation - gown - gloves and handwashing