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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. Nursing care for child with seizure

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2. What can promote dryness in a child with enuresis?
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Penicillin Prophylaxis (BID)
4 years
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

3. What is Cystic Fibrosis?
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
<25 yrs old
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Triple

4. Bilirubin encephalopathy
Enteropathy caused by an insensitivity to the gluten found in wheat
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
complete physical and psychosocial assessment to rule out underlying disorders
9 months

5. Pathophysiology of celiac disease
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
2 years
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Repeated involuntary urination in a child who should already by toilet trained at night

6. How many days after birth do bilirubin levels return to normal limits?
12-24 days
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
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

7. RSV contagious for ...
gum hypertrophy
Sterile-caused by blockage of thick mucous at the vas deferens
up to 14 days
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

8. Signs and Symptoms of Asthma
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
from trunk to extremities
Dental procedures - gum disease and urinary tract infections

9. Diet for a child with glumerlonephritis
Length board standiometer
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Regular diet with low sodium an no added salt
Give freedom and choices - save battles for the important things

10. Steatorrhea
BMI chart
hearing loss - scarring - mastoiditis - meningitis
3 years
Excessive stool fat

11. GER (gastroesophageal reflux)
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
13 years
passage of abdominal contents to the esophagus
Family history - EEG - CBC - LP and MRI

12. Age range that is appropriate to use a length chart
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
<25 yrs old
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
birth-36 months

13. Complications of meningitis
Brain damage - hearing loss and learning disabilities
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Less than 120 f.

14. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Salicylates
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
< 5%

15. Celiac Disease
hearing loss - scarring - mastoiditis - meningitis
Foreskin is used during the surgical repair
Enteropathy caused by an insensitivity to the gluten found in wheat
Dust - mold - animal dander - viral infections

16. Average rate of growth for the 1st year
gum hypertrophy
10 inches
passage of abdominal contents to the esophagus
2.5 inches

17. What interventions prevent urinary tract infections?
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Give freedom and choices - save battles for the important things
Adequate O2 adequatte hydration

18. Signs of increased ICP
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
lethargy - irritability - decrease feedings - fever - seizures

19. What should be used for feeding a child during the post operative period following cleft palate surgery?
BMI chart
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
high protien and calorie - multivitamins - extra enzymes for high fat food
5ml/dl

20. Treatment for sickle cell disease
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
20 inches
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

21. S/SX of Hirschsprungs
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
36 months
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Contact isolation - gown - gloves and handwashing

22. Age that birth length doubles
Previous history of life threatening reaction - Mod-severe illness w/wo fever
4 years
5ml/dl
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

23. Part of the body that grows the fastest in the toddler-preschool age
10 years
Small bowel biopsy
trunk
Penicillin Prophylaxis (BID)

24. Nursing care for Kawasaki Disease
trunk - gonads and associative tissue
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
fecal soiling

25. Cephalocaudal
from head to toe
double birth weight
fecal soiling
Repeated involuntary urination in a child who should already by toilet trained at night

26. Signs and symptoms of tuberculosis
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Airborne and contact
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

27. Etiology of GERD
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Vaso-occulisive crisis - infection and sepsis
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
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

28. What is epiglottitis?
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
crowded living conditions - homeless and low income
fever and infection

29. At what age is a stadiometer required to measure linear growth?
36 months
Milk - Ice cream - Malts - Grains
Small bowel biopsy
O2 status of blood - acid-base balance

30. BMI - underweight
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
< 5%
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
from trunk to extremities

31. Kawasaki Disease
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
Epstein Barr Virus - transmitted with intimate contact
complete physical and psychosocial assessment to rule out underlying disorders
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

32. Basic defect in coarctation of the aorta
Abdominal ultrasound - Upper GI
36 months
A narrowing within the Aorta resulting in collateral circulation
>95%

33. Females reproductive issues for CF patients
Milk - Ice cream - Malts - Grains
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
<25 yrs old

34. Causes of Bronchopulmonary Dysplasia
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
inflammation located in the middle ear
Mechanical Ventalation - high inhaled o2 concentration
none

35. During an abdominal assessment when should auscultation occur
13 years
12-24 days
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

36. What is Pyloric stenosis?
up to 14 days
Epstein Barr Virus - transmitted with intimate contact
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

37. Pathophysiology of Chronic Asthma
5 inches
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
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
inflammation and hypersensitivity to triggers

38. ABG
O2 status of blood - acid-base balance
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Time and discription of seizure
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

39. Age group the limbs grow the fastest
Erythroblastosis Fetalis
Growth spurt
School age
Repeated involuntary urination in a child who should already by toilet trained at night

40. Viral Meningitis
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
An Acute inflamation of the meninges and CSF often caused by Enterovirus
used for prolonged sz's
drooling

41. What level does the bilirubin need to be at in order for jaundice to occur?
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Salicylates
5ml/dl
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

42. At 6-24 months - head circumference is what size in relationship to chest circumference
Equal to
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
complete physical and psychosocial assessment to rule out underlying disorders
Salicylates

43. Treatment for mononucleosis
none
85-95%
maternal nutrition and genetics
Group B Streptococcus

44. S/sx of GERD
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
diazepam - lorazapam
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

45. What is the rate of growth each year from 3 yrs until puberty?
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
2.5 inches
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

46. Diagnose Reye's Syndrome
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Liver Biopsy
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Adequate O2 adequatte hydration

47. Average Birth Length
Excessive stool fat
20 inches
Mechanical Ventalation - high inhaled o2 concentration
used for prolonged sz's

48. 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
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Between 6-12 months
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

49. Linear growth event happens in Adolescents
Growth spurt
# of stools per day - goal=2-3 stools per day
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
chest x-ray following a Positive PPD skin test

50. Leading cause of head injury
MVA - bike accidents and falls
Swelling of the airways - mucous production - bronchospasms
Repeated involuntary urination in a child who should already by toilet trained at night
12-24 days