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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. Sequence of resp distress
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
from head to toe
poor feeding - wt loss - fatigue - develop. delays - edema
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

2. Asthma
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Family history - EEG - CBC - LP and MRI
36 months
used for prolonged sz's

3. At 6-24 months - head circumference is what size in relationship to chest circumference
from head to toe
Equal to
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
Triple

4. Part of the body that grows the fastest in the toddler-preschool age
trunk
inflammation and hypersensitivity to triggers
none
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

5. Signs and Symptoms of Asthma
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
from head to toe
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

6. Signs of increased ICP
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
from head to toe

7. Diet for Hirschsprung's prior to corrction and treatment
Swelling of the airways - mucous production - bronchospasms
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Low fiber - high calorie and protein
13 years

8. Sickle Cell Disease
used for prolonged sz's
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
2.5 inches

9. 3 main causes of Bacterial meningitis in children
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
fecal soiling
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
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

10. What is Pyloric stenosis?
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

11. 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
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Growth spurt

12. Signs and Symptoms of Celiac Disease
trunk - gonads and associative tissue
used for prolonged sz's
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

13. Females reproductive issues for CF patients
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
They are people - need a balance of limits and independence

14. What level does the bilirubin need to be at in order for jaundice to occur?
Rinse mouth and brush teeth
5ml/dl
6 months
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

15. Varicella communicable
Low fiber - high calorie and protein
none
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

16. Screening for overweight or underweight child on chart
trunk
A typical lymphocytosis - mono-spot - EBV serology
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
BMI chart

17. Hirschsprung's Disease
BMI chart
Adequate O2 adequatte hydration
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

18. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
9 months
prevention - po antibiotics should be given before and after an invasive procedure
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
lethargy - irritability - decrease feedings - fever - seizures

19. What are development considerations for hemophilia?
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Sterile-caused by blockage of thick mucous at the vas deferens

20. At what age is a stadiometer required to measure linear growth?
36 months
poor feeding - wt loss - fatigue - develop. delays - edema
drooling
Enteropathy caused by an insensitivity to the gluten found in wheat

21. Main cause of urinary tract infections
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Maternal infection - premature rupture of membranes
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
E. Coli

22. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
none
2 snacks
6 months

23. Signs and symptoms of tuberculosis
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Excessive stool fat
Brain damage - hearing loss and learning disabilities
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

24. Treatment of Kawasaki disease
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
inflammation and hypersensitivity to triggers
20 inches

25. Clinicla manifestations of sickle cell disease
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Vaso-occulisive crisis - infection and sepsis
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

26. Cause of bronchiolitis
up to 14 days
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
36 months
Enteropathy caused by an insensitivity to the gluten found in wheat

27. Head circumference should be assessed until what age
Adequate O2 adequatte hydration
3 years
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

28. Celiac Disease
Enteropathy caused by an insensitivity to the gluten found in wheat
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
double birth weight
Liver Biopsy

29. How does pertussis present?
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
4 years
Between 6-12 months
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

30. Prevention of bronchiolitis spreading
birth-36 months
Contact isolation - gown - gloves and handwashing
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
13 years

31. Key nursing intervention for subacute bacterial endocarditis
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
measures the largest velocity which occurs during a forced exhale
prevention - po antibiotics should be given before and after an invasive procedure

32. What occurs in a subacute baterial endocarditis?
School age
BMI chart
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

33. Linear growth event happens in Adolescents
Length Chart
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Growth spurt
passage of abdominal contents to the esophagus

34. Pathophysiology of intussusception

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35. Normal Bilirubin
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
< 1
parainfluenza - RSV - Influenza A&B - M. pneumonia
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

36. Prevention of infection in Sickle Cell Disease
double birth weight
<25 yrs old
O2 status of blood - acid-base balance
Penicillin Prophylaxis (BID)

37. Treatment of celiac disease
Vaso-occulisive crisis - infection and sepsis
E. Coli
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
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

38. BMI-@ risk for overweight
85-95%
Urethral opening is positioned below the glans penis
inflammation located in the middle ear
Salicylates

39. Nursing interventions for hemophilia
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Excessive stool fat
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

40. What Pharmalogical measures can be used to treat GERD?
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
# of stools per day - goal=2-3 stools per day

41. Peak flow meter
parainfluenza - RSV - Influenza A&B - M. pneumonia
measures the largest velocity which occurs during a forced exhale
trunk
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

42. Treatment for Varicella
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
5ml/dl
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

43. Nursing care of patient with Meningitis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
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
Equal to

44. Bilirubin encephalopathy
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Successful management is based on early diagnosis and aggressive therapy
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

45. Diet for CF patients
>95%
high protien and calorie - multivitamins - extra enzymes for high fat food
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
diazepam - lorazapam

46. Post Op treatment of a VP shunt
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
maternal nutrition and genetics
Foreskin is used during the surgical repair

47. What is Cystic Fibrosis?
up to 14 days
Kawasaki disease - w/o treatment 25% will have permanent heart damage
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

48. Teaching for RSV
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Between 6-12 months
Dental procedures - gum disease and urinary tract infections
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

49. Leading cause of acquired heart disease in children
crowded living conditions - homeless and low income
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Kawasaki disease - w/o treatment 25% will have permanent heart damage

50. Diastat rectal diazepam gel

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