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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 interventions for hemophilia
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
BMI chart

2. Average age of menarche
A narrowing within the Aorta resulting in collateral circulation
passage of abdominal contents to the esophagus
< 1
13 years

3. How many meals and snacks should a 1-3 yr old have in a day 3 meals
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Excessive stool fat
2 snacks

4. Age of children at half their adult height
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
E. Coli
2 years
Length Chart

5. Treatment for Hirschsprungs
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Small bowel biopsy
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

6. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
lethargy - irritability - decrease feedings - fever - seizures
birth-36 months
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

7. Diet for Hirschsprung's prior to corrction and treatment
inflammation located in the middle ear
Low fiber - high calorie and protein
used for prolonged sz's
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

8. Cephalocaudal
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
from head to toe
Abdominal ultrasound - Upper GI
Equal to

9. Diastat rectal diazepam gel

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10. Signs and symptoms of Reye's Syndrome
Length board standiometer
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

11. At 6-24 months - head circumference is what size in relationship to chest circumference
20 inches
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Equal to
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

12. Teaching for Mononucleosis
Mechanical Ventalation - high inhaled o2 concentration
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Swelling or obstruction of the Larynx
A narrowing within the Aorta resulting in collateral circulation

13. Assessment of a patient with suspected epiglottitis
5 inches
Sterile-caused by blockage of thick mucous at the vas deferens
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

14. Signs and Symptoms of Asthma
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
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
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

15. Diagnose Intussusception by
Barium enema
School age
They are people - need a balance of limits and independence
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

16. Bronchiolitis
Repeated involuntary urination in a child who should already by toilet trained at night
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

17. Basic defect in coarctation of the aorta
A typical lymphocytosis - mono-spot - EBV serology
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
A narrowing within the Aorta resulting in collateral circulation
2 snacks

18. Why is early diagnosis important w. Reye's Syndrome?
Successful management is based on early diagnosis and aggressive therapy
Viral---Varicella or influenza
Phototherapy - exchange transfusion
Excessive stool fat

19. Average rate of growth for the 2nd year of lif
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Brain damage - hearing loss and learning disabilities
5 inches

20. What is Cystic Fibrosis?
complete physical and psychosocial assessment to rule out underlying disorders
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
fecal soiling
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

21. Test to evaluate a Seizure disorder
Swelling of the airways - mucous production - bronchospasms
Maternal infection - premature rupture of membranes
Family history - EEG - CBC - LP and MRI
5ml/dl

22. What Component of Aspirin cause's Reye's Syndrome?
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Salicylates
Barium enema
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

23. Diagnose Reye's Syndrome
85-95%
Viral---Varicella or influenza
Urethral opening is positioned below the glans penis
Liver Biopsy

24. Lead screening should begin. at ..
Dust - mold - animal dander - viral infections
lethargy - irritability - decrease feedings - fever - seizures
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
9 months

25. BMI- overweight
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
>95%
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Rinse mouth and brush teeth

26. Complications related to varicella
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
>95%
< 1
85-95%

27. Males Reproductive issues for CF patients
No - it can only be controlled
Barium enema
Sterile-caused by blockage of thick mucous at the vas deferens
fecal soiling

28. What has the HIB vaccine been successful in reducing?
12 years
Small bowel biopsy
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

29. What occurs in a subacute baterial endocarditis?
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Between 6-12 months
Bacteria enter the blood stream from a site of localized infection and grows in the heart
85-95%

30. Define Proximodistal
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
hearing loss - scarring - mastoiditis - meningitis
from trunk to extremities
double birth weight

31. Normal presentation of cystic fibrosis
drooling
A narrowing within the Aorta resulting in collateral circulation
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

32. Average age of breast development
10 years
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
10 inches
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

33. Teaching for RSV
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
fecal soiling
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

34. signs and symptoms of meningitis in older children
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Adequate O2 adequatte hydration
hearing loss - scarring - mastoiditis - meningitis
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

35. What is the rate of growth each year from 3 yrs until puberty?
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
from head to toe
2.5 inches
12 years

36. What level does the bilirubin need to be at in order for jaundice to occur?
Liver Biopsy
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
5ml/dl
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

37. What should be observed in a case of a seizure?
BMI chart
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Time and discription of seizure
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

38. Asthma
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
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

39. Age group affected by mononucleosis
5 inches
hearing loss - scarring - mastoiditis - meningitis
<25 yrs old
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

40. Age that birth length doubles
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
4 years

41. Nursing care for a child with Reye's Syndrome
Brain damage - hearing loss and learning disabilities
Hepatoxicity - pancreatitis
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Contact isolation - gown - gloves and handwashing

42. Head circumference should be assessed until what age
E. Coli
Repeated involuntary urination in a child who should already by toilet trained at night
3 years
fever and infection

43. Age group the limbs grow the fastest
School age
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Give freedom and choices - save battles for the important things
Bacteria enter the blood stream from a site of localized infection and grows in the heart

44. Treatment of Kawasaki disease
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
A typical lymphocytosis - mono-spot - EBV serology
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
Cool mist therapy - encourage oral intake - s/sx of resp. distress

45. Complications of acute otitis media
Successful management is based on early diagnosis and aggressive therapy
Give freedom and choices - save battles for the important things
hearing loss - scarring - mastoiditis - meningitis
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

46. Average Birth Length
Family history - EEG - CBC - LP and MRI
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
20 inches
Liver Biopsy

47. Puberty for boys
Triple
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
12 years
10 inches

48. Leading cause of acquired heart disease in children
MVA - bike accidents and falls
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Kawasaki disease - w/o treatment 25% will have permanent heart damage

49. Pathophysiology of intussusception

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50. 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
9 months
Erythroblastosis Fetalis
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain