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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. Risk factors of tuberculosis
Day 3 of life
crowded living conditions - homeless and low income
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Enteropathy caused by an insensitivity to the gluten found in wheat

2. What are development considerations for hemophilia?
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
hearing loss - scarring - mastoiditis - meningitis
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
trunk - gonads and associative tissue

3. What are the side effects of depakote?
Hepatoxicity - pancreatitis
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
>95%

4. Puberty for boys
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
12 years
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Brain damage - hearing loss and learning disabilities

5. Common Asthma irritants
Repeated involuntary urination in a child who should already by toilet trained at night
Liver Biopsy
Dust - mold - animal dander - viral infections
2.5 inches

6. What is used to diagnose GER?
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Hepatoxicity - pancreatitis
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

7. At what age is a stadiometer required to measure linear growth?
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
36 months
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

8. Hypospadias
Urethral opening is positioned below the glans penis
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Growth spurt

9. Signs and symptoms of varicella Prodromal
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
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
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
85-95%

10. Celiac Disease
GERD is the complications and symptoms that happen because of GER
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
O2 status of blood - acid-base balance
Enteropathy caused by an insensitivity to the gluten found in wheat

11. Diagnose Intussusception by
E. Coli
Barium enema
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
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

12. Complications of acute otitis media
hearing loss - scarring - mastoiditis - meningitis
from trunk to extremities
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
parainfluenza - RSV - Influenza A&B - M. pneumonia

13. Assessment of a patient with suspected epiglottitis
lethargy - irritability - decrease feedings - fever - seizures
85-95%
Salicylates
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

14. Treatment for sickle cell disease
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
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
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Viral---Varicella or influenza

15. What is Cystic Fibrosis?
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Viral---Varicella or influenza
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

16. Encoperesis
Mid puberty
fecal soiling
Salicylates
complete physical and psychosocial assessment to rule out underlying disorders

17. Hirschsprung's Disease
Swelling or obstruction of the Larynx
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
inflammation located in the middle ear
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

18. What are the S/SX of bleeds in hemophilia?
0-24 months
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
MVA - bike accidents and falls

19. Equipment used to measure a 24 to 36 month old height
fever and infection
3 years
Salicylates
Length board standiometer

20. How does pertussis present?
Milk - Ice cream - Malts - Grains
inflammation and hypersensitivity to triggers
Rinse mouth and brush teeth
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

21. Predisposing factors to subacute bacterial endocarditis
Dental procedures - gum disease and urinary tract infections
9 months
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Enteropathy caused by an insensitivity to the gluten found in wheat

22. What is broncho-pulmonary dysplasia?
Sterile-caused by blockage of thick mucous at the vas deferens
Airborne and contact
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

23. Age range that is appropriate to use a length chart
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Abdominal ultrasound - Upper GI
birth-36 months
< 5%

24. Signs and Symptoms of mononucleosis
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

25. Signs and Symptoms of Celiac Disease
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Bacteria enter the blood stream from a site of localized infection and grows in the heart

26. What are major risk factors for neonatal meningitis?
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Maternal infection - premature rupture of membranes
Erythroblastosis Fetalis
Vaso-occulisive crisis - infection and sepsis

27. Test to evaluate a Seizure disorder
Vaso-occulisive crisis - infection and sepsis
Family history - EEG - CBC - LP and MRI
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
20 inches

28. What is the treatment for epiglottitis?
Excessive stool fat
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
< 5%
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

29. Leading cause of acquired heart disease in children
Kawasaki disease - w/o treatment 25% will have permanent heart damage
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
20 inches
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

30. Nursing care of the infant with pyloric stenosis
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
0-24 months
Barium enema

31. Post Op treatment of a VP shunt
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

32. difference btwn GER and GERD
Sterile-caused by blockage of thick mucous at the vas deferens
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
GERD is the complications and symptoms that happen because of GER

33. Side effects of benzodiazepines
drooling
Urethral opening is positioned below the glans penis
fever and infection
birth-36 months

34. Signs and Symptoms of Asthma
13 years
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
none

35. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
2 snacks
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
up to 14 days

36. Etiology of GERD
Length Chart
Length board standiometer
Excessive stool fat
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

37. Treatment of celiac disease
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
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
crowded living conditions - homeless and low income

38. What promotes unsickling of RBC's?
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Adequate O2 adequatte hydration
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

39. Characteristics of the RBC's in sickle cell

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40. S/SX of Hirschsprungs
birth-36 months
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
0-24 months
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

41. Pathophysiology of intussusception

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42. Average age of menarche
13 years
5 inches
poor feeding - wt loss - fatigue - develop. delays - edema
Vaso-occulisive crisis - infection and sepsis

43. Term infant --Bilirubin peaks at what day of life
Day 3 of life
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
MVA - bike accidents and falls
high protien and calorie - multivitamins - extra enzymes for high fat food

44. Linear growth event happens in Adolescents
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
2 snacks
2 years
Growth spurt

45. Another name for Hemolytic Disease of the Newborn
Give freedom and choices - save battles for the important things
Erythroblastosis Fetalis
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Contact isolation - gown - gloves and handwashing

46. Pathophysiology related to Head Trauma
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Day 3 of life
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
10 years

47. What is epiglottitis?
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
3 years
none
Cool mist therapy - encourage oral intake - s/sx of resp. distress

48. During an abdominal assessment when should auscultation occur
head
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
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
Less than 120 f.

49. What should be done to minimize the risks of Sudden infant death syndrome?
poor feeding - wt loss - fatigue - develop. delays - edema
fecal soiling
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
>95%

50. Females reproductive issues for CF patients
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection