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Certified Pediatric Nurse Exam

Subjects : certifications, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
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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. treatment of intussusception
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

2. What is enuresis?
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
fever and infection
head
Repeated involuntary urination in a child who should already by toilet trained at night

3. Bilirubin encephalopathy
4 years
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
trunk - gonads and associative tissue

4. Diet for CF patients
high protien and calorie - multivitamins - extra enzymes for high fat food
0-24 months
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Salicylates

5. Average age of breast development
BMI chart
10 years
Sterile-caused by blockage of thick mucous at the vas deferens
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

6. What is heart failure?
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
measures the largest velocity which occurs during a forced exhale
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
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

7. At what age is a stadiometer required to measure linear growth?
Swelling or obstruction of the Larynx
36 months
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Excessive stool fat

8. What is the treatment for epiglottitis?
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

9. How is mononucleosis diagnosed
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
A typical lymphocytosis - mono-spot - EBV serology

10. Incubation period for TB
none
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Adequate O2 adequatte hydration
1-6 months

11. At birth - head circumference is ____ compared to chest circumference
larger
trunk
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

12. Childs weight at 6 months compared to birth weight
Family history - EEG - CBC - LP and MRI
double birth weight
birth-36 months
A typical lymphocytosis - mono-spot - EBV serology

13. Assess the cause of enuresis
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
complete physical and psychosocial assessment to rule out underlying disorders
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

14. What is the cause of mononucleosis and its method of transmission?
Triple
Epstein Barr Virus - transmitted with intimate contact
complete physical and psychosocial assessment to rule out underlying disorders
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

15. Hirschsprung's Disease
inflammation located in the middle ear
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
gum hypertrophy

16. What level does the bilirubin need to be at in order for jaundice to occur?
Phototherapy - exchange transfusion
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
5ml/dl

17. Nursing care for Cystic Fibrosis
Give freedom and choices - save battles for the important things
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
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
Vaso-occulisive crisis - infection and sepsis

18. What is broncho-pulmonary dysplasia?
none
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
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
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

19. Kawasaki Disease
BMI chart
complete physical and psychosocial assessment to rule out underlying disorders
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
>95%

20. Precaustions needed for pt's with varicella
Airborne and contact
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
parainfluenza - RSV - Influenza A&B - M. pneumonia

21. Teaching for Mononucleosis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
diazepam - lorazapam
Adequate O2 adequatte hydration
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

22. Key nursing intervention for subacute bacterial endocarditis
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
prevention - po antibiotics should be given before and after an invasive procedure
13 years
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

23. Head circumference should be assessed until what age
3 years
Day 3 of life
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
2 years

24. What is used to diagnose GER?
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
1-6 months
Give freedom and choices - save battles for the important things

25. Main cause of urinary tract infections
E. Coli
5ml/dl
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Salicylates

26. Where does the adolescent experience rapid growth?
4 years
5 inches
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
trunk - gonads and associative tissue

27. Treatment of celiac disease
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
20 inches
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

28. Most cases of Reye's Syndrome follows what type of illness?
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Viral---Varicella or influenza
Brain damage - hearing loss and learning disabilities
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

29. Side effects of benzodiazepines
Repeated involuntary urination in a child who should already by toilet trained at night
from head to toe
drooling
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

30. What is an acute otitis media?
12 years
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
inflammation located in the middle ear
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

31. Treatment of a bleed in hemophilia
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Equal to
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Cool mist therapy - encourage oral intake - s/sx of resp. distress

32. Pathophysiology of celiac disease
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
< 1
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

33. Assessment of a patient with suspected epiglottitis
crowded living conditions - homeless and low income
Growth spurt
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Day 3 of life

34. 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
measures the largest velocity which occurs during a forced exhale
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

35. Temp of home water heater to avoid burns
Less than 120 f.
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
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

36. Signs of heart failure
Family history - EEG - CBC - LP and MRI
poor feeding - wt loss - fatigue - develop. delays - edema
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
high protien and calorie - multivitamins - extra enzymes for high fat food

37. Two examples of benzodiazepines
diazepam - lorazapam
hearing loss - scarring - mastoiditis - meningitis
3 years
crowded living conditions - homeless and low income

38. What should be observed in a case of a seizure?
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Time and discription of seizure
crowded living conditions - homeless and low income
Vaso-occulisive crisis - infection and sepsis

39. Nursing care for Kawasaki Disease
Bacteria enter the blood stream from a site of localized infection and grows in the heart
measures the largest velocity which occurs during a forced exhale
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

40. What promotes unsickling of RBC's?
Enteropathy caused by an insensitivity to the gluten found in wheat
Adequate O2 adequatte hydration
Sterile-caused by blockage of thick mucous at the vas deferens
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

41. Signs of increased ICP
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
MVA - bike accidents and falls
E. Coli
crowded living conditions - homeless and low income

42. Age that birth length doubles
Viral---Varicella or influenza
4 years
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
2 snacks

43. How is Celiac Disease diagnosed?
maternal nutrition and genetics
up to 14 days
Small bowel biopsy
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

44. Treatment of Kawasaki disease
Phototherapy - exchange transfusion
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Give freedom and choices - save battles for the important things
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

45. Focus of adolescent discipline
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Give freedom and choices - save battles for the important things
3 years
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

46. What is epiglottitis?
parainfluenza - RSV - Influenza A&B - M. pneumonia
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

47. S/Sx of pyloric stenosis
School age
Foreskin is used during the surgical repair
drooling
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

48. Nursing care of the infant with pyloric stenosis
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
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
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

49. Pathophysiology of a fever and infection with sickle cell disease
Maternal infection - premature rupture of membranes
Between 6-12 months
Abdominal ultrasound - Upper GI
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

50. Age range that is appropriate to use a length chart
birth-36 months
4 years
fecal soiling
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

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Certified Pediatric Nurse Exam

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