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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. During an abdominal assessment when should auscultation occur
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Small bowel biopsy

2. Incubation period for TB
Give freedom and choices - save battles for the important things
1-6 months
Hepatoxicity - pancreatitis
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

3. Treatment and nursing care for pertussis
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
inflammation and hypersensitivity to triggers
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

4. Treatment for Varicella
hearing loss - scarring - mastoiditis - meningitis
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

5. Clinical signs of infection wilth sickle cell disease
up to 14 days
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
10 inches

6. Average Birth Length
birth-36 months
9 months
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
20 inches

7. BMI-@ risk for overweight
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
85-95%
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
13 years

8. Age range that is appropriate to use a length chart
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
birth-36 months
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

9. What is the treatment for epiglottitis?
from head to toe
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
larger

10. Complications related to varicella
Viral---Varicella or influenza
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
BMI chart
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

11. What are major risk factors for neonatal meningitis?
BMI chart
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Maternal infection - premature rupture of membranes
< 1

12. Considerations should be taken when treating a child with cystic fibrosis who has a ___________ tx promptly since bacterial colonization increases destruction of lung tissue----prevention is key
fever and infection
A narrowing within the Aorta resulting in collateral circulation
Mid puberty
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

13. Define Proximodistal
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
from trunk to extremities
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

14. What Pharmalogical measures can be used to treat GERD?
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
passage of abdominal contents to the esophagus
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

15. Diet for CF patients
high protien and calorie - multivitamins - extra enzymes for high fat food
chest x-ray following a Positive PPD skin test
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

16. Puberty for boys
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
crowded living conditions - homeless and low income
12 years
Length board standiometer

17. Complications of meningitis
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Brain damage - hearing loss and learning disabilities
Vaso-occulisive crisis - infection and sepsis
birth-36 months

18. Nursing care of patient with Meningitis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
measures the largest velocity which occurs during a forced exhale

19. Treatment of a bleed in hemophilia
Epstein Barr Virus - transmitted with intimate contact
A narrowing within the Aorta resulting in collateral circulation
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

20. BMI - underweight
Successful management is based on early diagnosis and aggressive therapy
poor feeding - wt loss - fatigue - develop. delays - edema
Repeated involuntary urination in a child who should already by toilet trained at night
< 5%

21. S/sx of GERD
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
5 inches
diazepam - lorazapam
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

22. Cephalocaudal
high protien and calorie - multivitamins - extra enzymes for high fat food
from head to toe
< 5%
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

23. Diet for Hirschsprung's prior to corrction and treatment
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
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
Low fiber - high calorie and protein
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

24. Pathophysiology of intussusception

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25. ABG
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
O2 status of blood - acid-base balance
trunk
inflammation and hypersensitivity to triggers

26. Common Asthma irritants
Dust - mold - animal dander - viral infections
chest x-ray following a Positive PPD skin test
No - it can only be controlled
birth-36 months

27. 2 key factors to consider when caring for a preschooler
They are people - need a balance of limits and independence
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Time and discription of seizure

28. Pathophysiology of hirschsprung's disease
10 years
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
up to 14 days

29. Normal Bilirubin
1-6 months
5ml/dl
< 1
5 inches

30. What is Cystic Fibrosis?
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
inflammation located in the middle ear
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

31. Lead screening should begin. at ..
9 months
trunk - gonads and associative tissue
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
5 inches

32. How is mononucleosis diagnosed
A typical lymphocytosis - mono-spot - EBV serology
parainfluenza - RSV - Influenza A&B - M. pneumonia
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

33. Treatment of Kawasaki disease
inflammation located in the middle ear
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

34. Age that birth length doubles
4 years
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
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
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

35. Temp of home water heater to avoid burns
13 years
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Less than 120 f.
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

36. What promotes unsickling of RBC's?
Low fiber - high calorie and protein
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
maternal nutrition and genetics
Adequate O2 adequatte hydration

37. S/Sx of pyloric stenosis
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Viral---Varicella or influenza
Airborne and contact
Vaso-occulisive crisis - infection and sepsis

38. Complications of acute otitis media
10 inches
hearing loss - scarring - mastoiditis - meningitis
20 inches
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

39. Sickle Cell Disease
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Rinse mouth and brush teeth
Dust - mold - animal dander - viral infections

40. Celiac Disease
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Day 3 of life
Enteropathy caused by an insensitivity to the gluten found in wheat
Length board standiometer

41. What are the S/SX of bleeds in hemophilia?
Regular diet with low sodium an no added salt
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Length Chart
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

42. Teaching for RSV
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Give freedom and choices - save battles for the important things
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
high protien and calorie - multivitamins - extra enzymes for high fat food

43. Asthma
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
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
Excessive stool fat

44. Teaching for Mononucleosis
Contact isolation - gown - gloves and handwashing
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Swelling or obstruction of the Larynx

45. Key nursing intervention for subacute bacterial endocarditis
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Mid puberty
prevention - po antibiotics should be given before and after an invasive procedure

46. Non-pharmalogical measures to treat GER
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Regular diet with low sodium an no added salt
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Barium enema

47. Pathophysiology related to Head Trauma
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
Low fiber - high calorie and protein
Time and discription of seizure
Phototherapy - exchange transfusion

48. How is Celiac Disease diagnosed?
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
BMI chart
Small bowel biopsy

49. 2 factors that determine birth weight
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Time and discription of seizure
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
maternal nutrition and genetics

50. Asthma inhaler - what can be done to decrease risk of thrush
Previous history of life threatening reaction - Mod-severe illness w/wo fever
maternal nutrition and genetics
Rinse mouth and brush teeth
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