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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. Viral Croup
Cool mist therapy - encourage oral intake - s/sx of resp. distress
A typical lymphocytosis - mono-spot - EBV serology
high protien and calorie - multivitamins - extra enzymes for high fat food
Swelling or obstruction of the Larynx

2. What is broncho-pulmonary dysplasia?
parainfluenza - RSV - Influenza A&B - M. pneumonia
trunk
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
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

3. Why is early diagnosis important w. Reye's Syndrome?
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Successful management is based on early diagnosis and aggressive therapy
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
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

4. Signs and symptoms of Reye's Syndrome
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Foreskin is used during the surgical repair
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

5. What is Hemolytic Disease of the Newborn
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
E. Coli
prevention - po antibiotics should be given before and after an invasive procedure
A narrowing within the Aorta resulting in collateral circulation

6. Common Asthma irritants
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Dust - mold - animal dander - viral infections
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
12-24 days

7. Treatment of a bleed in hemophilia
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
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

8. 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
Cool mist therapy - encourage oral intake - s/sx of resp. distress
fever and infection
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
gum hypertrophy

9. What promotes unsickling of RBC's?
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Adequate O2 adequatte hydration
crowded living conditions - homeless and low income
A typical lymphocytosis - mono-spot - EBV serology

10. Teaching for Mononucleosis
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Length board standiometer
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

11. Hypospadias
fever and infection
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
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Urethral opening is positioned below the glans penis

12. Test to evaluate a Seizure disorder
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Family history - EEG - CBC - LP and MRI
9 months

13. Screening for overweight or underweight child on chart
BMI chart
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Vaso-occulisive crisis - infection and sepsis

14. What confirms a positive TB infection?
Maternal infection - premature rupture of membranes
chest x-ray following a Positive PPD skin test
6 months
Phototherapy - exchange transfusion

15. Treatment of Meningitis

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16. Age range that is appropriate to use a length chart
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
birth-36 months
Group B Streptococcus

17. Signs and symptoms of tuberculosis
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
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
used for prolonged sz's

18. 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
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Dental procedures - gum disease and urinary tract infections

19. Lead screening should begin. at ..
double birth weight
3 years
9 months
School age

20. Treatment of Kawasaki disease
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
<25 yrs old
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

21. 2 factors that determine birth weight
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Enteropathy caused by an insensitivity to the gluten found in wheat
maternal nutrition and genetics
# of stools per day - goal=2-3 stools per day

22. Bronchiolitis
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
crowded living conditions - homeless and low income
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

23. Predisposing factors to subacute bacterial endocarditis
Repeated involuntary urination in a child who should already by toilet trained at night
Dental procedures - gum disease and urinary tract infections
Successful management is based on early diagnosis and aggressive therapy
prevention - po antibiotics should be given before and after an invasive procedure

24. Neonatal Jaundice
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Repeated involuntary urination in a child who should already by toilet trained at night
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

25. Side effects of benzodiazepines
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
drooling
up to 14 days
13 years

26. Childs weight at 6 months compared to birth weight
double birth weight
used for prolonged sz's
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Low fiber - high calorie and protein

27. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
chest x-ray following a Positive PPD skin test
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
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

28. Pathophysiology of a fever and infection with sickle cell disease
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Swelling or obstruction of the Larynx
Milk - Ice cream - Malts - Grains
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

29. Leading cause of bacterial meningitis in Neonates
Phototherapy - exchange transfusion
12 years
Salicylates
Group B Streptococcus

30. ABG
Excessive stool fat
GERD is the complications and symptoms that happen because of GER
O2 status of blood - acid-base balance
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

31. Males Reproductive issues for CF patients
Sterile-caused by blockage of thick mucous at the vas deferens
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Give freedom and choices - save battles for the important things
Regular diet with low sodium an no added salt

32. Age that birth length doubles
Time and discription of seizure
parainfluenza - RSV - Influenza A&B - M. pneumonia
4 years
12 years

33. Part of body that grows the fastest in infancy
head
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
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
5 inches

34. Diet for a child with glumerlonephritis
Regular diet with low sodium an no added salt
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

35. Signs and Symptoms of mononucleosis
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Contact isolation - gown - gloves and handwashing

36. Pathophysiology related to Head Trauma
up to 14 days
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
used for prolonged sz's
Cool mist therapy - encourage oral intake - s/sx of resp. distress

37. Hourly maintenance Fluid Requirements
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Give freedom and choices - save battles for the important things
# of stools per day - goal=2-3 stools per day
Milk - Ice cream - Malts - Grains

38. How many meals and snacks should a 1-3 yr old have in a day 3 meals
2 snacks
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
Epstein Barr Virus - transmitted with intimate contact
larger

39. Side effects of dilatin hirsuitism (body hair)
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
3 years
gum hypertrophy
2 snacks

40. Most cases of Reye's Syndrome follows what type of illness?
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
Viral---Varicella or influenza
Erythroblastosis Fetalis
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

41. Term infant --Bilirubin peaks at what day of life
Day 3 of life
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
E. Coli
Bacteria enter the blood stream from a site of localized infection and grows in the heart

42. Treatment for sickle cell disease
measures the largest velocity which occurs during a forced exhale
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
from head to toe
Penicillin Prophylaxis (BID)

43. Define Proximodistal
from trunk to extremities
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Maternal infection - premature rupture of membranes

44. At 6-24 months - head circumference is what size in relationship to chest circumference
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
larger
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Equal to

45. Treatment for Varicella
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Vaso-occulisive crisis - infection and sepsis

46. Average Birth Length
Dust - mold - animal dander - viral infections
lethargy - irritability - decrease feedings - fever - seizures
12-24 days
20 inches

47. Diastat rectal diazepam gel

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48. Females reproductive issues for CF patients
poor feeding - wt loss - fatigue - develop. delays - edema
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

49. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
Family history - EEG - CBC - LP and MRI
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
# of stools per day - goal=2-3 stools per day
inflammation and hypersensitivity to triggers

50. Teaching for RSV
drooling
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
No - it can only be controlled
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations