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Certified Pediatric Nurse Exam

Subjects : certifications, health-sciences, nursing

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. first tooth
6 months
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Epstein Barr Virus - transmitted with intimate contact
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

2. Basic defect in coarctation of the aorta
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
A narrowing within the Aorta resulting in collateral circulation
Length Chart
Regular diet with low sodium an no added salt

3. Treatment of a bleed in hemophilia
none
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
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

4. Growth spurt for adolescent boys
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Mid puberty

5. Clinicla manifestations of sickle cell disease
from head to toe
A narrowing within the Aorta resulting in collateral circulation
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Vaso-occulisive crisis - infection and sepsis

6. Reyes Syndrome
Barium enema
Urethral opening is positioned below the glans penis
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Previous history of life threatening reaction - Mod-severe illness w/wo fever

7. Treatment of celiac disease
O2 status of blood - acid-base balance
# of stools per day - goal=2-3 stools per day
chest x-ray following a Positive PPD skin test
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

8. Encoperesis
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
10 years
5ml/dl
fecal soiling

9. Pertussis?
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Excessive stool fat
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
9 months

10. treatment of intussusception
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Length Chart
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

11. Incubation period for TB
0-24 months
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
1-6 months
maternal nutrition and genetics

12. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
lethargy - irritability - decrease feedings - fever - seizures
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Milk - Ice cream - Malts - Grains
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

13. Main cause of urinary tract infections
inflammation and hypersensitivity to triggers
10 inches
fever and infection
E. Coli

14. What foods are prohibited for a person with Celiac Disease?
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
< 5%
Milk - Ice cream - Malts - Grains
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

15. Treatment for Hirschsprungs
Viral---Varicella or influenza
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
O2 status of blood - acid-base balance
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

16. Celiac Disease
prevention - po antibiotics should be given before and after an invasive procedure
Enteropathy caused by an insensitivity to the gluten found in wheat
Swelling or obstruction of the Larynx
parainfluenza - RSV - Influenza A&B - M. pneumonia

17. Viral Meningitis
Sterile-caused by blockage of thick mucous at the vas deferens
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Growth spurt
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping

18. difference btwn GER and GERD
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
parainfluenza - RSV - Influenza A&B - M. pneumonia
none
GERD is the complications and symptoms that happen because of GER

19. Steatorrhea
A typical lymphocytosis - mono-spot - EBV serology
2 years
complete physical and psychosocial assessment to rule out underlying disorders
Excessive stool fat

20. Linear growth event happens in Adolescents
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Growth spurt
3 years
Between 6-12 months

21. What confirms a positive TB infection?
chest x-ray following a Positive PPD skin test
BMI chart
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Previous history of life threatening reaction - Mod-severe illness w/wo fever

22. Complications related to varicella
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

23. Signs and Symptoms that indicate and adverse reaction to a vaccine
Growth spurt
A narrowing within the Aorta resulting in collateral circulation
inflammation located in the middle ear
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

24. Asthma inhaler - what can be done to decrease risk of thrush
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
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
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
Rinse mouth and brush teeth

25. What is the treatment for epiglottitis?
Urethral opening is positioned below the glans penis
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
high protien and calorie - multivitamins - extra enzymes for high fat food
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

26. What is Hemolytic Disease of the Newborn
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Barium enema

27. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
2 years
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

28. 2 factors that determine birth weight
maternal nutrition and genetics
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
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
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 head injury
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
MVA - bike accidents and falls
# of stools per day - goal=2-3 stools per day
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

30. S/sx of GERD
Cool mist therapy - encourage oral intake - s/sx of resp. distress
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
1-6 months

31. Normal Bilirubin
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
< 1
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
from trunk to extremities

32. Age group affected by mononucleosis
<25 yrs old
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
5 inches

33. What is physiologic Jaundice?
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
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
No - it can only be controlled

34. Age that birth length doubles
Mechanical Ventalation - high inhaled o2 concentration
from trunk to extremities
85-95%
4 years

35. What are the S/SX of bleeds in hemophilia?
Adequate O2 adequatte hydration
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

36. Nursing care of patient with Meningitis
9 months
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Mid puberty
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

37. 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
9 months
Phototherapy - exchange transfusion
Foreskin is used during the surgical repair
fever and infection

38. Contraindications to all vaccines
12 years
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Previous history of life threatening reaction - Mod-severe illness w/wo fever
GERD is the complications and symptoms that happen because of GER

39. Precaustions needed for pt's with varicella
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Epstein Barr Virus - transmitted with intimate contact
Airborne and contact
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

40. What interventions prevent urinary tract infections?
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
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
crowded living conditions - homeless and low income

41. Hypospadias
Urethral opening is positioned below the glans penis
Contact isolation - gown - gloves and handwashing
5 inches
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

42. Nursing care for Kawasaki Disease
Less than 120 f.
Time and discription of seizure
Dental procedures - gum disease and urinary tract infections
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

43. Peak flow meter
measures the largest velocity which occurs during a forced exhale
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
from head to toe

44. What occurs in a subacute baterial endocarditis?
Time and discription of seizure
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Small bowel biopsy
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

45. What is heart failure?
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
<25 yrs old
Epstein Barr Virus - transmitted with intimate contact
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

46. What is an acute otitis media?
No - it can only be controlled
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
inflammation and hypersensitivity to triggers
inflammation located in the middle ear

47. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Length Chart
Small bowel biopsy
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
5ml/dl

48. Diet for CF patients
Adequate O2 adequatte hydration
high protien and calorie - multivitamins - extra enzymes for high fat food
School age
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

49. At what age is a length board required?
0-24 months
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Length Chart
Length board standiometer

50. Lead screening should begin. at ..
10 inches
An Acute inflamation of the meninges and CSF often caused by Enterovirus
5ml/dl
9 months

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Certified Pediatric Nurse Exam

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