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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. Age of children at half their adult height
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
2 years

2. S/sx of GERD
Small bowel biopsy
Salicylates
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Family history - EEG - CBC - LP and MRI

3. What Pharmalogical measures can be used to treat GERD?
Swelling or obstruction of the Larynx
Small bowel biopsy
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

4. Varicella communicable
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
larger
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Cool mist therapy - encourage oral intake - s/sx of resp. distress

5. GER (gastroesophageal reflux)
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
crowded living conditions - homeless and low income
passage of abdominal contents to the esophagus
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

6. Two important assessment rules related to coarctation of the aorta?
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Family history - EEG - CBC - LP and MRI
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Length Chart

7. Growth spurt for adolescent boys
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Between 6-12 months
Mid puberty
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

8. Signs and symptoms of Reye's Syndrome
Excessive stool fat
They are people - need a balance of limits and independence
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

9. Hirschsprung's Disease
from trunk to extremities
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
from head to toe

10. Females reproductive issues for CF patients
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
MVA - bike accidents and falls
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

11. Age range that is appropriate to use a length chart
birth-36 months
Less than 120 f.
12-24 days
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

12. Diet for CF patients
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
high protien and calorie - multivitamins - extra enzymes for high fat food
2 snacks

13. Test to evaluate a Seizure disorder
Family history - EEG - CBC - LP and MRI
GERD is the complications and symptoms that happen because of GER
2.5 inches
Airborne and contact

14. Nursing interventions for hemophilia
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
inflammation located in the middle ear
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

15. Pertussis?
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Brain damage - hearing loss and learning disabilities
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Vaso-occulisive crisis - infection and sepsis

16. Age that birth length doubles
Bacteria enter the blood stream from a site of localized infection and grows in the heart
4 years
O2 status of blood - acid-base balance
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

17. Average rate of growth for the 2nd year of lif
5 inches
GERD is the complications and symptoms that happen because of GER
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Salicylates

18. What are the four main causes of viral croup?
parainfluenza - RSV - Influenza A&B - M. pneumonia
Liver Biopsy
< 1
up to 14 days

19. What should a child's wt be at 1 yr compared to birth weight?
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
crowded living conditions - homeless and low income
Triple
fever and infection

20. Age group affected by mononucleosis
trunk - gonads and associative tissue
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
<25 yrs old

21. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
# of stools per day - goal=2-3 stools per day
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
E. Coli
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

22. Nursing care for child with seizure

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23. Childs weight at 6 months compared to birth weight
double birth weight
trunk
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Growth spurt

24. Treatment for sickle cell disease
Milk - Ice cream - Malts - Grains
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
9 months

25. Signs and Symptoms of mononucleosis
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Swelling or obstruction of the Larynx
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
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

26. What is the treatment for epiglottitis?
Urethral opening is positioned below the glans penis
high protien and calorie - multivitamins - extra enzymes for high fat food
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

27. Treatment of a bleed in hemophilia
Less than 120 f.
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
parainfluenza - RSV - Influenza A&B - M. pneumonia

28. Basic defect in coarctation of the aorta
A narrowing within the Aorta resulting in collateral circulation
Equal to
measures the largest velocity which occurs during a forced exhale
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

29. Lead screening should begin. at ..
# of stools per day - goal=2-3 stools per day
Kawasaki disease - w/o treatment 25% will have permanent heart damage
9 months
Brain damage - hearing loss and learning disabilities

30. Screening for overweight or underweight child on chart
Dental procedures - gum disease and urinary tract infections
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
BMI chart
Give freedom and choices - save battles for the important things

31. What are the S/SX of bleeds in hemophilia?
12 years
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
5ml/dl

32. Pathophysiology of Chronic Asthma
inflammation and hypersensitivity to triggers
Cool mist therapy - encourage oral intake - s/sx of resp. distress
larger
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

33. Normal presentation of cystic fibrosis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Time and discription of seizure

34. Complications related to varicella
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
drooling
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
inflammation located in the middle ear

35. What is an acute otitis media?
Give freedom and choices - save battles for the important things
larger
inflammation located in the middle ear
O2 status of blood - acid-base balance

36. Prevention of infection in Sickle Cell Disease
measures the largest velocity which occurs during a forced exhale
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Penicillin Prophylaxis (BID)
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

37. Common Asthma irritants
Dust - mold - animal dander - viral infections
Enteropathy caused by an insensitivity to the gluten found in wheat
5 inches
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

38. Contraindications to all vaccines
crowded living conditions - homeless and low income
6 months
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Previous history of life threatening reaction - Mod-severe illness w/wo fever

39. Viral Meningitis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Cool mist therapy - encourage oral intake - s/sx of resp. distress

40. Encoperesis
Adequate O2 adequatte hydration
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
fecal soiling
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

41. Nursing care for Kawasaki Disease
12-24 days
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
drooling

42. Post Op treatment of a VP shunt
2 years
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
diazepam - lorazapam

43. Most cases of Reye's Syndrome follows what type of illness?
Viral---Varicella or influenza
Epstein Barr Virus - transmitted with intimate contact
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

44. At what age is a stadiometer required to measure linear growth?
Contact isolation - gown - gloves and handwashing
36 months
Foreskin is used during the surgical repair
from trunk to extremities

45. BMI- overweight
complete physical and psychosocial assessment to rule out underlying disorders
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
>95%
Liver Biopsy

46. What interventions prevent urinary tract infections?
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Liver Biopsy
<25 yrs old
high protien and calorie - multivitamins - extra enzymes for high fat food

47. Predisposing factors to subacute bacterial endocarditis
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Dental procedures - gum disease and urinary tract infections
Repeated involuntary urination in a child who should already by toilet trained at night
1-6 months

48. 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
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
10 inches
Barium enema

49. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
diazepam - lorazapam
high protien and calorie - multivitamins - extra enzymes for high fat food
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
lethargy - irritability - decrease feedings - fever - seizures

50. At birth - head circumference is ____ compared to chest circumference
Group B Streptococcus
13 years
larger
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months