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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. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
Growth spurt
Time and discription of seizure
# of stools per day - goal=2-3 stools per day
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

2. Teaching for Mononucleosis
Small bowel biopsy
Vaso-occulisive crisis - infection and sepsis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

3. Reyes Syndrome
Low fiber - high calorie and protein
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

4. Lead screening should begin. at ..
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
9 months
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

5. S/sx of GERD
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Give freedom and choices - save battles for the important things
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

6. Hourly maintenance Fluid Requirements
Viral---Varicella or influenza
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
2.5 inches
inflammation and hypersensitivity to triggers

7. Average age of breast development
from head to toe
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
10 years
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

8. treatment of hemolytic disease of the newborn
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Phototherapy - exchange transfusion
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Cool mist therapy - encourage oral intake - s/sx of resp. distress

9. Leading cause of bacterial meningitis in Neonates
13 years
Group B Streptococcus
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

10. first tooth
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
20 inches
6 months
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

11. Treatment for sickle cell disease
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
No - it can only be controlled
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

12. Clinicla manifestations of sickle cell disease
Vaso-occulisive crisis - infection and sepsis
0-24 months
< 5%
Salicylates

13. Linear growth event happens in Adolescents
Milk - Ice cream - Malts - Grains
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Growth spurt
Rinse mouth and brush teeth

14. What has the HIB vaccine been successful in reducing?
poor feeding - wt loss - fatigue - develop. delays - edema
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

15. Two examples of benzodiazepines
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
diazepam - lorazapam
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

16. Pathophysiology of a fever and infection with sickle cell disease
Between 6-12 months
They are people - need a balance of limits and independence
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

17. Nursing care for a child with Reye's Syndrome
drooling
0-24 months
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

18. Females reproductive issues for CF patients
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Repeated involuntary urination in a child who should already by toilet trained at night
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

19. Asthma
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
up to 14 days

20. Clinical signs of infection wilth sickle cell disease
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Triple
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

21. Cause of bronchiolitis
Triple
Maternal infection - premature rupture of membranes
3 years
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

22. Pathophysiology of hirschsprung's disease
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
9 months

23. Head circumference should be assessed until what age
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
E. Coli
3 years
< 1

24. Kawasaki Disease
Dust - mold - animal dander - viral infections
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
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
Triple

25. Encoperesis
fecal soiling
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Previous history of life threatening reaction - Mod-severe illness w/wo fever
gum hypertrophy

26. What is epiglottitis?
Dental procedures - gum disease and urinary tract infections
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Triple
12-24 days

27. Sequence of resp distress
Swelling of the airways - mucous production - bronchospasms
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
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Enteropathy caused by an insensitivity to the gluten found in wheat

28. Pathophysiology of cystic fibrosis
Swelling or obstruction of the Larynx
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
2 years
Previous history of life threatening reaction - Mod-severe illness w/wo fever

29. Treatment and nursing care for pertussis
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Excessive stool fat
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

30. Pathophysiology of Chronic Asthma
Foreskin is used during the surgical repair
inflammation and hypersensitivity to triggers
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
poor feeding - wt loss - fatigue - develop. delays - edema

31. Prevention of infection in Sickle Cell Disease
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Group B Streptococcus
Penicillin Prophylaxis (BID)
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

32. Contraindications to all vaccines
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Previous history of life threatening reaction - Mod-severe illness w/wo fever
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
BMI chart

33. treatment of intussusception
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
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

34. Treatment for Hirschsprungs
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
measures the largest velocity which occurs during a forced exhale
Mid puberty
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

35. Prevention of bronchiolitis spreading
Urethral opening is positioned below the glans penis
Contact isolation - gown - gloves and handwashing
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Phototherapy - exchange transfusion

36. Post Op treatment of a VP shunt
Length Chart
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Excessive stool fat
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

37. Leading cause of head injury
Dust - mold - animal dander - viral infections
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
MVA - bike accidents and falls

38. What Component of Aspirin cause's Reye's Syndrome?
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
Salicylates
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
O2 status of blood - acid-base balance

39. ABG
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
O2 status of blood - acid-base balance
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

40. Where does the adolescent experience rapid growth?
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
trunk - gonads and associative tissue
Phototherapy - exchange transfusion

41. Males Reproductive issues for CF patients
Sterile-caused by blockage of thick mucous at the vas deferens
BMI chart
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Brain damage - hearing loss and learning disabilities

42. Pathophysiology related to Head Trauma
BMI chart
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
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

43. Childs weight at 6 months compared to birth weight
measures the largest velocity which occurs during a forced exhale
double birth weight
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
6 months

44. Complications of acute otitis media
Give freedom and choices - save battles for the important things
hearing loss - scarring - mastoiditis - meningitis
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
12 years

45. When does the surgery to correct hypospadias usually occur?
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Equal to
Successful management is based on early diagnosis and aggressive therapy
Between 6-12 months

46. What are the side effects of depakote?
Milk - Ice cream - Malts - Grains
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Hepatoxicity - pancreatitis
Between 6-12 months

47. Signs of heart failure
2 years
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
poor feeding - wt loss - fatigue - develop. delays - edema
head

48. At what age is a length board required?
Excessive stool fat
0-24 months
prevention - po antibiotics should be given before and after an invasive procedure
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

49. Nursing care of the infant with pyloric stenosis
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
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
from head to toe
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

50. Focus of adolescent discipline
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Give freedom and choices - save battles for the important things
<25 yrs old
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations