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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 Meningitis
Salicylates
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Day 3 of life
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

2. Teaching for RSV
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

3. What foods are prohibited for a person with Celiac Disease?
Milk - Ice cream - Malts - Grains
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Give freedom and choices - save battles for the important things
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

4. Side effects of benzodiazepines
Adequate O2 adequatte hydration
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
drooling
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

5. Childs weight at 6 months compared to birth weight
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
No - it can only be controlled
double birth weight
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

6. What has the HIB vaccine been successful in reducing?
5 inches
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
O2 status of blood - acid-base balance
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

7. S/Sx of pyloric stenosis
hearing loss - scarring - mastoiditis - meningitis
prevention - po antibiotics should be given before and after an invasive procedure
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
drooling

8. When does the surgery to correct hypospadias usually occur?
Barium enema
5 inches
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Between 6-12 months

9. Complications of acute otitis media
hearing loss - scarring - mastoiditis - meningitis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
prevention - po antibiotics should be given before and after an invasive procedure
A typical lymphocytosis - mono-spot - EBV serology

10. What is an acute otitis media?
Erythroblastosis Fetalis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
crowded living conditions - homeless and low income
inflammation located in the middle ear

11. Growth spurt for adolescent boys
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
used for prolonged sz's
Mid puberty
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

12. Treatment of Meningitis

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13. Assessment of a patient with suspected epiglottitis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
School age
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Epstein Barr Virus - transmitted with intimate contact

14. 3 symptoms of coarctation of the aorta
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Salicylates
1-6 months
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities

15. treatment of hemolytic disease of the newborn
Brain damage - hearing loss and learning disabilities
85-95%
Length board standiometer
Phototherapy - exchange transfusion

16. Treatment of celiac disease
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
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
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
trunk - gonads and associative tissue

17. What are major risk factors for neonatal meningitis?
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Maternal infection - premature rupture of membranes
Repeated involuntary urination in a child who should already by toilet trained at night
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

18. How does pertussis present?
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
5 inches
diazepam - lorazapam

19. What should be observed in a case of a seizure?
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
4 years
Time and discription of seizure
1-6 months

20. Pathophysiology of celiac disease
They are people - need a balance of limits and independence
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

21. What is used to diagnose pyloric stenosis?
School age
Triple
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Abdominal ultrasound - Upper GI

22. Risk factors of tuberculosis
from head to toe
Low fiber - high calorie and protein
1-6 months
crowded living conditions - homeless and low income

23. Define Magical thinking

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24. Signs and symptoms of neonatal meningitis
Brain damage - hearing loss and learning disabilities
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
GERD is the complications and symptoms that happen because of GER

25. Age group affected by mononucleosis
<25 yrs old
fecal soiling
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
lethargy - irritability - decrease feedings - fever - seizures

26. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Dust - mold - animal dander - viral infections
Length Chart
Airborne and contact

27. What is physiologic Jaundice?
Family history - EEG - CBC - LP and MRI
trunk - gonads and associative tissue
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
Cool mist therapy - encourage oral intake - s/sx of resp. distress

28. Leading cause of acquired heart disease in children
Kawasaki disease - w/o treatment 25% will have permanent heart damage
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
6 months
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

29. What is the rate of growth each year from 3 yrs until puberty?
Previous history of life threatening reaction - Mod-severe illness w/wo fever
2.5 inches
Foreskin is used during the surgical repair
Vaso-occulisive crisis - infection and sepsis

30. difference btwn GER and GERD
0-24 months
GERD is the complications and symptoms that happen because of GER
passage of abdominal contents to the esophagus
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

31. Main cause of urinary tract infections
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
1-6 months
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
E. Coli

32. Nursing care of the infant with pyloric stenosis
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Liver Biopsy
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

33. Asthma
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Bacteria enter the blood stream from a site of localized infection and grows in the heart
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

34. Diastat rectal diazepam gel

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35. Term infant --Bilirubin peaks at what day of life
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Mechanical Ventalation - high inhaled o2 concentration
Day 3 of life

36. Celiac Disease
Enteropathy caused by an insensitivity to the gluten found in wheat
Rinse mouth and brush teeth
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
head

37. Signs and Symptoms of Asthma
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
MVA - bike accidents and falls

38. Normal Bilirubin
10 years
< 1
from head to toe
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

39. Signs and symptoms of varicella Prodromal
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
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
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

40. 3 main causes of Bacterial meningitis in children
measures the largest velocity which occurs during a forced exhale
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

41. What is the treatment for epiglottitis?
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
birth-36 months
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities

42. Average rate of growth for the 1st year
Sterile-caused by blockage of thick mucous at the vas deferens
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
Regular diet with low sodium an no added salt
10 inches

43. Diagnose Reye's Syndrome
inflammation and hypersensitivity to triggers
Less than 120 f.
Liver Biopsy
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

44. 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
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Small bowel biopsy
# of stools per day - goal=2-3 stools per day

45. Hourly maintenance Fluid Requirements
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
poor feeding - wt loss - fatigue - develop. delays - edema
Small bowel biopsy
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

46. Diet for CF patients
high protien and calorie - multivitamins - extra enzymes for high fat food
6 months
A narrowing within the Aorta resulting in collateral circulation
Triple

47. Pathophysiology of Acute Asthma
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Swelling of the airways - mucous production - bronchospasms
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities

48. Signs and Symptoms that indicate and adverse reaction to a vaccine
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Abdominal ultrasound - Upper GI
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Hepatoxicity - pancreatitis

49. Treatment for Hirschsprungs
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Liver Biopsy
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

50. At 6-24 months - head circumference is what size in relationship to chest circumference
Equal to
inflammation located in the middle ear
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Cool mist therapy - encourage oral intake - s/sx of resp. distress