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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. BMI - underweight
Give freedom and choices - save battles for the important things
< 5%
Rinse mouth and brush teeth
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

2. Average rate of growth for the 1st year
10 inches
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
gum hypertrophy
used for prolonged sz's

3. Encoperesis
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
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
fecal soiling
from head to toe

4. treatment of hemolytic disease of the newborn
Phototherapy - exchange transfusion
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
inflammation located in the middle ear

5. Incubation period for TB
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
1-6 months
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
inflammation and hypersensitivity to triggers

6. What are the S/SX of bleeds in hemophilia?
measures the largest velocity which occurs during a forced exhale
Salicylates
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

7. Nursing interventions for hemophilia
crowded living conditions - homeless and low income
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
diazepam - lorazapam

8. Cause of bronchiolitis
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
measures the largest velocity which occurs during a forced exhale
Kawasaki disease - w/o treatment 25% will have permanent heart damage

9. Two important assessment rules related to coarctation of the aorta?
Enteropathy caused by an insensitivity to the gluten found in wheat
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

10. Part of body that grows the fastest in infancy
Maternal infection - premature rupture of membranes
head
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
measures the largest velocity which occurs during a forced exhale

11. During an abdominal assessment when should auscultation occur
Viral---Varicella or influenza
<25 yrs old
Milk - Ice cream - Malts - Grains
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

12. Kawasaki Disease
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
GERD is the complications and symptoms that happen because of GER
none
Brain damage - hearing loss and learning disabilities

13. Treatment of Meningitis

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14. What has the HIB vaccine been successful in reducing?
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
12 years
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
fever and infection

15. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Adequate O2 adequatte hydration
# of stools per day - goal=2-3 stools per day

16. What Component of Aspirin cause's Reye's Syndrome?
MVA - bike accidents and falls
No - it can only be controlled
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Salicylates

17. Nursing care for Kawasaki Disease
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
from head to toe

18. What is heart failure?
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
Barium enema
Erythroblastosis Fetalis
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

19. S/sx of GERD
Excessive stool fat
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

20. What is physiologic Jaundice?
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
head
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

21. Treatment for mononucleosis
Epstein Barr Virus - transmitted with intimate contact
Give freedom and choices - save battles for the important things
Erythroblastosis Fetalis
none

22. BMI- overweight
5 inches
>95%
Successful management is based on early diagnosis and aggressive therapy
Kawasaki disease - w/o treatment 25% will have permanent heart damage

23. Treatment of a bleed in hemophilia
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
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

24. Neonatal Jaundice
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Urethral opening is positioned below the glans penis
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Airborne and contact

25. Treatment for Varicella
0-24 months
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

26. Signs of heart failure
poor feeding - wt loss - fatigue - develop. delays - edema
fever and infection
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

27. Predisposing factors to subacute bacterial endocarditis
Dental procedures - gum disease and urinary tract infections
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
birth-36 months
1-6 months

28. Non-pharmalogical measures to treat GER
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
hearing loss - scarring - mastoiditis - meningitis
from trunk to extremities

29. Diagnose Reye's Syndrome
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Liver Biopsy
passage of abdominal contents to the esophagus

30. Main cause of urinary tract infections
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
passage of abdominal contents to the esophagus
E. Coli
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

31. Equipment used to measure a 24 to 36 month old height
double birth weight
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Length board standiometer
up to 14 days

32. Characteristics of the RBC's in sickle cell

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33. What should a child's wt be at 1 yr compared to birth weight?
from head to toe
Successful management is based on early diagnosis and aggressive therapy
Triple
gum hypertrophy

34. Average age of breast development
20 inches
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
10 years

35. What should be used for feeding a child during the post operative period following cleft palate surgery?
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
GERD is the complications and symptoms that happen because of GER
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Foreskin is used during the surgical repair

36. Assessment of a patient with suspected epiglottitis
<25 yrs old
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
85-95%
5 inches

37. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Erythroblastosis Fetalis
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
2 snacks
Repeated involuntary urination in a child who should already by toilet trained at night

38. Asthma inhaler - what can be done to decrease risk of thrush
< 5%
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Rinse mouth and brush teeth
Milk - Ice cream - Malts - Grains

39. Signs and symptoms of varicella Prodromal
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Regular diet with low sodium an no added salt
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

40. Define Proximodistal
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
from trunk to extremities
head
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

41. What is the treatment for epiglottitis?
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Barium enema
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

42. Treatment of Kawasaki disease
high protien and calorie - multivitamins - extra enzymes for high fat food
BMI chart
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

43. Complications related to varicella
Day 3 of life
Hepatoxicity - pancreatitis
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

44. Side effects of dilatin hirsuitism (body hair)
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
gum hypertrophy
< 5%
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

45. Part of the body that grows the fastest in the toddler-preschool age
trunk
Excessive stool fat
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
measures the largest velocity which occurs during a forced exhale

46. 3 symptoms of coarctation of the aorta
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Excessive stool fat
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

47. Diet for a child with glumerlonephritis
fecal soiling
Regular diet with low sodium an no added salt
Erythroblastosis Fetalis
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

48. Teaching for Mononucleosis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Liver Biopsy
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

49. Treatment for sickle cell disease
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Sterile-caused by blockage of thick mucous at the vas deferens
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

50. What should be observed in a case of a seizure?
Growth spurt
chest x-ray following a Positive PPD skin test
Time and discription of seizure
head