Test your basic knowledge |

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. Where does the adolescent experience rapid growth?
inflammation and hypersensitivity to triggers
trunk - gonads and associative tissue
Phototherapy - exchange transfusion
Barium enema

2. S/Sx of pyloric stenosis
Foreskin is used during the surgical repair
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Abdominal ultrasound - Upper GI

3. Linear growth event happens in Adolescents
Growth spurt
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
4 years
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

4. Pathophysiology of celiac disease
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
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

5. Asthma inhaler - what can be done to decrease risk of thrush
Epstein Barr Virus - transmitted with intimate contact
Rinse mouth and brush teeth
5ml/dl
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

6. During an abdominal assessment when should auscultation occur
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
85-95%
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

7. How does pertussis present?
double birth weight
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
36 months
from head to toe

8. Part of body that grows the fastest in infancy
4 years
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
head
12 years

9. What is used to diagnose GER?
Swelling of the airways - mucous production - bronchospasms
Foreskin is used during the surgical repair
none
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

10. Two examples of benzodiazepines
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Erythroblastosis Fetalis
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
diazepam - lorazapam

11. How many meals and snacks should a 1-3 yr old have in a day 3 meals
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Low fiber - high calorie and protein
Hepatoxicity - pancreatitis
2 snacks

12. Signs and Symptoms of intussusception
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
used for prolonged sz's
>95%
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

13. Age of children at half their adult height
4 years
Swelling or obstruction of the Larynx
lethargy - irritability - decrease feedings - fever - seizures
2 years

14. What are development considerations for hemophilia?
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
inflammation located in the middle ear
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Penicillin Prophylaxis (BID)

15. 3 symptoms of coarctation of the aorta
poor feeding - wt loss - fatigue - develop. delays - edema
5ml/dl
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities

16. Complications related to varicella
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
MVA - bike accidents and falls
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

17. Basic defect in coarctation of the aorta
A narrowing within the Aorta resulting in collateral circulation
# of stools per day - goal=2-3 stools per day
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
trunk

18. Signs and Symptoms of Asthma
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
E. Coli

19. Rheumatic Fever
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Length Chart
Repeated involuntary urination in a child who should already by toilet trained at night

20. What should be observed in a case of a seizure?
high protien and calorie - multivitamins - extra enzymes for high fat food
Time and discription of seizure
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

21. Complications of meningitis
Brain damage - hearing loss and learning disabilities
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
O2 status of blood - acid-base balance

22. Clinicla manifestations of sickle cell disease
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Vaso-occulisive crisis - infection and sepsis
Kawasaki disease - w/o treatment 25% will have permanent heart damage

23. What should be done to minimize the risks of Sudden infant death syndrome?
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Less than 120 f.

24. Bronchiolitis
Successful management is based on early diagnosis and aggressive therapy
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
2 snacks
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

25. At birth - head circumference is ____ compared to chest circumference
Phototherapy - exchange transfusion
Enteropathy caused by an insensitivity to the gluten found in wheat
larger
Foreskin is used during the surgical repair

26. Growth spurt for adolescent boys
3 years
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Mid puberty

27. What occurs in a subacute baterial endocarditis?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Bacteria enter the blood stream from a site of localized infection and grows in the heart
up to 14 days
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

28. Sickle Cell Disease
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Excessive stool fat
birth-36 months
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

29. Puberty for boys
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
12 years
<25 yrs old

30. Nursing care for child with seizure

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

31. What should be used for feeding a child during the post operative period following cleft palate surgery?
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
double birth weight
maternal nutrition and genetics
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

32. Side effects of dilatin hirsuitism (body hair)
A typical lymphocytosis - mono-spot - EBV serology
gum hypertrophy
13 years
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

33. 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
Length Chart
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
No - it can only be controlled

34. Etiology of GERD
maternal nutrition and genetics
Triple
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

35. Average rate of growth for the 2nd year of lif
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
poor feeding - wt loss - fatigue - develop. delays - edema
5 inches
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

36. What is broncho-pulmonary dysplasia?
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
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
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

37. Screening for overweight or underweight child on chart
O2 status of blood - acid-base balance
BMI chart
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

38. GER (gastroesophageal reflux)
Phototherapy - exchange transfusion
Liver Biopsy
Length board standiometer
passage of abdominal contents to the esophagus

39. What are major risk factors for neonatal meningitis?
Swelling of the airways - mucous production - bronchospasms
fecal soiling
measures the largest velocity which occurs during a forced exhale
Maternal infection - premature rupture of membranes

40. Leading cause of bacterial meningitis in Neonates
Group B Streptococcus
lethargy - irritability - decrease feedings - fever - seizures
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
12-24 days

41. Treatment of Meningitis

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

42. Signs and Symptoms of Celiac Disease
Epstein Barr Virus - transmitted with intimate contact
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
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

43. What is the cause of mononucleosis and its method of transmission?
double birth weight
Salicylates
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
Epstein Barr Virus - transmitted with intimate contact

44. Neonatal Jaundice
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
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

45. first tooth
An Acute inflamation of the meninges and CSF often caused by Enterovirus
6 months
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

46. Signs and symptoms of tuberculosis
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
BMI chart
GERD is the complications and symptoms that happen because of GER

47. treatment of hemolytic disease of the newborn
Phototherapy - exchange transfusion
Foreskin is used during the surgical repair
5 inches
trunk - gonads and associative tissue

48. What is the treatment for epiglottitis?
Airborne and contact
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
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
2 snacks

49. Diet for CF patients
Adequate O2 adequatte hydration
high protien and calorie - multivitamins - extra enzymes for high fat food
6 months
Swelling of the airways - mucous production - bronchospasms

50. Average age of menarche
13 years
lethargy - irritability - decrease feedings - fever - seizures
Group B Streptococcus
Vaso-occulisive crisis - infection and sepsis