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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. At 6-24 months - head circumference is what size in relationship to chest circumference
complete physical and psychosocial assessment to rule out underlying disorders
Equal to
5 inches
# of stools per day - goal=2-3 stools per day

2. Nursing care of patient with Meningitis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
School age
Abdominal ultrasound - Upper GI

3. Equipment used to measure a 24 to 36 month old height
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
85-95%
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Length board standiometer

4. Characteristics of the RBC's in sickle cell

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5. 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
Hepatoxicity - pancreatitis
Swelling or obstruction of the Larynx
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

6. Diet for CF patients
high protien and calorie - multivitamins - extra enzymes for high fat food
Low fiber - high calorie and protein
inflammation and hypersensitivity to triggers
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

7. What are major risk factors for neonatal meningitis?
Liver Biopsy
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Maternal infection - premature rupture of membranes
BMI chart

8. Pathophysiology of intussusception

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9. What is Cystic Fibrosis?
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
20 inches
Penicillin Prophylaxis (BID)
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

10. Non-pharmalogical measures to treat GER
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Bacteria enter the blood stream from a site of localized infection and grows in the heart
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

11. Average rate of growth for the 1st year
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
10 inches
Excessive stool fat

12. What confirms a positive TB infection?
20 inches
chest x-ray following a Positive PPD skin test
MVA - bike accidents and falls
fever and infection

13. RSV contagious for ...
up to 14 days
Abdominal ultrasound - Upper GI
36 months
trunk

14. Viral Croup
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
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
<25 yrs old
Swelling or obstruction of the Larynx

15. Celiac Disease
2 years
Enteropathy caused by an insensitivity to the gluten found in wheat
Maternal infection - premature rupture of membranes
drooling

16. Average rate of growth for the 2nd year of lif
5 inches
Low fiber - high calorie and protein
3 years
Maternal infection - premature rupture of membranes

17. What Component of Aspirin cause's Reye's Syndrome?
Salicylates
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Milk - Ice cream - Malts - Grains
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

18. Post Op treatment of a VP shunt
20 inches
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
inflammation located in the middle ear
Give freedom and choices - save battles for the important things

19. How many days after birth do bilirubin levels return to normal limits?
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
12-24 days
Mechanical Ventalation - high inhaled o2 concentration

20. Age that birth length doubles
4 years
10 years
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Salicylates

21. What is used to diagnose GER?
2 years
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
# of stools per day - goal=2-3 stools per day
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

22. Normal presentation of cystic fibrosis
Maternal infection - premature rupture of membranes
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

23. Linear growth event happens in Adolescents
Growth spurt
No - it can only be controlled
parainfluenza - RSV - Influenza A&B - M. pneumonia
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

24. Signs and symptoms of tuberculosis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

25. Considerations should be taken when treating a child with cystic fibrosis who has a ___________ tx promptly since bacterial colonization increases destruction of lung tissue----prevention is key
fever and infection
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Adequate O2 adequatte hydration

26. Most cases of Reye's Syndrome follows what type of illness?
Viral---Varicella or influenza
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

27. signs and symptoms of meningitis in older children
Give freedom and choices - save battles for the important things
high protien and calorie - multivitamins - extra enzymes for high fat food
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
from trunk to extremities

28. Hourly maintenance Fluid Requirements
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Vaso-occulisive crisis - infection and sepsis
from head to toe
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

29. How is mononucleosis diagnosed
A typical lymphocytosis - mono-spot - EBV serology
Adequate O2 adequatte hydration
inflammation located in the middle ear
high protien and calorie - multivitamins - extra enzymes for high fat food

30. Side effects of dilatin hirsuitism (body hair)
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
An Acute inflamation of the meninges and CSF often caused by Enterovirus
gum hypertrophy
Previous history of life threatening reaction - Mod-severe illness w/wo fever

31. Nursing care for child with seizure

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32. Encoperesis
fecal soiling
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
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
Growth spurt

33. What foods are prohibited for a person with Celiac Disease?
Penicillin Prophylaxis (BID)
20 inches
Milk - Ice cream - Malts - Grains
4 years

34. Treatment of a bleed in hemophilia
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Swelling of the airways - mucous production - bronchospasms
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
2.5 inches

35. What is an acute otitis media?
inflammation located in the middle ear
School age
O2 status of blood - acid-base balance
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

36. Males Reproductive issues for CF patients
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Family history - EEG - CBC - LP and MRI
Sterile-caused by blockage of thick mucous at the vas deferens
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

37. Signs and Symptoms of Hemolytic Disease of the newborn
Milk - Ice cream - Malts - Grains
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

38. Pathophysiology of a fever and infection with sickle cell disease
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
20 inches
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
2 snacks

39. Average Birth Length
Airborne and contact
20 inches
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

40. What should be used for feeding a child during the post operative period following cleft palate surgery?
double birth weight
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
2 snacks
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

41. Signs and Symptoms of intussusception
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
up to 14 days
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

42. Treatment for Varicella
>95%
poor feeding - wt loss - fatigue - develop. delays - edema
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Previous history of life threatening reaction - Mod-severe illness w/wo fever

43. Signs and Symptoms of mononucleosis
E. Coli
School age
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
diazepam - lorazapam

44. Signs and symptoms of varicella Prodromal
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
2 years

45. What has the HIB vaccine been successful in reducing?
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
double birth weight
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
3 years

46. Two important assessment rules related to coarctation of the aorta?
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
O2 status of blood - acid-base balance
GERD is the complications and symptoms that happen because of GER

47. What level does the bilirubin need to be at in order for jaundice to occur?
< 5%
5ml/dl
36 months
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities

48. Assess the cause of enuresis
Group B Streptococcus
complete physical and psychosocial assessment to rule out underlying disorders
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
hearing loss - scarring - mastoiditis - meningitis

49. Cephalocaudal
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
from head to toe
10 years
No - it can only be controlled

50. Teaching for Mononucleosis
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days