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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. Define Magical thinking

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2. Treatment for mononucleosis
none
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
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
Length board standiometer

3. Diet for a child with glumerlonephritis
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
maternal nutrition and genetics
Regular diet with low sodium an no added salt
Cool mist therapy - encourage oral intake - s/sx of resp. distress

4. What should be done to minimize the risks of Sudden infant death syndrome?
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Previous history of life threatening reaction - Mod-severe illness w/wo fever

5. Two important assessment rules related to coarctation of the aorta?
Vaso-occulisive crisis - infection and sepsis
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
2 years

6. Age group affected by mononucleosis
<25 yrs old
# of stools per day - goal=2-3 stools per day
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
double birth weight

7. Teaching for Croup
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

8. Hypospadias
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
trunk
Urethral opening is positioned below the glans penis
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

9. Complications of acute otitis media
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
fecal soiling
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
hearing loss - scarring - mastoiditis - meningitis

10. Nursing interventions for hemophilia
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
10 inches
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
>95%

11. 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
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
fever and infection
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Swelling of the airways - mucous production - bronchospasms

12. treatment of intussusception
Dust - mold - animal dander - viral infections
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
12 years

13. Childs weight at 6 months compared to birth weight
double birth weight
inflammation and hypersensitivity to triggers
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
measures the largest velocity which occurs during a forced exhale

14. Basic defect in coarctation of the aorta
birth-36 months
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
parainfluenza - RSV - Influenza A&B - M. pneumonia
A narrowing within the Aorta resulting in collateral circulation

15. Focus of adolescent discipline
2 snacks
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Urethral opening is positioned below the glans penis
Give freedom and choices - save battles for the important things

16. Signs and Symptoms of Celiac Disease
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

17. What foods are prohibited for a person with Celiac Disease?
< 5%
Brain damage - hearing loss and learning disabilities
Milk - Ice cream - Malts - Grains
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

18. Term infant --Bilirubin peaks at what day of life
Day 3 of life
A narrowing within the Aorta resulting in collateral circulation
Cool mist therapy - encourage oral intake - s/sx of resp. distress
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

19. Average age of breast development
10 years
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
chest x-ray following a Positive PPD skin test
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

20. Growth spurt for adolescent boys
Mid puberty
Liver Biopsy
Small bowel biopsy
6 months

21. Nursing care of patient with Meningitis
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

22. What confirms a positive TB infection?
chest x-ray following a Positive PPD skin test
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
School age
Enteropathy caused by an insensitivity to the gluten found in wheat

23. Leading cause of head injury
Vaso-occulisive crisis - infection and sepsis
MVA - bike accidents and falls
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
<25 yrs old

24. Average Birth Length
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Length Chart
20 inches

25. Viral Meningitis
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
An Acute inflamation of the meninges and CSF often caused by Enterovirus
9 months

26. Contraindications to all vaccines
Previous history of life threatening reaction - Mod-severe illness w/wo fever
<25 yrs old
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
Barium enema

27. Main cause of urinary tract infections
fecal soiling
E. Coli
Hepatoxicity - pancreatitis
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

28. Precaustions needed for pt's with varicella
Dust - mold - animal dander - viral infections
Airborne and contact
from trunk to extremities
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

29. Side effects of dilatin hirsuitism (body hair)
none
Maternal infection - premature rupture of membranes
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
gum hypertrophy

30. Complications of meningitis
Brain damage - hearing loss and learning disabilities
chest x-ray following a Positive PPD skin test
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
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

31. Leading cause of bacterial meningitis in Neonates
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
Group B Streptococcus
prevention - po antibiotics should be given before and after an invasive procedure
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

32. Treatment of Meningitis

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33. Encoperesis
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
fecal soiling
Salicylates
Dust - mold - animal dander - viral infections

34. Test to evaluate a Seizure disorder
head
13 years
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Family history - EEG - CBC - LP and MRI

35. Signs and symptoms of neonatal meningitis
O2 status of blood - acid-base balance
Between 6-12 months
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

36. What is the cause of mononucleosis and its method of transmission?
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
crowded living conditions - homeless and low income
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Epstein Barr Virus - transmitted with intimate contact

37. BMI-@ risk for overweight
Day 3 of life
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
85-95%

38. Pertussis?
< 1
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Contact isolation - gown - gloves and handwashing

39. Steatorrhea
Excessive stool fat
12-24 days
MVA - bike accidents and falls
trunk

40. Cephalocaudal
from head to toe
head
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
E. Coli

41. Signs and Symptoms of mononucleosis
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
inflammation located in the middle ear
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

42. Signs and Symptoms of Asthma
BMI chart
Contact isolation - gown - gloves and handwashing
2.5 inches
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

43. Pathophysiology of a fever and infection with sickle cell disease
inflammation located in the middle ear
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
A typical lymphocytosis - mono-spot - EBV serology
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

44. Nursing care for a child with Reye's Syndrome
drooling
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
E. Coli
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

45. Hirschsprung's Disease
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
No - it can only be controlled
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

46. How is Celiac Disease diagnosed?
Small bowel biopsy
Swelling of the airways - mucous production - bronchospasms
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
5 inches

47. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
# of stools per day - goal=2-3 stools per day
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Barium enema

48. Pathophysiology of hirschsprung's disease
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

49. Characteristics of the RBC's in sickle cell

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50. Clinical signs of infection wilth sickle cell disease
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Less than 120 f.