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Test your basic knowledge |
Certified Pediatric Nurse Exam
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Subjects
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certifications
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health-sciences
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nursing
Instructions:
Answer 50 questions in 15 minutes.
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study here
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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. Signs and Symptoms of Asthma
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
School age
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
2. Risk factors of tuberculosis
Erythroblastosis Fetalis
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
crowded living conditions - homeless and low income
Rinse mouth and brush teeth
3. GER (gastroesophageal reflux)
Liver Biopsy
Give freedom and choices - save battles for the important things
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
passage of abdominal contents to the esophagus
4. Childs weight at 6 months compared to birth weight
double birth weight
Family history - EEG - CBC - LP and MRI
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
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
5. Side effects of benzodiazepines
drooling
measures the largest velocity which occurs during a forced exhale
9 months
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
6. Complications of acute otitis media
Length board standiometer
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Adequate O2 adequatte hydration
hearing loss - scarring - mastoiditis - meningitis
7. Two examples of benzodiazepines
A narrowing within the Aorta resulting in collateral circulation
diazepam - lorazapam
< 5%
double birth weight
8. 3 symptoms of coarctation of the aorta
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Kawasaki disease - w/o treatment 25% will have permanent heart damage
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
9. Teaching for Mononucleosis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Triple
85-95%
up to 14 days
10. How many days after birth do bilirubin levels return to normal limits?
Mid puberty
12-24 days
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
11. 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
12-24 days
12 years
20 inches
12. Normal Bilirubin
< 1
none
Regular diet with low sodium an no added salt
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
13. Diagnose Reye's Syndrome
Liver Biopsy
up to 14 days
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
14. Signs and Symptoms of intussusception
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
13 years
Urethral opening is positioned below the glans penis
15. Age range that is appropriate to use a length chart
< 1
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
birth-36 months
Rinse mouth and brush teeth
16. Equipment used to measure a 24 to 36 month old height
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Length board standiometer
Milk - Ice cream - Malts - Grains
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
17. Varicella communicable
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
from trunk to extremities
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
up to 14 days
18. What is heart failure?
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
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
Contact isolation - gown - gloves and handwashing
< 5%
19. Growth spurt for adolescent boys
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Mid puberty
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
20. 2 factors that determine birth weight
Less than 120 f.
maternal nutrition and genetics
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Barium enema
21. Sickle Cell Disease
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Epstein Barr Virus - transmitted with intimate contact
Vaso-occulisive crisis - infection and sepsis
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
22. Pathophysiology of cystic fibrosis
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
fecal soiling
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
23. Average Birth Length
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
20 inches
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
24. What level does the bilirubin need to be at in order for jaundice to occur?
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
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
5ml/dl
Small bowel biopsy
25. What are development considerations for hemophilia?
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
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
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
Urethral opening is positioned below the glans penis
26. Assessment of a patient with suspected epiglottitis
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Growth spurt
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
27. Most cases of Reye's Syndrome follows what type of illness?
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Viral---Varicella or influenza
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
GERD is the complications and symptoms that happen because of GER
28. Treatment for sickle cell disease
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Time and discription of seizure
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Epstein Barr Virus - transmitted with intimate contact
29. Define Magical thinking
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30. S/Sx of pyloric stenosis
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Airborne and contact
School age
31. At what age is a length board required?
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
9 months
0-24 months
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
32. Focus of adolescent discipline
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Rinse mouth and brush teeth
Give freedom and choices - save battles for the important things
Barium enema
33. Linear growth event happens in Adolescents
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
used for prolonged sz's
Growth spurt
MVA - bike accidents and falls
34. What foods are prohibited for a person with Celiac Disease?
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
20 inches
Milk - Ice cream - Malts - Grains
35. Encoperesis
0-24 months
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
fecal soiling
Growth spurt
36. What promotes unsickling of RBC's?
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
4 years
Vaso-occulisive crisis - infection and sepsis
Adequate O2 adequatte hydration
37. At what age is a stadiometer required to measure linear growth?
parainfluenza - RSV - Influenza A&B - M. pneumonia
up to 14 days
36 months
Previous history of life threatening reaction - Mod-severe illness w/wo fever
38. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Growth spurt
39. ABG
O2 status of blood - acid-base balance
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Less than 120 f.
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
40. Leading cause of acquired heart disease in children
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Day 3 of life
41. Teaching for Croup
Cool mist therapy - encourage oral intake - s/sx of resp. distress
passage of abdominal contents to the esophagus
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
42. Females reproductive issues for CF patients
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
A narrowing within the Aorta resulting in collateral circulation
43. Part of the body that grows the fastest in the toddler-preschool age
Swelling or obstruction of the Larynx
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
trunk
Dust - mold - animal dander - viral infections
44. Complications of meningitis
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Brain damage - hearing loss and learning disabilities
45. What should a child's wt be at 1 yr compared to birth weight?
Triple
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
20 inches
Vaso-occulisive crisis - infection and sepsis
46. Signs and Symptoms of Celiac Disease
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Length Chart
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
47. Treatment of Kawasaki disease
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Maternal infection - premature rupture of membranes
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Regular diet with low sodium an no added salt
48. Treatment and nursing care for pertussis
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
head
Viral---Varicella or influenza
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
49. Signs and Symptoms of Hemolytic Disease of the newborn
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
E. Coli
Phototherapy - exchange transfusion
50. Teaching for RSV
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Growth spurt
Barium enema
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
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