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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. first tooth
Enteropathy caused by an insensitivity to the gluten found in wheat
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
6 months
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

2. Sequence of resp distress
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
poor feeding - wt loss - fatigue - develop. delays - edema
Foreskin is used during the surgical repair
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

3. At what age is a length board required?
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
0-24 months
Vaso-occulisive crisis - infection and sepsis
Less than 120 f.

4. Where does the adolescent experience rapid growth?
up to 14 days
trunk - gonads and associative tissue
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
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

5. What is the cause of mononucleosis and its method of transmission?
Airborne and contact
Maternal infection - premature rupture of membranes
Epstein Barr Virus - transmitted with intimate contact
Give freedom and choices - save battles for the important things

6. Can Asthma be cured?
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
1-6 months
Vaso-occulisive crisis - infection and sepsis
No - it can only be controlled

7. Rheumatic Fever
9 months
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Regular diet with low sodium an no added salt
Urethral opening is positioned below the glans penis

8. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
poor feeding - wt loss - fatigue - develop. delays - edema
inflammation and hypersensitivity to triggers
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
Length Chart

9. What is epiglottitis?
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Cool mist therapy - encourage oral intake - s/sx of resp. distress
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

10. Pathophysiology of Acute Asthma
poor feeding - wt loss - fatigue - develop. delays - edema
Swelling of the airways - mucous production - bronchospasms
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

11. Key nursing intervention for subacute bacterial endocarditis
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
2 snacks
prevention - po antibiotics should be given before and after an invasive procedure
Enteropathy caused by an insensitivity to the gluten found in wheat

12. What are major risk factors for neonatal meningitis?
Abdominal ultrasound - Upper GI
Maternal infection - premature rupture of membranes
6 months
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

13. Nursing care for Kawasaki Disease
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
none
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

14. Signs and Symptoms of mononucleosis
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
No - it can only be controlled
5 inches
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

15. How many meals and snacks should a 1-3 yr old have in a day 3 meals
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
complete physical and psychosocial assessment to rule out underlying disorders
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
2 snacks

16. Causes of Bronchopulmonary Dysplasia
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Enteropathy caused by an insensitivity to the gluten found in wheat
Mechanical Ventalation - high inhaled o2 concentration
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

17. Clinicla manifestations of sickle cell disease
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Vaso-occulisive crisis - infection and sepsis
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Sterile-caused by blockage of thick mucous at the vas deferens

18. Prevention of infection in Sickle Cell Disease
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
Penicillin Prophylaxis (BID)
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
5 inches

19. 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
complete physical and psychosocial assessment to rule out underlying disorders
Small bowel biopsy

20. Side effects of dilatin hirsuitism (body hair)
drooling
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
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
gum hypertrophy

21. Screening for overweight or underweight child on chart
BMI chart
drooling
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

22. Head circumference should be assessed until what age
3 years
Length board standiometer
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
GERD is the complications and symptoms that happen because of GER

23. Neonatal Jaundice
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
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
<25 yrs old
inflammation and hypersensitivity to triggers

24. Test to evaluate a Seizure disorder
prevention - po antibiotics should be given before and after an invasive procedure
parainfluenza - RSV - Influenza A&B - M. pneumonia
Hepatoxicity - pancreatitis
Family history - EEG - CBC - LP and MRI

25. Males Reproductive issues for CF patients
Sterile-caused by blockage of thick mucous at the vas deferens
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Urethral opening is positioned below the glans penis
Barium enema

26. Bilirubin encephalopathy
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
none

27. Hirschsprung's 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
5 inches
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Salicylates

28. What is Cystic Fibrosis?
20 inches
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Less than 120 f.

29. Define Magical thinking

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30. Why is early diagnosis important w. Reye's Syndrome?
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Give freedom and choices - save battles for the important things
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Successful management is based on early diagnosis and aggressive therapy

31. Leading cause of head injury
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
MVA - bike accidents and falls
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

32. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
5ml/dl
Triple
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Length board standiometer

33. During an abdominal assessment when should auscultation occur
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

34. ABG
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
O2 status of blood - acid-base balance
lethargy - irritability - decrease feedings - fever - seizures
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

35. Average rate of growth for the 2nd year of lif
5 inches
12-24 days
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

36. 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
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Growth spurt
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

37. Complications of acute otitis media
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
Successful management is based on early diagnosis and aggressive therapy
2.5 inches
hearing loss - scarring - mastoiditis - meningitis

38. Non-pharmalogical measures to treat GER
up to 14 days
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Liver Biopsy
O2 status of blood - acid-base balance

39. Signs and symptoms of varicella Prodromal
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

40. BMI-@ risk for overweight
85-95%
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
An Acute inflamation of the meninges and CSF often caused by Enterovirus
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

41. Nursing care for Cystic Fibrosis
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
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
School age
Milk - Ice cream - Malts - Grains

42. Puberty for boys
BMI chart
Contact isolation - gown - gloves and handwashing
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
12 years

43. 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
poor feeding - wt loss - fatigue - develop. delays - edema
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
85-95%

44. Focus of adolescent discipline
parainfluenza - RSV - Influenza A&B - M. pneumonia
fecal soiling
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Give freedom and choices - save battles for the important things

45. Diagnose Reye's Syndrome
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
A typical lymphocytosis - mono-spot - EBV serology
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Liver Biopsy

46. How does pertussis present?
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Give freedom and choices - save battles for the important things
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

47. Signs of increased ICP
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
chest x-ray following a Positive PPD skin test
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

48. BMI - underweight
2 snacks
< 5%
Family history - EEG - CBC - LP and MRI
Small bowel biopsy

49. Pathophysiology of intussusception

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50. S/sx of GERD
Liver Biopsy
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
trunk - gonads and associative tissue