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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. Treatment of Kawasaki disease
crowded living conditions - homeless and low income
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
They are people - need a balance of limits and independence
up to 14 days

2. Focus of adolescent discipline
Give freedom and choices - save battles for the important things
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Abdominal ultrasound - Upper GI
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

3. Prevention of infection in Sickle Cell Disease
Hepatoxicity - pancreatitis
9 months
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Penicillin Prophylaxis (BID)

4. Age of children at half their adult height
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
2 years
measures the largest velocity which occurs during a forced exhale
10 years

5. Encoperesis
fecal soiling
trunk - gonads and associative tissue
chest x-ray following a Positive PPD skin test
Give freedom and choices - save battles for the important things

6. Prevention of bronchiolitis spreading
birth-36 months
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Contact isolation - gown - gloves and handwashing
Swelling of the airways - mucous production - bronchospasms

7. Bilirubin encephalopathy
GERD is the complications and symptoms that happen because of GER
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
prevention - po antibiotics should be given before and after an invasive procedure
Between 6-12 months

8. Nursing care for a child with Reye's Syndrome
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
4 years
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

9. Sickle Cell Disease
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Liver Biopsy
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
A typical lymphocytosis - mono-spot - EBV serology

10. Define Magical thinking

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11. Part of body that grows the fastest in infancy
< 1
head
2 snacks
Dental procedures - gum disease and urinary tract infections

12. Viral Meningitis
Growth spurt
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Time and discription of seizure
chest x-ray following a Positive PPD skin test

13. Assess the cause of enuresis
Dental procedures - gum disease and urinary tract infections
complete physical and psychosocial assessment to rule out underlying disorders
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Cool mist therapy - encourage oral intake - s/sx of resp. distress

14. Contraindications to all vaccines
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Low fiber - high calorie and protein
Mechanical Ventalation - high inhaled o2 concentration

15. Average rate of growth for the 1st year
10 inches
4 years
5 inches
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

16. Temp of home water heater to avoid burns
gum hypertrophy
Less than 120 f.
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

17. Etiology of GERD
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Contact isolation - gown - gloves and handwashing
2 years
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

18. What occurs in a subacute baterial endocarditis?
Enteropathy caused by an insensitivity to the gluten found in wheat
Milk - Ice cream - Malts - Grains
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Bacteria enter the blood stream from a site of localized infection and grows in the heart

19. Why avoid circumcision in a baby with hypospadias?
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Between 6-12 months
Foreskin is used during the surgical repair
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

20. What is the cause of mononucleosis and its method of transmission?
13 years
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
diazepam - lorazapam
Epstein Barr Virus - transmitted with intimate contact

21. Part of the body that grows the fastest in the toddler-preschool age
4 years
trunk
Successful management is based on early diagnosis and aggressive therapy
used for prolonged sz's

22. 3 symptoms of coarctation of the aorta
10 years
measures the largest velocity which occurs during a forced exhale
Bacteria enter the blood stream from a site of localized infection and grows in the heart
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities

23. Complications of acute otitis media
Family history - EEG - CBC - LP and MRI
hearing loss - scarring - mastoiditis - meningitis
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
Cool mist therapy - encourage oral intake - s/sx of resp. distress

24. Age group the limbs grow the fastest
School age
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
2.5 inches
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

25. Signs and Symptoms of Celiac Disease
Airborne and contact
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

26. Screening for overweight or underweight child on chart
Repeated involuntary urination in a child who should already by toilet trained at night
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
BMI chart
Dust - mold - animal dander - viral infections

27. Asthma
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Dental procedures - gum disease and urinary tract infections
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

28. What Component of Aspirin cause's Reye's Syndrome?
prevention - po antibiotics should be given before and after an invasive procedure
MVA - bike accidents and falls
Epstein Barr Virus - transmitted with intimate contact
Salicylates

29. Treatment for Hirschsprungs
double birth weight
They are people - need a balance of limits and independence
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
10 years

30. Pathophysiology of intussusception

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31. Peak flow meter
measures the largest velocity which occurs during a forced exhale
20 inches
Mechanical Ventalation - high inhaled o2 concentration
Urethral opening is positioned below the glans penis

32. Age that birth length doubles
4 years
Barium enema
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
double birth weight

33. How many days after birth do bilirubin levels return to normal limits?
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
12-24 days
lethargy - irritability - decrease feedings - fever - seizures
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

34. Define Proximodistal
from trunk to extremities
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
used for prolonged sz's
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

35. What interventions prevent urinary tract infections?
10 inches
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
Phototherapy - exchange transfusion
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

36. What is heart failure?
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Liver Biopsy
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
Hepatoxicity - pancreatitis

37. 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
Mechanical Ventalation - high inhaled o2 concentration
fever and infection
2 snacks
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

38. What is epiglottitis?
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
3 years
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

39. Males Reproductive issues for CF patients
Sterile-caused by blockage of thick mucous at the vas deferens
drooling
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Equal to

40. Term infant --Bilirubin peaks at what day of life
head
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Day 3 of life

41. Most cases of Reye's Syndrome follows what type of illness?
Viral---Varicella or influenza
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
4 years
birth-36 months

42. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
10 inches
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Sterile-caused by blockage of thick mucous at the vas deferens
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

43. Age range that is appropriate to use a length chart
They are people - need a balance of limits and independence
MVA - bike accidents and falls
Cool mist therapy - encourage oral intake - s/sx of resp. distress
birth-36 months

44. Normal presentation of cystic fibrosis
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Repeated involuntary urination in a child who should already by toilet trained at night
trunk - gonads and associative tissue

45. Cause of bronchiolitis
prevention - po antibiotics should be given before and after an invasive procedure
Give freedom and choices - save battles for the important things
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

46. What should be used for feeding a child during the post operative period following cleft palate surgery?
birth-36 months
36 months
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Low fiber - high calorie and protein

47. BMI-@ risk for overweight
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
85-95%
0-24 months

48. When does the surgery to correct hypospadias usually occur?
6 months
drooling
Repeated involuntary urination in a child who should already by toilet trained at night
Between 6-12 months

49. Key nursing intervention for subacute bacterial endocarditis
drooling
Cool mist therapy - encourage oral intake - s/sx of resp. distress
hearing loss - scarring - mastoiditis - meningitis
prevention - po antibiotics should be given before and after an invasive procedure

50. Diagnose Reye's Syndrome
Dust - mold - animal dander - viral infections
Liver Biopsy
Swelling or obstruction of the Larynx
10 years