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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. What occurs in a subacute baterial endocarditis?
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Dust - mold - animal dander - viral infections
10 years
Bacteria enter the blood stream from a site of localized infection and grows in the heart

2. Treatment for Varicella
School age
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Maternal infection - premature rupture of membranes
chest x-ray following a Positive PPD skin test

3. Nursing care of the infant with pyloric stenosis
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
chest x-ray following a Positive PPD skin test
Rinse mouth and brush teeth
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

4. What Component of Aspirin cause's Reye's Syndrome?
Salicylates
hearing loss - scarring - mastoiditis - meningitis
5 inches
Erythroblastosis Fetalis

5. treatment of hemolytic disease of the newborn
O2 status of blood - acid-base balance
Brain damage - hearing loss and learning disabilities
They are people - need a balance of limits and independence
Phototherapy - exchange transfusion

6. What is physiologic Jaundice?
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
13 years
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Phototherapy - exchange transfusion

7. What level does the bilirubin need to be at in order for jaundice to occur?
measures the largest velocity which occurs during a forced exhale
5ml/dl
Rinse mouth and brush teeth
1-6 months

8. Hypospadias
Swelling of the airways - mucous production - bronchospasms
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
E. Coli
Urethral opening is positioned below the glans penis

9. Temp of home water heater to avoid burns
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Small bowel biopsy
prevention - po antibiotics should be given before and after an invasive procedure
Less than 120 f.

10. Signs and Symptoms of Hemolytic Disease of the newborn
from trunk to extremities
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

11. When does the surgery to correct hypospadias usually occur?
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Day 3 of life
Between 6-12 months
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

12. Nursing care for a child with Reye's Syndrome
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Less than 120 f.

13. Why avoid circumcision in a baby with hypospadias?
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Foreskin is used during the surgical repair

14. Define Magical thinking

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15. Encoperesis
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Barium enema
fecal soiling
from head to toe

16. What foods are prohibited for a person with Celiac Disease?
Maternal infection - premature rupture of membranes
Milk - Ice cream - Malts - Grains
5 inches
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

17. Average rate of growth for the 1st year
10 inches
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
10 years
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

18. Head circumference should be assessed until what age
3 years
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
4 years
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

19. Main cause of urinary tract infections
E. Coli
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
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

20. What is the cause of mononucleosis and its method of transmission?
1-6 months
Epstein Barr Virus - transmitted with intimate contact
Mid puberty
< 1

21. At what age is a length board required?
0-24 months
# of stools per day - goal=2-3 stools per day
Rinse mouth and brush teeth
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

22. Term infant --Bilirubin peaks at what day of life
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Day 3 of life
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

23. Childs weight at 6 months compared to birth weight
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
10 inches
double birth weight
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

24. Treatment of Kawasaki disease
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
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
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

25. difference btwn GER and GERD
GERD is the complications and symptoms that happen because of GER
Repeated involuntary urination in a child who should already by toilet trained at night
Length board standiometer
5 inches

26. Hirschsprung's Disease
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
trunk
Adequate O2 adequatte hydration
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

27. Sickle Cell Disease
Length board standiometer
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Maternal infection - premature rupture of membranes

28. What should a child's wt be at 1 yr compared to birth weight?
fecal soiling
85-95%
Triple
BMI chart

29. Hourly maintenance Fluid Requirements
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

30. Treatment of Meningitis

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31. Growth spurt for adolescent boys
Mid puberty
Salicylates
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Regular diet with low sodium an no added salt

32. What interventions prevent urinary tract infections?
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
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
hearing loss - scarring - mastoiditis - meningitis

33. Peak flow meter
Foreskin is used during the surgical repair
Between 6-12 months
birth-36 months
measures the largest velocity which occurs during a forced exhale

34. Lead screening should begin. at ..
Length board standiometer
9 months
Brain damage - hearing loss and learning disabilities
trunk - gonads and associative tissue

35. Average age of menarche
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
13 years
Cool mist therapy - encourage oral intake - s/sx of resp. distress

36. Precaustions needed for pt's with varicella
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
A narrowing within the Aorta resulting in collateral circulation
Airborne and contact

37. Complications of acute otitis media
0-24 months
hearing loss - scarring - mastoiditis - meningitis
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

38. Average Birth Length
9 months
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Contact isolation - gown - gloves and handwashing
20 inches

39. Age that birth length doubles
4 years
Maternal infection - premature rupture of membranes
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Salicylates

40. Neonatal Jaundice
Viral---Varicella or influenza
Regular diet with low sodium an no added salt
Swelling or obstruction of the Larynx
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

41. first tooth
6 months
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Equal to

42. What is broncho-pulmonary dysplasia?
Successful management is based on early diagnosis and aggressive therapy
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Low fiber - high calorie and protein
Mid puberty

43. Diagnose Reye's Syndrome
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Liver Biopsy
Group B Streptococcus
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

44. How is mononucleosis diagnosed
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
A typical lymphocytosis - mono-spot - EBV serology
A narrowing within the Aorta resulting in collateral circulation
10 years

45. Nursing care for child with seizure

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46. Age group the limbs grow the fastest
School age
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Equal to
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

47. S/SX of Hirschsprungs
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Rinse mouth and brush teeth
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

48. Define Proximodistal
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Swelling or obstruction of the Larynx
from trunk to extremities

49. Signs of heart failure
Growth spurt
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
poor feeding - wt loss - fatigue - develop. delays - edema

50. Pathophysiology of Chronic Asthma
0-24 months
chest x-ray following a Positive PPD skin test
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
inflammation and hypersensitivity to triggers