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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 level does the bilirubin need to be at in order for jaundice to occur?
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
5ml/dl
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

2. Precaustions needed for pt's with varicella
Airborne and contact
passage of abdominal contents to the esophagus
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

3. Two important assessment rules related to coarctation of the aorta?
MVA - bike accidents and falls
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Epstein Barr Virus - transmitted with intimate contact

4. What is used to diagnose GER?
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Hepatoxicity - pancreatitis
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

5. Leading cause of head injury
passage of abdominal contents to the esophagus
Dust - mold - animal dander - viral infections
13 years
MVA - bike accidents and falls

6. Females reproductive issues for CF patients
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Liver Biopsy
0-24 months
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

7. Average rate of growth for the 2nd year of lif
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
5 inches
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

8. At birth - head circumference is ____ compared to chest circumference
Dust - mold - animal dander - viral infections
Mid puberty
Hepatoxicity - pancreatitis
larger

9. Cause of bronchiolitis
10 years
20 inches
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Equal to

10. What are major risk factors for neonatal meningitis?
Maternal infection - premature rupture of membranes
20 inches
Brain damage - hearing loss and learning disabilities
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

11. Pathophysiology of intussusception

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12. What promotes unsickling of RBC's?
diazepam - lorazapam
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Adequate O2 adequatte hydration
prevention - po antibiotics should be given before and after an invasive procedure

13. Teaching for RSV
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
2 snacks

14. Nursing care for child with seizure

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15. What has the HIB vaccine been successful in reducing?
Sterile-caused by blockage of thick mucous at the vas deferens
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
gum hypertrophy
complete physical and psychosocial assessment to rule out underlying disorders

16. Normal presentation of cystic fibrosis
No - it can only be controlled
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
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
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

17. Age range that is appropriate to use a length chart
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
birth-36 months
Swelling or obstruction of the Larynx
12-24 days

18. Most cases of Reye's Syndrome follows what type of illness?
An Acute inflamation of the meninges and CSF often caused by Enterovirus
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Viral---Varicella or influenza
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

19. Assessment of a patient with suspected epiglottitis
crowded living conditions - homeless and low income
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

20. Puberty for boys
fecal soiling
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
12 years
Regular diet with low sodium an no added salt

21. At what age is a length board required?
3 years
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
0-24 months
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

22. What foods are prohibited for a person with Celiac Disease?
Salicylates
Milk - Ice cream - Malts - Grains
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
complete physical and psychosocial assessment to rule out underlying disorders

23. What is the treatment for epiglottitis?
complete physical and psychosocial assessment to rule out underlying disorders
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

24. Reyes Syndrome
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

25. How is Celiac Disease diagnosed?
Small bowel biopsy
Time and discription of seizure
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
9 months

26. Incubation period for TB
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
1-6 months
Airborne and contact

27. Term infant --Bilirubin peaks at what day of life
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Day 3 of life
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
up to 14 days

28. Pertussis?
diazepam - lorazapam
A narrowing within the Aorta resulting in collateral circulation
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
birth-36 months

29. Leading cause of acquired heart disease in children
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
< 1
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

30. BMI- overweight
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
>95%
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Contact isolation - gown - gloves and handwashing

31. Average Birth Length
20 inches
birth-36 months
Excessive stool fat
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

32. Viral Croup
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Swelling or obstruction of the Larynx
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Cool mist therapy - encourage oral intake - s/sx of resp. distress

33. How many days after birth do bilirubin levels return to normal limits?
12-24 days
No - it can only be controlled
Equal to
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

34. Head circumference should be assessed until what age
inflammation and hypersensitivity to triggers
3 years
from trunk to extremities
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

35. Signs of increased ICP
diazepam - lorazapam
3 years
from head to toe
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

36. Age of children at half their adult height
3 years
2.5 inches
2 years
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

37. Hypospadias
Urethral opening is positioned below the glans penis
parainfluenza - RSV - Influenza A&B - M. pneumonia
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
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

38. Complications related to varicella
Rinse mouth and brush teeth
Bacteria enter the blood stream from a site of localized infection and grows in the heart
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
5 inches

39. Signs and Symptoms of intussusception
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Regular diet with low sodium an no added salt
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

40. Signs and symptoms of varicella Prodromal
6 months
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

41. RSV contagious for ...
up to 14 days
Swelling of the airways - mucous production - bronchospasms
A typical lymphocytosis - mono-spot - EBV serology
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

42. BMI - underweight
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
< 5%

43. Risk factors of tuberculosis
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
crowded living conditions - homeless and low income
fecal soiling
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

44. When does the surgery to correct hypospadias usually occur?
Give freedom and choices - save battles for the important things
>95%
Between 6-12 months
drooling

45. Why avoid circumcision in a baby with hypospadias?
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Foreskin is used during the surgical repair

46. Nursing care of patient with Meningitis
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
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
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

47. What is an acute otitis media?
Growth spurt
GERD is the complications and symptoms that happen because of GER
inflammation located in the middle ear
Time and discription of seizure

48. Contraindications to all vaccines
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Brain damage - hearing loss and learning disabilities
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

49. What Component of Aspirin cause's Reye's Syndrome?
poor feeding - wt loss - fatigue - develop. delays - edema
fecal soiling
up to 14 days
Salicylates

50. Side effects of dilatin hirsuitism (body hair)
Cool mist therapy - encourage oral intake - s/sx of resp. distress
gum hypertrophy
5 inches
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