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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 is Cystic Fibrosis?
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

2. Teaching for Mononucleosis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
3 years
5ml/dl
chest x-ray following a Positive PPD skin test

3. Leading cause of acquired heart disease in children
Between 6-12 months
2.5 inches
Kawasaki disease - w/o treatment 25% will have permanent heart damage
10 inches

4. Key nursing intervention for subacute bacterial endocarditis
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
prevention - po antibiotics should be given before and after an invasive procedure
lethargy - irritability - decrease feedings - fever - seizures
birth-36 months

5. Two important assessment rules related to coarctation of the aorta?
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

6. Nursing interventions for hemophilia
parainfluenza - RSV - Influenza A&B - M. pneumonia
Epstein Barr Virus - transmitted with intimate contact
high protien and calorie - multivitamins - extra enzymes for high fat food
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

7. Nursing care of patient with Meningitis
Liver Biopsy
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

8. Signs of heart failure
Enteropathy caused by an insensitivity to the gluten found in wheat
poor feeding - wt loss - fatigue - develop. delays - edema
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

9. Focus of adolescent discipline
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
3 years
Give freedom and choices - save battles for the important things

10. What are the side effects of depakote?
E. Coli
Hepatoxicity - pancreatitis
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
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

11. Rheumatic Fever
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
crowded living conditions - homeless and low income
Length board standiometer

12. treatment of intussusception
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Viral---Varicella or influenza

13. Signs and Symptoms that indicate and adverse reaction to a vaccine
poor feeding - wt loss - fatigue - develop. delays - edema
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Day 3 of life
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

14. Clinicla manifestations of sickle cell disease
trunk
2 snacks
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Vaso-occulisive crisis - infection and sepsis

15. Average rate of growth for the 1st year
Milk - Ice cream - Malts - Grains
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
10 inches
Barium enema

16. Diagnose Reye's Syndrome
Liver Biopsy
5 inches
Epstein Barr Virus - transmitted with intimate contact
Barium enema

17. Pathophysiology of intussusception

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18. What are development considerations for hemophilia?
trunk
12-24 days
crowded living conditions - homeless and low income
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

19. S/sx of GERD
Milk - Ice cream - Malts - Grains
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

20. What can promote dryness in a child with enuresis?
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
BMI chart
5ml/dl

21. Average Birth Length
20 inches
fecal soiling
Length Chart
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

22. Two examples of benzodiazepines
Bacteria enter the blood stream from a site of localized infection and grows in the heart
6 months
diazepam - lorazapam
Epstein Barr Virus - transmitted with intimate contact

23. S/Sx of pyloric stenosis
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Between 6-12 months

24. Define Magical thinking

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25. Nursing care for Kawasaki Disease
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
10 inches
An Acute inflamation of the meninges and CSF often caused by Enterovirus
high protien and calorie - multivitamins - extra enzymes for high fat food

26. Varicella communicable
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

27. What is the cause of mononucleosis and its method of transmission?
Epstein Barr Virus - transmitted with intimate contact
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Between 6-12 months
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

28. Side effects of benzodiazepines
drooling
Maternal infection - premature rupture of membranes
Liver Biopsy
trunk - gonads and associative tissue

29. What Pharmalogical measures can be used to treat GERD?
3 years
Contact isolation - gown - gloves and handwashing
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

30. What is an acute otitis media?
inflammation located in the middle ear
Adequate O2 adequatte hydration
BMI chart
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

31. Linear growth event happens in Adolescents
A narrowing within the Aorta resulting in collateral circulation
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Growth spurt

32. Prevention of bronchiolitis spreading
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Contact isolation - gown - gloves and handwashing
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

33. Most cases of Reye's Syndrome follows what type of illness?
crowded living conditions - homeless and low income
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Viral---Varicella or influenza
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

34. What level does the bilirubin need to be at in order for jaundice to occur?
passage of abdominal contents to the esophagus
Swelling of the airways - mucous production - bronchospasms
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
5ml/dl

35. Treatment for sickle cell disease
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

36. Pathophysiology of Chronic Asthma
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
inflammation and hypersensitivity to triggers
They are people - need a balance of limits and independence

37. Signs and Symptoms of Asthma
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
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Abdominal ultrasound - Upper GI

38. What foods are prohibited for a person with Celiac Disease?
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
<25 yrs old
Milk - Ice cream - Malts - Grains

39. Growth spurt for adolescent boys
Less than 120 f.
Length board standiometer
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Mid puberty

40. Treatment of celiac disease
Length board standiometer
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
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

41. Age range that is appropriate to use a length chart
Group B Streptococcus
Abdominal ultrasound - Upper GI
birth-36 months
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

42. ABG
Successful management is based on early diagnosis and aggressive therapy
from head to toe
Time and discription of seizure
O2 status of blood - acid-base balance

43. Teaching for Croup
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
3 years

44. Define Proximodistal
from trunk to extremities
chest x-ray following a Positive PPD skin test
fecal soiling
Adequate O2 adequatte hydration

45. Another name for Hemolytic Disease of the Newborn
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
fecal soiling
Give freedom and choices - save battles for the important things
Erythroblastosis Fetalis

46. What are major risk factors for neonatal meningitis?
E. Coli
Maternal infection - premature rupture of membranes
none
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

47. Nursing care of the infant with pyloric stenosis
Excessive stool fat
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Rinse mouth and brush teeth

48. Pathophysiology of Acute Asthma
passage of abdominal contents to the esophagus
A typical lymphocytosis - mono-spot - EBV serology
Swelling of the airways - mucous production - bronchospasms
Liver Biopsy

49. Contraindications to all vaccines
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Penicillin Prophylaxis (BID)

50. Pathophysiology of hirschsprung's disease
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
MVA - bike accidents and falls
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine