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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. Causes of Bronchopulmonary Dysplasia
Phototherapy - exchange transfusion
>95%
12 years
Mechanical Ventalation - high inhaled o2 concentration

2. Most cases of Reye's Syndrome follows what type of illness?
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
An Acute inflamation of the meninges and CSF often caused by Enterovirus
13 years
Viral---Varicella or influenza

3. Age range that is appropriate to use a length chart
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
birth-36 months
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

4. Part of the body that grows the fastest in the toddler-preschool age
>95%
trunk
Maternal infection - premature rupture of membranes
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

5. Characteristics of the RBC's in sickle cell

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6. How is mononucleosis diagnosed
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
A typical lymphocytosis - mono-spot - EBV serology

7. Rheumatic Fever
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

8. Cephalocaudal
12 years
double birth weight
Viral---Varicella or influenza
from head to toe

9. Signs and symptoms of neonatal meningitis
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
20 inches

10. How many days after birth do bilirubin levels return to normal limits?
12-24 days
Epstein Barr Virus - transmitted with intimate contact
none
6 months

11. Side effects of dilatin hirsuitism (body hair)
gum hypertrophy
Abdominal ultrasound - Upper GI
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

12. Incubation period for TB
1-6 months
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Excessive stool fat

13. RSV contagious for ...
up to 14 days
Kawasaki disease - w/o treatment 25% will have permanent heart damage
No - it can only be controlled
Less than 120 f.

14. At what age is a length board required?
0-24 months
Day 3 of life
Less than 120 f.
Successful management is based on early diagnosis and aggressive therapy

15. Sequence of resp distress
Excessive stool fat
GERD is the complications and symptoms that happen because of GER
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

16. Normal presentation of cystic fibrosis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
12-24 days
36 months
Mechanical Ventalation - high inhaled o2 concentration

17. Teaching for Mononucleosis
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
>95%
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
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

18. Age of children at half their adult height
Equal to
2 years
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
used for prolonged sz's

19. What is the cause of mononucleosis and its method of transmission?
Dental procedures - gum disease and urinary tract infections
Epstein Barr Virus - transmitted with intimate contact
A narrowing within the Aorta resulting in collateral circulation
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

20. Signs and symptoms of Reye's Syndrome
A narrowing within the Aorta resulting in collateral circulation
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

21. Diet for Hirschsprung's prior to corrction and treatment
Regular diet with low sodium an no added salt
larger
Maternal infection - premature rupture of membranes
Low fiber - high calorie and protein

22. Pathophysiology of celiac disease
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
up to 14 days
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

23. When does the surgery to correct hypospadias usually occur?
BMI chart
Between 6-12 months
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
measures the largest velocity which occurs during a forced exhale

24. Nursing interventions for hemophilia
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
from trunk to extremities
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

25. Nursing care for child with seizure

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26. Focus of adolescent discipline
Contact isolation - gown - gloves and handwashing
Give freedom and choices - save battles for the important things
>95%
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

27. Viral Meningitis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
BMI chart
Between 6-12 months

28. Head circumference should be assessed until what age
Mid puberty
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
Salicylates
3 years

29. Nursing care for a child with Reye's Syndrome
O2 status of blood - acid-base balance
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

30. Predisposing factors to subacute bacterial endocarditis
5ml/dl
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Dental procedures - gum disease and urinary tract infections
Length board standiometer

31. What should be done to minimize the risks of Sudden infant death syndrome?
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
They are people - need a balance of limits and independence
birth-36 months

32. Teaching for Croup
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Between 6-12 months
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

33. Basic defect in coarctation of the aorta
A narrowing within the Aorta resulting in collateral circulation
Repeated involuntary urination in a child who should already by toilet trained at night
Family history - EEG - CBC - LP and MRI
drooling

34. What Pharmalogical measures can be used to treat GERD?
head
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
12 years
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

35. Assess the cause of enuresis
birth-36 months
12-24 days
complete physical and psychosocial assessment to rule out underlying disorders
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

36. Diet for a child with glumerlonephritis
complete physical and psychosocial assessment to rule out underlying disorders
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Regular diet with low sodium an no added salt

37. Pertussis?
Time and discription of seizure
GERD is the complications and symptoms that happen because of GER
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
20 inches

38. What occurs in a subacute baterial endocarditis?
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
hearing loss - scarring - mastoiditis - meningitis
Bacteria enter the blood stream from a site of localized infection and grows in the heart

39. first tooth
drooling
inflammation and hypersensitivity to triggers
hearing loss - scarring - mastoiditis - meningitis
6 months

40. Steatorrhea
Family history - EEG - CBC - LP and MRI
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Excessive stool fat

41. What Component of Aspirin cause's Reye's Syndrome?
used for prolonged sz's
Excessive stool fat
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Salicylates

42. Leading cause of acquired heart disease in children
A narrowing within the Aorta resulting in collateral circulation
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Kawasaki disease - w/o treatment 25% will have permanent heart damage
BMI chart

43. Prevention of infection in Sickle Cell Disease
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
1-6 months
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Penicillin Prophylaxis (BID)

44. Test to evaluate a Seizure disorder
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
lethargy - irritability - decrease feedings - fever - seizures
Family history - EEG - CBC - LP and MRI
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

45. Term infant --Bilirubin peaks at what day of life
No - it can only be controlled
Day 3 of life
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Dental procedures - gum disease and urinary tract infections

46. What level does the bilirubin need to be at in order for jaundice to occur?
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
diazepam - lorazapam
Growth spurt
5ml/dl

47. Average rate of growth for the 1st year
Mid puberty
10 inches
up to 14 days
Salicylates

48. Kawasaki Disease
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
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
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Milk - Ice cream - Malts - Grains

49. Nursing care of patient with Meningitis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
chest x-ray following a Positive PPD skin test
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

50. Hypospadias
Urethral opening is positioned below the glans penis
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
larger