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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. Test to evaluate a Seizure disorder
Time and discription of seizure
Family history - EEG - CBC - LP and MRI
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Brain damage - hearing loss and learning disabilities

2. 3 main causes of Bacterial meningitis in children
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
parainfluenza - RSV - Influenza A&B - M. pneumonia
measures the largest velocity which occurs during a forced exhale

3. Risk factors of tuberculosis
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
85-95%
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
crowded living conditions - homeless and low income

4. At birth - head circumference is ____ compared to chest circumference
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
larger
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
A typical lymphocytosis - mono-spot - EBV serology

5. Hypospadias
10 years
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
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Urethral opening is positioned below the glans penis

6. Age of children at half their adult height
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
2 years
Adequate O2 adequatte hydration
hearing loss - scarring - mastoiditis - meningitis

7. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
# of stools per day - goal=2-3 stools per day
Less than 120 f.
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Length Chart

8. Kawasaki Disease
Swelling of the airways - mucous production - bronchospasms
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
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

9. Nursing care of patient with Meningitis
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
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
>95%

10. What is Pyloric stenosis?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Maternal infection - premature rupture of membranes
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
hearing loss - scarring - mastoiditis - meningitis

11. Temp of home water heater to avoid burns
Less than 120 f.
<25 yrs old
Group B Streptococcus
none

12. What can promote dryness in a child with enuresis?
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
< 1
85-95%

13. Encoperesis
Dental procedures - gum disease and urinary tract infections
They are people - need a balance of limits and independence
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
fecal soiling

14. How is mononucleosis diagnosed
Contact isolation - gown - gloves and handwashing
Sterile-caused by blockage of thick mucous at the vas deferens
fecal soiling
A typical lymphocytosis - mono-spot - EBV serology

15. What is enuresis?
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Repeated involuntary urination in a child who should already by toilet trained at night
Penicillin Prophylaxis (BID)
< 5%

16. What should be observed in a case of a seizure?
head
Time and discription of seizure
from head to toe
A typical lymphocytosis - mono-spot - EBV serology

17. What is heart failure?
Adequate O2 adequatte hydration
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
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

18. Females reproductive issues for CF patients
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
12-24 days
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

19. When does the surgery to correct hypospadias usually occur?
Day 3 of life
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Between 6-12 months
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

20. Post Op treatment of a VP shunt
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
36 months
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

21. Cephalocaudal
from head to toe
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Successful management is based on early diagnosis and aggressive therapy
larger

22. first tooth
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
6 months
3 years

23. Signs and symptoms of tuberculosis
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

24. Clinicla manifestations of sickle cell disease
fever and infection
Small bowel biopsy
Vaso-occulisive crisis - infection and sepsis
gum hypertrophy

25. Signs and symptoms of neonatal meningitis
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
diazepam - lorazapam
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
4 years

26. Signs of heart failure
poor feeding - wt loss - fatigue - develop. delays - edema
passage of abdominal contents to the esophagus
Day 3 of life
Mechanical Ventalation - high inhaled o2 concentration

27. What Pharmalogical measures can be used to treat GERD?
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Less than 120 f.
hearing loss - scarring - mastoiditis - meningitis

28. Can Asthma be cured?
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
No - it can only be controlled

29. Treatment of Kawasaki disease
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
from trunk to extremities
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
Family history - EEG - CBC - LP and MRI

30. Nursing care for Cystic Fibrosis
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
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
Foreskin is used during the surgical repair

31. Focus of adolescent discipline
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
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
Sterile-caused by blockage of thick mucous at the vas deferens
Give freedom and choices - save battles for the important things

32. Treatment for Varicella
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
inflammation located in the middle ear
Day 3 of life
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

33. What is physiologic Jaundice?
crowded living conditions - homeless and low income
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
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
E. Coli

34. What are the S/SX of bleeds in hemophilia?
Brain damage - hearing loss and learning disabilities
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
used for prolonged sz's
Contact isolation - gown - gloves and handwashing

35. treatment of hemolytic disease of the newborn
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
trunk
Phototherapy - exchange transfusion

36. Characteristics of the RBC's in sickle cell

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37. Age group the limbs grow the fastest
School age
Successful management is based on early diagnosis and aggressive therapy
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

38. Pathophysiology of Acute Asthma
Abdominal ultrasound - Upper GI
Swelling of the airways - mucous production - bronchospasms
Contact isolation - gown - gloves and handwashing
Vaso-occulisive crisis - infection and sepsis

39. Signs and Symptoms of mononucleosis
up to 14 days
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Urethral opening is positioned below the glans penis
5ml/dl

40. S/Sx of pyloric stenosis
10 years
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Excessive stool fat
Rinse mouth and brush teeth

41. Teaching for RSV
fecal soiling
2 snacks
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Maternal infection - premature rupture of membranes

42. What is used to diagnose pyloric stenosis?
Barium enema
Abdominal ultrasound - Upper GI
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Adequate O2 adequatte hydration

43. Sickle Cell Disease
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
trunk - gonads and associative tissue
3 years

44. What occurs in a subacute baterial endocarditis?
Bacteria enter the blood stream from a site of localized infection and grows in the heart
1-6 months
Growth spurt
used for prolonged sz's

45. What level does the bilirubin need to be at in order for jaundice to occur?
5ml/dl
Day 3 of life
inflammation and hypersensitivity to triggers
double birth weight

46. Diastat rectal diazepam gel

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47. Teaching for Mononucleosis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
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
trunk - gonads and associative tissue
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

48. Steatorrhea
# of stools per day - goal=2-3 stools per day
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Excessive stool fat
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

49. What is broncho-pulmonary dysplasia?
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
fever and infection
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

50. Two examples of benzodiazepines
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
< 5%
diazepam - lorazapam
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis