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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. BMI- overweight
>95%
2 snacks
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

2. What are the S/SX of bleeds in hemophilia?
diazepam - lorazapam
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Enteropathy caused by an insensitivity to the gluten found in wheat

3. What occurs in a subacute baterial endocarditis?
crowded living conditions - homeless and low income
13 years
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Viral---Varicella or influenza

4. 2 key factors to consider when caring for a preschooler
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
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
5 inches
They are people - need a balance of limits and independence

5. What can promote dryness in a child with enuresis?
complete physical and psychosocial assessment to rule out underlying disorders
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
MVA - bike accidents and falls
up to 14 days

6. Side effects of dilatin hirsuitism (body hair)
maternal nutrition and genetics
gum hypertrophy
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

7. How is mononucleosis diagnosed
5ml/dl
A typical lymphocytosis - mono-spot - EBV serology
head
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

8. Bilirubin encephalopathy
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
12 years
hearing loss - scarring - mastoiditis - meningitis

9. 3 main causes of Bacterial meningitis in children
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
none
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

10. Normal Bilirubin
12 years
< 1
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Swelling of the airways - mucous production - bronchospasms

11. Treatment for mononucleosis
none
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
0-24 months
drooling

12. What is an acute otitis media?
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
5 inches
inflammation located in the middle ear
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

13. Nursing interventions for hemophilia
Small bowel biopsy
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
complete physical and psychosocial assessment to rule out underlying disorders
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

14. Puberty for boys
12 years
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

15. Diastat rectal diazepam gel

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16. Pathophysiology of a fever and infection with sickle cell disease
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
They are people - need a balance of limits and independence
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

17. Normal presentation of cystic fibrosis
Vaso-occulisive crisis - infection and sepsis
Hepatoxicity - pancreatitis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

18. Diagnose Intussusception by
BMI chart
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Barium enema

19. Pathophysiology of cystic fibrosis
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
GERD is the complications and symptoms that happen because of GER
20 inches
Barium enema

20. Asthma
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Cool mist therapy - encourage oral intake - s/sx of resp. distress
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

21. What is the treatment for epiglottitis?
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
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

22. treatment of intussusception
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

23. What is the rate of growth each year from 3 yrs until puberty?
Salicylates
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
2.5 inches
trunk - gonads and associative tissue

24. Average age of breast development
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
5ml/dl
Time and discription of seizure
10 years

25. What is the cause of mononucleosis and its method of transmission?
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
Epstein Barr Virus - transmitted with intimate contact
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

26. What is Pyloric stenosis?
Phototherapy - exchange transfusion
Group B Streptococcus
lethargy - irritability - decrease feedings - fever - seizures
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

27. Nursing care for Cystic Fibrosis
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Viral---Varicella or influenza
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
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

28. Signs and Symptoms of mononucleosis
high protien and calorie - multivitamins - extra enzymes for high fat food
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Dental procedures - gum disease and urinary tract infections

29. Diet for CF patients
high protien and calorie - multivitamins - extra enzymes for high fat food
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
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
double birth weight

30. Females reproductive issues for CF patients
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
E. Coli
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

31. Pathophysiology of Acute Asthma
12-24 days
Swelling of the airways - mucous production - bronchospasms
Salicylates
Successful management is based on early diagnosis and aggressive therapy

32. Signs and symptoms of neonatal meningitis
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Erythroblastosis Fetalis
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

33. Varicella communicable
36 months
from head to toe
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

34. Nursing care for a child with Reye's Syndrome
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
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
maternal nutrition and genetics

35. What is used to diagnose pyloric stenosis?
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Repeated involuntary urination in a child who should already by toilet trained at night
Abdominal ultrasound - Upper GI

36. At 6-24 months - head circumference is what size in relationship to chest circumference
36 months
Equal to
6 months
Family history - EEG - CBC - LP and MRI

37. What should be used for feeding a child during the post operative period following cleft palate surgery?
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
5 inches
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

38. Define Proximodistal
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
9 months
from trunk to extremities
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

39. Term infant --Bilirubin peaks at what day of life
BMI chart
Day 3 of life
A narrowing within the Aorta resulting in collateral circulation
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

40. Nursing care of patient with Meningitis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

41. What are the four main causes of viral croup?
6 months
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
parainfluenza - RSV - Influenza A&B - M. pneumonia
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

42. Non-pharmalogical measures to treat GER
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Repeated involuntary urination in a child who should already by toilet trained at night
high protien and calorie - multivitamins - extra enzymes for high fat food
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

43. Most cases of Reye's Syndrome follows what type of illness?
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Dental procedures - gum disease and urinary tract infections
gum hypertrophy
Viral---Varicella or influenza

44. Lead screening should begin. at ..
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
3 years
hearing loss - scarring - mastoiditis - meningitis
9 months

45. BMI - underweight
< 5%
larger
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

46. How is Celiac Disease diagnosed?
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Small bowel biopsy
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
School age

47. Two examples of benzodiazepines
2 snacks
Salicylates
diazepam - lorazapam
Kawasaki disease - w/o treatment 25% will have permanent heart damage

48. Another name for Hemolytic Disease of the Newborn
Erythroblastosis Fetalis
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
# of stools per day - goal=2-3 stools per day
>95%

49. Signs and Symptoms of Asthma
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

50. Head circumference should be assessed until what age
A narrowing within the Aorta resulting in collateral circulation
3 years
Penicillin Prophylaxis (BID)
Previous history of life threatening reaction - Mod-severe illness w/wo fever