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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. Normal presentation of cystic fibrosis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
20 inches
Day 3 of life
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

2. Define Magical thinking

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3. S/SX of Hirschsprungs
0-24 months
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Less than 120 f.
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

4. Signs and symptoms of varicella Prodromal
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Airborne and contact
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
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

5. What is the cause of mononucleosis and its method of transmission?
Enteropathy caused by an insensitivity to the gluten found in wheat
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Epstein Barr Virus - transmitted with intimate contact
2 years

6. Pathophysiology of intussusception

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7. Focus of adolescent discipline
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Give freedom and choices - save battles for the important things
9 months
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

8. Asthma
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
trunk
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

9. What is an acute otitis media?
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
up to 14 days
inflammation located in the middle ear

10. signs and symptoms of meningitis in older children
O2 status of blood - acid-base balance
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Repeated involuntary urination in a child who should already by toilet trained at night
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

11. Part of body that grows the fastest in infancy
85-95%
head
10 inches
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

12. Causes of Bronchopulmonary Dysplasia
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Mechanical Ventalation - high inhaled o2 concentration
12 years

13. Diet for CF patients
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
high protien and calorie - multivitamins - extra enzymes for high fat food
Liver Biopsy
Mid puberty

14. BMI- overweight
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Low fiber - high calorie and protein
Sterile-caused by blockage of thick mucous at the vas deferens
>95%

15. What is Pyloric stenosis?
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
36 months
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

16. What is epiglottitis?
Less than 120 f.
4 years
Vaso-occulisive crisis - infection and sepsis
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

17. How does pertussis present?
Successful management is based on early diagnosis and aggressive therapy
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
double birth weight
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

18. What are the S/SX of bleeds in hemophilia?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
A typical lymphocytosis - mono-spot - EBV serology

19. Signs and Symptoms of Hemolytic Disease of the newborn
They are people - need a balance of limits and independence
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
trunk - gonads and associative tissue
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

20. Clinicla manifestations of sickle cell disease
Vaso-occulisive crisis - infection and sepsis
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
O2 status of blood - acid-base balance
Family history - EEG - CBC - LP and MRI

21. Treatment for Varicella
9 months
lethargy - irritability - decrease feedings - fever - seizures
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Epstein Barr Virus - transmitted with intimate contact

22. Teaching for Croup
Salicylates
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Cool mist therapy - encourage oral intake - s/sx of resp. distress
85-95%

23. 2 factors that determine birth weight
maternal nutrition and genetics
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
3 years
School age

24. What can promote dryness in a child with enuresis?
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Equal to
4 years

25. Cephalocaudal
9 months
from head to toe
Growth spurt
Swelling or obstruction of the Larynx

26. Sickle Cell Disease
Adequate O2 adequatte hydration
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Bacteria enter the blood stream from a site of localized infection and grows in the heart

27. Diagnose Intussusception by
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Barium enema
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

28. Complications of meningitis
BMI chart
Brain damage - hearing loss and learning disabilities
2.5 inches
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

29. What is Cystic Fibrosis?
Rinse mouth and brush teeth
fever and infection
12 years
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

30. Signs and Symptoms of mononucleosis
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
MVA - bike accidents and falls
Liver Biopsy
Length board standiometer

31. Pathophysiology of hirschsprung's disease
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
from head to toe
Mid puberty
crowded living conditions - homeless and low income

32. What is broncho-pulmonary dysplasia?
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
diazepam - lorazapam
BMI chart

33. Age that birth length doubles
4 years
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Regular diet with low sodium an no added salt
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

34. BMI-@ risk for overweight
85-95%
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

35. Main cause of urinary tract infections
gum hypertrophy
E. Coli
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

36. Post Op treatment of a VP shunt
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Excessive stool fat
Equal to
Mechanical Ventalation - high inhaled o2 concentration

37. Viral Croup
Swelling or obstruction of the Larynx
<25 yrs old
MVA - bike accidents and falls
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

38. Steatorrhea
Enteropathy caused by an insensitivity to the gluten found in wheat
maternal nutrition and genetics
Swelling of the airways - mucous production - bronchospasms
Excessive stool fat

39. Two examples of benzodiazepines
Foreskin is used during the surgical repair
< 5%
diazepam - lorazapam
Give freedom and choices - save battles for the important things

40. Hypospadias
Urethral opening is positioned below the glans penis
lethargy - irritability - decrease feedings - fever - seizures
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Salicylates

41. Leading cause of acquired heart disease in children
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
MVA - bike accidents and falls
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Urethral opening is positioned below the glans penis

42. What are the side effects of depakote?
Hepatoxicity - pancreatitis
Dust - mold - animal dander - viral infections
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

43. Average Birth Length
Regular diet with low sodium an no added salt
20 inches
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
< 1

44. Equipment used to measure a 24 to 36 month old height
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Length board standiometer

45. Treatment for sickle cell disease
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
6 months

46. Diet for Hirschsprung's prior to corrction and treatment
Salicylates
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Low fiber - high calorie and protein

47. RSV contagious for ...
up to 14 days
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

48. Signs of increased ICP
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Epstein Barr Virus - transmitted with intimate contact
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

49. Pathophysiology of cystic fibrosis
E. Coli
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
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
Equal to

50. What is Hemolytic Disease of the Newborn
GERD is the complications and symptoms that happen because of GER
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Epstein Barr Virus - transmitted with intimate contact
5ml/dl