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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 occurs in a subacute baterial endocarditis?
Bacteria enter the blood stream from a site of localized infection and grows in the heart
inflammation located in the middle ear
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

2. How many days after birth do bilirubin levels return to normal limits?
Urethral opening is positioned below the glans penis
prevention - po antibiotics should be given before and after an invasive procedure
Low fiber - high calorie and protein
12-24 days

3. Nursing care for child with seizure

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4. Hourly maintenance Fluid Requirements
head
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

5. Complications of acute otitis media
< 1
hearing loss - scarring - mastoiditis - meningitis
Between 6-12 months
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

6. What is the treatment for epiglottitis?
up to 14 days
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
fever and infection

7. Complications of meningitis
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
0-24 months
Small bowel biopsy
Brain damage - hearing loss and learning disabilities

8. Varicella communicable
# of stools per day - goal=2-3 stools per day
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
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

9. Signs and Symptoms that indicate and adverse reaction to a vaccine
MVA - bike accidents and falls
Growth spurt
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
2 snacks

10. Test to evaluate a Seizure disorder
Family history - EEG - CBC - LP and MRI
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Previous history of life threatening reaction - Mod-severe illness w/wo fever

11. Sequence of resp distress
larger
parainfluenza - RSV - Influenza A&B - M. pneumonia
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

12. Clinical signs of infection wilth sickle cell disease
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
high protien and calorie - multivitamins - extra enzymes for high fat food
An Acute inflamation of the meninges and CSF often caused by Enterovirus

13. What is Hemolytic Disease of the Newborn
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Dust - mold - animal dander - viral infections
Dental procedures - gum disease and urinary tract infections

14. Complications related to varicella
trunk - gonads and associative tissue
complete physical and psychosocial assessment to rule out underlying disorders
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

15. 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
none
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

16. 3 main causes of Bacterial meningitis in children
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
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
6 months
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

17. Signs and symptoms of tuberculosis
No - it can only be controlled
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
fever and infection
Hepatoxicity - pancreatitis

18. Average age of breast development
Dental procedures - gum disease and urinary tract infections
10 years
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
crowded living conditions - homeless and low income

19. What are the four main causes of viral croup?
none
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Length Chart
parainfluenza - RSV - Influenza A&B - M. pneumonia

20. Normal presentation of cystic fibrosis
chest x-ray following a Positive PPD skin test
4 years
13 years
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

21. Signs and symptoms of varicella Prodromal
measures the largest velocity which occurs during a forced exhale
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

22. Treatment of Kawasaki disease
MVA - bike accidents and falls
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
double birth weight
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

23. first tooth
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
6 months
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
none

24. Signs and symptoms of neonatal meningitis
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

25. signs and symptoms of meningitis in older children
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Liver Biopsy
chest x-ray following a Positive PPD skin test

26. What is an acute otitis media?
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
inflammation located in the middle ear
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
13 years

27. Females reproductive issues for CF patients
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
fever and infection
Between 6-12 months

28. Define Magical thinking

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29. BMI-@ risk for overweight
85-95%
Salicylates
2 snacks
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

30. At what age is a stadiometer required to measure linear growth?
Hepatoxicity - pancreatitis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
36 months
fecal soiling

31. Viral Croup
Length board standiometer
Swelling or obstruction of the Larynx
<25 yrs old
poor feeding - wt loss - fatigue - develop. delays - edema

32. What Pharmalogical measures can be used to treat GERD?
poor feeding - wt loss - fatigue - develop. delays - edema
3 years
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

33. What is physiologic Jaundice?
Day 3 of life
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Enteropathy caused by an insensitivity to the gluten found in wheat
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

34. Etiology of GERD
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Mid puberty

35. What is Cystic Fibrosis?
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
larger

36. Treatment for mononucleosis
Barium enema
Length Chart
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
none

37. What should be observed in a case of a seizure?
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Length Chart
Viral---Varicella or influenza
Time and discription of seizure

38. Average Birth Length
Group B Streptococcus
A narrowing within the Aorta resulting in collateral circulation
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
20 inches

39. Age of children at half their adult height
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
2 years
lethargy - irritability - decrease feedings - fever - seizures
complete physical and psychosocial assessment to rule out underlying disorders

40. 3 symptoms of coarctation of the aorta
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Epstein Barr Virus - transmitted with intimate contact
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Excessive stool fat

41. Focus of adolescent discipline
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
trunk
from trunk to extremities
Give freedom and choices - save battles for the important things

42. What foods are prohibited for a person with Celiac Disease?
Milk - Ice cream - Malts - Grains
4 years
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

43. Signs of heart failure
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
poor feeding - wt loss - fatigue - develop. delays - edema
GERD is the complications and symptoms that happen because of GER

44. How is Celiac Disease diagnosed?
Small bowel biopsy
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Erythroblastosis Fetalis

45. What interventions prevent urinary tract infections?
10 inches
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
1-6 months

46. Two important assessment rules related to coarctation of the aorta?
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
10 inches
prevention - po antibiotics should be given before and after an invasive procedure
4 years

47. Head circumference should be assessed until what age
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
3 years
10 years
2 years

48. Assess the cause of enuresis
complete physical and psychosocial assessment to rule out underlying disorders
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Less than 120 f.

49. Treatment for Varicella
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
<25 yrs old

50. Where does the adolescent experience rapid growth?
trunk - gonads and associative tissue
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)