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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. Signs and Symptoms of mononucleosis
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
birth-36 months
Family history - EEG - CBC - LP and MRI
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

2. What Component of Aspirin cause's Reye's Syndrome?
School age
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Salicylates
Viral---Varicella or influenza

3. Treatment for mononucleosis
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
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
Time and discription of seizure
none

4. How is mononucleosis diagnosed
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
A typical lymphocytosis - mono-spot - EBV serology
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

5. BMI - underweight
< 5%
Sterile-caused by blockage of thick mucous at the vas deferens
# of stools per day - goal=2-3 stools per day
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

6. Clinical signs of infection wilth sickle cell disease
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
9 months
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

7. Puberty for boys
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
diazepam - lorazapam
12 years
chest x-ray following a Positive PPD skin test

8. Asthma
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
GERD is the complications and symptoms that happen because of GER
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

9. Can Asthma be cured?
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
O2 status of blood - acid-base balance
No - it can only be controlled
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

10. Nursing care for a child with Reye's Syndrome
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Family history - EEG - CBC - LP and MRI
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

11. What level does the bilirubin need to be at in order for jaundice to occur?
BMI chart
5ml/dl
Group B Streptococcus
GERD is the complications and symptoms that happen because of GER

12. Pathophysiology of a fever and infection with sickle cell disease
Regular diet with low sodium an no added salt
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
5ml/dl
Brain damage - hearing loss and learning disabilities

13. Pathophysiology of intussusception

14. Risk factors of tuberculosis
crowded living conditions - homeless and low income
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Excessive stool fat

15. Pathophysiology of Acute Asthma
Swelling or obstruction of the Larynx
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Swelling of the airways - mucous production - bronchospasms
Successful management is based on early diagnosis and aggressive therapy

16. What interventions prevent urinary tract infections?
2 years
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Viral---Varicella or influenza
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

17. Two examples of benzodiazepines
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Contact isolation - gown - gloves and handwashing
Time and discription of seizure
diazepam - lorazapam

18. Nursing care for Kawasaki Disease
Regular diet with low sodium an no added salt
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
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

19. At birth - head circumference is ____ compared to chest circumference
larger
used for prolonged sz's
Dental procedures - gum disease and urinary tract infections
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

20. Signs of increased ICP
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Length board standiometer

21. Part of the body that grows the fastest in the toddler-preschool age
trunk
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
12-24 days

22. At 6-24 months - head circumference is what size in relationship to chest circumference
gum hypertrophy
Equal to
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
< 1

23. Steatorrhea
Excessive stool fat
Repeated involuntary urination in a child who should already by toilet trained at night
from head to toe
Family history - EEG - CBC - LP and MRI

24. Two important assessment rules related to coarctation of the aorta?
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Enteropathy caused by an insensitivity to the gluten found in wheat

25. Signs and symptoms of Reye's Syndrome
6 months
MVA - bike accidents and falls
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

26. What has the HIB vaccine been successful in reducing?
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
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
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

27. Normal Bilirubin
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Urethral opening is positioned below the glans penis
< 1

28. 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
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

29. Signs and symptoms of varicella Prodromal
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
passage of abdominal contents to the esophagus
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
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

30. Head circumference should be assessed until what age
Milk - Ice cream - Malts - Grains
3 years
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

31. Rheumatic Fever
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Family history - EEG - CBC - LP and MRI

32. Nursing care for child with seizure

33. What is the rate of growth each year from 3 yrs until puberty?
Phototherapy - exchange transfusion
Brain damage - hearing loss and learning disabilities
Abdominal ultrasound - Upper GI
2.5 inches

34. Age group the limbs grow the fastest
A typical lymphocytosis - mono-spot - EBV serology
maternal nutrition and genetics
inflammation located in the middle ear
School age

35. How many meals and snacks should a 1-3 yr old have in a day 3 meals
A narrowing within the Aorta resulting in collateral circulation
up to 14 days
2 snacks
Less than 120 f.

36. treatment of hemolytic disease of the newborn
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
lethargy - irritability - decrease feedings - fever - seizures
Phototherapy - exchange transfusion
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

37. Side effects of benzodiazepines
drooling
3 years
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Urethral opening is positioned below the glans penis

38. Cephalocaudal
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
from head to toe
Maternal infection - premature rupture of membranes
Erythroblastosis Fetalis

39. Nursing interventions for hemophilia
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Repeated involuntary urination in a child who should already by toilet trained at night
parainfluenza - RSV - Influenza A&B - M. pneumonia
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

40. What is epiglottitis?
Repeated involuntary urination in a child who should already by toilet trained at night
85-95%
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
gum hypertrophy

41. 3 symptoms of coarctation of the aorta
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
4 years
inflammation and hypersensitivity to triggers

42. What are major risk factors for neonatal meningitis?
Day 3 of life
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
measures the largest velocity which occurs during a forced exhale
Maternal infection - premature rupture of membranes

43. Signs and Symptoms of intussusception
Family history - EEG - CBC - LP and MRI
hearing loss - scarring - mastoiditis - meningitis
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

44. When does the surgery to correct hypospadias usually occur?
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
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
Between 6-12 months
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

45. Sickle Cell Disease
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Regular diet with low sodium an no added salt
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
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

46. Diagnose Intussusception by
Contact isolation - gown - gloves and handwashing
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Barium enema
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

47. Signs and symptoms of neonatal meningitis
GERD is the complications and symptoms that happen because of GER
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Adequate O2 adequatte hydration
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

48. Teaching for RSV
Sterile-caused by blockage of thick mucous at the vas deferens
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
GERD is the complications and symptoms that happen because of GER
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

49. Lead screening should begin. at ..
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Equal to
9 months
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

50. Considerations should be taken when treating a child with cystic fibrosis who has a ___________ tx promptly since bacterial colonization increases destruction of lung tissue----prevention is key
Erythroblastosis Fetalis
12 years
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
fever and infection