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Certified Pediatric Nurse Exam

Subjects : certifications, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. Treatment of a bleed in hemophilia
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Adequate O2 adequatte hydration
Equal to
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

2. Age group affected by mononucleosis
10 inches
fever and infection
<25 yrs old
School age

3. Diet for CF patients
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
high protien and calorie - multivitamins - extra enzymes for high fat food
inflammation located in the middle ear
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

4. S/Sx of pyloric stenosis
Regular diet with low sodium an no added salt
12 years
Day 3 of life
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

5. Average rate of growth for the 1st year
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
10 inches
head

6. Sickle Cell Disease
5 inches
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

7. Why is early diagnosis important w. Reye's Syndrome?
trunk - gonads and associative tissue
9 months
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Successful management is based on early diagnosis and aggressive therapy

8. Age group the limbs grow the fastest
School age
used for prolonged sz's
12 years
20 inches

9. Treatment for mononucleosis
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Viral---Varicella or influenza
Liver Biopsy
none

10. ABG
O2 status of blood - acid-base balance
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Brain damage - hearing loss and learning disabilities

11. BMI-@ risk for overweight
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
85-95%
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

12. Steatorrhea
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
parainfluenza - RSV - Influenza A&B - M. pneumonia
3 years
Excessive stool fat

13. Treatment for sickle cell disease
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
fever and infection
Maternal infection - premature rupture of membranes
2 snacks

14. Cause of bronchiolitis
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Sterile-caused by blockage of thick mucous at the vas deferens
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

15. Two examples of benzodiazepines
diazepam - lorazapam
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
fecal soiling
Vaso-occulisive crisis - infection and sepsis

16. Signs and Symptoms that indicate and adverse reaction to a vaccine
parainfluenza - RSV - Influenza A&B - M. pneumonia
Urethral opening is positioned below the glans penis
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
< 5%

17. Peak flow meter
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Enteropathy caused by an insensitivity to the gluten found in wheat
measures the largest velocity which occurs during a forced exhale
Previous history of life threatening reaction - Mod-severe illness w/wo fever

18. 3 main causes of Bacterial meningitis in children
Dust - mold - animal dander - viral infections
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Dental procedures - gum disease and urinary tract infections
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

19. Asthma
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
< 5%

20. What is Hemolytic Disease of the Newborn
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
diazepam - lorazapam
chest x-ray following a Positive PPD skin test
Dust - mold - animal dander - viral infections

21. Non-pharmalogical measures to treat GER
6 months
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
They are people - need a balance of limits and independence
<25 yrs old

22. At what age is a stadiometer required to measure linear growth?
Family history - EEG - CBC - LP and MRI
Dust - mold - animal dander - viral infections
36 months
Cool mist therapy - encourage oral intake - s/sx of resp. distress

23. What Pharmalogical measures can be used to treat GERD?
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

24. What are the S/SX of bleeds in hemophilia?
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
Urethral opening is positioned below the glans penis
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Viral---Varicella or influenza

25. Pathophysiology related to Head Trauma
E. Coli
fever and infection
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
>95%

26. Pertussis?
chest x-ray following a Positive PPD skin test
Barium enema
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

27. Treatment and nursing care for pertussis
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
2.5 inches
inflammation located in the middle ear

28. S/SX of Hirschsprungs
36 months
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Day 3 of life

29. Average age of menarche
An Acute inflamation of the meninges and CSF often caused by Enterovirus
13 years
Length board standiometer
2.5 inches

30. What is heart failure?
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
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
Erythroblastosis Fetalis
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

31. Pathophysiology of Acute Asthma
Swelling of the airways - mucous production - bronchospasms
10 inches
Maternal infection - premature rupture of membranes
Mid puberty

32. What are the four main causes of viral croup?
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Family history - EEG - CBC - LP and MRI
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
parainfluenza - RSV - Influenza A&B - M. pneumonia

33. What should be used for feeding a child during the post operative period following cleft palate surgery?
parainfluenza - RSV - Influenza A&B - M. pneumonia
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
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

34. Most cases of Reye's Syndrome follows what type of illness?
none
A narrowing within the Aorta resulting in collateral circulation
Viral---Varicella or influenza
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

35. Hypospadias
Group B Streptococcus
GERD is the complications and symptoms that happen because of GER
Urethral opening is positioned below the glans penis
Repeated involuntary urination in a child who should already by toilet trained at night

36. 2 key factors to consider when caring for a preschooler
They are people - need a balance of limits and independence
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
complete physical and psychosocial assessment to rule out underlying disorders
trunk

37. Assessment of a patient with suspected epiglottitis
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Liver Biopsy
Erythroblastosis Fetalis

38. Define Proximodistal
from trunk to extremities
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Enteropathy caused by an insensitivity to the gluten found in wheat

39. Basic defect in coarctation of the aorta
>95%
Rinse mouth and brush teeth
A narrowing within the Aorta resulting in collateral circulation
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

40. What foods are prohibited for a person with Celiac Disease?
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Cool mist therapy - encourage oral intake - s/sx of resp. distress
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Milk - Ice cream - Malts - Grains

41. Teaching for Croup
high protien and calorie - multivitamins - extra enzymes for high fat food
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Rinse mouth and brush teeth
Liver Biopsy

42. Average Birth Length
20 inches
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
6 months
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

43. Another name for Hemolytic Disease of the Newborn
none
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Viral---Varicella or influenza
Erythroblastosis Fetalis

44. Where does the adolescent experience rapid growth?
birth-36 months
trunk - gonads and associative tissue
complete physical and psychosocial assessment to rule out underlying disorders
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

45. Prevention of infection in Sickle Cell Disease
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
2 snacks
10 inches
Penicillin Prophylaxis (BID)

46. Reyes Syndrome
5ml/dl
36 months
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

47. Pathophysiology of Chronic Asthma
Triple
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
inflammation and hypersensitivity to triggers
gum hypertrophy

48. Signs and symptoms of tuberculosis
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
head
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

49. signs and symptoms of meningitis in older children
A narrowing within the Aorta resulting in collateral circulation
Dust - mold - animal dander - viral infections
inflammation and hypersensitivity to triggers
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

50. Teaching for RSV
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Milk - Ice cream - Malts - Grains

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Certified Pediatric Nurse Exam

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