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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. Diagnose Reye's Syndrome
Liver Biopsy
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
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Dental procedures - gum disease and urinary tract infections

2. Cephalocaudal
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
from head to toe
from trunk to extremities
0-24 months

3. Signs and symptoms of tuberculosis
< 1
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Airborne and contact

4. What is used to diagnose GER?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
13 years

5. Peak flow meter
fecal soiling
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
1-6 months
measures the largest velocity which occurs during a forced exhale

6. Where does the adolescent experience rapid growth?
Barium enema
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
trunk - gonads and associative tissue

7. Childs weight at 6 months compared to birth weight
double birth weight
Dental procedures - gum disease and urinary tract infections
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

8. Term infant --Bilirubin peaks at what day of life
drooling
GERD is the complications and symptoms that happen because of GER
Day 3 of life
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

9. How does pertussis present?
Milk - Ice cream - Malts - Grains
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Low fiber - high calorie and protein
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

10. BMI- overweight
>95%
Time and discription of seizure
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Day 3 of life

11. Nursing care of patient with Meningitis
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Swelling of the airways - mucous production - bronchospasms

12. Incubation period for TB
Day 3 of life
1-6 months
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
trunk - gonads and associative tissue

13. Growth spurt for adolescent boys
Phototherapy - exchange transfusion
Mid puberty
School age
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

14. Leading cause of head injury
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
MVA - bike accidents and falls
5ml/dl
double birth weight

15. Age that birth length doubles
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
4 years
Sterile-caused by blockage of thick mucous at the vas deferens
2 snacks

16. What are the S/SX of bleeds in hemophilia?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
2 snacks
Family history - EEG - CBC - LP and MRI
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

17. Part of the body that grows the fastest in the toddler-preschool age
trunk
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Day 3 of life

18. S/SX of Hirschsprungs
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
A typical lymphocytosis - mono-spot - EBV serology
They are people - need a balance of limits and independence
Phototherapy - exchange transfusion

19. What is enuresis?
Repeated involuntary urination in a child who should already by toilet trained at night
Salicylates
from head to toe
Abdominal ultrasound - Upper GI

20. What should a child's wt be at 1 yr compared to birth weight?
Triple
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
poor feeding - wt loss - fatigue - develop. delays - edema

21. Cause of bronchiolitis
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
9 months

22. At birth - head circumference is ____ compared to chest circumference
2 years
larger
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
10 inches

23. Prevention of bronchiolitis spreading
Contact isolation - gown - gloves and handwashing
fecal soiling
5 inches
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

24. Signs and symptoms of neonatal meningitis
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Mid puberty
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

25. Etiology of GERD
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
fecal soiling
Urethral opening is positioned below the glans penis

26. Females reproductive issues for CF patients
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
2 years

27. Clinicla manifestations of sickle cell disease
Length Chart
Vaso-occulisive crisis - infection and sepsis
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
high protien and calorie - multivitamins - extra enzymes for high fat food

28. What should be done to minimize the risks of Sudden infant death syndrome?
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
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
9 months
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

29. Treatment for Varicella
12 years
Sterile-caused by blockage of thick mucous at the vas deferens
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

30. Neonatal Jaundice
Mid puberty
They are people - need a balance of limits and independence
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

31. Predisposing factors to subacute bacterial endocarditis
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Dental procedures - gum disease and urinary tract infections
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

32. What Component of Aspirin cause's Reye's Syndrome?
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Brain damage - hearing loss and learning disabilities
Vaso-occulisive crisis - infection and sepsis
Salicylates

33. Average rate of growth for the 1st year
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
10 inches
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

34. Pathophysiology of celiac disease
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
20 inches
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

35. 3 main causes of Bacterial meningitis in children
Growth spurt
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Contact isolation - gown - gloves and handwashing
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

36. Diastat rectal diazepam gel

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37. What is heart failure?
5 inches
Length board standiometer
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
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

38. Key nursing intervention for subacute bacterial endocarditis
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
prevention - po antibiotics should be given before and after an invasive procedure
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

39. 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
Phototherapy - exchange transfusion
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
12 years

40. Pathophysiology of a fever and infection with sickle cell disease
none
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

41. first tooth
Day 3 of life
O2 status of blood - acid-base balance
6 months
drooling

42. Signs and symptoms of Reye's Syndrome
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
E. Coli
gum hypertrophy
They are people - need a balance of limits and independence

43. Treatment of Kawasaki disease
3 years
crowded living conditions - homeless and low income
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

44. Average rate of growth for the 2nd year of lif
Previous history of life threatening reaction - Mod-severe illness w/wo fever
5 inches
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Bacteria enter the blood stream from a site of localized infection and grows in the heart

45. How many days after birth do bilirubin levels return to normal limits?
Dust - mold - animal dander - viral infections
12-24 days
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
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

46. signs and symptoms of meningitis in older children
hearing loss - scarring - mastoiditis - meningitis
inflammation located in the middle ear
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
maternal nutrition and genetics

47. Define Proximodistal
gum hypertrophy
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
Small bowel biopsy
from trunk to extremities

48. GER (gastroesophageal reflux)
Low fiber - high calorie and protein
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
passage of abdominal contents to the esophagus
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

49. Treatment for mononucleosis
none
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
from head to toe

50. Pathophysiology related to Head Trauma
Epstein Barr Virus - transmitted with intimate contact
10 inches
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
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