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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 is epiglottitis?
Swelling of the airways - mucous production - bronchospasms
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Mechanical Ventalation - high inhaled o2 concentration
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

2. Prevention of bronchiolitis spreading
Contact isolation - gown - gloves and handwashing
Time and discription of seizure
double birth weight
Repeated involuntary urination in a child who should already by toilet trained at night

3. Risk factors of tuberculosis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
crowded living conditions - homeless and low income
none
4 years

4. Nursing care for a child with Reye's Syndrome
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Sterile-caused by blockage of thick mucous at the vas deferens
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

5. What is heart failure?
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
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
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Phototherapy - exchange transfusion

6. Focus of adolescent discipline
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Milk - Ice cream - Malts - Grains
Give freedom and choices - save battles for the important things
high protien and calorie - multivitamins - extra enzymes for high fat food

7. What are the S/SX of bleeds in hemophilia?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Give freedom and choices - save battles for the important things
inflammation located in the middle ear
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

8. Leading cause of head injury
MVA - bike accidents and falls
They are people - need a balance of limits and independence
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Length board standiometer

9. Why is early diagnosis important w. Reye's Syndrome?
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
E. Coli
Successful management is based on early diagnosis and aggressive therapy
Rinse mouth and brush teeth

10. Diet for Hirschsprung's prior to corrction and treatment
1-6 months
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Low fiber - high calorie and protein
E. Coli

11. Kawasaki Disease
Regular diet with low sodium an no added salt
Barium enema
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
drooling

12. What is the treatment for epiglottitis?
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
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
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

13. What is an acute otitis media?
Foreskin is used during the surgical repair
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
inflammation located in the middle ear
Repeated involuntary urination in a child who should already by toilet trained at night

14. How many meals and snacks should a 1-3 yr old have in a day 3 meals
2 snacks
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

15. Sickle Cell Disease
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
6 months
>95%
Previous history of life threatening reaction - Mod-severe illness w/wo fever

16. What foods are prohibited for a person with Celiac Disease?
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Milk - Ice cream - Malts - Grains
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
MVA - bike accidents and falls

17. What Pharmalogical measures can be used to treat GERD?
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

18. Key nursing intervention for subacute bacterial endocarditis
birth-36 months
Group B Streptococcus
prevention - po antibiotics should be given before and after an invasive procedure
5ml/dl

19. Two examples of benzodiazepines
Maternal infection - premature rupture of membranes
GERD is the complications and symptoms that happen because of GER
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
diazepam - lorazapam

20. Asthma
Dental procedures - gum disease and urinary tract infections
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Growth spurt

21. Treatment of Meningitis

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22. Causes of Bronchopulmonary Dysplasia
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Mechanical Ventalation - high inhaled o2 concentration
85-95%
<25 yrs old

23. Precaustions needed for pt's with varicella
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Airborne and contact
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
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

24. Diagnose Reye's Syndrome
Liver Biopsy
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Brain damage - hearing loss and learning disabilities
Kawasaki disease - w/o treatment 25% will have permanent heart damage

25. Average age of menarche
2 snacks
13 years
2 years
Successful management is based on early diagnosis and aggressive therapy

26. What are the four main causes of viral croup?
Length Chart
Time and discription of seizure
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
parainfluenza - RSV - Influenza A&B - M. pneumonia

27. Screening for overweight or underweight child on chart
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Dental procedures - gum disease and urinary tract infections
BMI chart
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

28. Nursing care of patient with Meningitis
< 1
Successful management is based on early diagnosis and aggressive therapy
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

29. Signs of heart failure
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
high protien and calorie - multivitamins - extra enzymes for high fat food
poor feeding - wt loss - fatigue - develop. delays - edema

30. Pathophysiology of intussusception

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31. What occurs in a subacute baterial endocarditis?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Kawasaki disease - w/o treatment 25% will have permanent heart damage
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

32. Teaching for Mononucleosis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Growth spurt

33. What is used to diagnose pyloric stenosis?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Abdominal ultrasound - Upper GI
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

34. Signs and symptoms of neonatal meningitis
Excessive stool fat
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Between 6-12 months
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

35. Age group the limbs grow the fastest
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
School age
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

36. Signs and symptoms of tuberculosis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
0-24 months
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Less than 120 f.

37. Leading cause of bacterial meningitis in Neonates
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
2 snacks
Group B Streptococcus
13 years

38. ABG
inflammation located in the middle ear
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
O2 status of blood - acid-base balance
Cool mist therapy - encourage oral intake - s/sx of resp. distress

39. Celiac Disease
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Group B Streptococcus
Enteropathy caused by an insensitivity to the gluten found in wheat
< 5%

40. Signs and Symptoms that indicate and adverse reaction to a vaccine
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

41. Equipment used to measure a 24 to 36 month old height
Length board standiometer
A typical lymphocytosis - mono-spot - EBV serology
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Airborne and contact

42. At what age is a stadiometer required to measure linear growth?
36 months
high protien and calorie - multivitamins - extra enzymes for high fat food
Time and discription of seizure
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

43. Assessment of a patient with suspected epiglottitis
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
head
Family history - EEG - CBC - LP and MRI

44. What is Cystic Fibrosis?
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

45. What is enuresis?
No - it can only be controlled
Repeated involuntary urination in a child who should already by toilet trained at night
Equal to
Maternal infection - premature rupture of membranes

46. Bronchiolitis
5 inches
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
2 years
inflammation located in the middle ear

47. Signs and symptoms of varicella Prodromal
fever and infection
Length board standiometer
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

48. Common Asthma irritants
Swelling of the airways - mucous production - bronchospasms
Dust - mold - animal dander - viral infections
Foreskin is used during the surgical repair
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

49. Signs and Symptoms of Celiac Disease
< 1
10 years
>95%
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

50. Signs and Symptoms of Hemolytic Disease of the newborn
trunk - gonads and associative tissue
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
2 years
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days