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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
poor feeding - wt loss - fatigue - develop. delays - edema
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Liver Biopsy
Time and discription of seizure

2. Pathophysiology of a fever and infection with sickle cell disease
Length Chart
12 years
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
trunk - gonads and associative tissue

3. Lead screening should begin. at ..
O2 status of blood - acid-base balance
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
9 months
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

4. GER (gastroesophageal reflux)
Group B Streptococcus
passage of abdominal contents to the esophagus
Length board standiometer
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

5. Where does the adolescent experience rapid growth?
trunk - gonads and associative tissue
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
Viral---Varicella or influenza
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

6. What confirms a positive TB infection?
chest x-ray following a Positive PPD skin test
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Dental procedures - gum disease and urinary tract infections

7. Steatorrhea
Excessive stool fat
Swelling of the airways - mucous production - bronchospasms
< 5%
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

8. Hypospadias
Urethral opening is positioned below the glans penis
from trunk to extremities
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
hearing loss - scarring - mastoiditis - meningitis

9. Viral Croup
Swelling or obstruction of the Larynx
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
from head to toe
Dental procedures - gum disease and urinary tract infections

10. Growth spurt for adolescent boys
Repeated involuntary urination in a child who should already by toilet trained at night
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
fever and infection
Mid puberty

11. At what age is a stadiometer required to measure linear growth?
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
12-24 days
Small bowel biopsy
36 months

12. Screening for overweight or underweight child on chart
BMI chart
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
A narrowing within the Aorta resulting in collateral circulation
larger

13. Complications of meningitis
No - it can only be controlled
Swelling or obstruction of the Larynx
Brain damage - hearing loss and learning disabilities
fever and infection

14. What is an acute otitis media?
maternal nutrition and genetics
inflammation located in the middle ear
prevention - po antibiotics should be given before and after an invasive procedure
O2 status of blood - acid-base balance

15. Another name for Hemolytic Disease of the Newborn
Between 6-12 months
36 months
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Erythroblastosis Fetalis

16. Most cases of Reye's Syndrome follows what type of illness?
School age
Epstein Barr Virus - transmitted with intimate contact
Viral---Varicella or influenza
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

17. Treatment for sickle cell disease
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
crowded living conditions - homeless and low income
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
fecal soiling

18. Signs and symptoms of tuberculosis
parainfluenza - RSV - Influenza A&B - M. pneumonia
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Maternal infection - premature rupture of membranes
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

19. 3 symptoms of coarctation of the aorta
E. Coli
School age
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities

20. Equipment used to measure a 24 to 36 month old height
Length board standiometer
inflammation and hypersensitivity to triggers
12 years
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

21. Linear growth event happens in Adolescents
Sterile-caused by blockage of thick mucous at the vas deferens
Epstein Barr Virus - transmitted with intimate contact
Growth spurt
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

22. S/Sx of pyloric stenosis
Sterile-caused by blockage of thick mucous at the vas deferens
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Swelling of the airways - mucous production - bronchospasms
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

23. Predisposing factors to subacute bacterial endocarditis
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Dental procedures - gum disease and urinary tract infections

24. What should be done to minimize the risks of Sudden infant death syndrome?
complete physical and psychosocial assessment to rule out underlying disorders
<25 yrs old
Swelling or obstruction of the Larynx
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

25. Nursing care for a child with Reye's Syndrome
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
used for prolonged sz's
Viral---Varicella or influenza

26. Leading cause of head injury
Erythroblastosis Fetalis
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
MVA - bike accidents and falls
Foreskin is used during the surgical repair

27. What promotes unsickling of RBC's?
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Adequate O2 adequatte hydration
Liver Biopsy
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

28. What is heart failure?
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
chest x-ray following a Positive PPD skin test
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
Swelling or obstruction of the Larynx

29. Diastat rectal diazepam gel

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30. BMI-@ risk for overweight
lethargy - irritability - decrease feedings - fever - seizures
85-95%
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Low fiber - high calorie and protein

31. Sequence of resp distress
Less than 120 f.
They are people - need a balance of limits and independence
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
13 years

32. What foods are prohibited for a person with Celiac Disease?
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Milk - Ice cream - Malts - Grains
high protien and calorie - multivitamins - extra enzymes for high fat food
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

33. Diet for Hirschsprung's prior to corrction and treatment
Low fiber - high calorie and protein
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

34. Precaustions needed for pt's with varicella
Length Chart
Epstein Barr Virus - transmitted with intimate contact
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Airborne and contact

35. Puberty for boys
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
2 years
12 years
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

36. Treatment for Hirschsprungs
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Regular diet with low sodium an no added salt

37. During an abdominal assessment when should auscultation occur
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

38. Kawasaki Disease
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
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
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

39. What is enuresis?
poor feeding - wt loss - fatigue - develop. delays - edema
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Repeated involuntary urination in a child who should already by toilet trained at night
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

40. What is the treatment for epiglottitis?
<25 yrs old
prevention - po antibiotics should be given before and after an invasive procedure
Contact isolation - gown - gloves and handwashing
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

41. Signs and Symptoms of mononucleosis
Rinse mouth and brush teeth
3 years
maternal nutrition and genetics
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

42. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Triple
Length Chart
They are people - need a balance of limits and independence
drooling

43. Average rate of growth for the 1st year
Dental procedures - gum disease and urinary tract infections
10 inches
Foreskin is used during the surgical repair
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

44. Pathophysiology of hirschsprung's disease
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Swelling of the airways - mucous production - bronchospasms
passage of abdominal contents to the esophagus

45. Clinicla manifestations of sickle cell disease
A typical lymphocytosis - mono-spot - EBV serology
School age
Vaso-occulisive crisis - infection and sepsis
Kawasaki disease - w/o treatment 25% will have permanent heart damage

46. Two examples of benzodiazepines
diazepam - lorazapam
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Vaso-occulisive crisis - infection and sepsis
Equal to

47. first tooth
none
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
6 months
5ml/dl

48. Treatment of Kawasaki disease
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

49. What is the rate of growth each year from 3 yrs until puberty?
Penicillin Prophylaxis (BID)
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
2.5 inches

50. Nursing care for Kawasaki Disease
GERD is the complications and symptoms that happen because of GER
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Small bowel biopsy