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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 heart failure?
They are people - need a balance of limits and independence
Adequate O2 adequatte hydration
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
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

2. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
1-6 months
lethargy - irritability - decrease feedings - fever - seizures
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

3. At what age is a length board required?
diazepam - lorazapam
85-95%
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
0-24 months

4. Test to evaluate a Seizure disorder
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
0-24 months
Family history - EEG - CBC - LP and MRI
Regular diet with low sodium an no added salt

5. Bilirubin encephalopathy
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Salicylates
O2 status of blood - acid-base balance
Maternal infection - premature rupture of membranes

6. Encoperesis
10 inches
poor feeding - wt loss - fatigue - develop. delays - edema
fecal soiling
Successful management is based on early diagnosis and aggressive therapy

7. Viral Meningitis
< 5%
A narrowing within the Aorta resulting in collateral circulation
An Acute inflamation of the meninges and CSF often caused by Enterovirus
5 inches

8. Teaching for Croup
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Milk - Ice cream - Malts - Grains
2 years

9. Signs of heart failure
poor feeding - wt loss - fatigue - develop. delays - edema
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Length Chart

10. What occurs in a subacute baterial endocarditis?
Contact isolation - gown - gloves and handwashing
Urethral opening is positioned below the glans penis
Bacteria enter the blood stream from a site of localized infection and grows in the heart
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

11. RSV contagious for ...
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Brain damage - hearing loss and learning disabilities
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
up to 14 days

12. Signs and Symptoms of Hemolytic Disease of the newborn
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Swelling of the airways - mucous production - bronchospasms
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

13. Clinical signs of infection wilth sickle cell disease
from trunk to extremities
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

14. Celiac Disease
They are people - need a balance of limits and independence
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Enteropathy caused by an insensitivity to the gluten found in wheat
< 5%

15. Linear growth event happens in Adolescents
Epstein Barr Virus - transmitted with intimate contact
Growth spurt
passage of abdominal contents to the esophagus
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

16. Treatment for Varicella
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Epstein Barr Virus - transmitted with intimate contact
They are people - need a balance of limits and independence

17. Nursing interventions for hemophilia
O2 status of blood - acid-base balance
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
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Salicylates

18. Pathophysiology of a fever and infection with sickle cell disease
Dust - mold - animal dander - viral infections
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
36 months
Swelling or obstruction of the Larynx

19. Causes of Bronchopulmonary Dysplasia
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Mechanical Ventalation - high inhaled o2 concentration

20. first tooth
They are people - need a balance of limits and independence
6 months
gum hypertrophy
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

21. Treatment for sickle cell disease
double birth weight
< 1
Group B Streptococcus
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

22. Assess the cause of enuresis
high protien and calorie - multivitamins - extra enzymes for high fat food
They are people - need a balance of limits and independence
complete physical and psychosocial assessment to rule out underlying disorders
none

23. Treatment of Kawasaki disease
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
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
Successful management is based on early diagnosis and aggressive therapy
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

24. BMI - underweight
< 5%
Between 6-12 months
GERD is the complications and symptoms that happen because of GER
>95%

25. Treatment of Meningitis

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26. Cause of bronchiolitis
drooling
2 snacks
Enteropathy caused by an insensitivity to the gluten found in wheat
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

27. difference btwn GER and GERD
drooling
GERD is the complications and symptoms that happen because of GER
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

28. Teaching for RSV
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Triple
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

29. What is used to diagnose pyloric stenosis?
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Barium enema
Mechanical Ventalation - high inhaled o2 concentration
Abdominal ultrasound - Upper GI

30. Diagnose Reye's Syndrome
Liver Biopsy
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
>95%

31. Part of the body that grows the fastest in the toddler-preschool age
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Liver Biopsy
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
trunk

32. Term infant --Bilirubin peaks at what day of life
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Day 3 of life
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

33. What are the side effects of depakote?
Group B Streptococcus
Hepatoxicity - pancreatitis
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

34. Why avoid circumcision in a baby with hypospadias?
36 months
Swelling or obstruction of the Larynx
Foreskin is used during the surgical repair
Triple

35. Rheumatic Fever
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
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
fecal soiling

36. Average Birth Length
20 inches
Foreskin is used during the surgical repair
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Between 6-12 months

37. What is the rate of growth each year from 3 yrs until puberty?
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
2.5 inches
lethargy - irritability - decrease feedings - fever - seizures
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

38. How is Celiac Disease diagnosed?
Brain damage - hearing loss and learning disabilities
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
used for prolonged sz's
Small bowel biopsy

39. Can Asthma be cured?
No - it can only be controlled
MVA - bike accidents and falls
GERD is the complications and symptoms that happen because of GER
12-24 days

40. What is Cystic Fibrosis?
Growth spurt
larger
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

41. What are the S/SX of bleeds in hemophilia?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
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
Give freedom and choices - save battles for the important things

42. Average rate of growth for the 1st year
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
10 inches
Mechanical Ventalation - high inhaled o2 concentration
2 snacks

43. Predisposing factors to subacute bacterial endocarditis
Dental procedures - gum disease and urinary tract infections
Repeated involuntary urination in a child who should already by toilet trained at night
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
Time and discription of seizure

44. How many meals and snacks should a 1-3 yr old have in a day 3 meals
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
2 snacks
trunk
10 years

45. Signs and symptoms of Reye's Syndrome
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Give freedom and choices - save battles for the important things
1-6 months
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

46. What should be used for feeding a child during the post operative period following cleft palate surgery?
Equal to
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
5ml/dl
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

47. 3 symptoms of coarctation of the aorta
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
12-24 days
Cool mist therapy - encourage oral intake - s/sx of resp. distress
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

48. Nursing care of patient with Meningitis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Regular diet with low sodium an no added salt
Repeated involuntary urination in a child who should already by toilet trained at night
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

49. Cephalocaudal
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
drooling
from head to toe
>95%

50. Kawasaki Disease
from trunk to extremities
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
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
larger