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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. Nursing care for Cystic Fibrosis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Growth spurt
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
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

2. 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
E. Coli
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

3. Reyes Syndrome
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
GERD is the complications and symptoms that happen because of GER
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

4. What are major risk factors for neonatal meningitis?
from trunk to extremities
Maternal infection - premature rupture of membranes
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

5. Average age of menarche
13 years
complete physical and psychosocial assessment to rule out underlying disorders
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

6. Age that birth length doubles
4 years
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
high protien and calorie - multivitamins - extra enzymes for high fat food
Length Chart

7. Test to evaluate a Seizure disorder
Family history - EEG - CBC - LP and MRI
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Time and discription of seizure

8. 3 main causes of Bacterial meningitis in children
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Between 6-12 months
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

9. Average Birth Length
20 inches
< 5%
drooling
parainfluenza - RSV - Influenza A&B - M. pneumonia

10. What should be observed in a case of a seizure?
Time and discription of seizure
2 years
Regular diet with low sodium an no added salt
from trunk to extremities

11. Hourly maintenance Fluid Requirements
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

12. Bronchiolitis
Less than 120 f.
poor feeding - wt loss - fatigue - develop. delays - edema
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

13. What is heart failure?
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Maternal infection - premature rupture of membranes
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

14. Steatorrhea
2.5 inches
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
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
Excessive stool fat

15. Nursing care of the infant with pyloric stenosis
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
<25 yrs old
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

16. Asthma inhaler - what can be done to decrease risk of thrush
Rinse mouth and brush teeth
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

17. Prevention of infection in Sickle Cell Disease
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
10 years
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Penicillin Prophylaxis (BID)

18. signs and symptoms of meningitis in older children
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
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
Liver Biopsy
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

19. When does the surgery to correct hypospadias usually occur?
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
measures the largest velocity which occurs during a forced exhale
Between 6-12 months

20. Two important assessment rules related to coarctation of the aorta?
from head to toe
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

21. Two examples of benzodiazepines
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
diazepam - lorazapam
high protien and calorie - multivitamins - extra enzymes for high fat food
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

22. Complications of meningitis
9 months
Brain damage - hearing loss and learning disabilities
13 years
birth-36 months

23. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
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
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Length Chart
Hepatoxicity - pancreatitis

24. Focus of adolescent discipline
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Barium enema
Give freedom and choices - save battles for the important things
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

25. Average rate of growth for the 1st year
10 inches
Bacteria enter the blood stream from a site of localized infection and grows in the heart
E. Coli
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

26. Normal presentation of cystic fibrosis
Viral---Varicella or influenza
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
used for prolonged sz's

27. What is enuresis?
<25 yrs old
crowded living conditions - homeless and low income
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Repeated involuntary urination in a child who should already by toilet trained at night

28. Risk factors of tuberculosis
crowded living conditions - homeless and low income
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
trunk

29. Complications of acute otitis media
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
hearing loss - scarring - mastoiditis - meningitis
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
12-24 days

30. Asthma
Enteropathy caused by an insensitivity to the gluten found in wheat
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
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

31. Prevention of bronchiolitis spreading
measures the largest velocity which occurs during a forced exhale
85-95%
Contact isolation - gown - gloves and handwashing
Phototherapy - exchange transfusion

32. Another name for Hemolytic Disease of the Newborn
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Urethral opening is positioned below the glans penis
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Erythroblastosis Fetalis

33. What should a child's wt be at 1 yr compared to birth weight?
Day 3 of life
birth-36 months
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Triple

34. Signs of increased ICP
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Triple

35. What Component of Aspirin cause's Reye's Syndrome?
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
Salicylates
Sterile-caused by blockage of thick mucous at the vas deferens
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

36. What Pharmalogical measures can be used to treat GERD?
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
lethargy - irritability - decrease feedings - fever - seizures
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
1-6 months

37. What should be used for feeding a child during the post operative period following cleft palate surgery?
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
MVA - bike accidents and falls
Adequate O2 adequatte hydration
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

38. What foods are prohibited for a person with Celiac Disease?
4 years
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Milk - Ice cream - Malts - Grains

39. Signs and Symptoms of Celiac Disease
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
1-6 months
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
A narrowing within the Aorta resulting in collateral circulation

40. Males Reproductive issues for CF patients
Airborne and contact
inflammation and hypersensitivity to triggers
gum hypertrophy
Sterile-caused by blockage of thick mucous at the vas deferens

41. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Give freedom and choices - save battles for the important things
2 snacks
E. Coli
Mid puberty

42. What are the side effects of depakote?
>95%
fecal soiling
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Hepatoxicity - pancreatitis

43. Head circumference should be assessed until what age
3 years
No - it can only be controlled
>95%
A typical lymphocytosis - mono-spot - EBV serology

44. Predisposing factors to subacute bacterial endocarditis
GERD is the complications and symptoms that happen because of GER
Dental procedures - gum disease and urinary tract infections
13 years
hearing loss - scarring - mastoiditis - meningitis

45. Side effects of benzodiazepines
Dental procedures - gum disease and urinary tract infections
drooling
gum hypertrophy
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

46. Signs and Symptoms of mononucleosis
passage of abdominal contents to the esophagus
Erythroblastosis Fetalis
chest x-ray following a Positive PPD skin test
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

47. Incubation period for TB
1-6 months
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

48. Diastat rectal diazepam gel

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49. Pathophysiology of Chronic Asthma
inflammation and hypersensitivity to triggers
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
complete physical and psychosocial assessment to rule out underlying disorders
inflammation located in the middle ear

50. Diagnose Reye's Syndrome
Airborne and contact
Liver Biopsy
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
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