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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. Signs and Symptoms of Celiac Disease
none
>95%
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
larger

2. first tooth
inflammation and hypersensitivity to triggers
drooling
6 months
Growth spurt

3. Nursing care of the infant with pyloric stenosis
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
up to 14 days
O2 status of blood - acid-base balance
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

4. At birth - head circumference is ____ compared to chest circumference
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
larger
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
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

5. Screening for overweight or underweight child on chart
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
used for prolonged sz's
BMI chart

6. How many days after birth do bilirubin levels return to normal limits?
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Milk - Ice cream - Malts - Grains
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
12-24 days

7. Diet for Hirschsprung's prior to corrction and treatment
Time and discription of seizure
Repeated involuntary urination in a child who should already by toilet trained at night
Low fiber - high calorie and protein
Triple

8. Treatment of Meningitis

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9. Another name for Hemolytic Disease of the Newborn
Low fiber - high calorie and protein
Erythroblastosis Fetalis
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Liver Biopsy

10. Signs and Symptoms of mononucleosis
O2 status of blood - acid-base balance
Mechanical Ventalation - high inhaled o2 concentration
5 inches
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

11. 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
none
gum hypertrophy
Adequate O2 adequatte hydration
fever and infection

12. What is used to diagnose GER?
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
An Acute inflamation of the meninges and CSF often caused by Enterovirus
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

13. What is broncho-pulmonary dysplasia?
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
10 years
< 1

14. What are the side effects of depakote?
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Hepatoxicity - pancreatitis
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping

15. Assessment of a patient with suspected epiglottitis
Length board standiometer
< 5%
Contact isolation - gown - gloves and handwashing
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

16. Complications related to varicella
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
prevention - po antibiotics should be given before and after an invasive procedure
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

17. Part of body that grows the fastest in infancy
Dust - mold - animal dander - viral infections
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
head
lethargy - irritability - decrease feedings - fever - seizures

18. At what age is a stadiometer required to measure linear growth?
Vaso-occulisive crisis - infection and sepsis
36 months
Sterile-caused by blockage of thick mucous at the vas deferens
Previous history of life threatening reaction - Mod-severe illness w/wo fever

19. What are major risk factors for neonatal meningitis?
Maternal infection - premature rupture of membranes
< 1
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
5ml/dl

20. Average Birth Length
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
poor feeding - wt loss - fatigue - develop. delays - edema
20 inches
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

21. Main cause of urinary tract infections
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
drooling
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
E. Coli

22. Treatment of a bleed in hemophilia
used for prolonged sz's
O2 status of blood - acid-base balance
Low fiber - high calorie and protein
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

23. Nursing care for a child with Reye's Syndrome
2.5 inches
Liver Biopsy
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
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

24. At what age is a length board required?
36 months
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
0-24 months
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

25. Define Proximodistal
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
from trunk to extremities
prevention - po antibiotics should be given before and after an invasive procedure
BMI chart

26. Define Magical thinking

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27. BMI-@ risk for overweight
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Dental procedures - gum disease and urinary tract infections
85-95%

28. Side effects of dilatin hirsuitism (body hair)
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
gum hypertrophy
Milk - Ice cream - Malts - Grains

29. Age range that is appropriate to use a length chart
measures the largest velocity which occurs during a forced exhale
9 months
Viral---Varicella or influenza
birth-36 months

30. When does the surgery to correct hypospadias usually occur?
Between 6-12 months
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
They are people - need a balance of limits and independence

31. Signs and Symptoms of Asthma
3 years
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

32. What has the HIB vaccine been successful in reducing?
School age
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

33. Nursing care for Cystic Fibrosis
Group B Streptococcus
lethargy - irritability - decrease feedings - fever - seizures
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
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

34. What is the rate of growth each year from 3 yrs until puberty?
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
2.5 inches
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
lethargy - irritability - decrease feedings - fever - seizures

35. Hypospadias
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Urethral opening is positioned below the glans penis
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

36. Pathophysiology of hirschsprung's disease
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Airborne and contact
E. Coli

37. Leading cause of acquired heart disease in children
Kawasaki disease - w/o treatment 25% will have permanent heart damage
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Time and discription of seizure

38. Linear growth event happens in Adolescents
Growth spurt
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
hearing loss - scarring - mastoiditis - meningitis
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities

39. BMI - underweight
Viral---Varicella or influenza
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
< 5%

40. What is physiologic Jaundice?
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Airborne and contact
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
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

41. Growth spurt for adolescent boys
none
used for prolonged sz's
Mid puberty
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

42. What can promote dryness in a child with enuresis?
Phototherapy - exchange transfusion
Family history - EEG - CBC - LP and MRI
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

43. Complications of acute otitis media
Adequate O2 adequatte hydration
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
hearing loss - scarring - mastoiditis - meningitis

44. Average rate of growth for the 2nd year of lif
5 inches
Hepatoxicity - pancreatitis
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
crowded living conditions - homeless and low income

45. Pathophysiology of Acute Asthma
Swelling of the airways - mucous production - bronchospasms
Rinse mouth and brush teeth
School age
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

46. GER (gastroesophageal reflux)
10 years
passage of abdominal contents to the esophagus
Family history - EEG - CBC - LP and MRI
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

47. Hourly maintenance Fluid Requirements
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
85-95%
MVA - bike accidents and falls
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

48. Teaching for RSV
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
E. Coli
A typical lymphocytosis - mono-spot - EBV serology

49. Age of children at half their adult height
<25 yrs old
Contact isolation - gown - gloves and handwashing
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
2 years

50. Peak flow meter
Successful management is based on early diagnosis and aggressive therapy
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
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
measures the largest velocity which occurs during a forced exhale