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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 should be used for feeding a child during the post operative period following cleft palate surgery?
10 years
13 years
6 months
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

2. Head circumference should be assessed until what age
3 years
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Day 3 of life
Brain damage - hearing loss and learning disabilities

3. Sickle Cell Disease
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

4. Peak flow meter
measures the largest velocity which occurs during a forced exhale
Foreskin is used during the surgical repair
Triple
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

5. What is epiglottitis?
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
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

6. Non-pharmalogical measures to treat GER
A narrowing within the Aorta resulting in collateral circulation
>95%
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Dust - mold - animal dander - viral infections

7. Teaching for Croup
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Cool mist therapy - encourage oral intake - s/sx of resp. distress
chest x-ray following a Positive PPD skin test
Growth spurt

8. Hourly maintenance Fluid Requirements
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
0-24 months
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
They are people - need a balance of limits and independence

9. Prevention of infection in Sickle Cell Disease
Penicillin Prophylaxis (BID)
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Enteropathy caused by an insensitivity to the gluten found in wheat
Regular diet with low sodium an no added salt

10. Clinical signs of infection wilth sickle cell disease
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
2.5 inches

11. Signs and symptoms of tuberculosis
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
4 years
< 5%

12. Treatment of Kawasaki disease
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
No - it can only be controlled
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
O2 status of blood - acid-base balance

13. treatment of hemolytic disease of the newborn
Family history - EEG - CBC - LP and MRI
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Phototherapy - exchange transfusion
< 5%

14. Leading cause of bacterial meningitis in Neonates
Group B Streptococcus
10 inches
Bacteria enter the blood stream from a site of localized infection and grows in the heart
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

15. Varicella communicable
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
complete physical and psychosocial assessment to rule out underlying disorders
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

16. Kawasaki Disease
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
School age
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

17. Nursing care for Kawasaki Disease
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
from head to toe
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

18. Age group the limbs grow the fastest
Rinse mouth and brush teeth
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Epstein Barr Virus - transmitted with intimate contact
School age

19. Average age of menarche
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Time and discription of seizure
13 years
none

20. Sequence of resp distress
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Abdominal ultrasound - Upper GI
2 snacks
Small bowel biopsy

21. What are development considerations for hemophilia?
An Acute inflamation of the meninges and CSF often caused by Enterovirus
2 years
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
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

22. Test to evaluate a Seizure disorder
Family history - EEG - CBC - LP and MRI
12-24 days
< 1
2 years

23. signs and symptoms of meningitis in older children
Length board standiometer
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
gum hypertrophy
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

24. Pertussis?
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Rinse mouth and brush teeth
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

25. Signs and symptoms of neonatal meningitis
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Vaso-occulisive crisis - infection and sepsis
Mid puberty
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

26. What is broncho-pulmonary dysplasia?
Equal to
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Swelling or obstruction of the Larynx

27. Contraindications to all vaccines
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Length board standiometer
Previous history of life threatening reaction - Mod-severe illness w/wo fever

28. BMI- overweight
BMI chart
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
passage of abdominal contents to the esophagus
>95%

29. 3 symptoms of coarctation of the aorta
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 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
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

30. Viral Croup
Group B Streptococcus
Swelling or obstruction of the Larynx
Epstein Barr Virus - transmitted with intimate contact
gum hypertrophy

31. Diet for Hirschsprung's prior to corrction and treatment
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
< 1
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Low fiber - high calorie and protein

32. What interventions prevent urinary tract infections?
head
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

33. Signs and Symptoms of mononucleosis
BMI chart
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
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

34. How does pertussis present?
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
85-95%
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
BMI chart

35. Signs and Symptoms of Hemolytic Disease of the newborn
1-6 months
3 years
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

36. Pathophysiology of intussusception

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37. Incubation period for TB
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Brain damage - hearing loss and learning disabilities
Time and discription of seizure
1-6 months

38. Pathophysiology of Acute Asthma
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Swelling of the airways - mucous production - bronchospasms
Milk - Ice cream - Malts - Grains
lethargy - irritability - decrease feedings - fever - seizures

39. Diagnose Intussusception by
Barium enema
Foreskin is used during the surgical repair
Excessive stool fat
< 5%

40. Growth spurt for adolescent boys
Rinse mouth and brush teeth
Successful management is based on early diagnosis and aggressive therapy
from head to toe
Mid puberty

41. Pathophysiology of Chronic Asthma
inflammation and hypersensitivity to triggers
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
9 months
1-6 months

42. Characteristics of the RBC's in sickle cell

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43. What has the HIB vaccine been successful in reducing?
<25 yrs old
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Sterile-caused by blockage of thick mucous at the vas deferens

44. How is Celiac Disease diagnosed?
Contact isolation - gown - gloves and handwashing
12-24 days
Small bowel biopsy
Mid puberty

45. Side effects of dilatin hirsuitism (body hair)
gum hypertrophy
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Foreskin is used during the surgical repair
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

46. At birth - head circumference is ____ compared to chest circumference
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
larger
Viral---Varicella or influenza
Sterile-caused by blockage of thick mucous at the vas deferens

47. RSV contagious for ...
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
up to 14 days
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

48. Nursing care of the infant with pyloric stenosis
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
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
Urethral opening is positioned below the glans penis

49. Nursing care of patient with Meningitis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Small bowel biopsy
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

50. 3 main causes of Bacterial meningitis in children
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
drooling
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture