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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. Two important assessment rules related to coarctation of the aorta?
parainfluenza - RSV - Influenza A&B - M. pneumonia
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

2. Signs and Symptoms of Hemolytic Disease of the newborn
birth-36 months
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
chest x-ray following a Positive PPD skin test
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

3. What can promote dryness in a child with enuresis?
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Barium enema
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

4. Signs and symptoms of tuberculosis
Dental procedures - gum disease and urinary tract infections
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

5. first tooth
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Abdominal ultrasound - Upper GI
drooling
6 months

6. What promotes unsickling of RBC's?
Liver Biopsy
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Dust - mold - animal dander - viral infections
Adequate O2 adequatte hydration

7. Rheumatic Fever
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
parainfluenza - RSV - Influenza A&B - M. pneumonia
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Milk - Ice cream - Malts - Grains

8. Diet for Hirschsprung's prior to corrction and treatment
Low fiber - high calorie and protein
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
double birth weight

9. Viral Meningitis
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
10 inches
An Acute inflamation of the meninges and CSF often caused by Enterovirus

10. Signs and symptoms of Reye's Syndrome
measures the largest velocity which occurs during a forced exhale
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

11. What is Hemolytic Disease of the Newborn
parainfluenza - RSV - Influenza A&B - M. pneumonia
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
head
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

12. Average Birth Length
20 inches
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

13. Sickle Cell Disease
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
1-6 months
head

14. What is Pyloric stenosis?
Hepatoxicity - pancreatitis
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
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

15. Age group the limbs grow the fastest
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
School age

16. What level does the bilirubin need to be at in order for jaundice to occur?
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
5ml/dl
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Airborne and contact

17. What are major risk factors for neonatal meningitis?
Mechanical Ventalation - high inhaled o2 concentration
Maternal infection - premature rupture of membranes
5ml/dl
Between 6-12 months

18. Nursing care for child with seizure

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19. Pathophysiology of hirschsprung's disease
>95%
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
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

20. Pathophysiology of Acute Asthma
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
gum hypertrophy
Successful management is based on early diagnosis and aggressive therapy
Swelling of the airways - mucous production - bronchospasms

21. Complications related to varicella
trunk - gonads and associative tissue
E. Coli
# of stools per day - goal=2-3 stools per day
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

22. Pertussis?
# of stools per day - goal=2-3 stools per day
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Between 6-12 months

23. Nursing interventions for hemophilia
13 years
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
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
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

24. Males Reproductive issues for CF patients
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Sterile-caused by blockage of thick mucous at the vas deferens
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
passage of abdominal contents to the esophagus

25. Treatment for sickle cell disease
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Brain damage - hearing loss and learning disabilities
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
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

26. Hypospadias
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
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Urethral opening is positioned below the glans penis

27. What confirms a positive TB infection?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
36 months
chest x-ray following a Positive PPD skin test

28. Part of the body that grows the fastest in the toddler-preschool age
Kawasaki disease - w/o treatment 25% will have permanent heart damage
trunk
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Regular diet with low sodium an no added salt

29. Average age of breast development
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
10 years
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping

30. Prevention of infection in Sickle Cell Disease
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Penicillin Prophylaxis (BID)

31. Childs weight at 6 months compared to birth weight
Group B Streptococcus
Rinse mouth and brush teeth
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
double birth weight

32. GER (gastroesophageal reflux)
Liver Biopsy
Airborne and contact
0-24 months
passage of abdominal contents to the esophagus

33. Asthma inhaler - what can be done to decrease risk of thrush
chest x-ray following a Positive PPD skin test
Rinse mouth and brush teeth
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
Repeated involuntary urination in a child who should already by toilet trained at night

34. Normal presentation of cystic fibrosis
Sterile-caused by blockage of thick mucous at the vas deferens
A typical lymphocytosis - mono-spot - EBV serology
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

35. Key nursing intervention for subacute bacterial endocarditis
prevention - po antibiotics should be given before and after an invasive procedure
trunk - gonads and associative tissue
Give freedom and choices - save battles for the important things
<25 yrs old

36. Treatment of a bleed in hemophilia
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
chest x-ray following a Positive PPD skin test
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
36 months

37. What interventions prevent urinary tract infections?
Between 6-12 months
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
diazepam - lorazapam
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

38. How is Celiac Disease diagnosed?
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Family history - EEG - CBC - LP and MRI
Small bowel biopsy
MVA - bike accidents and falls

39. Cause of bronchiolitis
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Abdominal ultrasound - Upper GI
from head to toe

40. What is physiologic Jaundice?
Previous history of life threatening reaction - Mod-severe illness w/wo fever
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
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
< 5%

41. Define Magical thinking

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42. Encoperesis
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
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
fecal soiling
Kawasaki disease - w/o treatment 25% will have permanent heart damage

43. What is an acute otitis media?
4 years
inflammation located in the middle ear
Liver Biopsy
2 snacks

44. Nursing care of the infant with pyloric stenosis
from trunk to extremities
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Repeated involuntary urination in a child who should already by toilet trained at night
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

45. What is the cause of mononucleosis and its method of transmission?
Repeated involuntary urination in a child who should already by toilet trained at night
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Epstein Barr Virus - transmitted with intimate contact
passage of abdominal contents to the esophagus

46. Teaching for Croup
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Excessive stool fat
Kawasaki disease - w/o treatment 25% will have permanent heart damage

47. 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
fever and infection
2.5 inches
School age
An Acute inflamation of the meninges and CSF often caused by Enterovirus

48. Linear growth event happens in Adolescents
10 years
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Urethral opening is positioned below the glans penis
Growth spurt

49. At 6-24 months - head circumference is what size in relationship to chest circumference
Equal to
Viral---Varicella or influenza
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Swelling or obstruction of the Larynx

50. Non-pharmalogical measures to treat GER
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
>95%
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Urethral opening is positioned below the glans penis