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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. Define Proximodistal
12-24 days
used for prolonged sz's
from trunk to extremities
Dust - mold - animal dander - viral infections

2. Pathophysiology related to Head Trauma
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
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Vaso-occulisive crisis - infection and sepsis

3. Nursing care for Cystic Fibrosis
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
fever and infection
A typical lymphocytosis - mono-spot - EBV serology
2 years

4. ABG
9 months
O2 status of blood - acid-base balance
parainfluenza - RSV - Influenza A&B - M. pneumonia
A typical lymphocytosis - mono-spot - EBV serology

5. Leading cause of bacterial meningitis in Neonates
Group B Streptococcus
Triple
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

6. Diastat rectal diazepam gel

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7. What Component of Aspirin cause's Reye's Syndrome?
36 months
Excessive stool fat
MVA - bike accidents and falls
Salicylates

8. What are the side effects of depakote?
Successful management is based on early diagnosis and aggressive therapy
Hepatoxicity - pancreatitis
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
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

9. Post Op treatment of a VP shunt
Vaso-occulisive crisis - infection and sepsis
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
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

10. Celiac Disease
Enteropathy caused by an insensitivity to the gluten found in wheat
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

11. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Length Chart
none
Maternal infection - premature rupture of membranes

12. Diagnose Reye's Syndrome
9 months
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Liver Biopsy

13. Treatment for sickle cell disease
Hepatoxicity - pancreatitis
Regular diet with low sodium an no added salt
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
A typical lymphocytosis - mono-spot - EBV serology

14. What can promote dryness in a child with enuresis?
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
< 1
A narrowing within the Aorta resulting in collateral circulation
Repeated involuntary urination in a child who should already by toilet trained at night

15. treatment of intussusception
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Group B Streptococcus
An Acute inflamation of the meninges and CSF often caused by Enterovirus

16. Pathophysiology of celiac disease
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
GERD is the complications and symptoms that happen because of GER
diazepam - lorazapam
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

17. At what age is a length board required?
0-24 months
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Dust - mold - animal dander - viral infections

18. Hirschsprung's Disease
Penicillin Prophylaxis (BID)
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Family history - EEG - CBC - LP and MRI

19. Treatment of a bleed in hemophilia
2.5 inches
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
12-24 days
inflammation located in the middle ear

20. Varicella communicable
4 years
none
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
hearing loss - scarring - mastoiditis - meningitis

21. signs and symptoms of meningitis in older children
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
diazepam - lorazapam

22. Females reproductive issues for CF patients
Growth spurt
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

23. What is Pyloric stenosis?
Day 3 of life
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
double birth weight
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

24. Test to evaluate a Seizure disorder
Family history - EEG - CBC - LP and MRI
Successful management is based on early diagnosis and aggressive therapy
MVA - bike accidents and falls
fever and infection

25. Risk factors of tuberculosis
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
crowded living conditions - homeless and low income
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
3 years

26. Average rate of growth for the 2nd year of lif
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Small bowel biopsy
>95%
5 inches

27. Part of body that grows the fastest in infancy
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
trunk
head
poor feeding - wt loss - fatigue - develop. delays - edema

28. Term infant --Bilirubin peaks at what day of life
Day 3 of life
Erythroblastosis Fetalis
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

29. Pathophysiology of cystic fibrosis
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Day 3 of life
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

30. Signs and symptoms of Reye's Syndrome
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
fecal soiling
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Adequate O2 adequatte hydration

31. What is Cystic Fibrosis?
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Equal to
Airborne and contact
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

32. Teaching for Croup
Cool mist therapy - encourage oral intake - s/sx of resp. distress
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
2 years

33. Treatment for mononucleosis
none
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Barium enema
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

34. RSV contagious for ...
Enteropathy caused by an insensitivity to the gluten found in wheat
Less than 120 f.
up to 14 days
Phototherapy - exchange transfusion

35. Main cause of urinary tract infections
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
E. Coli
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

36. Leading cause of acquired heart disease in children
gum hypertrophy
Kawasaki disease - w/o treatment 25% will have permanent heart damage
fever and infection
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

37. Hourly maintenance Fluid Requirements
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Brain damage - hearing loss and learning disabilities
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Epstein Barr Virus - transmitted with intimate contact

38. What are development considerations for hemophilia?
10 inches
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
inflammation and hypersensitivity to triggers
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

39. Side effects of benzodiazepines
drooling
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

40. BMI- overweight
>95%
Epstein Barr Virus - transmitted with intimate contact
Swelling or obstruction of the Larynx
Low fiber - high calorie and protein

41. Pathophysiology of intussusception

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42. How is Celiac Disease diagnosed?
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Small bowel biopsy

43. Leading cause of head injury
Group B Streptococcus
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
MVA - bike accidents and falls
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

44. Treatment of celiac disease
trunk - gonads and associative tissue
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
lethargy - irritability - decrease feedings - fever - seizures
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

45. Precaustions needed for pt's with varicella
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Length Chart
Triple
Airborne and contact

46. What is enuresis?
Repeated involuntary urination in a child who should already by toilet trained at night
larger
85-95%
2.5 inches

47. treatment of hemolytic disease of the newborn
Phototherapy - exchange transfusion
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
O2 status of blood - acid-base balance

48. Assessment of a patient with suspected epiglottitis
Salicylates
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
2 years

49. Signs and Symptoms of intussusception
fecal soiling
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
gum hypertrophy

50. difference btwn GER and GERD
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
0-24 months
2 years
GERD is the complications and symptoms that happen because of GER