Test your basic knowledge |

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. Can Asthma be cured?
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
No - it can only be controlled
fecal soiling
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

2. Why is early diagnosis important w. Reye's Syndrome?
Successful management is based on early diagnosis and aggressive therapy
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Less than 120 f.
Enteropathy caused by an insensitivity to the gluten found in wheat

3. What is the rate of growth each year from 3 yrs until puberty?
Length board standiometer
Rinse mouth and brush teeth
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
2.5 inches

4. Hirschsprung's Disease
Mechanical Ventalation - high inhaled o2 concentration
Mid puberty
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

5. Treatment of Meningitis

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

6. During an abdominal assessment when should auscultation occur
Adequate O2 adequatte hydration
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
1-6 months
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

7. Average rate of growth for the 2nd year of lif
Airborne and contact
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Vaso-occulisive crisis - infection and sepsis
5 inches

8. Screening for overweight or underweight child on chart
one portion of the intestine 'telescopes' into another leading to lymphatic and venous obstruction which causes ischemia - mucous backflow into the intestine and leaking of blood into the intestine
from trunk to extremities
Rinse mouth and brush teeth
BMI chart

9. Where does the adolescent experience rapid growth?
School age
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
trunk - gonads and associative tissue
Hepatoxicity - pancreatitis

10. S/SX of Hirschsprungs
used for prolonged sz's
< 5%
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
An Acute inflamation of the meninges and CSF often caused by Enterovirus

11. BMI- overweight
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Salicylates
5ml/dl
>95%

12. Nursing interventions for hemophilia
Viral---Varicella or influenza
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

13. What is the treatment for epiglottitis?
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
larger
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

14. Viral Meningitis
Enteropathy caused by an insensitivity to the gluten found in wheat
drooling
An Acute inflamation of the meninges and CSF often caused by Enterovirus
They are people - need a balance of limits and independence

15. What is used to diagnose pyloric stenosis?
Rinse mouth and brush teeth
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
diazepam - lorazapam
Abdominal ultrasound - Upper GI

16. Teaching for RSV
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
birth-36 months
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

17. Causes of Bronchopulmonary Dysplasia
Mechanical Ventalation - high inhaled o2 concentration
gum hypertrophy
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

18. Nursing care for Cystic Fibrosis
Swelling or obstruction of the Larynx
trunk
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
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

19. Age group the limbs grow the fastest
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
85-95%
BMI chart
School age

20. Reyes Syndrome
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

21. Incubation period for TB
1-6 months
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
gum hypertrophy
birth-36 months

22. Pathophysiology of intussusception

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

23. Viral Croup
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Swelling or obstruction of the Larynx
Salicylates
Barium enema

24. first tooth
6 months
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
O2 status of blood - acid-base balance

25. Signs and symptoms of tuberculosis
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Salicylates
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
from trunk to extremities

26. Two important assessment rules related to coarctation of the aorta?
Sterile-caused by blockage of thick mucous at the vas deferens
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
inflammation and hypersensitivity to triggers

27. Pathophysiology of a fever and infection with sickle cell disease
2.5 inches
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
lethargy - irritability - decrease feedings - fever - seizures
6 months

28. Nursing care for Kawasaki Disease
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Barium enema
Liver Biopsy

29. Treatment of a bleed in hemophilia
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
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
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

30. Signs and Symptoms of Asthma
Length Chart
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Small bowel biopsy
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

31. Etiology of GERD
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
They are people - need a balance of limits and independence
Milk - Ice cream - Malts - Grains

32. Contraindications to all vaccines
20 inches
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Day 3 of life
Previous history of life threatening reaction - Mod-severe illness w/wo fever

33. How many days after birth do bilirubin levels return to normal limits?
They are people - need a balance of limits and independence
Cool mist therapy - encourage oral intake - s/sx of resp. distress
12-24 days
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

34. Diagnose Intussusception by
from head to toe
Barium enema
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Regular diet with low sodium an no added salt

35. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Length Chart
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
85-95%
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
Between 6-12 months
birth-36 months
Penicillin Prophylaxis (BID)
Kawasaki disease - w/o treatment 25% will have permanent heart damage

37. Complications related to varicella
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
<25 yrs old
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

38. Average age of breast development
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
2 snacks
10 years
drooling

39. At what age is a length board required?
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
0-24 months
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

40. Pathophysiology related to Head Trauma
2 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
up to 14 days
< 1

41. Signs and Symptoms of Hemolytic Disease of the newborn
Length Chart
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Swelling or obstruction of the Larynx
Vaso-occulisive crisis - infection and sepsis

42. RSV contagious for ...
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Liver Biopsy
Between 6-12 months
up to 14 days

43. BMI-@ risk for overweight
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
85-95%

44. Leading cause of bacterial meningitis in Neonates
Rinse mouth and brush teeth
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Group B Streptococcus

45. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
< 5%
measures the largest velocity which occurs during a forced exhale
2 snacks

46. What are the side effects of depakote?
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Hepatoxicity - pancreatitis
Time and discription of seizure

47. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
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
# of stools per day - goal=2-3 stools per day
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

48. Clinicla manifestations of sickle cell disease
Vaso-occulisive crisis - infection and sepsis
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Abdominal ultrasound - Upper GI

49. Hypospadias
O2 status of blood - acid-base balance
fecal soiling
GERD is the complications and symptoms that happen because of GER
Urethral opening is positioned below the glans penis

50. Another name for Hemolytic Disease of the Newborn
measures the largest velocity which occurs during a forced exhale
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Erythroblastosis Fetalis