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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. treatment of hemolytic disease of the newborn
Phototherapy - exchange transfusion
Mid puberty
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
Length board standiometer

2. Test to evaluate a Seizure disorder
Abdominal ultrasound - Upper GI
Family history - EEG - CBC - LP and MRI
10 inches
Viral---Varicella or influenza

3. Pathophysiology of cystic fibrosis
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Between 6-12 months
used for prolonged sz's
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

4. Part of body that grows the fastest in infancy
head
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Group B Streptococcus
Vaso-occulisive crisis - infection and sepsis

5. Treatment for Varicella
passage of abdominal contents to the esophagus
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
up to 14 days
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

6. Viral Meningitis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Foreskin is used during the surgical repair
inflammation and hypersensitivity to triggers

7. Predisposing factors to subacute bacterial endocarditis
prevention - po antibiotics should be given before and after an invasive procedure
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Less than 120 f.
Dental procedures - gum disease and urinary tract infections

8. What promotes unsickling of RBC's?
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
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
trunk
Adequate O2 adequatte hydration

9. Cause of bronchiolitis
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
2.5 inches

10. Assessment of a patient with suspected epiglottitis
drooling
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

11. What is physiologic Jaundice?
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
2.5 inches
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
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

12. Average rate of growth for the 1st year
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
10 inches
Milk - Ice cream - Malts - Grains
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

13. RSV contagious for ...
up to 14 days
0-24 months
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

14. What is Pyloric stenosis?
trunk - gonads and associative tissue
Enteropathy caused by an insensitivity to the gluten found in wheat
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
10 inches

15. At what age is a length board required?
0-24 months
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
larger

16. What are the side effects of depakote?
Low fiber - high calorie and protein
diazepam - lorazapam
Hepatoxicity - pancreatitis
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

17. Define Magical thinking

18. BMI - underweight
School age
< 5%
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
inflammation located in the middle ear

19. Treatment of celiac disease
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
poor feeding - wt loss - fatigue - develop. delays - edema
Phototherapy - exchange transfusion
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

20. What foods are prohibited for a person with Celiac Disease?
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
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
Milk - Ice cream - Malts - Grains
Group B Streptococcus

21. Diet for Hirschsprung's prior to corrction and treatment
Low fiber - high calorie and protein
4 years
Liver Biopsy
85-95%

22. Diagnose Intussusception by
Barium enema
none
2.5 inches
head

23. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
2 snacks
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Day 3 of life

24. Treatment of Kawasaki disease
20 inches
maternal nutrition and genetics
Foreskin is used during the surgical repair
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

25. Term infant --Bilirubin peaks at what day of life
>95%
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
4 years
Day 3 of life

26. Average age of menarche
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
4 years
13 years

27. What are major risk factors for neonatal meningitis?
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Maternal infection - premature rupture of membranes

28. Incubation period for TB
1-6 months
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Contact isolation - gown - gloves and handwashing
5 inches

29. Rheumatic Fever
O2 status of blood - acid-base balance
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
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

30. Kawasaki Disease
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
Low fiber - high calorie and protein
< 5%
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

31. Complications of meningitis
Brain damage - hearing loss and learning disabilities
A narrowing within the Aorta resulting in collateral circulation
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

32. Treatment for mononucleosis
none
12 years
No - it can only be controlled
Erythroblastosis Fetalis

33. Signs of heart failure
Family history - EEG - CBC - LP and MRI
poor feeding - wt loss - fatigue - develop. delays - edema
A typical lymphocytosis - mono-spot - EBV serology
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

34. During an abdominal assessment when should auscultation occur
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
inflammation and hypersensitivity to triggers
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

35. Pathophysiology related to Head Trauma
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
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
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

36. What Component of Aspirin cause's Reye's Syndrome?
A narrowing within the Aorta resulting in collateral circulation
none
Less than 120 f.
Salicylates

37. What should be done to minimize the risks of Sudden infant death syndrome?
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Milk - Ice cream - Malts - Grains
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

38. Pathophysiology of intussusception

39. Growth spurt for adolescent boys
No - it can only be controlled
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
< 1
Mid puberty

40. Main cause of urinary tract infections
Growth spurt
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
E. Coli
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

41. What occurs in a subacute baterial endocarditis?
2 years
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Bacteria enter the blood stream from a site of localized infection and grows in the heart
gum hypertrophy

42. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
inflammation located in the middle ear
GERD is the complications and symptoms that happen because of GER
Time and discription of seizure
Length Chart

43. Bilirubin encephalopathy
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
School age

44. At what age is a stadiometer required to measure linear growth?
Give freedom and choices - save battles for the important things
85-95%
36 months
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

45. What is heart failure?
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
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Penicillin Prophylaxis (BID)
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

46. Precaustions needed for pt's with varicella
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
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Airborne and contact
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

47. Varicella communicable
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Repeated involuntary urination in a child who should already by toilet trained at night

48. BMI-@ risk for overweight
85-95%
Brain damage - hearing loss and learning disabilities
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Excessive stool fat

49. Nursing care for child with seizure

50. Non-pharmalogical measures to treat GER
gum hypertrophy
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Milk - Ice cream - Malts - Grains
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures