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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. Average Birth Length
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
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
20 inches

2. What has the HIB vaccine been successful in reducing?
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
E. Coli
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

3. Diagnose Intussusception by
Triple
Barium enema
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Adequate O2 adequatte hydration

4. Test to evaluate a Seizure disorder
13 years
10 inches
Family history - EEG - CBC - LP and MRI
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

5. 2 factors that determine birth weight
Salicylates
Sterile-caused by blockage of thick mucous at the vas deferens
maternal nutrition and genetics
parainfluenza - RSV - Influenza A&B - M. pneumonia

6. Can Asthma be cured?
No - it can only be controlled
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

7. Pathophysiology of a fever and infection with sickle cell disease
Foreskin is used during the surgical repair
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Sterile-caused by blockage of thick mucous at the vas deferens

8. Encoperesis
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
fecal soiling
Length Chart
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities

9. BMI - underweight
< 5%
Maternal infection - premature rupture of membranes
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Cool mist therapy - encourage oral intake - s/sx of resp. distress

10. Diet for CF patients
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
high protien and calorie - multivitamins - extra enzymes for high fat food
prevention - po antibiotics should be given before and after an invasive procedure
E. Coli

11. Hourly maintenance Fluid Requirements
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Rinse mouth and brush teeth
head
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

12. Assessment of a patient with suspected epiglottitis
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

13. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
2.5 inches
Length Chart
O2 status of blood - acid-base balance

14. How many days after birth do bilirubin levels return to normal limits?
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
12-24 days
Swelling or obstruction of the Larynx
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

15. Hypospadias
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Salicylates
Urethral opening is positioned below the glans penis

16. Diet for Hirschsprung's prior to corrction and treatment
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
parainfluenza - RSV - Influenza A&B - M. pneumonia
Mid puberty
Low fiber - high calorie and protein

17. Pathophysiology of Chronic Asthma
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Phototherapy - exchange transfusion
Successful management is based on early diagnosis and aggressive therapy
inflammation and hypersensitivity to triggers

18. Asthma inhaler - what can be done to decrease risk of thrush
double birth weight
Rinse mouth and brush teeth
Contact isolation - gown - gloves and handwashing
head

19. Pathophysiology of Acute Asthma
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Swelling of the airways - mucous production - bronchospasms
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 - malaise - poor appetite - wt loss -cough - night sweats and chills

20. Treatment of a bleed in hemophilia
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
# of stools per day - goal=2-3 stools per day
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
6 months

21. Neonatal Jaundice
lethargy - irritability - decrease feedings - fever - seizures
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

22. Key nursing intervention for subacute bacterial endocarditis
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
prevention - po antibiotics should be given before and after an invasive procedure
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
inflammation located in the middle ear

23. signs and symptoms of meningitis in older children
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

24. Risk factors of tuberculosis
School age
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
crowded living conditions - homeless and low income
Successful management is based on early diagnosis and aggressive therapy

25. Causes of Bronchopulmonary Dysplasia
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Day 3 of life
Mechanical Ventalation - high inhaled o2 concentration
parainfluenza - RSV - Influenza A&B - M. pneumonia

26. Term infant --Bilirubin peaks at what day of life
Erythroblastosis Fetalis
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Day 3 of life
gum hypertrophy

27. Treatment and nursing care for pertussis
A narrowing within the Aorta resulting in collateral circulation
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
# of stools per day - goal=2-3 stools per day

28. Signs and symptoms of neonatal meningitis
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
13 years
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

29. Signs and symptoms of tuberculosis
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
head
Between 6-12 months

30. What promotes unsickling of RBC's?
12-24 days
used for prolonged sz's
Adequate O2 adequatte hydration
Day 3 of life

31. Leading cause of head injury
MVA - bike accidents and falls
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
larger
Group B Streptococcus

32. What is enuresis?
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Repeated involuntary urination in a child who should already by toilet trained at night
Enteropathy caused by an insensitivity to the gluten found in wheat
Cool mist therapy - encourage oral intake - s/sx of resp. distress

33. Main cause of urinary tract infections
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
E. Coli
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

34. Incubation period for TB
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
drooling
1-6 months

35. What is Cystic Fibrosis?
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Foreskin is used during the surgical repair
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

36. Nursing care for child with seizure

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37. Pathophysiology of hirschsprung's disease
GERD is the complications and symptoms that happen because of GER
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
# of stools per day - goal=2-3 stools per day
School age

38. What is Hemolytic Disease of the Newborn
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
GERD is the complications and symptoms that happen because of GER
trunk - gonads and associative tissue
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

39. Average age of breast development
An Acute inflamation of the meninges and CSF often caused by Enterovirus
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
10 years
none

40. At what age is a stadiometer required to measure linear growth?
13 years
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
36 months
Between 6-12 months

41. Leading cause of bacterial meningitis in Neonates
fecal soiling
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Group B Streptococcus
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

42. Treatment for mononucleosis
Contact isolation - gown - gloves and handwashing
Kawasaki disease - w/o treatment 25% will have permanent heart damage
none
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

43. Normal presentation of cystic fibrosis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
parainfluenza - RSV - Influenza A&B - M. pneumonia
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

44. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
0-24 months
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
10 years
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

45. Signs and Symptoms of Celiac Disease
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Barium enema
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

46. Bronchiolitis
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Urethral opening is positioned below the glans penis
Viral---Varicella or influenza
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

47. Asthma
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Abdominal ultrasound - Upper GI
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

48. What are development considerations for hemophilia?
No - it can only be controlled
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
larger

49. Age that birth length doubles
4 years
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Between 6-12 months

50. Childs weight at 6 months compared to birth weight
# of stools per day - goal=2-3 stools per day
double birth weight
3 years
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics