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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. Cause of bronchiolitis
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
from trunk to extremities
parainfluenza - RSV - Influenza A&B - M. pneumonia
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

2. What is used to diagnose GER?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
trunk - gonads and associative tissue
13 years
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

3. Diagnose Reye's Syndrome
They are people - need a balance of limits and independence
Mid puberty
Swelling or obstruction of the Larynx
Liver Biopsy

4. Growth spurt for adolescent boys
Mid puberty
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
passage of abdominal contents to the esophagus
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

5. Viral Croup
>95%
double birth weight
Swelling or obstruction of the Larynx
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

6. What Component of Aspirin cause's Reye's Syndrome?
Liver Biopsy
Salicylates
Foreskin is used during the surgical repair
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

7. Can Asthma be cured?
No - it can only be controlled
>95%
Growth spurt
Brain damage - hearing loss and learning disabilities

8. Nursing care for Cystic Fibrosis
They are people - need a balance of limits and independence
Erythroblastosis Fetalis
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
larger

9. What promotes unsickling of RBC's?
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
85-95%
Adequate O2 adequatte hydration
parainfluenza - RSV - Influenza A&B - M. pneumonia

10. Signs of increased ICP
9 months
20 inches
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
BMI chart

11. Why avoid circumcision in a baby with hypospadias?
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Foreskin is used during the surgical repair
Time and discription of seizure
Cool mist therapy - encourage oral intake - s/sx of resp. distress

12. Celiac Disease
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
# of stools per day - goal=2-3 stools per day
Enteropathy caused by an insensitivity to the gluten found in wheat
drooling

13. Nursing care of the infant with pyloric stenosis
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Growth spurt
Erythroblastosis Fetalis
12-24 days

14. Clinical signs of infection wilth sickle cell disease
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
O2 status of blood - acid-base balance

15. 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
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Kawasaki disease - w/o treatment 25% will have permanent heart damage

16. Nursing care of patient with Meningitis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
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
Vaso-occulisive crisis - infection and sepsis
from trunk to extremities

17. Diet for Hirschsprung's prior to corrction and treatment
poor feeding - wt loss - fatigue - develop. delays - edema
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Low fiber - high calorie and protein
Give freedom and choices - save battles for the important things

18. What is epiglottitis?
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

19. What occurs in a subacute baterial endocarditis?
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

20. Leading cause of bacterial meningitis in Neonates
Group B Streptococcus
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
trunk

21. Age range that is appropriate to use a length chart
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
birth-36 months
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

22. Signs and symptoms of neonatal meningitis
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Hepatoxicity - pancreatitis

23. Females reproductive issues for CF patients
Swelling or obstruction of the Larynx
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

24. Side effects of dilatin hirsuitism (body hair)
Hepatoxicity - pancreatitis
measures the largest velocity which occurs during a forced exhale
gum hypertrophy
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

25. Signs and symptoms of varicella Prodromal
12-24 days
passage of abdominal contents to the esophagus
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
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

26. Side effects of benzodiazepines
drooling
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

27. Average rate of growth for the 1st year
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
10 inches
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

28. S/SX of Hirschsprungs
12 years
larger
measures the largest velocity which occurs during a forced exhale
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

29. Basic defect in coarctation of the aorta
Equal to
Airborne and contact
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
A narrowing within the Aorta resulting in collateral circulation

30. Diet for a child with glumerlonephritis
5ml/dl
larger
Regular diet with low sodium an no added salt
No - it can only be controlled

31. Most cases of Reye's Syndrome follows what type of illness?
Between 6-12 months
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Viral---Varicella or influenza
poor feeding - wt loss - fatigue - develop. delays - edema

32. Sickle Cell Disease
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Give freedom and choices - save battles for the important things
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
fecal soiling

33. What are the side effects of depakote?
fever and infection
prevention - po antibiotics should be given before and after an invasive procedure
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Hepatoxicity - pancreatitis

34. What can promote dryness in a child with enuresis?
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
none

35. Pathophysiology of celiac disease
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Give freedom and choices - save battles for the important things
9 months
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

36. Two examples of benzodiazepines
2.5 inches
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
diazepam - lorazapam
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

37. What interventions prevent urinary tract infections?
4 years
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
high protien and calorie - multivitamins - extra enzymes for high fat food

38. Prevention of bronchiolitis spreading
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Contact isolation - gown - gloves and handwashing
hearing loss - scarring - mastoiditis - meningitis
Equal to

39. signs and symptoms of meningitis in older children
Airborne and contact
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

40. Signs and Symptoms that indicate and adverse reaction to a vaccine
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Dust - mold - animal dander - viral infections

41. Average Birth Length
Mid puberty
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
20 inches
used for prolonged sz's

42. What are development considerations for hemophilia?
up to 14 days
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Less than 120 f.

43. At what age is a length board required?
Triple
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
0-24 months
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

44. Signs and Symptoms of Asthma
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Small bowel biopsy
larger
12 years

45. Treatment for Hirschsprungs
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Liver Biopsy
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

46. Age group the limbs grow the fastest
School age
Less than 120 f.
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Viral---Varicella or influenza

47. Complications of acute otitis media
hearing loss - scarring - mastoiditis - meningitis
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Salicylates
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

48. Etiology of GERD
fever and infection
birth-36 months
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

49. What is the treatment for epiglottitis?
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Between 6-12 months
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

50. Post Op treatment of a VP shunt
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
Between 6-12 months
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Barium enema