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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. Where does the adolescent experience rapid growth?
Penicillin Prophylaxis (BID)
Triple
trunk - gonads and associative tissue
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

2. Complications of meningitis
from head to toe
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Brain damage - hearing loss and learning disabilities
5 inches

3. Leading cause of acquired heart disease in children
Day 3 of life
Previous history of life threatening reaction - Mod-severe illness w/wo fever
crowded living conditions - homeless and low income
Kawasaki disease - w/o treatment 25% will have permanent heart damage

4. BMI- overweight
>95%
chest x-ray following a Positive PPD skin test
maternal nutrition and genetics
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

5. Define Magical thinking

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6. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
5 inches
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Give freedom and choices - save battles for the important things

7. What is Cystic Fibrosis?
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
A typical lymphocytosis - mono-spot - EBV serology
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

8. Head circumference should be assessed until what age
A typical lymphocytosis - mono-spot - EBV serology
Contact isolation - gown - gloves and handwashing
3 years
drooling

9. What Pharmalogical measures can be used to treat GERD?
maternal nutrition and genetics
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Dust - mold - animal dander - viral infections

10. Two important assessment rules related to coarctation of the aorta?
5 inches
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
>95%

11. What has the HIB vaccine been successful in reducing?
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
E. Coli
Small bowel biopsy
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

12. What is Hemolytic Disease of the Newborn
Between 6-12 months
Equal to
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

13. Growth spurt for adolescent boys
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Mid puberty
Contact isolation - gown - gloves and handwashing

14. Kawasaki Disease
Regular diet with low sodium an no added salt
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
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

15. Signs and Symptoms of mononucleosis
Penicillin Prophylaxis (BID)
from trunk to extremities
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Hepatoxicity - pancreatitis

16. Average age of breast development
10 years
Barium enema
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Viral---Varicella or influenza

17. Nursing care for Kawasaki Disease
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Mechanical Ventalation - high inhaled o2 concentration

18. Signs and Symptoms of intussusception
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Dental procedures - gum disease and urinary tract infections
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

19. What is an acute otitis media?
9 months
36 months
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
inflammation located in the middle ear

20. Treatment for mononucleosis
Milk - Ice cream - Malts - Grains
Give freedom and choices - save battles for the important things
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
none

21. Signs and Symptoms that indicate and adverse reaction to a vaccine
fever and infection
poor feeding - wt loss - fatigue - develop. delays - edema
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Growth spurt

22. S/SX of Hirschsprungs
Length board standiometer
# of stools per day - goal=2-3 stools per day
lethargy - irritability - decrease feedings - fever - seizures
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

23. Teaching for Mononucleosis
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Dental procedures - gum disease and urinary tract infections
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

24. Complications related to varicella
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Phototherapy - exchange transfusion
double birth weight
Bacteria enter the blood stream from a site of localized infection and grows in the heart

25. Nursing interventions for hemophilia
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
trunk
used for prolonged sz's
No - it can only be controlled

26. Characteristics of the RBC's in sickle cell

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27. Causes of Bronchopulmonary Dysplasia
Repeated involuntary urination in a child who should already by toilet trained at night
passage of abdominal contents to the esophagus
Mechanical Ventalation - high inhaled o2 concentration
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

28. BMI-@ risk for overweight
85-95%
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
< 5%
maternal nutrition and genetics

29. What should be used for feeding a child during the post operative period following cleft palate surgery?
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Phototherapy - exchange transfusion
6 months

30. What is epiglottitis?
Low fiber - high calorie and protein
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
used for prolonged sz's
1-6 months

31. Steatorrhea
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
Excessive stool fat
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

32. Diagnose Reye's Syndrome
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
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
Liver Biopsy
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

33. Assess the cause of enuresis
complete physical and psychosocial assessment to rule out underlying disorders
none
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
gum hypertrophy

34. What interventions prevent urinary tract infections?
A typical lymphocytosis - mono-spot - EBV serology
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

35. Nursing care for Cystic Fibrosis
GERD is the complications and symptoms that happen because of GER
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
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
measures the largest velocity which occurs during a forced exhale

36. When does the surgery to correct hypospadias usually occur?
2 years
Between 6-12 months
chest x-ray following a Positive PPD skin test
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping

37. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
from head to toe
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
# of stools per day - goal=2-3 stools per day
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

38. Treatment of Kawasaki disease
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
gum hypertrophy
They are people - need a balance of limits and independence
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

39. Test to evaluate a Seizure disorder
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
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
trunk
Family history - EEG - CBC - LP and MRI

40. Assessment of a patient with suspected epiglottitis
13 years
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
inflammation and hypersensitivity to triggers

41. treatment of hemolytic disease of the newborn
Phototherapy - exchange transfusion
inflammation located in the middle ear
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

42. Precaustions needed for pt's with varicella
Regular diet with low sodium an no added salt
Airborne and contact
Contact isolation - gown - gloves and handwashing
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

43. What is used to diagnose pyloric stenosis?
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Sterile-caused by blockage of thick mucous at the vas deferens
Abdominal ultrasound - Upper GI
Phototherapy - exchange transfusion

44. Pathophysiology of a fever and infection with sickle cell disease
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
double birth weight
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

45. Lead screening should begin. at ..
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
larger
9 months
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

46. Asthma
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

47. What occurs in a subacute baterial endocarditis?
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
drooling
Bacteria enter the blood stream from a site of localized infection and grows in the heart

48. Teaching for Croup
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Phototherapy - exchange transfusion
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
36 months

49. What should a child's wt be at 1 yr compared to birth weight?
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
birth-36 months
Triple
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

50. Asthma inhaler - what can be done to decrease risk of thrush
Mid puberty
Rinse mouth and brush teeth
Salicylates
Family history - EEG - CBC - LP and MRI