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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. Age group affected by mononucleosis
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
<25 yrs old
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
birth-36 months

2. Diastat rectal diazepam gel

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3. Signs and Symptoms of Asthma
Liver Biopsy
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
chest x-ray following a Positive PPD skin test

4. Males Reproductive issues for CF patients
gum hypertrophy
No - it can only be controlled
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Sterile-caused by blockage of thick mucous at the vas deferens

5. Common Asthma irritants
Dust - mold - animal dander - viral infections
Vaso-occulisive crisis - infection and sepsis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

6. treatment of hemolytic disease of the newborn
Phototherapy - exchange transfusion
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
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Time and discription of seizure

7. What is epiglottitis?
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Dental procedures - gum disease and urinary tract infections
10 years
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

8. Temp of home water heater to avoid burns
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
drooling
Less than 120 f.
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

9. At 6-24 months - head circumference is what size in relationship to chest circumference
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
from head to toe
Equal to
Low fiber - high calorie and protein

10. first tooth
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
birth-36 months
6 months
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

11. What occurs in a subacute baterial endocarditis?
No - it can only be controlled
Bacteria enter the blood stream from a site of localized infection and grows in the heart
9 months
< 1

12. treatment of intussusception
crowded living conditions - homeless and low income
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Regular diet with low sodium an no added salt

13. What is Hemolytic Disease of the Newborn
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
Swelling of the airways - mucous production - bronchospasms
<25 yrs old
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

14. What level does the bilirubin need to be at in order for jaundice to occur?
Milk - Ice cream - Malts - Grains
2 years
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
5ml/dl

15. What should a child's wt be at 1 yr compared to birth weight?
Triple
A typical lymphocytosis - mono-spot - EBV serology
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Mid puberty

16. Basic defect in coarctation of the aorta
crowded living conditions - homeless and low income
A narrowing within the Aorta resulting in collateral circulation
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
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

17. Celiac Disease
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Enteropathy caused by an insensitivity to the gluten found in wheat
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
passage of abdominal contents to the esophagus

18. Contraindications to all vaccines
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
larger
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

19. Varicella communicable
Successful management is based on early diagnosis and aggressive therapy
crowded living conditions - homeless and low income
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

20. Key nursing intervention for subacute bacterial endocarditis
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Salicylates
Small bowel biopsy
prevention - po antibiotics should be given before and after an invasive procedure

21. Lead screening should begin. at ..
Low fiber - high calorie and protein
9 months
parainfluenza - RSV - Influenza A&B - M. pneumonia
Salicylates

22. What Component of Aspirin cause's Reye's Syndrome?
Length Chart
Salicylates
O2 status of blood - acid-base balance
Repeated involuntary urination in a child who should already by toilet trained at night

23. Signs and Symptoms of mononucleosis
Vaso-occulisive crisis - infection and sepsis
inflammation located in the middle ear
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

24. Pathophysiology related to Head Trauma
chest x-ray following a Positive PPD skin test
0-24 months
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
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

25. Signs and symptoms of neonatal meningitis
diazepam - lorazapam
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Swelling of the airways - mucous production - bronchospasms
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

26. Viral Meningitis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
drooling
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

27. Leading cause of head injury
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
9 months
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
MVA - bike accidents and falls

28. What confirms a positive TB infection?
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Growth spurt
chest x-ray following a Positive PPD skin test
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

29. Pathophysiology of intussusception

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30. Bilirubin encephalopathy
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Contact isolation - gown - gloves and handwashing
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Swelling or obstruction of the Larynx

31. Test to evaluate a Seizure disorder
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Family history - EEG - CBC - LP and MRI

32. Signs of heart failure
A narrowing within the Aorta resulting in collateral circulation
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
poor feeding - wt loss - fatigue - develop. delays - edema
GERD is the complications and symptoms that happen because of GER

33. During an abdominal assessment when should auscultation occur
Triple
Swelling of the airways - mucous production - bronchospasms
fecal soiling
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

34. Assessment of a patient with suspected epiglottitis
Dust - mold - animal dander - viral infections
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Successful management is based on early diagnosis and aggressive therapy
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

35. Teaching for RSV
Group B Streptococcus
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Abdominal ultrasound - Upper GI
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

36. BMI - underweight
< 5%
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Milk - Ice cream - Malts - Grains
85-95%

37. What is used to diagnose GER?
trunk - gonads and associative tissue
GERD is the complications and symptoms that happen because of GER
Mechanical Ventalation - high inhaled o2 concentration
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

38. BMI-@ risk for overweight
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
85-95%
Liver Biopsy
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

39. Signs and Symptoms of Celiac Disease
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Barium enema
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
20 inches

40. Signs and Symptoms that indicate and adverse reaction to a vaccine
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Low fiber - high calorie and protein

41. Nursing care of patient with Meningitis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
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
Family history - EEG - CBC - LP and MRI
13 years

42. Bronchiolitis
12-24 days
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

43. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
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 - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Mechanical Ventalation - high inhaled o2 concentration

44. Part of the body that grows the fastest in the toddler-preschool age
trunk
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

45. Screening for overweight or underweight child on chart
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Rinse mouth and brush teeth
BMI chart

46. Complications of meningitis
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Brain damage - hearing loss and learning disabilities
0-24 months
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

47. Most cases of Reye's Syndrome follows what type of illness?
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Viral---Varicella or influenza
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
Erythroblastosis Fetalis

48. Equipment used to measure a 24 to 36 month old height
Length board standiometer
maternal nutrition and genetics
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

49. Diet for Hirschsprung's prior to corrction and treatment
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Low fiber - high calorie and protein
School age
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

50. Incubation period for TB
No - it can only be controlled
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
1-6 months