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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. What confirms a positive TB infection?
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
poor feeding - wt loss - fatigue - develop. delays - edema
chest x-ray following a Positive PPD skin test
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

2. What occurs in a subacute baterial endocarditis?
trunk
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Bacteria enter the blood stream from a site of localized infection and grows in the heart
13 years

3. What is physiologic Jaundice?
MVA - bike accidents and falls
Enteropathy caused by an insensitivity to the gluten found in wheat
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
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

4. Teaching for Mononucleosis
prevention - po antibiotics should be given before and after an invasive procedure
Successful management is based on early diagnosis and aggressive therapy
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
12-24 days

5. Equipment used to measure a 24 to 36 month old height
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Dental procedures - gum disease and urinary tract infections
Length board standiometer
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

6. Etiology of GERD
Maternal infection - premature rupture of membranes
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Length Chart
12 years

7. Lead screening should begin. at ..
Day 3 of life
Growth spurt
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
9 months

8. Diet for a child with glumerlonephritis
chest x-ray following a Positive PPD skin test
Regular diet with low sodium an no added salt
Phototherapy - exchange transfusion
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

9. At 6-24 months - head circumference is what size in relationship to chest circumference
Rinse mouth and brush teeth
Equal to
maternal nutrition and genetics
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

10. 3 main causes of Bacterial meningitis in children
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

11. Celiac Disease
Enteropathy caused by an insensitivity to the gluten found in wheat
parainfluenza - RSV - Influenza A&B - M. pneumonia
high protien and calorie - multivitamins - extra enzymes for high fat food
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

12. Temp of home water heater to avoid burns
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Hepatoxicity - pancreatitis
Less than 120 f.
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

13. Kawasaki Disease
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
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
Group B Streptococcus
Successful management is based on early diagnosis and aggressive therapy

14. Complications of meningitis
Brain damage - hearing loss and learning disabilities
< 1
5 inches
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

15. What can promote dryness in a child with enuresis?
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
prevention - po antibiotics should be given before and after an invasive procedure
crowded living conditions - homeless and low income

16. Post Op treatment of a VP shunt
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Adequate O2 adequatte hydration

17. During an abdominal assessment when should auscultation occur
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Swelling or obstruction of the Larynx

18. Head circumference should be assessed until what age
BMI chart
crowded living conditions - homeless and low income
3 years
Successful management is based on early diagnosis and aggressive therapy

19. Common Asthma irritants
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
prevention - po antibiotics should be given before and after an invasive procedure
Dust - mold - animal dander - viral infections

20. Treatment and nursing care for pertussis
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Penicillin Prophylaxis (BID)
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Give freedom and choices - save battles for the important things

21. Two examples of benzodiazepines
Less than 120 f.
Bacteria enter the blood stream from a site of localized infection and grows in the heart
diazepam - lorazapam
Day 3 of life

22. 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
up to 14 days
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Length board standiometer

23. Causes of Bronchopulmonary Dysplasia
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Mechanical Ventalation - high inhaled o2 concentration
used for prolonged sz's

24. What is broncho-pulmonary dysplasia?
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Small bowel biopsy
Rinse mouth and brush teeth
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

25. Puberty for boys
12 years
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

26. Assess the cause of enuresis
Less than 120 f.
complete physical and psychosocial assessment to rule out underlying disorders
fecal soiling
fever and infection

27. Nursing care for Kawasaki Disease
high protien and calorie - multivitamins - extra enzymes for high fat food
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

28. Term infant --Bilirubin peaks at what day of life
Contact isolation - gown - gloves and handwashing
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Day 3 of life
13 years

29. Pathophysiology of Acute Asthma
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Swelling of the airways - mucous production - bronchospasms
4 years

30. Average age of breast development
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
10 years
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

31. Predisposing factors to subacute bacterial endocarditis
Small bowel biopsy
Dental procedures - gum disease and urinary tract infections
12-24 days
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

32. Treatment for mononucleosis
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
used for prolonged sz's
none
chest x-ray following a Positive PPD skin test

33. S/SX of Hirschsprungs
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
5ml/dl

34. What are the four main causes of viral croup?
< 1
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
6 months
parainfluenza - RSV - Influenza A&B - M. pneumonia

35. Part of the body that grows the fastest in the toddler-preschool age
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
trunk
>95%

36. Encoperesis
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Adequate O2 adequatte hydration
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
fecal soiling

37. Growth spurt for adolescent boys
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Mid puberty
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
6 months

38. Screening for overweight or underweight child on chart
BMI chart
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Bacteria enter the blood stream from a site of localized infection and grows in the heart

39. Signs and symptoms of neonatal meningitis
Maternal infection - premature rupture of membranes
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

40. Pathophysiology of a fever and infection with sickle cell disease
<25 yrs old
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
GERD is the complications and symptoms that happen because of GER
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

41. What should be observed in a case of a seizure?
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Time and discription of seizure
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

42. How is Celiac Disease diagnosed?
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Small bowel biopsy
trunk - gonads and associative tissue

43. Basic defect in coarctation of the aorta
gum hypertrophy
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
complete physical and psychosocial assessment to rule out underlying disorders
A narrowing within the Aorta resulting in collateral circulation

44. Signs and symptoms of varicella Prodromal
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
complete physical and psychosocial assessment to rule out underlying disorders
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Urethral opening is positioned below the glans penis

45. Viral Croup
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Swelling or obstruction of the Larynx
maternal nutrition and genetics

46. Treatment of Meningitis

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47. Clinical signs of infection wilth sickle cell disease
Regular diet with low sodium an no added salt
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

48. Complications of acute otitis media
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
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
hearing loss - scarring - mastoiditis - meningitis
An Acute inflamation of the meninges and CSF often caused by Enterovirus

49. treatment of hemolytic disease of the newborn
Between 6-12 months
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
4 years
Phototherapy - exchange transfusion

50. What should be done to minimize the risks of Sudden infant death syndrome?
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
A typical lymphocytosis - mono-spot - EBV serology
1-6 months
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration