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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. Another name for Hemolytic Disease of the Newborn
larger
Erythroblastosis Fetalis
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

2. Pathophysiology of cystic fibrosis
Erythroblastosis Fetalis
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
from trunk to extremities

3. Average age of breast development
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
GERD is the complications and symptoms that happen because of GER
Mid puberty
10 years

4. Celiac Disease
Enteropathy caused by an insensitivity to the gluten found in wheat
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

5. Nursing care of the infant with pyloric stenosis
Brain damage - hearing loss and learning disabilities
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
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
3 years

6. Sequence of resp distress
2 snacks
Contact isolation - gown - gloves and handwashing
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
trunk

7. Age of children at half their adult height
They are people - need a balance of limits and independence
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Regular diet with low sodium an no added salt
2 years

8. What confirms a positive TB infection?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
chest x-ray following a Positive PPD skin test
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
2 snacks

9. What is heart failure?
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
Growth spurt
Enteropathy caused by an insensitivity to the gluten found in wheat
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

10. GER (gastroesophageal reflux)
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
passage of abdominal contents to the esophagus
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

11. Test to evaluate a Seizure disorder
Penicillin Prophylaxis (BID)
Family history - EEG - CBC - LP and MRI
Successful management is based on early diagnosis and aggressive therapy
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

12. Treatment of Kawasaki disease
inflammation located in the middle ear
Dust - mold - animal dander - viral infections
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

13. Basic defect in coarctation of the aorta
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
A narrowing within the Aorta resulting in collateral circulation
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

14. Treatment and nursing care for pertussis
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
birth-36 months
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

15. Key nursing intervention for subacute bacterial endocarditis
3 years
prevention - po antibiotics should be given before and after an invasive procedure
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

16. Etiology of GERD
Family history - EEG - CBC - LP and MRI
Time and discription of seizure
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
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

17. Treatment of a bleed in hemophilia
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
prevention - po antibiotics should be given before and after an invasive procedure

18. Define Proximodistal
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
They are people - need a balance of limits and independence
Between 6-12 months
from trunk to extremities

19. Treatment of celiac disease
A narrowing within the Aorta resulting in collateral circulation
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
12-24 days
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

20. Cause of bronchiolitis
from trunk to extremities
hearing loss - scarring - mastoiditis - meningitis
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
0-24 months

21. Clinicla manifestations of sickle cell disease
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Vaso-occulisive crisis - infection and sepsis
Bacteria enter the blood stream from a site of localized infection and grows in the heart

22. Average age of menarche
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
13 years
An Acute inflamation of the meninges and CSF often caused by Enterovirus
They are people - need a balance of limits and independence

23. Signs of heart failure
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Maternal infection - premature rupture of membranes
gum hypertrophy
poor feeding - wt loss - fatigue - develop. delays - edema

24. S/sx of GERD
2 years
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Length board standiometer

25. Complications of meningitis
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
Airborne and contact
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Brain damage - hearing loss and learning disabilities

26. Peak flow meter
drooling
12 years
measures the largest velocity which occurs during a forced exhale
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

27. Side effects of dilatin hirsuitism (body hair)
Regular diet with low sodium an no added salt
gum hypertrophy
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Swelling or obstruction of the Larynx

28. Diet for CF patients
Penicillin Prophylaxis (BID)
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
lethargy - irritability - decrease feedings - fever - seizures
high protien and calorie - multivitamins - extra enzymes for high fat food

29. S/SX of Hirschsprungs
fecal soiling
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

30. What is the treatment for epiglottitis?
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
< 5%
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
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

31. 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
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
2.5 inches
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

32. Signs and Symptoms of Hemolytic Disease of the newborn
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
up to 14 days
Day 3 of life

33. Pathophysiology of Acute Asthma
Between 6-12 months
Swelling of the airways - mucous production - bronchospasms
# of stools per day - goal=2-3 stools per day
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

34. Risk factors of tuberculosis
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
crowded living conditions - homeless and low income
trunk - gonads and associative tissue
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

35. Females reproductive issues for CF patients
Dust - mold - animal dander - viral infections
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Brain damage - hearing loss and learning disabilities

36. What is enuresis?
larger
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Repeated involuntary urination in a child who should already by toilet trained at night
Foreskin is used during the surgical repair

37. Normal presentation of cystic fibrosis
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
13 years
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

38. BMI- overweight
Erythroblastosis Fetalis
up to 14 days
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
>95%

39. Cephalocaudal
Excessive stool fat
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Length board standiometer
from head to toe

40. What is physiologic Jaundice?
Salicylates
Small bowel biopsy
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
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

41. Characteristics of the RBC's in sickle cell

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42. Bronchiolitis
Dust - mold - animal dander - viral infections
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
Give freedom and choices - save battles for the important things
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

43. Most cases of Reye's Syndrome follows what type of illness?
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Barium enema
Viral---Varicella or influenza

44. Complications of acute otitis media
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
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
hearing loss - scarring - mastoiditis - meningitis
Maternal infection - premature rupture of membranes

45. Part of the body that grows the fastest in the toddler-preschool age
birth-36 months
trunk
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
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

46. Diet for Hirschsprung's prior to corrction and treatment
13 years
Low fiber - high calorie and protein
9 months
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

47. Hourly maintenance Fluid Requirements
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Equal to

48. What is broncho-pulmonary dysplasia?
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
trunk
complete physical and psychosocial assessment to rule out underlying disorders

49. Treatment for mononucleosis
Length Chart
none
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

50. How many days after birth do bilirubin levels return to normal limits?
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
12-24 days
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas