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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 range that is appropriate to use a length chart
Phototherapy - exchange transfusion
measures the largest velocity which occurs during a forced exhale
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
birth-36 months

2. Assess the cause of enuresis
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
9 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
complete physical and psychosocial assessment to rule out underlying disorders

3. Average age of menarche
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
13 years
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

4. What is used to diagnose pyloric stenosis?
Abdominal ultrasound - Upper GI
Give freedom and choices - save battles for the important things
Successful management is based on early diagnosis and aggressive therapy
poor feeding - wt loss - fatigue - develop. delays - edema

5. Peak flow meter
up to 14 days
measures the largest velocity which occurs during a forced exhale
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
20 inches

6. What interventions prevent urinary tract infections?
Regular diet with low sodium an no added salt
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Length board standiometer
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

7. Pathophysiology of intussusception

8. Signs and Symptoms of mononucleosis
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
double birth weight
12-24 days
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

9. Post Op treatment of a VP shunt
Low fiber - high calorie and protein
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
85-95%
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

10. Side effects of dilatin hirsuitism (body hair)
Dental procedures - gum disease and urinary tract infections
gum hypertrophy
Penicillin Prophylaxis (BID)
diazepam - lorazapam

11. Head circumference should be assessed until what age
2.5 inches
3 years
Sterile-caused by blockage of thick mucous at the vas deferens
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

12. What is the treatment for epiglottitis?
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
from trunk to extremities
Low fiber - high calorie and protein

13. Teaching for RSV
complete physical and psychosocial assessment to rule out underlying disorders
larger
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

14. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Low fiber - high calorie and protein
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

15. How is Celiac Disease diagnosed?
Vaso-occulisive crisis - infection and sepsis
Small bowel biopsy
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

16. Contraindications to all vaccines
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Penicillin Prophylaxis (BID)

17. Sickle Cell Disease
1-6 months
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
inflammation located in the middle ear
Abdominal ultrasound - Upper GI

18. When does the surgery to correct hypospadias usually occur?
Swelling of the airways - mucous production - bronchospasms
Day 3 of life
Between 6-12 months
head

19. Causes of Bronchopulmonary Dysplasia
Erythroblastosis Fetalis
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Mechanical Ventalation - high inhaled o2 concentration
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

20. Risk factors of tuberculosis
gum hypertrophy
Equal to
crowded living conditions - homeless and low income
poor feeding - wt loss - fatigue - develop. delays - edema

21. signs and symptoms of meningitis in older children
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Milk - Ice cream - Malts - Grains
Excessive stool fat
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

22. 2 factors that determine birth weight
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Rinse mouth and brush teeth
maternal nutrition and genetics
crowded living conditions - homeless and low income

23. What is Hemolytic Disease of the Newborn
Brain damage - hearing loss and learning disabilities
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
GERD is the complications and symptoms that happen because of GER
Between 6-12 months

24. Can Asthma be cured?
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
No - it can only be controlled
5ml/dl
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

25. What has the HIB vaccine been successful in reducing?
Day 3 of life
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

26. Average rate of growth for the 1st year
Less than 120 f.
10 inches
Barium enema
Triple

27. Nursing care for Kawasaki Disease
Family history - EEG - CBC - LP and MRI
MVA - bike accidents and falls
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Successful management is based on early diagnosis and aggressive therapy

28. Diet for Hirschsprung's prior to corrction and treatment
up to 14 days
No - it can only be controlled
Low fiber - high calorie and protein
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

29. Complications of acute otitis media
hearing loss - scarring - mastoiditis - meningitis
Excessive stool fat
10 inches
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

30. Treatment of Kawasaki disease
Length Chart
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
School age
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

31. Two examples of benzodiazepines
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 abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
diazepam - lorazapam

32. What foods are prohibited for a person with Celiac Disease?
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Milk - Ice cream - Malts - Grains
larger
inflammation located in the middle ear

33. Another name for Hemolytic Disease of the Newborn
Erythroblastosis Fetalis
larger
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
GERD is the complications and symptoms that happen because of GER

34. How is mononucleosis diagnosed
<25 yrs old
9 months
A typical lymphocytosis - mono-spot - EBV serology
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

35. Pathophysiology of celiac disease
13 years
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

36. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
10 years
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
>95%
Length Chart

37. 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
Hepatoxicity - pancreatitis
Sterile-caused by blockage of thick mucous at the vas deferens
larger

38. Basic defect in coarctation of the aorta
head
13 years
double birth weight
A narrowing within the Aorta resulting in collateral circulation

39. What is heart failure?
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
passage of abdominal contents to the esophagus
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
Group B Streptococcus

40. Leading cause of acquired heart disease in children
Kawasaki disease - w/o treatment 25% will have permanent heart damage
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Group B Streptococcus

41. What Pharmalogical measures can be used to treat GERD?
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
3 years
Dust - mold - animal dander - viral infections
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

42. Treatment of Meningitis

43. treatment of hemolytic disease of the newborn
Phototherapy - exchange transfusion
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
A narrowing within the Aorta resulting in collateral circulation
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

44. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
lethargy - irritability - decrease feedings - fever - seizures
fever and infection
Liver Biopsy
Hepatoxicity - pancreatitis

45. 2 key factors to consider when caring for a preschooler
Sterile-caused by blockage of thick mucous at the vas deferens
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
trunk
They are people - need a balance of limits and independence

46. Teaching for Mononucleosis
Viral---Varicella or influenza
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
6 months
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

47. Incubation period for TB
1-6 months
3 years
Length board standiometer
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

48. What is Pyloric stenosis?
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
high protien and calorie - multivitamins - extra enzymes for high fat food
Less than 120 f.
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

49. What are the side effects of depakote?
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Hepatoxicity - pancreatitis
Family history - EEG - CBC - LP and MRI
Enteropathy caused by an insensitivity to the gluten found in wheat

50. 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
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
BMI chart
used for prolonged sz's