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Certified Pediatric Nurse Exam

Subjects : certifications, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. Signs and Symptoms that indicate and adverse reaction to a vaccine
Regular diet with low sodium an no added salt
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Sterile-caused by blockage of thick mucous at the vas deferens

2. treatment of intussusception
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Adequate O2 adequatte hydration
Previous history of life threatening reaction - Mod-severe illness w/wo fever
12-24 days

3. Lead screening should begin. at ..
9 months
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
fecal soiling
Barium enema

4. Diet for a child with glumerlonephritis
Regular diet with low sodium an no added salt
Barium enema
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Equal to

5. Signs and Symptoms of Celiac Disease
Successful management is based on early diagnosis and aggressive therapy
2.5 inches
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

6. GER (gastroesophageal reflux)
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
85-95%
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
passage of abdominal contents to the esophagus

7. Clinicla manifestations of sickle cell disease
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
complete physical and psychosocial assessment to rule out underlying disorders
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Vaso-occulisive crisis - infection and sepsis

8. Cephalocaudal
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
from head to toe
up to 14 days

9. Side effects of benzodiazepines
drooling
fever and infection
< 5%
10 years

10. How is mononucleosis diagnosed
# of stools per day - goal=2-3 stools per day
A typical lymphocytosis - mono-spot - EBV serology
Phototherapy - exchange transfusion
O2 status of blood - acid-base balance

11. Treatment for mononucleosis
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Mid puberty
none
Small bowel biopsy

12. Hypospadias
maternal nutrition and genetics
Urethral opening is positioned below the glans penis
fecal soiling
Excessive stool fat

13. Leading cause of head injury
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
MVA - bike accidents and falls
crowded living conditions - homeless and low income
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping

14. Main cause of urinary tract infections
Barium enema
Mechanical Ventalation - high inhaled o2 concentration
E. Coli
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

15. Pertussis?
2 years
>95%
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
13 years

16. Sickle Cell Disease
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
diazepam - lorazapam
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

17. What are major risk factors for neonatal meningitis?
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Maternal infection - premature rupture of membranes
Phototherapy - exchange transfusion
E. Coli

18. Nursing interventions for hemophilia
Regular diet with low sodium an no added salt
Kawasaki disease - w/o treatment 25% will have permanent heart damage
measures the largest velocity which occurs during a forced exhale
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

19. Leading cause of bacterial meningitis in Neonates
Penicillin Prophylaxis (BID)
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Group B Streptococcus

20. Hirschsprung's Disease
Mid puberty
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Contact isolation - gown - gloves and handwashing
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

21. What occurs in a subacute baterial endocarditis?
A narrowing within the Aorta resulting in collateral circulation
Bacteria enter the blood stream from a site of localized infection and grows in the heart
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
double birth weight

22. What has the HIB vaccine been successful in reducing?
high protien and calorie - multivitamins - extra enzymes for high fat food
O2 status of blood - acid-base balance
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

23. What is an acute otitis media?
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
parainfluenza - RSV - Influenza A&B - M. pneumonia
inflammation located in the middle ear
Contact isolation - gown - gloves and handwashing

24. Risk factors of tuberculosis
crowded living conditions - homeless and low income
Family history - EEG - CBC - LP and MRI
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
5 inches

25. What promotes unsickling of RBC's?
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
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 in myocardial contractility - cause congestion of the circulatory system. the heart is unable to pump adequate amounts of bld to meet the bodys needs
Adequate O2 adequatte hydration

26. What is the treatment for epiglottitis?
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

27. Rheumatic Fever
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
No - it can only be controlled
12 years
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

28. Equipment used to measure a 24 to 36 month old height
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Length board standiometer
Airborne and contact

29. Treatment of a bleed in hemophilia
5ml/dl
O2 status of blood - acid-base balance
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

30. Common Asthma irritants
12-24 days
drooling
Dust - mold - animal dander - viral infections
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

31. What is used to diagnose pyloric stenosis?
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Family history - EEG - CBC - LP and MRI
Abdominal ultrasound - Upper GI
crowded living conditions - homeless and low income

32. What is epiglottitis?
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
13 years
Give freedom and choices - save battles for the important things
diazepam - lorazapam

33. Nursing care of the infant with pyloric stenosis
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
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
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
0-24 months

34. Predisposing factors to subacute bacterial endocarditis
larger
Dental procedures - gum disease and urinary tract infections
Abdominal ultrasound - Upper GI
Enteropathy caused by an insensitivity to the gluten found in wheat

35. Growth spurt for adolescent boys
Mid puberty
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
9 months
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

36. Sequence of resp distress
12 years
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

37. difference btwn GER and GERD
No - it can only be controlled
GERD is the complications and symptoms that happen because of GER
larger
Mechanical Ventalation - high inhaled o2 concentration

38. How does pertussis present?
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
9 months
They are people - need a balance of limits and independence

39. At what age is a length board required?
Mechanical Ventalation - high inhaled o2 concentration
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
0-24 months
Mid puberty

40. first tooth
12-24 days
6 months
Successful management is based on early diagnosis and aggressive therapy
larger

41. Normal Bilirubin
< 1
hearing loss - scarring - mastoiditis - meningitis
Length Chart
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

42. Treatment for sickle cell disease
< 5%
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
2 snacks
trunk

43. Signs and symptoms of neonatal meningitis
Between 6-12 months
85-95%
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
0-24 months

44. 2 factors that determine birth weight
Viral---Varicella or influenza
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Growth spurt
maternal nutrition and genetics

45. What is Pyloric stenosis?
hearing loss - scarring - mastoiditis - meningitis
Between 6-12 months
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

46. Teaching for RSV
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
10 inches
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Successful management is based on early diagnosis and aggressive therapy

47. Define Proximodistal
larger
prevention - po antibiotics should be given before and after an invasive procedure
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
from trunk to extremities

48. Define Magical thinking

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49. Asthma inhaler - what can be done to decrease risk of thrush
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Rinse mouth and brush teeth
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
5 inches

50. Varicella communicable
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
none
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
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

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Certified Pediatric Nurse Exam

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