Test your basic knowledge |

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. Define Magical thinking

2. Where does the adolescent experience rapid growth?
trunk - gonads and associative tissue
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Time and discription of seizure
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

3. Etiology of GERD
Sterile-caused by blockage of thick mucous at the vas deferens
Vaso-occulisive crisis - infection and sepsis
Rinse mouth and brush teeth
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

4. Equipment used to measure a 24 to 36 month old height
Length board standiometer
A narrowing within the Aorta resulting in collateral circulation
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

5. Side effects of benzodiazepines
Give freedom and choices - save battles for the important things
drooling
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
hearing loss - scarring - mastoiditis - meningitis

6. Asthma inhaler - what can be done to decrease risk of thrush
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
>95%
Length board standiometer

7. Age group the limbs grow the fastest
Day 3 of life
School age
Viral---Varicella or influenza
Swelling or obstruction of the Larynx

8. What are development considerations for hemophilia?
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

9. Treatment and nursing care for pertussis
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Airborne and contact
Mechanical Ventalation - high inhaled o2 concentration
3 years

10. Cephalocaudal
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
double birth weight
from head to toe
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

11. Signs and Symptoms of Celiac Disease
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
crowded living conditions - homeless and low income

12. During an abdominal assessment when should auscultation occur
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Foreskin is used during the surgical repair
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

13. What is the rate of growth each year from 3 yrs until puberty?
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
2.5 inches
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

14. Prevention of bronchiolitis spreading
Barium enema
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Contact isolation - gown - gloves and handwashing

15. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
# of stools per day - goal=2-3 stools per day
9 months

16. What can promote dryness in a child with enuresis?
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
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Swelling of the airways - mucous production - bronchospasms

17. Another name for Hemolytic Disease of the Newborn
0-24 months
Mechanical Ventalation - high inhaled o2 concentration
Regular diet with low sodium an no added salt
Erythroblastosis Fetalis

18. What Component of Aspirin cause's Reye's Syndrome?
1-6 months
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
inflammation and hypersensitivity to triggers
Salicylates

19. Treatment of Kawasaki disease
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Airborne and contact
Previous history of life threatening reaction - Mod-severe illness w/wo fever

20. When does the surgery to correct hypospadias usually occur?
Between 6-12 months
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
prevention - po antibiotics should be given before and after an invasive procedure
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

21. What should be observed in a case of a seizure?
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
36 months
Time and discription of seizure
chest x-ray following a Positive PPD skin test

22. At what age is a length board required?
0-24 months
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Length board standiometer

23. Signs and symptoms of Reye's Syndrome
12-24 days
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
birth-36 months

24. first tooth
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
6 months

25. Diet for Hirschsprung's prior to corrction and treatment
Time and discription of seizure
Adequate O2 adequatte hydration
0-24 months
Low fiber - high calorie and protein

26. Treatment of Meningitis

27. Age range that is appropriate to use a length chart
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
passage of abdominal contents to the esophagus
birth-36 months
Urethral opening is positioned below the glans penis

28. Linear growth event happens in Adolescents
Growth spurt
Swelling or obstruction of the Larynx
Length Chart
Brain damage - hearing loss and learning disabilities

29. Post Op treatment of a VP shunt
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
1-6 months
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Adequate O2 adequatte hydration

30. What are the side effects of depakote?
fever and infection
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Hepatoxicity - pancreatitis
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

31. What is used to diagnose pyloric stenosis?
E. Coli
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Abdominal ultrasound - Upper GI

32. Signs and Symptoms that indicate and adverse reaction to a vaccine
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

33. Asthma
MVA - bike accidents and falls
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
fecal soiling
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

34. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
lethargy - irritability - decrease feedings - fever - seizures
head
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
gum hypertrophy

35. BMI- overweight
>95%
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Excessive stool fat
85-95%

36. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Length Chart
2 years
larger

37. Neonatal Jaundice
crowded living conditions - homeless and low income
double birth weight
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

38. Diagnose Reye's Syndrome
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Airborne and contact
Liver Biopsy
Dust - mold - animal dander - viral infections

39. Normal presentation of cystic fibrosis
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Growth spurt
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

40. Predisposing factors to subacute bacterial endocarditis
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
none
Dental procedures - gum disease and urinary tract infections
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

41. Main cause of urinary tract infections
A narrowing within the Aorta resulting in collateral circulation
prevention - po antibiotics should be given before and after an invasive procedure
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
E. Coli

42. Signs and Symptoms of intussusception
Family history - EEG - CBC - LP and MRI
Enteropathy caused by an insensitivity to the gluten found in wheat
5ml/dl
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

43. treatment of intussusception
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
2 years
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
larger

44. What interventions prevent urinary tract infections?
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
trunk - gonads and associative tissue
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

45. Teaching for RSV
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Foreskin is used during the surgical repair

46. Signs of heart failure
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
poor feeding - wt loss - fatigue - develop. delays - edema

47. Head circumference should be assessed until what age
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
birth-36 months
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

48. Hourly maintenance Fluid Requirements
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
birth-36 months
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Phototherapy - exchange transfusion

49. GER (gastroesophageal reflux)
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
passage of abdominal contents to the esophagus
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Between 6-12 months

50. Sequence of resp distress
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Equal to
Abdominal ultrasound - Upper GI
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure