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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 should be observed in a case of a seizure?
Time and discription of seizure
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
Length board standiometer

2. Hourly maintenance Fluid Requirements
Group B Streptococcus
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

3. Teaching for Croup
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
MVA - bike accidents and falls
< 1

4. What are the S/SX of bleeds in hemophilia?
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Contact isolation - gown - gloves and handwashing
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

5. Treatment of Meningitis

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6. Pathophysiology of Acute Asthma
Swelling of the airways - mucous production - bronchospasms
13 years
Phototherapy - exchange transfusion
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

7. What should a child's wt be at 1 yr compared to birth weight?
Kawasaki disease - w/o treatment 25% will have permanent heart damage
2 snacks
Triple
chest x-ray following a Positive PPD skin test

8. Signs and Symptoms of Asthma
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

9. Diet for Hirschsprung's prior to corrction and treatment
Low fiber - high calorie and protein
Phototherapy - exchange transfusion
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

10. Characteristics of the RBC's in sickle cell

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11. Treatment and nursing care for pertussis
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Enteropathy caused by an insensitivity to the gluten found in wheat
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

12. BMI-@ risk for overweight
85-95%
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Phototherapy - exchange transfusion
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

13. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
0-24 months
measures the largest velocity which occurs during a forced exhale
Length Chart
6 months

14. Treatment for Hirschsprungs
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
none
No - it can only be controlled

15. Normal presentation of cystic fibrosis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Length board standiometer
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
0-24 months

16. Age group affected by mononucleosis
GERD is the complications and symptoms that happen because of GER
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
<25 yrs old

17. What are development considerations for hemophilia?
complete physical and psychosocial assessment to rule out underlying disorders
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

18. Temp of home water heater to avoid burns
>95%
Less than 120 f.
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

19. Nursing interventions for hemophilia
13 years
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
high protien and calorie - multivitamins - extra enzymes for high fat food

20. Bilirubin encephalopathy
from trunk to extremities
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
9 months
measures the largest velocity which occurs during a forced exhale

21. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Milk - Ice cream - Malts - Grains
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

22. Normal Bilirubin
Dust - mold - animal dander - viral infections
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
< 1
< 5%

23. Sickle Cell Disease
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
double birth weight
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Abdominal ultrasound - Upper GI

24. Average age of breast development
from head to toe
passage of abdominal contents to the esophagus
fever and infection
10 years

25. Considerations should be taken when treating a child with cystic fibrosis who has a ___________ tx promptly since bacterial colonization increases destruction of lung tissue----prevention is key
Urethral opening is positioned below the glans penis
fever and infection
Abdominal ultrasound - Upper GI
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

26. At 6-24 months - head circumference is what size in relationship to chest circumference
Equal to
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
# of stools per day - goal=2-3 stools per day

27. What is used to diagnose GER?
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

28. During an abdominal assessment when should auscultation occur
Dental procedures - gum disease and urinary tract infections
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

29. Signs of increased ICP
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
head
fecal soiling

30. Average age of menarche
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
13 years
crowded living conditions - homeless and low income

31. What should be done to minimize the risks of Sudden infant death syndrome?
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Family history - EEG - CBC - LP and MRI
measures the largest velocity which occurs during a forced exhale

32. Steatorrhea
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Equal to
Excessive stool fat
12 years

33. Treatment of Kawasaki disease
2.5 inches
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

34. Childs weight at 6 months compared to birth weight
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
double birth weight

35. Two important assessment rules related to coarctation of the aorta?
fecal soiling
13 years
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

36. Nursing care for Kawasaki Disease
Dental procedures - gum disease and urinary tract infections
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
2 years
Less than 120 f.

37. Linear growth event happens in Adolescents
12-24 days
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Growth spurt
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

38. What is enuresis?
Repeated involuntary urination in a child who should already by toilet trained at night
inflammation and hypersensitivity to triggers
fever and infection
9 months

39. What are the four main causes of viral croup?
trunk - gonads and associative tissue
parainfluenza - RSV - Influenza A&B - M. pneumonia
They are people - need a balance of limits and independence
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

40. 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
birth-36 months
GERD is the complications and symptoms that happen because of GER

41. Pathophysiology of cystic fibrosis
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
diazepam - lorazapam
Milk - Ice cream - Malts - Grains
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

42. Average Birth Length
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
20 inches
13 years
Mid puberty

43. Define Proximodistal
E. Coli
from trunk to extremities
complete physical and psychosocial assessment to rule out underlying disorders
Cool mist therapy - encourage oral intake - s/sx of resp. distress

44. 2 key factors to consider when caring for a preschooler
They are people - need a balance of limits and independence
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
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 inches

45. What is heart failure?
36 months
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
Salicylates
Successful management is based on early diagnosis and aggressive therapy

46. What Pharmalogical measures can be used to treat GERD?
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Swelling or obstruction of the Larynx
maternal nutrition and genetics

47. Varicella communicable
A typical lymphocytosis - mono-spot - EBV serology
Penicillin Prophylaxis (BID)
3 years
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

48. Post Op treatment of a VP shunt
An Acute inflamation of the meninges and CSF often caused by Enterovirus
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Enteropathy caused by an insensitivity to the gluten found in wheat

49. Diagnose Intussusception by
5 inches
Dust - mold - animal dander - viral infections
O2 status of blood - acid-base balance
Barium enema

50. Non-pharmalogical measures to treat GER
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
poor feeding - wt loss - fatigue - develop. delays - edema
Penicillin Prophylaxis (BID)