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Test your basic knowledge |
Certified Pediatric Nurse Exam
Start Test
Study First
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. Complications of acute otitis media
Barium enema
hearing loss - scarring - mastoiditis - meningitis
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
2. Assessment of a patient with suspected epiglottitis
Less than 120 f.
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Excessive stool fat
3. What are the four main causes of viral croup?
Milk - Ice cream - Malts - Grains
parainfluenza - RSV - Influenza A&B - M. pneumonia
12-24 days
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
4. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Triple
Small bowel biopsy
2 snacks
5. Signs and symptoms of neonatal meningitis
Time and discription of seizure
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
6. Term infant --Bilirubin peaks at what day of life
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
BMI chart
Day 3 of life
7. Normal presentation of cystic fibrosis
< 5%
larger
inflammation and hypersensitivity to triggers
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
8. Treatment and nursing care for pertussis
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
9. Signs and Symptoms of Hemolytic Disease of the newborn
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
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
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
10. At birth - head circumference is ____ compared to chest circumference
4 years
larger
2 snacks
older preschool age and young school age-believe that they have caused an event such as a sibling's illness or hospitalization is a form of punishment
11. treatment of intussusception
Dental procedures - gum disease and urinary tract infections
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Erythroblastosis Fetalis
lethargy - irritability - decrease feedings - fever - seizures
12. Viral Croup
Viral---Varicella or influenza
Swelling or obstruction of the Larynx
Salicylates
Equal to
13. 2 key factors to consider when caring for a preschooler
Swelling or obstruction of the Larynx
They are people - need a balance of limits and independence
fever and infection
Erythroblastosis Fetalis
14. Teaching for RSV
Enteropathy caused by an insensitivity to the gluten found in wheat
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
# of stools per day - goal=2-3 stools per day
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
15. Nursing care for child with seizure
16. Encoperesis
fecal soiling
Dental procedures - gum disease and urinary tract infections
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
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
17. Bronchiolitis
Bacteria enter the blood stream from a site of localized infection and grows in the heart
larger
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
18. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Length Chart
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
prevention - po antibiotics should be given before and after an invasive procedure
Maternal infection - premature rupture of membranes
19. What is the treatment for epiglottitis?
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Penicillin Prophylaxis (BID)
used for prolonged sz's
maternal nutrition and genetics
20. Cause of bronchiolitis
from head to toe
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
21. How is Celiac Disease diagnosed?
Small bowel biopsy
chest x-ray following a Positive PPD skin test
6 months
Rinse mouth and brush teeth
22. What should a child's wt be at 1 yr compared to birth weight?
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Triple
23. Causes of Bronchopulmonary Dysplasia
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Mechanical Ventalation - high inhaled o2 concentration
Triple
Small bowel biopsy
24. Risk factors of tuberculosis
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
crowded living conditions - homeless and low income
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
25. What confirms a positive TB infection?
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
1-6 months
chest x-ray following a Positive PPD skin test
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
26. At what age is a stadiometer required to measure linear growth?
36 months
inflammation located in the middle ear
from trunk to extremities
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
27. Teaching for Croup
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Cool mist therapy - encourage oral intake - s/sx of resp. distress
crowded living conditions - homeless and low income
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
28. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
# of stools per day - goal=2-3 stools per day
29. Age of children at half their adult height
Milk - Ice cream - Malts - Grains
Regular diet with low sodium an no added salt
2 years
Equal to
30. What should be observed in a case of a seizure?
Time and discription of seizure
Low fiber - high calorie and protein
Dust - mold - animal dander - viral infections
>95%
31. Nursing care of patient with Meningitis
Low fiber - high calorie and protein
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Liver Biopsy
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
32. What should be used for feeding a child during the post operative period following cleft palate surgery?
head
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
larger
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
33. Side effects of benzodiazepines
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
# of stools per day - goal=2-3 stools per day
drooling
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
34. Equipment used to measure a 24 to 36 month old height
Repeated involuntary urination in a child who should already by toilet trained at night
1-6 months
Equal to
Length board standiometer
35. Treatment of Meningitis
36. 3 main causes of Bacterial meningitis in children
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
20 inches
37. Treatment of Kawasaki disease
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
A typical lymphocytosis - mono-spot - EBV serology
inflammation located in the middle ear
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
38. Assess the cause of enuresis
complete physical and psychosocial assessment to rule out underlying disorders
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
2 years
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
39. What is enuresis?
trunk - gonads and associative tissue
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Repeated involuntary urination in a child who should already by toilet trained at night
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
40. Define Proximodistal
from trunk to extremities
none
Time and discription of seizure
# of stools per day - goal=2-3 stools per day
41. Reyes Syndrome
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
lethargy - irritability - decrease feedings - fever - seizures
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
trunk - gonads and associative tissue
42. Signs and symptoms of varicella Prodromal
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
double birth weight
crowded living conditions - homeless and low income
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
43. What is broncho-pulmonary dysplasia?
GERD is the complications and symptoms that happen because of GER
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Viral---Varicella or influenza
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
44. What is Pyloric stenosis?
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Dust - mold - animal dander - viral infections
45. Pathophysiology of cystic fibrosis
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
up to 14 days
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
46. What is the cause of mononucleosis and its method of transmission?
none
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
up to 14 days
Epstein Barr Virus - transmitted with intimate contact
47. Complications related to varicella
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
O2 status of blood - acid-base balance
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
48. Hypospadias
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
<25 yrs old
Group B Streptococcus
Urethral opening is positioned below the glans penis
49. Signs and Symptoms of Celiac Disease
Low fiber - high calorie and protein
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
50. Pathophysiology of hirschsprung's disease
Length Chart
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death