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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. Screening for overweight or underweight child on chart
Viral---Varicella or influenza
up to 14 days
School age
BMI chart

2. Signs and Symptoms of intussusception
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
inflammation located in the middle ear
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
fecal soiling

3. Bilirubin encephalopathy
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Phototherapy - exchange transfusion
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

4. Normal presentation of cystic fibrosis
12 years
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

5. Complications of meningitis
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
Small bowel biopsy
Brain damage - hearing loss and learning disabilities
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

6. Nursing care for child with seizure

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7. What is Cystic Fibrosis?
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Group B Streptococcus
hearing loss - scarring - mastoiditis - meningitis

8. Nursing care for Kawasaki Disease
Maternal infection - premature rupture of membranes
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
GERD is the complications and symptoms that happen because of GER
trunk

9. Asthma inhaler - what can be done to decrease risk of thrush
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
MVA - bike accidents and falls
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Rinse mouth and brush teeth

10. What is used to diagnose GER?
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
5 inches
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
A typical lymphocytosis - mono-spot - EBV serology

11. 3 symptoms of coarctation of the aorta
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Liver Biopsy
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

12. Age of children at half their adult height
passage of abdominal contents to the esophagus
2 years
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

13. What should a child's wt be at 1 yr compared to birth weight?
Triple
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
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Small bowel biopsy

14. Pathophysiology of a fever and infection with sickle cell disease
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
5ml/dl

15. Signs of increased ICP
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
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

16. Etiology of GERD
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

17. Where does the adolescent experience rapid growth?
trunk - gonads and associative tissue
poor feeding - wt loss - fatigue - develop. delays - edema
A typical lymphocytosis - mono-spot - EBV serology
Successful management is based on early diagnosis and aggressive therapy

18. Sickle Cell Disease
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Swelling of the airways - mucous production - bronchospasms
Regular diet with low sodium an no added salt

19. What should be done to minimize the risks of Sudden infant death syndrome?
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Less than 120 f.

20. Complications related to varicella
head
Length board standiometer
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

21. Treatment of Kawasaki disease
up to 14 days
Airborne and contact
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
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

22. Viral Croup
85-95%
No - it can only be controlled
Swelling or obstruction of the Larynx
BMI chart

23. Equipment used to measure a 24 to 36 month old height
Length board standiometer
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
birth-36 months
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

24. Average rate of growth for the 1st year
9 months
Less than 120 f.
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
10 inches

25. What Pharmalogical measures can be used to treat GERD?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
BMI chart
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
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

26. Part of the body that grows the fastest in the toddler-preschool age
trunk
measures the largest velocity which occurs during a forced exhale
Contact isolation - gown - gloves and handwashing
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

27. Side effects of benzodiazepines
They are people - need a balance of limits and independence
Give freedom and choices - save battles for the important things
drooling
Airborne and contact

28. Diet for CF patients
Hepatoxicity - pancreatitis
high protien and calorie - multivitamins - extra enzymes for high fat food
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

29. What should be used for feeding a child during the post operative period following cleft palate surgery?
Less than 120 f.
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

30. 3 main causes of Bacterial meningitis in children
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

31. Diet for Hirschsprung's prior to corrction and treatment
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
chest x-ray following a Positive PPD skin test
Low fiber - high calorie and protein
Abdominal ultrasound - Upper GI

32. Reyes Syndrome
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
from trunk to extremities

33. Most cases of Reye's Syndrome follows what type of illness?
Repeated involuntary urination in a child who should already by toilet trained at night
Penicillin Prophylaxis (BID)
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
Viral---Varicella or influenza

34. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
lethargy - irritability - decrease feedings - fever - seizures

35. Signs of heart failure
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
20 inches
diazepam - lorazapam
poor feeding - wt loss - fatigue - develop. delays - edema

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

37. treatment of hemolytic disease of the newborn
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
Phototherapy - exchange transfusion
Milk - Ice cream - Malts - Grains

38. What confirms a positive TB infection?
chest x-ray following a Positive PPD skin test
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Equal to
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

39. Nursing interventions for hemophilia
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Contact isolation - gown - gloves and handwashing

40. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
up to 14 days
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

41. signs and symptoms of meningitis in older children
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
used for prolonged sz's

42. Clinicla manifestations of sickle cell disease
Vaso-occulisive crisis - infection and sepsis
Family history - EEG - CBC - LP and MRI
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

43. Varicella communicable
Dental procedures - gum disease and urinary tract infections
Liver Biopsy
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

44. 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
Liver Biopsy
parainfluenza - RSV - Influenza A&B - M. pneumonia
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

45. Term infant --Bilirubin peaks at what day of life
Triple
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Day 3 of life
Mechanical Ventalation - high inhaled o2 concentration

46. Nursing care for a child with Reye's Syndrome
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
up to 14 days
complete physical and psychosocial assessment to rule out underlying disorders
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

47. Bronchiolitis
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
prevention - po antibiotics should be given before and after an invasive procedure
up to 14 days
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

48. What is the rate of growth each year from 3 yrs until puberty?
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
2.5 inches
trunk - gonads and associative tissue

49. Signs and Symptoms of Hemolytic Disease of the newborn
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

50. What has the HIB vaccine been successful in reducing?
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
5 inches
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
from trunk to extremities