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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. How does pertussis present?
Triple
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
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

2. Diagnose Intussusception by
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Barium enema
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
2 years

3. Treatment of Meningitis

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4. Complications related to varicella
Triple
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
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
1-6 months

5. S/SX of Hirschsprungs
# of stools per day - goal=2-3 stools per day
complete physical and psychosocial assessment to rule out underlying disorders
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
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

6. Nursing care for Kawasaki Disease
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
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

7. What is epiglottitis?
parainfluenza - RSV - Influenza A&B - M. pneumonia
inflammation located in the middle ear
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

8. Define Magical thinking

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9. Predisposing factors to subacute bacterial endocarditis
A typical lymphocytosis - mono-spot - EBV serology
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
trunk
Dental procedures - gum disease and urinary tract infections

10. How many meals and snacks should a 1-3 yr old have in a day 3 meals
2 snacks
Barium enema
10 years
Foreskin is used during the surgical repair

11. What are development considerations for hemophilia?
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
complete physical and psychosocial assessment to rule out underlying disorders
5ml/dl

12. Viral Croup
double birth weight
Maternal infection - premature rupture of membranes
Swelling or obstruction of the Larynx
6 months

13. Characteristics of the RBC's in sickle cell

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14. Celiac Disease
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
A narrowing within the Aorta resulting in collateral circulation
crowded living conditions - homeless and low income
Enteropathy caused by an insensitivity to the gluten found in wheat

15. Causes of Bronchopulmonary Dysplasia
Mechanical Ventalation - high inhaled o2 concentration
Kawasaki disease - w/o treatment 25% will have permanent heart damage
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

16. treatment of intussusception
up to 14 days
0-24 months
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

17. Pathophysiology of Chronic Asthma
inflammation and hypersensitivity to triggers
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

18. What is Hemolytic Disease of the Newborn
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Between 6-12 months
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

19. What is heart failure?
trunk
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
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
A narrowing within the Aorta resulting in collateral circulation

20. Signs of heart failure
BMI chart
complete physical and psychosocial assessment to rule out underlying disorders
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
poor feeding - wt loss - fatigue - develop. delays - edema

21. Why is early diagnosis important w. Reye's Syndrome?
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Successful management is based on early diagnosis and aggressive therapy
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

22. What is the treatment for epiglottitis?
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
12-24 days

23. Term infant --Bilirubin peaks at what day of life
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Day 3 of life
trunk - gonads and associative tissue

24. What is an acute otitis media?
Mechanical Ventalation - high inhaled o2 concentration
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
12 years
inflammation located in the middle ear

25. BMI-@ risk for overweight
BMI chart
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
85-95%
20 inches

26. BMI - underweight
< 5%
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

27. Diet for Hirschsprung's prior to corrction and treatment
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Enteropathy caused by an insensitivity to the gluten found in wheat
Low fiber - high calorie and protein
inflammation and hypersensitivity to triggers

28. What confirms a positive TB infection?
poor feeding - wt loss - fatigue - develop. delays - edema
chest x-ray following a Positive PPD skin test
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

29. ABG
Regular diet with low sodium an no added salt
birth-36 months
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
O2 status of blood - acid-base balance

30. Why avoid circumcision in a baby with hypospadias?
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
1-6 months
Foreskin is used during the surgical repair

31. Average age of menarche
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
13 years
trunk - gonads and associative tissue
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

32. What should be observed in a case of a seizure?
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Time and discription of seizure
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
A typical lymphocytosis - mono-spot - EBV serology

33. Signs and symptoms of Reye's Syndrome
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
E. Coli
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

34. Puberty for boys
3 years
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
double birth weight
12 years

35. What is the rate of growth each year from 3 yrs until puberty?
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
< 1
Time and discription of seizure
2.5 inches

36. Signs and symptoms of varicella Prodromal
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
12-24 days
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
BMI chart

37. Part of body that grows the fastest in infancy
head
larger
passage of abdominal contents to the esophagus
poor feeding - wt loss - fatigue - develop. delays - edema

38. Nursing care for child with seizure

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39. Another name for Hemolytic Disease of the Newborn
10 years
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Erythroblastosis Fetalis
Length Chart

40. Nursing care of the infant with pyloric stenosis
< 5%
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
double birth weight
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

41. At what age is a stadiometer required to measure linear growth?
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
A typical lymphocytosis - mono-spot - EBV serology
5ml/dl
36 months

42. Normal Bilirubin
2 years
< 1
12 years
poor feeding - wt loss - fatigue - develop. delays - edema

43. What are the S/SX of bleeds in hemophilia?
Triple
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
Brain damage - hearing loss and learning disabilities
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

44. Sickle Cell Disease
Maternal infection - premature rupture of membranes
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
trunk - gonads and associative tissue

45. Viral Meningitis
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Dust - mold - animal dander - viral infections
13 years
An Acute inflamation of the meninges and CSF often caused by Enterovirus

46. Rheumatic Fever
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Excessive stool fat

47. Average Birth Length
Swelling of the airways - mucous production - bronchospasms
20 inches
No - it can only be controlled
measures the largest velocity which occurs during a forced exhale

48. What is Pyloric stenosis?
School age
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
4 years
Between 6-12 months

49. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Small bowel biopsy
An Acute inflamation of the meninges and CSF often caused by Enterovirus

50. At what age is a length board required?
chest x-ray following a Positive PPD skin test
85-95%
0-24 months
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet