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. Teaching for RSV
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
10 inches
high protien and calorie - multivitamins - extra enzymes for high fat food
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

2. Signs of heart failure
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
No - it can only be controlled
poor feeding - wt loss - fatigue - develop. delays - edema
Successful management is based on early diagnosis and aggressive therapy

3. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Erythroblastosis Fetalis
fecal soiling
Length Chart
Viral---Varicella or influenza

4. Treatment and nursing care for pertussis
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Epstein Barr Virus - transmitted with intimate contact
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

5. Nursing care for child with seizure

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

6. What are the four main causes of viral croup?
parainfluenza - RSV - Influenza A&B - M. pneumonia
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
10 years

7. Reyes Syndrome
Brain damage - hearing loss and learning disabilities
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Contact isolation - gown - gloves and handwashing
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

8. difference btwn GER and GERD
<25 yrs old
GERD is the complications and symptoms that happen because of GER
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Family history - EEG - CBC - LP and MRI

9. Nursing care for Cystic Fibrosis
Triple
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
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
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

10. Nursing care of the infant with pyloric stenosis
Group B Streptococcus
A typical lymphocytosis - mono-spot - EBV serology
E. Coli
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

11. Age of children at half their adult height
Repeated involuntary urination in a child who should already by toilet trained at night
Contact isolation - gown - gloves and handwashing
measures the largest velocity which occurs during a forced exhale
2 years

12. What foods are prohibited for a person with Celiac Disease?
Milk - Ice cream - Malts - Grains
Low fiber - high calorie and protein
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

13. Hourly maintenance Fluid Requirements
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
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
O2 status of blood - acid-base balance
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

14. Treatment of Kawasaki disease
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
inflammation located in the middle ear
Regular diet with low sodium an no added salt

15. Prevention of bronchiolitis spreading
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Urethral opening is positioned below the glans penis
Contact isolation - gown - gloves and handwashing

16. Precaustions needed for pt's with varicella
Airborne and contact
Group B Streptococcus
Contact isolation - gown - gloves and handwashing
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

17. Age group affected by mononucleosis
<25 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
13 years
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

18. Leading cause of head injury
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
MVA - bike accidents and falls
13 years
Family history - EEG - CBC - LP and MRI

19. 2 key factors to consider when caring for a preschooler
Erythroblastosis Fetalis
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
inflammation located in the middle ear
They are people - need a balance of limits and independence

20. 3 symptoms of coarctation of the aorta
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
parainfluenza - RSV - Influenza A&B - M. pneumonia
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
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

21. Part of the body that grows the fastest in the toddler-preschool age
trunk
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
Mechanical Ventalation - high inhaled o2 concentration
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

22. Test to evaluate a Seizure disorder
Enteropathy caused by an insensitivity to the gluten found in wheat
Family history - EEG - CBC - LP and MRI
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

23. Signs and Symptoms of Asthma
double birth weight
>95%
fecal soiling
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

24. Bronchiolitis
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Dental procedures - gum disease and urinary tract infections
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
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

25. What is Cystic Fibrosis?
Salicylates
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Mechanical Ventalation - high inhaled o2 concentration

26. ABG
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
E. Coli
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
O2 status of blood - acid-base balance

27. Assess the cause of enuresis
< 5%
hearing loss - scarring - mastoiditis - meningitis
complete physical and psychosocial assessment to rule out underlying disorders
trunk

28. Define Magical thinking

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

29. Diet for Hirschsprung's prior to corrction and treatment
Maternal infection - premature rupture of membranes
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Low fiber - high calorie and protein
>95%

30. Teaching for Croup
head
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping

31. S/sx of GERD
diazepam - lorazapam
They are people - need a balance of limits and independence
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

32. What can promote dryness in a child with enuresis?
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
1-6 months
Viral---Varicella or influenza

33. Pathophysiology of hirschsprung's disease
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
10 inches

34. Signs of increased ICP
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
2 years
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

35. Signs and Symptoms of Celiac Disease
fecal soiling
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
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
# of stools per day - goal=2-3 stools per day

36. Lead screening should begin. at ..
9 months
passage of abdominal contents to the esophagus
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Kawasaki disease - w/o treatment 25% will have permanent heart damage

37. What is used to diagnose GER?
Day 3 of life
4 years
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

38. What confirms a positive TB infection?
chest x-ray following a Positive PPD skin test
Time and discription of seizure
3 years
larger

39. Average rate of growth for the 2nd year of lif
diazepam - lorazapam
5 inches
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Penicillin Prophylaxis (BID)

40. Complications of meningitis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Dust - mold - animal dander - viral infections
Brain damage - hearing loss and learning disabilities
parainfluenza - RSV - Influenza A&B - M. pneumonia

41. Pathophysiology of Chronic Asthma
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Kawasaki disease - w/o treatment 25% will have permanent heart damage
inflammation and hypersensitivity to triggers
Mid puberty

42. Teaching for Mononucleosis
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
from head to toe
# of stools per day - goal=2-3 stools per day

43. Head circumference should be assessed until what age
They are people - need a balance of limits and independence
Viral---Varicella or influenza
3 years
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

44. Focus of adolescent discipline
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Give freedom and choices - save battles for the important things
Family history - EEG - CBC - LP and MRI

45. Viral Croup
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
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 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Swelling or obstruction of the Larynx

46. What Component of Aspirin cause's Reye's Syndrome?
birth-36 months
Salicylates
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

47. Predisposing factors to subacute bacterial endocarditis
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Dental procedures - gum disease and urinary tract infections

48. What is the treatment for epiglottitis?
< 1
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

49. Asthma inhaler - what can be done to decrease risk of thrush
Rinse mouth and brush teeth
Excessive stool fat
fecal soiling
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

50. 3 main causes of Bacterial meningitis in children
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Contact isolation - gown - gloves and handwashing