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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. Term infant --Bilirubin peaks at what day of life
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
< 5%
5 inches
Day 3 of life

2. Diet for a child with glumerlonephritis
36 months
Regular diet with low sodium an no added salt
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
birth-36 months

3. Main cause of urinary tract infections
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Between 6-12 months
E. Coli
measures the largest velocity which occurs during a forced exhale

4. 2 factors that determine birth weight
10 years
double birth weight
maternal nutrition and genetics
No - it can only be controlled

5. At 6-24 months - head circumference is what size in relationship to chest circumference
12-24 days
GERD is the complications and symptoms that happen because of GER
Equal to
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

6. Viral Croup
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Swelling or obstruction of the Larynx

7. Test to evaluate a Seizure disorder
Group B Streptococcus
Family history - EEG - CBC - LP and MRI
Equal to
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

8. Key nursing intervention for subacute bacterial endocarditis
passage of abdominal contents to the esophagus
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
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

9. Assessment of a patient with suspected epiglottitis
drooling
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Penicillin Prophylaxis (BID)

10. What is Hemolytic Disease of the Newborn
Family history - EEG - CBC - LP and MRI
measures the largest velocity which occurs during a forced exhale
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

11. What is Cystic Fibrosis?
1-6 months
Mid puberty
10 years
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

12. Side effects of benzodiazepines
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Contact isolation - gown - gloves and handwashing
drooling

13. Pathophysiology of cystic fibrosis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Vaso-occulisive crisis - infection and sepsis
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

14. Treatment for sickle cell disease
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
birth-36 months
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

15. What should be used for feeding a child during the post operative period following cleft palate surgery?
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
none
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Contact isolation - gown - gloves and handwashing

16. Encoperesis
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
fecal soiling
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

17. Diastat rectal diazepam gel

18. At what age is a length board required?
0-24 months
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

19. Leading cause of head injury
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
Contact isolation - gown - gloves and handwashing
MVA - bike accidents and falls
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

20. Nursing care of patient with Meningitis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Abdominal ultrasound - Upper GI
MVA - bike accidents and falls

21. Two examples of benzodiazepines
BMI chart
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Time and discription of seizure
diazepam - lorazapam

22. Teaching for Croup
Cool mist therapy - encourage oral intake - s/sx of resp. distress
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
high protien and calorie - multivitamins - extra enzymes for high fat food

23. Diagnose Intussusception by
birth-36 months
lethargy - irritability - decrease feedings - fever - seizures
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Barium enema

24. Signs of heart failure
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Cool mist therapy - encourage oral intake - s/sx of resp. distress
poor feeding - wt loss - fatigue - develop. delays - edema

25. Age that birth length doubles
Cool mist therapy - encourage oral intake - s/sx of resp. distress
4 years
Abdominal ultrasound - Upper GI
Urethral opening is positioned below the glans penis

26. Treatment for mononucleosis
none
lethargy - irritability - decrease feedings - fever - seizures
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Foreskin is used during the surgical repair

27. What level does the bilirubin need to be at in order for jaundice to occur?
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
trunk
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
5ml/dl

28. What are the side effects of depakote?
maternal nutrition and genetics
No - it can only be controlled
Epstein Barr Virus - transmitted with intimate contact
Hepatoxicity - pancreatitis

29. Linear growth event happens in Adolescents
Low fiber - high calorie and protein
Milk - Ice cream - Malts - Grains
larger
Growth spurt

30. Define Proximodistal
from trunk to extremities
high protien and calorie - multivitamins - extra enzymes for high fat food
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
13 years

31. Cause of bronchiolitis
They are people - need a balance of limits and independence
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
drooling
MVA - bike accidents and falls

32. Kawasaki Disease
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Triple
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
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

33. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Less than 120 f.
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

34. Neonatal Jaundice
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
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

35. Pathophysiology of hirschsprung's disease
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

36. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Hepatoxicity - pancreatitis
trunk
Length Chart

37. first tooth
6 months
13 years
chest x-ray following a Positive PPD skin test
10 years

38. Pathophysiology of intussusception

39. Sequence of resp distress
2.5 inches
drooling
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Length Chart

40. What should be observed in a case of a seizure?
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Time and discription of seizure
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

41. Most cases of Reye's Syndrome follows what type of illness?
They are people - need a balance of limits and independence
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Contact isolation - gown - gloves and handwashing
Viral---Varicella or influenza

42. Pathophysiology of Chronic Asthma
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
inflammation and hypersensitivity to triggers
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
O2 status of blood - acid-base balance

43. What is Pyloric stenosis?
complete physical and psychosocial assessment to rule out underlying disorders
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
9 months
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

44. Pathophysiology related to Head Trauma
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
4 years
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

45. Prevention of infection in Sickle Cell Disease
Penicillin Prophylaxis (BID)
lethargy - irritability - decrease feedings - fever - seizures
GERD is the complications and symptoms that happen because of GER
none

46. What foods are prohibited for a person with Celiac Disease?
Contact isolation - gown - gloves and handwashing
Milk - Ice cream - Malts - Grains
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

47. Risk factors of tuberculosis
Less than 120 f.
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
crowded living conditions - homeless and low income
inflammation and hypersensitivity to triggers

48. BMI-@ risk for overweight
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
drooling
85-95%

49. What interventions prevent urinary tract infections?
Vaso-occulisive crisis - infection and sepsis
10 inches
hearing loss - scarring - mastoiditis - meningitis
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

50. BMI- overweight
10 years
double birth weight
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
>95%