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Certified Pediatric Nurse Exam

Subjects : certifications, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. Peak flow meter
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Enteropathy caused by an insensitivity to the gluten found in wheat
2.5 inches
measures the largest velocity which occurs during a forced exhale

2. Encoperesis
Brain damage - hearing loss and learning disabilities
Penicillin Prophylaxis (BID)
fecal soiling
Give freedom and choices - save battles for the important things

3. Head circumference should be assessed until what age
2 snacks
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
3 years
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

4. What are the side effects of depakote?
trunk - gonads and associative tissue
Hepatoxicity - pancreatitis
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
birth-36 months

5. What should a child's wt be at 1 yr compared to birth weight?
fever and infection
Triple
from trunk to extremities
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

6. Assess the cause of enuresis
<25 yrs old
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
complete physical and psychosocial assessment to rule out underlying disorders
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

7. Normal presentation of cystic fibrosis
hearing loss - scarring - mastoiditis - meningitis
Swelling of the airways - mucous production - bronchospasms
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Triple

8. At birth - head circumference is ____ compared to chest circumference
larger
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Triple
inflammation located in the middle ear

9. Hirschsprung's Disease
36 months
head
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

10. Another name for Hemolytic Disease of the Newborn
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
GERD is the complications and symptoms that happen because of GER
Erythroblastosis Fetalis
# of stools per day - goal=2-3 stools per day

11. Reyes Syndrome
Mid puberty
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
measures the largest velocity which occurs during a forced exhale
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

12. What is the rate of growth each year from 3 yrs until puberty?
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
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
< 1
2.5 inches

13. Screening for overweight or underweight child on chart
measures the largest velocity which occurs during a forced exhale
BMI chart
complete physical and psychosocial assessment to rule out underlying disorders
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

14. Basic defect in coarctation of the aorta
A narrowing within the Aorta resulting in collateral circulation
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Hepatoxicity - pancreatitis
13 years

15. Treatment for Hirschsprungs
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
from head to toe
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

16. How does pertussis present?
Family history - EEG - CBC - LP and MRI
5ml/dl
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

17. Signs and symptoms of Reye's Syndrome
hearing loss - scarring - mastoiditis - meningitis
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

18. What promotes unsickling of RBC's?
Erythroblastosis Fetalis
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
larger
Adequate O2 adequatte hydration

19. At what age is a stadiometer required to measure linear growth?
36 months
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Length Chart
6 months

20. What is used to diagnose GER?
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Abdominal ultrasound - Upper GI
Time and discription of seizure
Triple

21. Treatment of celiac disease
1-6 months
3 years
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
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

22. BMI- overweight
inflammation and hypersensitivity to triggers
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Successful management is based on early diagnosis and aggressive therapy
>95%

23. Treatment of Meningitis

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24. Signs and Symptoms of Asthma
fecal soiling
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

25. Age group the limbs grow the fastest
A typical lymphocytosis - mono-spot - EBV serology
School age
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Barium enema

26. Pathophysiology of intussusception

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27. Why is early diagnosis important w. Reye's Syndrome?
used for prolonged sz's
An Acute inflamation of the meninges and CSF often caused by Enterovirus
85-95%
Successful management is based on early diagnosis and aggressive therapy

28. Pathophysiology of Chronic Asthma
# of stools per day - goal=2-3 stools per day
inflammation and hypersensitivity to triggers
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Small bowel biopsy

29. Diet for Hirschsprung's prior to corrction and treatment
Low fiber - high calorie and protein
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
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

30. Varicella communicable
6 months
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
drooling
from trunk to extremities

31. What are the S/SX of bleeds in hemophilia?
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
Group B Streptococcus
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

32. Define Proximodistal
from trunk to extremities
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Salicylates

33. Side effects of dilatin hirsuitism (body hair)
Repeated involuntary urination in a child who should already by toilet trained at night
gum hypertrophy
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Penicillin Prophylaxis (BID)

34. Define Magical thinking

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35. Most cases of Reye's Syndrome follows what type of illness?
20 inches
head
Viral---Varicella or influenza
Phototherapy - exchange transfusion

36. Post Op treatment of a VP shunt
Airborne and contact
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

37. What interventions prevent urinary tract infections?
Milk - Ice cream - Malts - Grains
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

38. Viral Meningitis
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
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Salicylates
fever and infection

39. Part of body that grows the fastest in infancy
head
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
Bacteria enter the blood stream from a site of localized infection and grows in the heart
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

40. Teaching for Mononucleosis
Low fiber - high calorie and protein
Airborne and contact
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Mid puberty

41. Part of the body that grows the fastest in the toddler-preschool age
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Less than 120 f.
trunk
2 snacks

42. Hypospadias
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Urethral opening is positioned below the glans penis
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

43. Signs and symptoms of neonatal meningitis
Growth spurt
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

44. Diastat rectal diazepam gel

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45. Sickle Cell Disease
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Small bowel biopsy
Excessive stool fat
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

46. 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
Group B Streptococcus
high protien and calorie - multivitamins - extra enzymes for high fat food
Bacteria enter the blood stream from a site of localized infection and grows in the heart

47. What is an acute otitis media?
inflammation located in the middle ear
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
36 months

48. What is broncho-pulmonary dysplasia?
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Swelling of the airways - mucous production - bronchospasms
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

49. Side effects of benzodiazepines
drooling
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
No - it can only be controlled
Milk - Ice cream - Malts - Grains

50. Age that birth length doubles
4 years
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

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Certified Pediatric Nurse Exam

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