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. Two examples of benzodiazepines
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
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
diazepam - lorazapam
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

2. What is the treatment for epiglottitis?
inflammation and hypersensitivity to triggers
gum hypertrophy
Regular diet with low sodium an no added salt
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

3. Treatment of Meningitis

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

4. Hypospadias
10 inches
Urethral opening is positioned below the glans penis
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
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

5. Diastat rectal diazepam gel

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

6. S/sx of GERD
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

7. Common Asthma irritants
3 years
crowded living conditions - homeless and low income
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Dust - mold - animal dander - viral infections

8. Treatment for Hirschsprungs
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

9. Signs and Symptoms of intussusception
9 months
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

10. Equipment used to measure a 24 to 36 month old height
5ml/dl
Less than 120 f.
Length board standiometer
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

11. Normal Bilirubin
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
birth-36 months
< 1
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

12. Nursing care for Kawasaki Disease
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
Brain damage - hearing loss and learning disabilities
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

13. Average rate of growth for the 1st year
Viral---Varicella or influenza
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
10 inches

14. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
School age
gum hypertrophy
2 snacks

15. Nursing care for Cystic Fibrosis
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
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
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

16. What is Pyloric stenosis?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Contact isolation - gown - gloves and handwashing
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Low fiber - high calorie and protein

17. How is Celiac Disease diagnosed?
Small bowel biopsy
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
MVA - bike accidents and falls
Abdominal ultrasound - Upper GI

18. Diet for a child with glumerlonephritis
Regular diet with low sodium an no added salt
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

19. Leading cause of head injury
MVA - bike accidents and falls
They are people - need a balance of limits and independence
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Repeated involuntary urination in a child who should already by toilet trained at night

20. What is used to diagnose GER?
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
gum hypertrophy
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

21. Bilirubin encephalopathy
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
prevention - po antibiotics should be given before and after an invasive procedure
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

22. Age group the limbs grow the fastest
School age
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
10 years
Less than 120 f.

23. What level does the bilirubin need to be at in order for jaundice to occur?
Mid puberty
5ml/dl
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
birth-36 months

24. Lead screening should begin. at ..
9 months
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

25. Growth spurt for adolescent boys
lethargy - irritability - decrease feedings - fever - seizures
crowded living conditions - homeless and low income
Mid puberty
parainfluenza - RSV - Influenza A&B - M. pneumonia

26. Incubation period for TB
An Acute inflamation of the meninges and CSF often caused by Enterovirus
1-6 months
maternal nutrition and genetics
parainfluenza - RSV - Influenza A&B - M. pneumonia

27. Signs and symptoms of tuberculosis
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Airborne and contact
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

28. ABG
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
MVA - bike accidents and falls
O2 status of blood - acid-base balance

29. Cephalocaudal
Swelling or obstruction of the Larynx
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
9 months
from head to toe

30. Teaching for Croup
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Vaso-occulisive crisis - infection and sepsis
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

31. Neonatal Jaundice
Airborne and contact
20 inches
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

32. Signs and Symptoms of Asthma
lethargy - irritability - decrease feedings - fever - seizures
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Mechanical Ventalation - high inhaled o2 concentration

33. Signs and symptoms of varicella Prodromal
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
E. Coli
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

34. S/Sx of pyloric stenosis
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
1-6 months
5ml/dl

35. Treatment for Varicella
Low fiber - high calorie and protein
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Erythroblastosis Fetalis
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

36. Asthma
gum hypertrophy
Penicillin Prophylaxis (BID)
Viral---Varicella or influenza
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

37. Asthma inhaler - what can be done to decrease risk of thrush
Rinse mouth and brush teeth
Triple
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

38. Complications related to varicella
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
poor feeding - wt loss - fatigue - develop. delays - edema
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Contact isolation - gown - gloves and handwashing

39. Pathophysiology of celiac disease
drooling
Successful management is based on early diagnosis and aggressive therapy
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

40. What is the cause of mononucleosis and its method of transmission?
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Epstein Barr Virus - transmitted with intimate contact
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

41. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
GERD is the complications and symptoms that happen because of GER
# of stools per day - goal=2-3 stools per day
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

42. What has the HIB vaccine been successful in reducing?
12 years
Regular diet with low sodium an no added salt
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
complete physical and psychosocial assessment to rule out underlying disorders

43. What are the side effects of depakote?
Liver Biopsy
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Hepatoxicity - pancreatitis
<25 yrs old

44. Normal presentation of cystic fibrosis
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
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

45. Signs of increased ICP
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Milk - Ice cream - Malts - Grains
They are people - need a balance of limits and independence
Repeated involuntary urination in a child who should already by toilet trained at night

46. Precaustions needed for pt's with varicella
lethargy - irritability - decrease feedings - fever - seizures
A typical lymphocytosis - mono-spot - EBV serology
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Airborne and contact

47. What confirms a positive TB infection?
gum hypertrophy
Barium enema
complete physical and psychosocial assessment to rule out underlying disorders
chest x-ray following a Positive PPD skin test

48. Predisposing factors to subacute bacterial endocarditis
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
maternal nutrition and genetics
Dental procedures - gum disease and urinary tract infections
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

49. Screening for overweight or underweight child on chart
maternal nutrition and genetics
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Previous history of life threatening reaction - Mod-severe illness w/wo fever
BMI chart

50. RSV contagious for ...
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Day 3 of life
85-95%
up to 14 days