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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. Characteristics of the RBC's in sickle cell

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2. Most cases of Reye's Syndrome follows what type of illness?
Viral---Varicella or influenza
Length board standiometer
36 months
passage of abdominal contents to the esophagus

3. S/sx of GERD
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Hepatoxicity - pancreatitis
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

4. Males Reproductive issues for CF patients
diazepam - lorazapam
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Sterile-caused by blockage of thick mucous at the vas deferens
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

5. At what age is a stadiometer required to measure linear growth?
2.5 inches
36 months
high protien and calorie - multivitamins - extra enzymes for high fat food
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

6. What is used to diagnose GER?
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Penicillin Prophylaxis (BID)
high protien and calorie - multivitamins - extra enzymes for high fat food
poor feeding - wt loss - fatigue - develop. delays - edema

7. Normal presentation of cystic fibrosis
O2 status of blood - acid-base balance
9 months
up to 14 days
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

8. Clinical signs of infection wilth sickle cell disease
Phototherapy - exchange transfusion
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

9. Nursing care for Kawasaki Disease
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
2 snacks
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

10. Hirschsprung's Disease
Enteropathy caused by an insensitivity to the gluten found in wheat
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
An Acute inflamation of the meninges and CSF often caused by Enterovirus
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

11. Bronchiolitis
inflammation located in the middle ear
Contact isolation - gown - gloves and handwashing
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

12. Average rate of growth for the 2nd year of lif
5 inches
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

13. Etiology of GERD
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
6 months
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
13 years

14. Signs of heart failure
They are people - need a balance of limits and independence
2 snacks
BMI chart
poor feeding - wt loss - fatigue - develop. delays - edema

15. What is an acute otitis media?
1-6 months
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
inflammation located in the middle ear

16. Complications of meningitis
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Brain damage - hearing loss and learning disabilities
# of stools per day - goal=2-3 stools per day
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

17. Viral Croup
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Swelling or obstruction of the Larynx
Adequate O2 adequatte hydration
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

18. Diagnose Intussusception by
Barium enema
Repeated involuntary urination in a child who should already by toilet trained at night
Give freedom and choices - save battles for the important things
Erythroblastosis Fetalis

19. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Length Chart
E. Coli
Day 3 of life
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

20. Pathophysiology of a fever and infection with sickle cell disease
Phototherapy - exchange transfusion
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
12 years
They are people - need a balance of limits and independence

21. BMI - underweight
Erythroblastosis Fetalis
Sterile-caused by blockage of thick mucous at the vas deferens
< 5%
20 inches

22. Prevention of bronchiolitis spreading
Contact isolation - gown - gloves and handwashing
Milk - Ice cream - Malts - Grains
36 months
fecal soiling

23. Signs and Symptoms of Hemolytic Disease of the newborn
head
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
School age
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

24. Treatment and nursing care for pertussis
Epstein Barr Virus - transmitted with intimate contact
from head to toe
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

25. Lead screening should begin. at ..
9 months
20 inches
< 1
4 years

26. Predisposing factors to subacute bacterial endocarditis
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Dental procedures - gum disease and urinary tract infections
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Foreskin is used during the surgical repair

27. What interventions prevent urinary tract infections?
No - it can only be controlled
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
poor feeding - wt loss - fatigue - develop. delays - edema
Length Chart

28. Prevention of infection in Sickle Cell Disease
85-95%
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Penicillin Prophylaxis (BID)

29. Treatment for Hirschsprungs
Length board standiometer
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
< 5%
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

30. Pathophysiology of hirschsprung's disease
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

31. Average rate of growth for the 1st year
10 inches
fever and infection
up to 14 days
Urethral opening is positioned below the glans penis

32. Neonatal Jaundice
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
poor feeding - wt loss - fatigue - develop. delays - edema
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

33. Assessment of a patient with suspected epiglottitis
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
passage of abdominal contents to the esophagus
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

34. Pathophysiology related to Head Trauma
complete physical and psychosocial assessment to rule out underlying disorders
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Urethral opening is positioned below the glans penis
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

35. What level does the bilirubin need to be at in order for jaundice to occur?
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
from trunk to extremities
5ml/dl
fever and infection

36. Temp of home water heater to avoid burns
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Milk - Ice cream - Malts - Grains
Less than 120 f.

37. Kawasaki Disease
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
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
20 inches
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

38. Hypospadias
Dental procedures - gum disease and urinary tract infections
Urethral opening is positioned below the glans penis
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
poor feeding - wt loss - fatigue - develop. delays - edema

39. Peak flow meter
36 months
5 inches
from head to toe
measures the largest velocity which occurs during a forced exhale

40. Side effects of dilatin hirsuitism (body hair)
< 5%
1-6 months
gum hypertrophy
Family history - EEG - CBC - LP and MRI

41. Side effects of benzodiazepines
Enteropathy caused by an insensitivity to the gluten found in wheat
drooling
2 snacks
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

42. Average Birth Length
20 inches
No - it can only be controlled
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Sterile-caused by blockage of thick mucous at the vas deferens

43. Signs and symptoms of Reye's Syndrome
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Regular diet with low sodium an no added salt

44. Average age of menarche
13 years
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
Vaso-occulisive crisis - infection and sepsis
Family history - EEG - CBC - LP and MRI

45. What is broncho-pulmonary dysplasia?
Mid puberty
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Triple

46. What should a child's wt be at 1 yr compared to birth weight?
poor feeding - wt loss - fatigue - develop. delays - edema
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
Triple
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

47. Leading cause of bacterial meningitis in Neonates
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Viral---Varicella or influenza
Group B Streptococcus
prevention - po antibiotics should be given before and after an invasive procedure

48. Incubation period for TB
Maternal infection - premature rupture of membranes
Milk - Ice cream - Malts - Grains
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
1-6 months

49. Risk factors of tuberculosis
crowded living conditions - homeless and low income
85-95%
gum hypertrophy
double birth weight

50. Nursing care for a child with Reye's Syndrome
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
E. Coli
Equal to