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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. Viral Croup
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Swelling or obstruction of the Larynx
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
2 years

2. Age range that is appropriate to use a length chart
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
birth-36 months
larger
lethargy - irritability - decrease feedings - fever - seizures

3. Signs of heart failure
poor feeding - wt loss - fatigue - develop. delays - edema
Urethral opening is positioned below the glans penis
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Bacteria enter the blood stream from a site of localized infection and grows in the heart

4. Non-pharmalogical measures to treat GER
one portion of the intestine 'telescopes' into another leading to lymphatic and venous obstruction which causes ischemia - mucous backflow into the intestine and leaking of blood into the intestine
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
from head to toe
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping

5. What has the HIB vaccine been successful in reducing?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
4 years
Length Chart

6. BMI-@ risk for overweight
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 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
85-95%
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

7. S/sx of GERD
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Vaso-occulisive crisis - infection and sepsis
measures the largest velocity which occurs during a forced exhale
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

8. What foods are prohibited for a person with Celiac Disease?
Rinse mouth and brush teeth
Regular diet with low sodium an no added salt
Milk - Ice cream - Malts - Grains
2 snacks

9. Diagnose Intussusception by
Phototherapy - exchange transfusion
Barium enema
Equal to
Family history - EEG - CBC - LP and MRI

10. What are the side effects of depakote?
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Growth spurt
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Hepatoxicity - pancreatitis

11. Signs and Symptoms that indicate and adverse reaction to a vaccine
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
crowded living conditions - homeless and low income
one portion of the intestine 'telescopes' into another leading to lymphatic and venous obstruction which causes ischemia - mucous backflow into the intestine and leaking of blood into the intestine
poor feeding - wt loss - fatigue - develop. delays - edema

12. Treatment of a bleed in hemophilia
Successful management is based on early diagnosis and aggressive therapy
School age
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

13. Steatorrhea
MVA - bike accidents and falls
School age
3 years
Excessive stool fat

14. Complications of acute otitis media
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
# of stools per day - goal=2-3 stools per day
hearing loss - scarring - mastoiditis - meningitis
A narrowing within the Aorta resulting in collateral circulation

15. Signs and Symptoms of Celiac Disease
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
one portion of the intestine 'telescopes' into another leading to lymphatic and venous obstruction which causes ischemia - mucous backflow into the intestine and leaking of blood into the intestine
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Equal to

16. Predisposing factors to subacute bacterial endocarditis
Dental procedures - gum disease and urinary tract infections
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
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
A narrowing within the Aorta resulting in collateral circulation

17. Prevention of infection in Sickle Cell Disease
Penicillin Prophylaxis (BID)
Liver Biopsy
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Equal to

18. What are the four main causes of viral croup?
up to 14 days
fecal soiling
parainfluenza - RSV - Influenza A&B - M. pneumonia
Small bowel biopsy

19. What are the S/SX of bleeds in hemophilia?
Small bowel biopsy
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Phototherapy - exchange transfusion
Adequate O2 adequatte hydration

20. Bronchiolitis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Swelling of the airways - mucous production - bronchospasms

21. Signs and Symptoms of intussusception
5 inches
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
E. Coli
Bacteria enter the blood stream from a site of localized infection and grows in the heart

22. Treatment for Varicella
double birth weight
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
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
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

23. What should a child's wt be at 1 yr compared to birth weight?
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Triple
larger
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

24. Normal presentation of cystic fibrosis
larger
from trunk to extremities
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

25. BMI - underweight
hearing loss - scarring - mastoiditis - meningitis
< 5%
prevention - po antibiotics should be given before and after an invasive procedure
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

26. What Pharmalogical measures can be used to treat GERD?
Dental procedures - gum disease and urinary tract infections
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Brain damage - hearing loss and learning disabilities
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

27. Diagnose Reye's Syndrome
Liver Biopsy
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
5ml/dl

28. Rheumatic Fever
Family history - EEG - CBC - LP and MRI
diazepam - lorazapam
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

29. S/SX of Hirschsprungs
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
School age
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Adequate O2 adequatte hydration

30. Two important assessment rules related to coarctation of the aorta?
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

31. Complications of meningitis
Dental procedures - gum disease and urinary tract infections
double birth weight
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Brain damage - hearing loss and learning disabilities

32. Where does the adolescent experience rapid growth?
12-24 days
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
trunk - gonads and associative tissue
crowded living conditions - homeless and low income

33. At what age is a length board required?
GERD is the complications and symptoms that happen because of GER
0-24 months
Swelling of the airways - mucous production - bronchospasms
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

34. Cephalocaudal
from head to toe
Small bowel biopsy
Equal to
5ml/dl

35. Average age of breast development
parainfluenza - RSV - Influenza A&B - M. pneumonia
10 years
3 years
fever and infection

36. Pathophysiology of cystic fibrosis
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
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
Between 6-12 months

37. 3 symptoms of coarctation of the aorta
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
fecal soiling

38. Teaching for Croup
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Cool mist therapy - encourage oral intake - s/sx of resp. distress
1-6 months

39. What is the cause of mononucleosis and its method of transmission?
Growth spurt
O2 status of blood - acid-base balance
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Epstein Barr Virus - transmitted with intimate contact

40. Equipment used to measure a 24 to 36 month old height
# of stools per day - goal=2-3 stools per day
Urethral opening is positioned below the glans penis
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Length board standiometer

41. signs and symptoms of meningitis in older children
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
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
Epstein Barr Virus - transmitted with intimate contact
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

42. Diet for a child with glumerlonephritis
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
Swelling or obstruction of the Larynx
Regular diet with low sodium an no added salt
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

43. Define Magical thinking

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44. difference btwn GER and GERD
GERD is the complications and symptoms that happen because of GER
They are people - need a balance of limits and independence
Repeated involuntary urination in a child who should already by toilet trained at night
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

45. Average rate of growth for the 1st year
10 inches
birth-36 months
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
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

46. Average age of menarche
Growth spurt
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
13 years

47. Teaching for RSV
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Vaso-occulisive crisis - infection and sepsis
Time and discription of seizure

48. How many meals and snacks should a 1-3 yr old have in a day 3 meals
They are people - need a balance of limits and independence
5ml/dl
2 snacks
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

49. Leading cause of head injury
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
MVA - bike accidents and falls
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

50. Linear growth event happens in Adolescents
drooling
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Growth spurt