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. Temp of home water heater to avoid burns
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Less than 120 f.
Barium enema
5 inches

2. How is Celiac Disease diagnosed?
Length board standiometer
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
up to 14 days
Small bowel biopsy

3. Diet for Hirschsprung's prior to corrction and treatment
E. Coli
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Low fiber - high calorie and protein

4. Side effects of benzodiazepines
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
drooling
< 1
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

5. Pathophysiology related to Head Trauma
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Time and discription of seizure
from trunk to extremities
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

6. What is enuresis?
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Repeated involuntary urination in a child who should already by toilet trained at night
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
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

7. Clinicla manifestations of sickle cell disease
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
A narrowing within the Aorta resulting in collateral circulation
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Vaso-occulisive crisis - infection and sepsis

8. Growth spurt for adolescent boys
Contact isolation - gown - gloves and handwashing
Mid puberty
Erythroblastosis Fetalis
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

9. Treatment of Meningitis

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

10. Linear growth event happens in Adolescents
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Growth spurt

11. BMI-@ risk for overweight
Mid puberty
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
85-95%
Penicillin Prophylaxis (BID)

12. Treatment for mononucleosis
none
fever and infection
Give freedom and choices - save battles for the important things
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

13. Signs and symptoms of tuberculosis
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
crowded living conditions - homeless and low income
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

14. Encoperesis
fecal soiling
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
>95%
Abdominal ultrasound - Upper GI

15. Signs and Symptoms of Celiac Disease
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
0-24 months
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

16. What are the S/SX of bleeds in hemophilia?
drooling
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
chest x-ray following a Positive PPD skin test
head

17. Part of the body that grows the fastest in the toddler-preschool age
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
trunk
< 5%
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

18. Nursing care for child with seizure

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

19. What is Pyloric stenosis?
<25 yrs old
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Barium enema
head

20. What foods are prohibited for a person with Celiac Disease?
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Milk - Ice cream - Malts - Grains
poor feeding - wt loss - fatigue - develop. delays - edema
head

21. Teaching for Mononucleosis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
No - it can only be controlled
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

22. What are the side effects of depakote?
Maternal infection - premature rupture of membranes
Dental procedures - gum disease and urinary tract infections
Hepatoxicity - pancreatitis
10 inches

23. treatment of hemolytic disease of the newborn
Phototherapy - exchange transfusion
3 years
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
trunk - gonads and associative tissue

24. signs and symptoms of meningitis in older children
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
from head to toe
Phototherapy - exchange transfusion

25. During an abdominal assessment when should auscultation occur
Repeated involuntary urination in a child who should already by toilet trained at night
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
head

26. Bronchiolitis
none
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
from head to toe
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

27. Diet for CF patients
Mid puberty
An Acute inflamation of the meninges and CSF often caused by Enterovirus
high protien and calorie - multivitamins - extra enzymes for high fat food
up to 14 days

28. What are major risk factors for neonatal meningitis?
Maternal infection - premature rupture of membranes
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
from head to toe
Swelling of the airways - mucous production - bronchospasms

29. Kawasaki Disease
0-24 months
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
A typical lymphocytosis - mono-spot - EBV serology
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

30. Age group affected by mononucleosis
Time and discription of seizure
<25 yrs old
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

31. What are development considerations for hemophilia?
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
36 months
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

32. What is Hemolytic Disease of the Newborn
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
5ml/dl
10 years

33. S/sx of GERD
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
36 months
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

34. What is used to diagnose pyloric stenosis?
Abdominal ultrasound - Upper GI
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
passage of abdominal contents to the esophagus
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

35. Define Proximodistal
Salicylates
from trunk to extremities
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Dust - mold - animal dander - viral infections

36. ABG
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
O2 status of blood - acid-base balance
Length board standiometer

37. Non-pharmalogical measures to treat GER
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
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
Length Chart
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

38. Signs of increased ICP
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Growth spurt
Salicylates
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

39. What has the HIB vaccine been successful in reducing?
Length Chart
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
<25 yrs old

40. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
9 months
lethargy - irritability - decrease feedings - fever - seizures
20 inches
Successful management is based on early diagnosis and aggressive therapy

41. Teaching for Croup
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Cool mist therapy - encourage oral intake - s/sx of resp. distress
trunk
Regular diet with low sodium an no added salt

42. Treatment for Varicella
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
inflammation located in the middle ear
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

43. Complications related to varicella
Swelling or obstruction of the Larynx
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
# of stools per day - goal=2-3 stools per day
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

44. What is the cause of mononucleosis and its method of transmission?
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Equal to
Mechanical Ventalation - high inhaled o2 concentration
Epstein Barr Virus - transmitted with intimate contact

45. Cause of bronchiolitis
measures the largest velocity which occurs during a forced exhale
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
birth-36 months

46. Precaustions needed for pt's with varicella
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Swelling or obstruction of the Larynx
Repeated involuntary urination in a child who should already by toilet trained at night
Airborne and contact

47. Etiology of GERD
They are people - need a balance of limits and independence
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Mid puberty
# of stools per day - goal=2-3 stools per day

48. BMI - underweight
< 5%
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
10 years

49. What interventions prevent urinary tract infections?
School age
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

50. At what age is a stadiometer required to measure linear growth?
36 months
used for prolonged sz's
Foreskin is used during the surgical repair
O2 status of blood - acid-base balance