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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. Teaching for Croup
13 years
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Excessive stool fat

2. What interventions prevent urinary tract infections?
Between 6-12 months
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
5ml/dl

3. Bilirubin encephalopathy
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
12 years
Excessive stool fat

4. Prevention of infection in Sickle Cell Disease
drooling
12-24 days
Penicillin Prophylaxis (BID)
chest x-ray following a Positive PPD skin test

5. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Kawasaki disease - w/o treatment 25% will have permanent heart damage
high protien and calorie - multivitamins - extra enzymes for high fat food
2 snacks
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

6. Signs and Symptoms that indicate and adverse reaction to a vaccine
Urethral opening is positioned below the glans penis
1-6 months
2 years
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

7. At birth - head circumference is ____ compared to chest circumference
trunk
from trunk to extremities
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
larger

8. Viral Croup
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Family history - EEG - CBC - LP and MRI
Swelling or obstruction of the Larynx
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

9. Pathophysiology of a fever and infection with sickle cell disease
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
0-24 months

10. What foods are prohibited for a person with Celiac Disease?
double birth weight
Milk - Ice cream - Malts - Grains
4 years
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

11. Risk factors of tuberculosis
85-95%
A typical lymphocytosis - mono-spot - EBV serology
crowded living conditions - homeless and low income
Low fiber - high calorie and protein

12. Contraindications to all vaccines
Family history - EEG - CBC - LP and MRI
passage of abdominal contents to the esophagus
Small bowel biopsy
Previous history of life threatening reaction - Mod-severe illness w/wo fever

13. BMI-@ risk for overweight
prevention - po antibiotics should be given before and after an invasive procedure
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Family history - EEG - CBC - LP and MRI
85-95%

14. Nursing care for Cystic Fibrosis
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
from head to toe
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
birth-36 months

15. Reyes Syndrome
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Length Chart
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

16. Nursing care for Kawasaki Disease
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
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Dental procedures - gum disease and urinary tract infections

17. Part of the body that grows the fastest in the toddler-preschool age
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Regular diet with low sodium an no added salt
diazepam - lorazapam
trunk

18. What Pharmalogical measures can be used to treat GERD?
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Triple
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

19. Signs of increased ICP
Barium enema
trunk - gonads and associative tissue
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
poor feeding - wt loss - fatigue - develop. delays - edema

20. Assess the cause of enuresis
hearing loss - scarring - mastoiditis - meningitis
complete physical and psychosocial assessment to rule out underlying disorders
<25 yrs old
measures the largest velocity which occurs during a forced exhale

21. What are the side effects of depakote?
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
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
Hepatoxicity - pancreatitis
Small bowel biopsy

22. Nursing care of the infant with pyloric stenosis
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
5 inches

23. Childs weight at 6 months compared to birth weight
Day 3 of life
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
double birth weight
Repeated involuntary urination in a child who should already by toilet trained at night

24. What is the treatment for epiglottitis?
none
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
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

25. Two examples of benzodiazepines
0-24 months
diazepam - lorazapam
gum hypertrophy
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

26. What should be done to minimize the risks of Sudden infant death syndrome?
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Liver Biopsy
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
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

27. What are the four main causes of viral croup?
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
double birth weight
poor feeding - wt loss - fatigue - develop. delays - edema
parainfluenza - RSV - Influenza A&B - M. pneumonia

28. What is Hemolytic Disease of the Newborn
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
A typical lymphocytosis - mono-spot - EBV serology
Previous history of life threatening reaction - Mod-severe illness w/wo fever

29. Signs and Symptoms of mononucleosis
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
5ml/dl
Brain damage - hearing loss and learning disabilities
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

30. Sickle Cell Disease
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Salicylates
lethargy - irritability - decrease feedings - fever - seizures

31. ABG
hearing loss - scarring - mastoiditis - meningitis
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
O2 status of blood - acid-base balance
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

32. Define Magical thinking

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33. Peak flow meter
measures the largest velocity which occurs during a forced exhale
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
10 years
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

34. BMI- overweight
>95%
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Sterile-caused by blockage of thick mucous at the vas deferens

35. Normal presentation of cystic fibrosis
Maternal infection - premature rupture of membranes
Cool mist therapy - encourage oral intake - s/sx of resp. distress
O2 status of blood - acid-base balance
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

36. Nursing interventions for hemophilia
passage of abdominal contents to the esophagus
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Day 3 of life
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

37. Linear growth event happens in Adolescents
No - it can only be controlled
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Growth spurt

38. What Component of Aspirin cause's Reye's Syndrome?
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Salicylates
Rinse mouth and brush teeth
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

39. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Viral---Varicella or influenza
Maternal infection - premature rupture of membranes
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

40. What level does the bilirubin need to be at in order for jaundice to occur?
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 months
Maternal infection - premature rupture of membranes
5ml/dl

41. Asthma
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
10 years
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

42. Signs and Symptoms of Asthma
Enteropathy caused by an insensitivity to the gluten found in wheat
Liver Biopsy
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

43. Clinical signs of infection wilth sickle cell disease
Foreskin is used during the surgical repair
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Cool mist therapy - encourage oral intake - s/sx of resp. distress

44. Diagnose Intussusception by
85-95%
Barium enema
trunk
crowded living conditions - homeless and low income

45. Diet for a child with glumerlonephritis
Regular diet with low sodium an no added salt
poor feeding - wt loss - fatigue - develop. delays - edema
lethargy - irritability - decrease feedings - fever - seizures
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

46. What is the rate of growth each year from 3 yrs until puberty?
2.5 inches
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
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
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

47. What promotes unsickling of RBC's?
Adequate O2 adequatte hydration
Small bowel biopsy
3 years
Phototherapy - exchange transfusion

48. What is used to diagnose GER?
parainfluenza - RSV - Influenza A&B - M. pneumonia
< 5%
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
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

49. What can promote dryness in a child with enuresis?
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
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
Successful management is based on early diagnosis and aggressive therapy
1-6 months

50. Treatment of a bleed in hemophilia
Length board standiometer
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
<25 yrs old
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis