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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. Normal presentation of cystic fibrosis
Between 6-12 months
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
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
diazepam - lorazapam

2. Define Proximodistal
Day 3 of life
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
from trunk to extremities

3. What should be observed in a case of a seizure?
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Time and discription of seizure
poor feeding - wt loss - fatigue - develop. delays - edema
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

4. treatment of hemolytic disease of the newborn
Phototherapy - exchange transfusion
none
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
MVA - bike accidents and falls

5. Average rate of growth for the 1st year
birth-36 months
trunk
10 inches
Less than 120 f.

6. Complications of acute otitis media
Small bowel biopsy
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
hearing loss - scarring - mastoiditis - meningitis

7. Signs and Symptoms of Celiac Disease
Less than 120 f.
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
2 years
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

8. Signs and Symptoms that indicate and adverse reaction to a vaccine
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Milk - Ice cream - Malts - Grains
12 years
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

9. Growth spurt for adolescent boys
2.5 inches
Mid puberty
Group B Streptococcus
Family history - EEG - CBC - LP and MRI

10. Bilirubin encephalopathy
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
# of stools per day - goal=2-3 stools per day
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
MVA - bike accidents and falls

11. Diastat rectal diazepam gel

12. What Component of Aspirin cause's Reye's Syndrome?
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
Salicylates
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

13. At what age is a length board required?
0-24 months
fecal soiling
Between 6-12 months
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

14. How does pertussis present?
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Milk - Ice cream - Malts - Grains
MVA - bike accidents and falls
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

15. Teaching for Croup
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
complete physical and psychosocial assessment to rule out underlying disorders

16. 3 main causes of Bacterial meningitis in children
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
85-95%

17. Normal Bilirubin
>95%
< 1
Viral---Varicella or influenza
gum hypertrophy

18. Assessment of a patient with suspected epiglottitis
Growth spurt
Mid puberty
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

19. 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
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

20. Focus of adolescent discipline
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Give freedom and choices - save battles for the important things
Day 3 of life

21. Peak flow meter
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
measures the largest velocity which occurs during a forced exhale
Cool mist therapy - encourage oral intake - s/sx of resp. distress

22. Linear growth event happens in Adolescents
drooling
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Growth spurt
Mechanical Ventalation - high inhaled o2 concentration

23. Signs and symptoms of varicella Prodromal
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
5ml/dl
measures the largest velocity which occurs during a forced exhale

24. What is broncho-pulmonary dysplasia?
Length board standiometer
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
They are people - need a balance of limits and independence
none

25. Neonatal Jaundice
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
from trunk to extremities
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
fecal soiling

26. RSV contagious for ...
Milk - Ice cream - Malts - Grains
up to 14 days
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

27. Average age of menarche
12 years
13 years
1-6 months
Swelling of the airways - mucous production - bronchospasms

28. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

29. Prevention of bronchiolitis spreading
36 months
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
passage of abdominal contents to the esophagus
Contact isolation - gown - gloves and handwashing

30. first tooth
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Small bowel biopsy
6 months
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

31. Average age of breast development
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
10 years
Salicylates

32. Treatment and nursing care for pertussis
Maternal infection - premature rupture of membranes
Milk - Ice cream - Malts - Grains
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

33. What is Pyloric stenosis?
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 thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
none
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities

34. How many days after birth do bilirubin levels return to normal limits?
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
12-24 days
10 years

35. Signs and symptoms of Reye's Syndrome
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

36. What confirms a positive TB infection?
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
hearing loss - scarring - mastoiditis - meningitis
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
chest x-ray following a Positive PPD skin test

37. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
lethargy - irritability - decrease feedings - fever - seizures
trunk
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

38. What is enuresis?
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Repeated involuntary urination in a child who should already by toilet trained at night
4 years
Cool mist therapy - encourage oral intake - s/sx of resp. distress

39. Risk factors of tuberculosis
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Kawasaki disease - w/o treatment 25% will have permanent heart damage
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
crowded living conditions - homeless and low income

40. When does the surgery to correct hypospadias usually occur?
E. Coli
hearing loss - scarring - mastoiditis - meningitis
Between 6-12 months
4 years

41. Pathophysiology of celiac disease
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
poor feeding - wt loss - fatigue - develop. delays - edema
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
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

42. Nursing care for child with seizure

43. Diagnose Intussusception by
Barium enema
MVA - bike accidents and falls
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
crowded living conditions - homeless and low income

44. Sequence of resp distress
Give freedom and choices - save battles for the important things
passage of abdominal contents to the esophagus
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
fever and infection

45. Two important assessment rules related to coarctation of the aorta?
Regular diet with low sodium an no added salt
trunk
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Swelling of the airways - mucous production - bronchospasms

46. Where does the adolescent experience rapid growth?
hearing loss - scarring - mastoiditis - meningitis
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
high protien and calorie - multivitamins - extra enzymes for high fat food
trunk - gonads and associative tissue

47. 3 symptoms of coarctation of the aorta
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
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 BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Epstein Barr Virus - transmitted with intimate contact

48. Age range that is appropriate to use a length chart
lethargy - irritability - decrease feedings - fever - seizures
Adequate O2 adequatte hydration
Give freedom and choices - save battles for the important things
birth-36 months

49. Term infant --Bilirubin peaks at what day of life
Day 3 of life
Length board standiometer
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

50. At 6-24 months - head circumference is what size in relationship to chest circumference
Dust - mold - animal dander - viral infections
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Equal to
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration