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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. What is Hemolytic Disease of the Newborn
A typical lymphocytosis - mono-spot - EBV serology
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Swelling or obstruction of the Larynx
6 months

3. What occurs in a subacute baterial endocarditis?
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Previous history of life threatening reaction - Mod-severe illness w/wo fever
up to 14 days
10 inches

4. What are the side effects of depakote?
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Hepatoxicity - pancreatitis
Rinse mouth and brush teeth
# of stools per day - goal=2-3 stools per day

5. Age that birth length doubles
Penicillin Prophylaxis (BID)
4 years
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Contact isolation - gown - gloves and handwashing

6. Treatment of a bleed in hemophilia
10 years
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

7. What is used to diagnose pyloric stenosis?
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
13 years
Abdominal ultrasound - Upper GI
inflammation located in the middle ear

8. Considerations should be taken when treating a child with cystic fibrosis who has a ___________ tx promptly since bacterial colonization increases destruction of lung tissue----prevention is key
gum hypertrophy
fever and infection
Hepatoxicity - pancreatitis
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

9. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
measures the largest velocity which occurs during a forced exhale
Length Chart
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

10. What has the HIB vaccine been successful in reducing?
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
13 years
Give freedom and choices - save battles for the important things
An Acute inflamation of the meninges and CSF often caused by Enterovirus

11. What is the rate of growth each year from 3 yrs until puberty?
Successful management is based on early diagnosis and aggressive therapy
parainfluenza - RSV - Influenza A&B - M. pneumonia
2.5 inches
Group B Streptococcus

12. Pathophysiology of Acute Asthma
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Swelling of the airways - mucous production - bronchospasms

13. How many days after birth do bilirubin levels return to normal limits?
12-24 days
crowded living conditions - homeless and low income
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
inflammation and hypersensitivity to triggers

14. Bilirubin encephalopathy
20 inches
Growth spurt
Length board standiometer
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

15. Reyes Syndrome
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
2 years
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

16. Part of body that grows the fastest in infancy
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
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Mid puberty
head

17. Teaching for RSV
2 snacks
School age
Dental procedures - gum disease and urinary tract infections
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

18. Signs and symptoms of varicella Prodromal
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Abdominal ultrasound - Upper GI
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

19. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
# of stools per day - goal=2-3 stools per day
trunk
Enteropathy caused by an insensitivity to the gluten found in wheat

20. Why is early diagnosis important w. Reye's Syndrome?
Successful management is based on early diagnosis and aggressive therapy
Viral---Varicella or influenza
diazepam - lorazapam
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

21. Contraindications to all vaccines
crowded living conditions - homeless and low income
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Foreskin is used during the surgical repair
Previous history of life threatening reaction - Mod-severe illness w/wo fever

22. Nursing interventions for hemophilia
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

23. BMI-@ risk for overweight
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
85-95%
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

24. Temp of home water heater to avoid burns
Less than 120 f.
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Swelling of the airways - mucous production - bronchospasms
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

25. What should be done to minimize the risks of Sudden infant death syndrome?
12 years
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

26. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
lethargy - irritability - decrease feedings - fever - seizures
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Mechanical Ventalation - high inhaled o2 concentration

27. Age of children at half their adult height
fecal soiling
prevention - po antibiotics should be given before and after an invasive procedure
2 years
poor feeding - wt loss - fatigue - develop. delays - edema

28. Where does the adolescent experience rapid growth?
13 years
Enteropathy caused by an insensitivity to the gluten found in wheat
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
trunk - gonads and associative tissue

29. Two examples of benzodiazepines
passage of abdominal contents to the esophagus
diazepam - lorazapam
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
6 months

30. Lead screening should begin. at ..
9 months
maternal nutrition and genetics
larger
lethargy - irritability - decrease feedings - fever - seizures

31. When does the surgery to correct hypospadias usually occur?
13 years
Between 6-12 months
poor feeding - wt loss - fatigue - develop. delays - edema
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

32. Diet for CF patients
crowded living conditions - homeless and low income
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
high protien and calorie - multivitamins - extra enzymes for high fat food
GERD is the complications and symptoms that happen because of GER

33. What are the four main causes of viral croup?
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
inflammation and hypersensitivity to triggers
parainfluenza - RSV - Influenza A&B - M. pneumonia
BMI chart

34. Define Proximodistal
from trunk to extremities
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Penicillin Prophylaxis (BID)

35. Equipment used to measure a 24 to 36 month old height
Length board standiometer
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
< 1
used for prolonged sz's

36. Assessment of a patient with suspected epiglottitis
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Mid puberty
none

37. Hypospadias
Urethral opening is positioned below the glans penis
Dental procedures - gum disease and urinary tract infections
chest x-ray following a Positive PPD skin test
Repeated involuntary urination in a child who should already by toilet trained at night

38. Treatment and nursing care for pertussis
maternal nutrition and genetics
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
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
Repeated involuntary urination in a child who should already by toilet trained at night

39. Clinicla manifestations of sickle cell disease
Regular diet with low sodium an no added salt
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
fecal soiling
Vaso-occulisive crisis - infection and sepsis

40. What are major risk factors for neonatal meningitis?
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Maternal infection - premature rupture of membranes
A typical lymphocytosis - mono-spot - EBV serology

41. Complications of meningitis
prevention - po antibiotics should be given before and after an invasive procedure
20 inches
Brain damage - hearing loss and learning disabilities
Liver Biopsy

42. During an abdominal assessment when should auscultation occur
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Growth spurt
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
prevention - po antibiotics should be given before and after an invasive procedure

43. Hourly maintenance Fluid Requirements
Maternal infection - premature rupture of membranes
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Mechanical Ventalation - high inhaled o2 concentration

44. Screening for overweight or underweight child on chart
BMI chart
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Milk - Ice cream - Malts - Grains
No - it can only be controlled

45. Age group the limbs grow the fastest
<25 yrs old
School age
hearing loss - scarring - mastoiditis - meningitis
Swelling or obstruction of the Larynx

46. Complications related to varicella
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
O2 status of blood - acid-base balance
12-24 days

47. What is heart failure?
2 snacks
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
85-95%
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

48. Average rate of growth for the 1st year
10 inches
Low fiber - high calorie and protein
Erythroblastosis Fetalis
5 inches

49. Nursing care of patient with Meningitis
Give freedom and choices - save battles for the important things
Rinse mouth and brush teeth
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
double birth weight

50. Define Magical thinking

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