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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. Age that birth length doubles
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
maternal nutrition and genetics
4 years

2. Prevention of bronchiolitis spreading
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Erythroblastosis Fetalis
fever and infection
Contact isolation - gown - gloves and handwashing

3. 2 factors that determine birth weight
maternal nutrition and genetics
Swelling of the airways - mucous production - bronchospasms
Salicylates
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

4. Males Reproductive issues for CF patients
Give freedom and choices - save battles for the important things
Sterile-caused by blockage of thick mucous at the vas deferens
Successful management is based on early diagnosis and aggressive therapy
0-24 months

5. Sickle Cell Disease
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Urethral opening is positioned below the glans penis
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

6. Average age of breast development
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Mid puberty
Penicillin Prophylaxis (BID)
10 years

7. Pathophysiology of intussusception

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8. Nursing interventions for hemophilia
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
measures the largest velocity which occurs during a forced exhale
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
fecal soiling

9. Why avoid circumcision in a baby with hypospadias?
Foreskin is used during the surgical repair
Rinse mouth and brush teeth
chest x-ray following a Positive PPD skin test
inflammation and hypersensitivity to triggers

10. What promotes unsickling of RBC's?
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Adequate O2 adequatte hydration
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Length board standiometer

11. Peak flow meter
larger
head
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
measures the largest velocity which occurs during a forced exhale

12. Basic defect in coarctation of the aorta
School age
Bacteria enter the blood stream from a site of localized infection and grows in the heart
A narrowing within the Aorta resulting in collateral circulation
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

13. Contraindications to all vaccines
Previous history of life threatening reaction - Mod-severe illness w/wo fever
birth-36 months
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
trunk

14. Signs and Symptoms of Asthma
1-6 months
GERD is the complications and symptoms that happen because of GER
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities

15. What are the S/SX of bleeds in hemophilia?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
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
fecal soiling
6 months

16. Pathophysiology of cystic fibrosis
Contact isolation - gown - gloves and handwashing
An Acute inflamation of the meninges and CSF often caused by Enterovirus
School age
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

17. Screening for overweight or underweight child on chart
Hepatoxicity - pancreatitis
parainfluenza - RSV - Influenza A&B - M. pneumonia
BMI chart
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

18. Side effects of benzodiazepines
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
drooling
A typical lymphocytosis - mono-spot - EBV serology

19. How is Celiac Disease diagnosed?
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Small bowel biopsy
Milk - Ice cream - Malts - Grains

20. Clinicla manifestations of sickle cell disease
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Vaso-occulisive crisis - infection and sepsis
13 years
hearing loss - scarring - mastoiditis - meningitis

21. Post Op treatment of a VP shunt
Airborne and contact
13 years
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

22. Risk factors of tuberculosis
BMI chart
crowded living conditions - homeless and low income
up to 14 days
No - it can only be controlled

23. 3 main causes of Bacterial meningitis in children
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Erythroblastosis Fetalis
Adequate O2 adequatte hydration
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

24. Nursing care of the infant with pyloric stenosis
No - it can only be controlled
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

25. Viral Meningitis
GERD is the complications and symptoms that happen because of GER
larger
An Acute inflamation of the meninges and CSF often caused by Enterovirus
6 months

26. Steatorrhea
poor feeding - wt loss - fatigue - develop. delays - edema
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Excessive stool fat
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

27. What is Hemolytic Disease of the Newborn
10 inches
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
complete physical and psychosocial assessment to rule out underlying disorders
passage of abdominal contents to the esophagus

28. Characteristics of the RBC's in sickle cell

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29. Pathophysiology of Acute Asthma
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Swelling of the airways - mucous production - bronchospasms
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Barium enema

30. Predisposing factors to subacute bacterial endocarditis
85-95%
Swelling of the airways - mucous production - bronchospasms
Mechanical Ventalation - high inhaled o2 concentration
Dental procedures - gum disease and urinary tract infections

31. S/SX of Hirschsprungs
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
Airborne and contact
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

32. At 6-24 months - head circumference is what size in relationship to chest circumference
Penicillin Prophylaxis (BID)
Equal to
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

33. Signs of heart failure
poor feeding - wt loss - fatigue - develop. delays - edema
10 inches
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

34. What should be used for feeding a child during the post operative period following cleft palate surgery?
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
They are people - need a balance of limits and independence

35. Can Asthma be cured?
2 years
No - it can only be controlled
13 years
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

36. How many meals and snacks should a 1-3 yr old have in a day 3 meals
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
2 snacks
diazepam - lorazapam

37. Average age of menarche
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
6 months
13 years
O2 status of blood - acid-base balance

38. Asthma
2 snacks
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
5 inches

39. Common Asthma irritants
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
inflammation and hypersensitivity to triggers
Dust - mold - animal dander - viral infections
A typical lymphocytosis - mono-spot - EBV serology

40. What are development considerations for hemophilia?
hearing loss - scarring - mastoiditis - meningitis
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Equal to

41. Normal presentation of cystic fibrosis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
up to 14 days
Regular diet with low sodium an no added salt
Day 3 of life

42. Age range that is appropriate to use a length chart
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
10 years
birth-36 months
Mid puberty

43. Test to evaluate a Seizure disorder
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
from trunk to extremities
Dust - mold - animal dander - viral infections
Family history - EEG - CBC - LP and MRI

44. Define Proximodistal
Equal to
from trunk to extremities
Brain damage - hearing loss and learning disabilities
chest x-ray following a Positive PPD skin test

45. S/sx of GERD
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
prevention - po antibiotics should be given before and after an invasive procedure
Give freedom and choices - save battles for the important things
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

46. Assessment of a patient with suspected epiglottitis
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Sterile-caused by blockage of thick mucous at the vas deferens
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

47. Teaching for Croup
Cool mist therapy - encourage oral intake - s/sx of resp. distress
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

48. What Pharmalogical measures can be used to treat GERD?
# of stools per day - goal=2-3 stools per day
10 inches
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

49. What interventions prevent urinary tract infections?
measures the largest velocity which occurs during a forced exhale
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

50. Childs weight at 6 months compared to birth weight
double birth weight
diazepam - lorazapam
Triple
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection