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Test your basic knowledge |
Certified Pediatric Nurse Exam
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Subjects
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certifications
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health-sciences
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nursing
Instructions:
Answer 50 questions in 15 minutes.
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study here
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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. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
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
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Mid puberty
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
2. Leading cause of bacterial meningitis in Neonates
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Group B Streptococcus
Abdominal ultrasound - Upper GI
Growth spurt
3. What is heart failure?
Penicillin Prophylaxis (BID)
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
5 inches
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
4. Viral Meningitis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
poor feeding - wt loss - fatigue - develop. delays - edema
Time and discription of seizure
from head to toe
5. Normal Bilirubin
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
2 snacks
< 1
6. Average age of breast development
10 years
hearing loss - scarring - mastoiditis - meningitis
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
maternal nutrition and genetics
7. What Pharmalogical measures can be used to treat GERD?
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Maternal infection - premature rupture of membranes
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Successful management is based on early diagnosis and aggressive therapy
8. How does pertussis present?
Time and discription of seizure
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
high protien and calorie - multivitamins - extra enzymes for high fat food
O2 status of blood - acid-base balance
9. Nursing care for Cystic Fibrosis
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
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
Dental procedures - gum disease and urinary tract infections
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
10. Part of body that grows the fastest in infancy
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
head
11. BMI-@ risk for overweight
5ml/dl
fecal soiling
85-95%
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
12. Reyes Syndrome
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
13. Pathophysiology of celiac disease
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
head
14. At what age is a length board required?
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
0-24 months
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
15. Post Op treatment of a VP shunt
Growth spurt
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
trunk
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
16. Age group affected by mononucleosis
<25 yrs old
Growth spurt
2.5 inches
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
17. Linear growth event happens in Adolescents
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Growth spurt
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Between 6-12 months
18. Average Birth Length
20 inches
# of stools per day - goal=2-3 stools per day
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
>95%
19. S/sx of GERD
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
10 years
85-95%
20. Puberty for boys
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
0-24 months
Swelling or obstruction of the Larynx
12 years
21. Can Asthma be cured?
No - it can only be controlled
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Urethral opening is positioned below the glans penis
used for prolonged sz's
22. Pathophysiology of Chronic Asthma
Adequate O2 adequatte hydration
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
inflammation and hypersensitivity to triggers
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
23. Pathophysiology related to Head Trauma
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
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
9 months
24. Average rate of growth for the 2nd year of lif
Mechanical Ventalation - high inhaled o2 concentration
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
5 inches
25. Complications related to varicella
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
10 years
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
26. Assess the cause of enuresis
10 inches
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
complete physical and psychosocial assessment to rule out underlying disorders
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
27. Side effects of dilatin hirsuitism (body hair)
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
gum hypertrophy
< 1
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
28. Nursing interventions for hemophilia
>95%
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
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
29. Cephalocaudal
Liver Biopsy
from head to toe
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
30. Predisposing factors to subacute bacterial endocarditis
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Dental procedures - gum disease and urinary tract infections
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
31. Signs of increased ICP
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
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Equal to
Adequate O2 adequatte hydration
32. What is the cause of mononucleosis and its method of transmission?
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
none
Contact isolation - gown - gloves and handwashing
Epstein Barr Virus - transmitted with intimate contact
33. Etiology of GERD
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
hearing loss - scarring - mastoiditis - meningitis
Airborne and contact
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
34. Celiac Disease
Phototherapy - exchange transfusion
up to 14 days
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Enteropathy caused by an insensitivity to the gluten found in wheat
35. 3 main causes of Bacterial meningitis in children
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
A narrowing within the Aorta resulting in collateral circulation
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
36. Age of children at half their adult height
# of stools per day - goal=2-3 stools per day
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
2 years
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
37. What are the four main causes of viral croup?
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
parainfluenza - RSV - Influenza A&B - M. pneumonia
<25 yrs old
Between 6-12 months
38. Asthma
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Cool mist therapy - encourage oral intake - s/sx of resp. distress
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
39. Term infant --Bilirubin peaks at what day of life
parainfluenza - RSV - Influenza A&B - M. pneumonia
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Day 3 of life
5ml/dl
40. 2 factors that determine birth weight
maternal nutrition and genetics
Successful management is based on early diagnosis and aggressive therapy
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
An Acute inflamation of the meninges and CSF often caused by Enterovirus
41. Treatment of Meningitis
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42. Nursing care of the infant with pyloric stenosis
MVA - bike accidents and falls
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
birth-36 months
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
43. BMI- overweight
>95%
Maternal infection - premature rupture of membranes
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
trunk
44. At birth - head circumference is ____ compared to chest circumference
Milk - Ice cream - Malts - Grains
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Group B Streptococcus
larger
45. When does the surgery to correct hypospadias usually occur?
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Vaso-occulisive crisis - infection and sepsis
Between 6-12 months
46. signs and symptoms of meningitis in older children
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
20 inches
Foreskin is used during the surgical repair
10 inches
47. What is enuresis?
Repeated involuntary urination in a child who should already by toilet trained at night
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
An Acute inflamation of the meninges and CSF often caused by Enterovirus
48. Prevention of bronchiolitis spreading
Contact isolation - gown - gloves and handwashing
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Sterile-caused by blockage of thick mucous at the vas deferens
2.5 inches
49. Basic defect in coarctation of the aorta
A narrowing within the Aorta resulting in collateral circulation
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Vaso-occulisive crisis - infection and sepsis
Contact isolation - gown - gloves and handwashing
50. Encoperesis
Dental procedures - gum disease and urinary tract infections
fecal soiling
poor feeding - wt loss - fatigue - develop. delays - edema
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
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