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Certified Pediatric Nurse Exam

Subjects : certifications, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. Pathophysiology related to Head Trauma
high protien and calorie - multivitamins - extra enzymes for high fat food
Length Chart
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
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

2. Hourly maintenance Fluid Requirements
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Urethral opening is positioned below the glans penis
>95%

3. Main cause of urinary tract infections
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
E. Coli
prevention - po antibiotics should be given before and after an invasive procedure
Excessive stool fat

4. BMI-@ risk for overweight
85-95%
Swelling or obstruction of the Larynx
12 years
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

5. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Day 3 of life
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
85-95%

6. How many meals and snacks should a 1-3 yr old have in a day 3 meals
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
2 snacks
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

7. At birth - head circumference is ____ compared to chest circumference
larger
BMI chart
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

8. What occurs in a subacute baterial endocarditis?
< 5%
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
# of stools per day - goal=2-3 stools per day

9. Equipment used to measure a 24 to 36 month old height
Foreskin is used during the surgical repair
Length board standiometer
Family history - EEG - CBC - LP and MRI
2 snacks

10. Key nursing intervention for subacute bacterial endocarditis
Dental procedures - gum disease and urinary tract infections
5ml/dl
< 1
prevention - po antibiotics should be given before and after an invasive procedure

11. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
Excessive stool fat
# of stools per day - goal=2-3 stools per day
MVA - bike accidents and falls
hearing loss - scarring - mastoiditis - meningitis

12. Treatment of Kawasaki disease
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Successful management is based on early diagnosis and aggressive therapy
A narrowing within the Aorta resulting in collateral circulation
10 years

13. Head circumference should be assessed until what age
3 years
< 5%
O2 status of blood - acid-base balance
birth-36 months

14. What confirms a positive TB infection?
Erythroblastosis Fetalis
chest x-ray following a Positive PPD skin test
head
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

15. Predisposing factors to subacute bacterial endocarditis
Epstein Barr Virus - transmitted with intimate contact
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Dental procedures - gum disease and urinary tract infections

16. Treatment for Varicella
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Sterile-caused by blockage of thick mucous at the vas deferens
BMI chart
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

17. Assess the cause of enuresis
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
complete physical and psychosocial assessment to rule out underlying disorders
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

18. Part of the body that grows the fastest in the toddler-preschool age
trunk
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Day 3 of life

19. Normal presentation of cystic fibrosis
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
No - it can only be controlled

20. Males Reproductive issues for CF patients
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
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
E. Coli

21. Temp of home water heater to avoid burns
birth-36 months
Less than 120 f.
Dental procedures - gum disease and urinary tract infections
Low fiber - high calorie and protein

22. Can Asthma be cured?
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
from head to toe
No - it can only be controlled
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

23. Linear growth event happens in Adolescents
O2 status of blood - acid-base balance
Give freedom and choices - save battles for the important things
birth-36 months
Growth spurt

24. Pertussis?
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
1-6 months
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
< 5%

25. Another name for Hemolytic Disease of the Newborn
Time and discription of seizure
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
20 inches
Erythroblastosis Fetalis

26. At what age is a length board required?
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
12 years
0-24 months
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

27. Diagnose Intussusception by
20 inches
trunk
Barium enema
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

28. Neonatal Jaundice
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
maternal nutrition and genetics
measures the largest velocity which occurs during a forced exhale
Excessive stool fat

29. Bilirubin encephalopathy
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
double birth weight
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

30. What are the four main causes of viral croup?
2.5 inches
parainfluenza - RSV - Influenza A&B - M. pneumonia
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Less than 120 f.

31. Treatment for Hirschsprungs
Mid puberty
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Regular diet with low sodium an no added salt

32. What are the side effects of depakote?
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
Hepatoxicity - pancreatitis
BMI chart
Equal to

33. What is physiologic Jaundice?
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
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
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
2.5 inches

34. Varicella communicable
none
Contact isolation - gown - gloves and handwashing
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

35. What interventions prevent urinary tract infections?
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
gum hypertrophy
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

36. Precaustions needed for pt's with varicella
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
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
Airborne and contact

37. S/sx of GERD
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Dust - mold - animal dander - viral infections
12 years

38. Signs of increased ICP
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
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
hearing loss - scarring - mastoiditis - meningitis
Urethral opening is positioned below the glans penis

39. What is an acute otitis media?
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Airborne and contact
inflammation located in the middle ear
GERD is the complications and symptoms that happen because of GER

40. Diastat rectal diazepam gel

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41. What level does the bilirubin need to be at in order for jaundice to occur?
85-95%
6 months
5ml/dl
4 years

42. Age of children at half their adult height
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
2 years
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Regular diet with low sodium an no added salt

43. What is enuresis?
85-95%
# of stools per day - goal=2-3 stools per day
2 snacks
Repeated involuntary urination in a child who should already by toilet trained at night

44. How does pertussis present?
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
BMI chart
GERD is the complications and symptoms that happen because of GER
85-95%

45. 3 main causes of Bacterial meningitis in children
10 years
Barium enema
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
double birth weight

46. 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
fever and infection
chest x-ray following a Positive PPD skin test
Enteropathy caused by an insensitivity to the gluten found in wheat
Brain damage - hearing loss and learning disabilities

47. Side effects of benzodiazepines
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
drooling
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

48. Kawasaki Disease
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
< 1
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
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

49. Characteristics of the RBC's in sickle cell

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50. Signs and Symptoms of Hemolytic Disease of the newborn
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Cool mist therapy - encourage oral intake - s/sx of resp. distress
<25 yrs old

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Certified Pediatric Nurse Exam

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