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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.
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 is epiglottitis?
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
12-24 days

2. Childs weight at 6 months compared to birth weight
MVA - bike accidents and falls
trunk
double birth weight
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

3. Varicella communicable
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
inflammation located in the middle ear

4. Clinical signs of infection wilth sickle cell disease
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
E. Coli
trunk - gonads and associative tissue
Erythroblastosis Fetalis

5. Pathophysiology of a fever and infection with sickle cell disease
chest x-ray following a Positive PPD skin test
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
# of stools per day - goal=2-3 stools per day
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

6. treatment of intussusception
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
MVA - bike accidents and falls
2 years
parainfluenza - RSV - Influenza A&B - M. pneumonia

7. At what age is a stadiometer required to measure linear growth?
36 months
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Swelling or obstruction of the Larynx
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

8. At birth - head circumference is ____ compared to chest circumference
Length board standiometer
up to 14 days
larger
85-95%

9. Average age of breast development
Urethral opening is positioned below the glans penis
10 years
< 1
GERD is the complications and symptoms that happen because of GER

10. GER (gastroesophageal reflux)
gum hypertrophy
passage of abdominal contents to the esophagus
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Phototherapy - exchange transfusion

11. Age of children at half their adult height
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Length board standiometer
2 years
4 years

12. Treatment for Varicella
Dust - mold - animal dander - viral infections
head
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

13. Side effects of dilatin hirsuitism (body hair)
Abdominal ultrasound - Upper GI
prevention - po antibiotics should be given before and after an invasive procedure
gum hypertrophy
2 snacks

14. Test to evaluate a Seizure disorder
Family history - EEG - CBC - LP and MRI
<25 yrs old
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

15. Bronchiolitis
Sterile-caused by blockage of thick mucous at the vas deferens
They are people - need a balance of limits and independence
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

16. Bilirubin encephalopathy
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
4 years
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

17. Signs and symptoms of Reye's Syndrome
Give freedom and choices - save battles for the important things
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

18. Hirschsprung's Disease
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Urethral opening is positioned below the glans penis
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

19. How does pertussis present?
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
6 months
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping

20. Post Op treatment of a VP shunt
Epstein Barr Virus - transmitted with intimate contact
9 months
double birth weight
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

21. first tooth
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Maternal infection - premature rupture of membranes
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
6 months

22. Growth spurt for adolescent boys
Mid puberty
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
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Liver Biopsy

23. Signs and Symptoms of Hemolytic Disease of the newborn
trunk - gonads and associative tissue
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

24. What is an acute otitis media?
Small bowel biopsy
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
inflammation located in the middle ear
13 years

25. Average age of menarche
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
13 years
Dust - mold - animal dander - viral infections
Swelling or obstruction of the Larynx

26. Characteristics of the RBC's in sickle cell

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27. Define Magical thinking

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28. Cause of bronchiolitis
O2 status of blood - acid-base balance
No - it can only be controlled
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

29. Leading cause of acquired heart disease in children
< 1
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Kawasaki disease - w/o treatment 25% will have permanent heart damage

30. When does the surgery to correct hypospadias usually occur?
10 inches
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Between 6-12 months

31. treatment of hemolytic disease of the newborn
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Airborne and contact
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Phototherapy - exchange transfusion

32. Sequence of resp distress
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Small bowel biopsy
>95%
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

33. Assess the cause of enuresis
Liver Biopsy
< 1
complete physical and psychosocial assessment to rule out underlying disorders
School age

34. Key nursing intervention for subacute bacterial endocarditis
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Enteropathy caused by an insensitivity to the gluten found in wheat
prevention - po antibiotics should be given before and after an invasive procedure
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

35. signs and symptoms of meningitis in older children
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Triple

36. Nursing care for Kawasaki Disease
Viral---Varicella or influenza
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

37. Complications of meningitis
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
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Brain damage - hearing loss and learning disabilities

38. What occurs in a subacute baterial endocarditis?
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Bacteria enter the blood stream from a site of localized infection and grows in the heart
20 inches
poor feeding - wt loss - fatigue - develop. delays - edema

39. What confirms a positive TB infection?
chest x-ray following a Positive PPD skin test
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
trunk - gonads and associative tissue
Swelling of the airways - mucous production - bronchospasms

40. Age range that is appropriate to use a length chart
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
birth-36 months
0-24 months
Group B Streptococcus

41. Age group affected by mononucleosis
9 months
<25 yrs old
Abdominal ultrasound - Upper GI
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

42. Etiology of GERD
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
lethargy - irritability - decrease feedings - fever - seizures
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

43. What promotes unsickling of RBC's?
Adequate O2 adequatte hydration
Viral---Varicella or influenza
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Vaso-occulisive crisis - infection and sepsis

44. Diet for CF patients
high protien and calorie - multivitamins - extra enzymes for high fat food
Barium enema
Sterile-caused by blockage of thick mucous at the vas deferens
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

45. Temp of home water heater to avoid burns
Less than 120 f.
diazepam - lorazapam
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Contact isolation - gown - gloves and handwashing

46. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Regular diet with low sodium an no added salt
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
# of stools per day - goal=2-3 stools per day

47. ABG
Foreskin is used during the surgical repair
O2 status of blood - acid-base balance
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

48. Diagnose Intussusception by
Barium enema
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Triple
trunk - gonads and associative tissue

49. Lead screening should begin. at ..
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
double birth weight
from trunk to extremities
9 months

50. Normal presentation of cystic fibrosis
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Give freedom and choices - save battles for the important things
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
hearing loss - scarring - mastoiditis - meningitis

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Certified Pediatric Nurse Exam

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