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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
gum hypertrophy
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
10 years
4 years

2. Leading cause of head injury
birth-36 months
5ml/dl
MVA - bike accidents and falls
passage of abdominal contents to the esophagus

3. Key nursing intervention for subacute bacterial endocarditis
prevention - po antibiotics should be given before and after an invasive procedure
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
head
9 months

4. Diet for Hirschsprung's prior to corrction and treatment
Low fiber - high calorie and protein
Hepatoxicity - pancreatitis
trunk - gonads and associative tissue
Brain damage - hearing loss and learning disabilities

5. Incubation period for TB
maternal nutrition and genetics
prevention - po antibiotics should be given before and after an invasive procedure
1-6 months
Growth spurt

6. Signs and symptoms of neonatal meningitis
Salicylates
chest x-ray following a Positive PPD skin test
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

7. Signs of heart failure
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
passage of abdominal contents to the esophagus
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
poor feeding - wt loss - fatigue - develop. delays - edema

8. Average rate of growth for the 1st year
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
10 inches
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

9. Signs and Symptoms that indicate and adverse reaction to a vaccine
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
trunk - gonads and associative tissue
Length Chart

10. Nursing care of the infant with pyloric stenosis
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
larger
Abdominal ultrasound - Upper GI
>95%

11. treatment of intussusception
complete physical and psychosocial assessment to rule out underlying disorders
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Swelling or obstruction of the Larynx
Regular diet with low sodium an no added salt

12. Diagnose Intussusception by
Barium enema
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
A typical lymphocytosis - mono-spot - EBV serology

13. Age of children at half their adult height
2 years
1-6 months
GERD is the complications and symptoms that happen because of GER
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

14. Prevention of bronchiolitis spreading
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Contact isolation - gown - gloves and handwashing
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

15. Average rate of growth for the 2nd year of lif
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Group B Streptococcus
5 inches
0-24 months

16. Complications related to varicella
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
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

17. Pathophysiology of hirschsprung's disease
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Rinse mouth and brush teeth
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

18. 3 main causes of Bacterial meningitis in children
lethargy - irritability - decrease feedings - fever - seizures
Dust - mold - animal dander - viral infections
Between 6-12 months
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

19. Treatment for sickle cell disease
complete physical and psychosocial assessment to rule out underlying disorders
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
double birth weight
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

20. What is the treatment for epiglottitis?
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Hepatoxicity - pancreatitis

21. Celiac Disease
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Enteropathy caused by an insensitivity to the gluten found in wheat
Less than 120 f.
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

22. first tooth
6 months
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Give freedom and choices - save battles for the important things

23. Neonatal Jaundice
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
E. Coli
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

24. Childs weight at 6 months compared to birth weight
double birth weight
Low fiber - high calorie and protein
5ml/dl
lethargy - irritability - decrease feedings - fever - seizures

25. Signs of increased ICP
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
< 1
Growth spurt

26. What is Hemolytic Disease of the Newborn
Successful management is based on early diagnosis and aggressive therapy
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
Erythroblastosis Fetalis
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

27. Leading cause of bacterial meningitis in Neonates
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Group B Streptococcus
A typical lymphocytosis - mono-spot - EBV serology

28. Diet for CF patients
high protien and calorie - multivitamins - extra enzymes for high fat food
fever and infection
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
They are people - need a balance of limits and independence

29. Nursing care for Kawasaki Disease
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

30. Why avoid circumcision in a baby with hypospadias?
Foreskin is used during the surgical repair
up to 14 days
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
trunk

31. What are development considerations for hemophilia?
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
< 1
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
hearing loss - scarring - mastoiditis - meningitis

32. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Regular diet with low sodium an no added salt
12 years
Length Chart
Liver Biopsy

33. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
crowded living conditions - homeless and low income
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

34. What is the cause of mononucleosis and its method of transmission?
from trunk to extremities
6 months
Epstein Barr Virus - transmitted with intimate contact
Small bowel biopsy

35. 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
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
Enteropathy caused by an insensitivity to the gluten found in wheat
Brain damage - hearing loss and learning disabilities

36. Cephalocaudal
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
chest x-ray following a Positive PPD skin test
from head to toe
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

37. What Component of Aspirin cause's Reye's Syndrome?
10 years
Abdominal ultrasound - Upper GI
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Salicylates

38. Treatment of a bleed in hemophilia
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
lethargy - irritability - decrease feedings - fever - seizures
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

39. What interventions prevent urinary tract infections?
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
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
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Hepatoxicity - pancreatitis

40. Side effects of benzodiazepines
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
drooling
2 years
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

41. Characteristics of the RBC's in sickle cell

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42. 3 symptoms of coarctation of the aorta
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
2 years
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
<25 yrs old

43. Screening for overweight or underweight child on chart
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Repeated involuntary urination in a child who should already by toilet trained at night
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
BMI chart

44. What promotes unsickling of RBC's?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
No - it can only be controlled
Adequate O2 adequatte hydration

45. Define Proximodistal
Kawasaki disease - w/o treatment 25% will have permanent heart damage
from trunk to extremities
fever and infection
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

46. Clinicla manifestations of sickle cell disease
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
head
Vaso-occulisive crisis - infection and sepsis

47. Varicella communicable
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
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
Length Chart

48. Nursing care for a child with Reye's Syndrome
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
5ml/dl
maternal nutrition and genetics
Group B Streptococcus

49. Part of body that grows the fastest in infancy
Length Chart
from head to toe
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
head

50. Temp of home water heater to avoid burns
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Less than 120 f.
poor feeding - wt loss - fatigue - develop. delays - edema