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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. What are major risk factors for neonatal meningitis?
Foreskin is used during the surgical repair
Maternal infection - premature rupture of membranes
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
trunk - gonads and associative tissue

2. Why avoid circumcision in a baby with hypospadias?
<25 yrs old
Foreskin is used during the surgical repair
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Low fiber - high calorie and protein

3. Signs and Symptoms of Asthma
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Dust - mold - animal dander - viral infections

4. Incubation period for TB
drooling
2 years
An Acute inflamation of the meninges and CSF often caused by Enterovirus
1-6 months

5. Pathophysiology of celiac disease
Adequate O2 adequatte hydration
Repeated involuntary urination in a child who should already by toilet trained at night
hearing loss - scarring - mastoiditis - meningitis
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

6. 2 factors that determine birth weight
10 years
3 years
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
maternal nutrition and genetics

7. Nursing care for Kawasaki Disease
A typical lymphocytosis - mono-spot - EBV serology
Abdominal ultrasound - Upper GI
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
birth-36 months

8. RSV contagious for ...
passage of abdominal contents to the esophagus
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
up to 14 days
A typical lymphocytosis - mono-spot - EBV serology

9. Causes of Bronchopulmonary Dysplasia
Mechanical Ventalation - high inhaled o2 concentration
MVA - bike accidents and falls
Vaso-occulisive crisis - infection and sepsis
prevention - po antibiotics should be given before and after an invasive procedure

10. Reyes Syndrome
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
A narrowing within the Aorta resulting in collateral circulation
Between 6-12 months

11. What is the cause of mononucleosis and its method of transmission?
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
drooling
Epstein Barr Virus - transmitted with intimate contact
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

12. ABG
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
O2 status of blood - acid-base balance
MVA - bike accidents and falls

13. Define Proximodistal
Regular diet with low sodium an no added salt
trunk - gonads and associative tissue
from trunk to extremities
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

14. Signs and Symptoms of mononucleosis
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Less than 120 f.
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

15. Pathophysiology of intussusception

16. What foods are prohibited for a person with Celiac Disease?
Repeated involuntary urination in a child who should already by toilet trained at night
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Milk - Ice cream - Malts - Grains
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

17. Lead screening should begin. at ..
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
9 months
No - it can only be controlled
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

18. How many meals and snacks should a 1-3 yr old have in a day 3 meals
They are people - need a balance of limits and independence
lethargy - irritability - decrease feedings - fever - seizures
2 snacks
GERD is the complications and symptoms that happen because of GER

19. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Mid puberty
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

20. Asthma inhaler - what can be done to decrease risk of thrush
Rinse mouth and brush teeth
Maternal infection - premature rupture of membranes
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
up to 14 days

21. Prevention of infection in Sickle Cell Disease
E. Coli
Penicillin Prophylaxis (BID)
Dental procedures - gum disease and urinary tract infections
Salicylates

22. Cephalocaudal
poor feeding - wt loss - fatigue - develop. delays - edema
Day 3 of life
up to 14 days
from head to toe

23. Celiac Disease
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Enteropathy caused by an insensitivity to the gluten found in wheat
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
< 5%

24. At 6-24 months - head circumference is what size in relationship to chest circumference
Equal to
MVA - bike accidents and falls
4 years
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

25. Side effects of benzodiazepines
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
drooling
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

26. Growth spurt for adolescent boys
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Mid puberty
They are people - need a balance of limits and independence
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

27. Post Op treatment of a VP shunt
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
85-95%
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

28. Sickle Cell Disease
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
trunk - gonads and associative tissue
used for prolonged sz's

29. Childs weight at 6 months compared to birth weight
< 1
A typical lymphocytosis - mono-spot - EBV serology
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
double birth weight

30. What Pharmalogical measures can be used to treat GERD?
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

31. Precaustions needed for pt's with varicella
Airborne and contact
parainfluenza - RSV - Influenza A&B - M. pneumonia
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

32. Encoperesis
fecal soiling
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
diazepam - lorazapam
trunk

33. Characteristics of the RBC's in sickle cell

34. What is the rate of growth each year from 3 yrs until puberty?
birth-36 months
up to 14 days
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
2.5 inches

35. Term infant --Bilirubin peaks at what day of life
chest x-ray following a Positive PPD skin test
9 months
Day 3 of life
inflammation located in the middle ear

36. What is heart failure?
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
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
measures the largest velocity which occurs during a forced exhale
Cool mist therapy - encourage oral intake - s/sx of resp. distress

37. Age group the limbs grow the fastest
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
MVA - bike accidents and falls
School age
A narrowing within the Aorta resulting in collateral circulation

38. Signs and symptoms of neonatal meningitis
Give freedom and choices - save battles for the important things
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities

39. What Component of Aspirin cause's Reye's Syndrome?
<25 yrs old
Salicylates
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

40. Treatment of Kawasaki disease
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
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
12-24 days
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

41. Asthma
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Liver Biopsy
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

42. S/Sx of pyloric stenosis
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
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
6 months
2.5 inches

43. What is Pyloric stenosis?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
inflammation located in the middle ear
Abdominal ultrasound - Upper GI
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

44. What is an acute otitis media?
inflammation located in the middle ear
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
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

45. Test to evaluate a Seizure disorder
Family history - EEG - CBC - LP and MRI
maternal nutrition and genetics
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
parainfluenza - RSV - Influenza A&B - M. pneumonia

46. Males Reproductive issues for CF patients
inflammation and hypersensitivity to triggers
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
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

47. Head circumference should be assessed until what age
3 years
fecal soiling
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

48. BMI- overweight
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
12-24 days
>95%
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

49. What is used to diagnose pyloric stenosis?
Abdominal ultrasound - Upper GI
Milk - Ice cream - Malts - Grains
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
1-6 months

50. Hypospadias
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Successful management is based on early diagnosis and aggressive therapy
Urethral opening is positioned below the glans penis
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium