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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 group affected by mononucleosis
<25 yrs old
Sterile-caused by blockage of thick mucous at the vas deferens
high protien and calorie - multivitamins - extra enzymes for high fat food
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

2. What are the four main causes of viral croup?
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
parainfluenza - RSV - Influenza A&B - M. pneumonia
4 years

3. Complications of meningitis
Brain damage - hearing loss and learning disabilities
Urethral opening is positioned below the glans penis
Previous history of life threatening reaction - Mod-severe illness w/wo fever
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

4. treatment of intussusception
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
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

5. At what age is a stadiometer required to measure linear growth?
36 months
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
trunk - gonads and associative tissue
GERD is the complications and symptoms that happen because of GER

6. What is the rate of growth each year from 3 yrs until puberty?
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
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
1-6 months
2.5 inches

7. Nursing care for child with seizure

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8. 3 symptoms of coarctation of the aorta
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Mechanical Ventalation - high inhaled o2 concentration

9. Test to evaluate a Seizure disorder
10 inches
drooling
Family history - EEG - CBC - LP and MRI
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

10. Steatorrhea
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Excessive stool fat
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

11. What foods are prohibited for a person with Celiac Disease?
crowded living conditions - homeless and low income
Milk - Ice cream - Malts - Grains
12 years
Give freedom and choices - save battles for the important things

12. Nursing care of the infant with pyloric stenosis
Previous history of life threatening reaction - Mod-severe illness w/wo fever
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Dental procedures - gum disease and urinary tract infections

13. Common Asthma irritants
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
trunk
Epstein Barr Virus - transmitted with intimate contact
Dust - mold - animal dander - viral infections

14. S/SX of Hirschsprungs
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Penicillin Prophylaxis (BID)
poor feeding - wt loss - fatigue - develop. delays - edema
one portion of the intestine 'telescopes' into another leading to lymphatic and venous obstruction which causes ischemia - mucous backflow into the intestine and leaking of blood into the intestine

15. How does pertussis present?
20 inches
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

16. At what age is a length board required?
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Barium enema
0-24 months
20 inches

17. Pathophysiology of a fever and infection with sickle cell disease
# 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
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Dust - mold - animal dander - viral infections

18. What is heart failure?
Mechanical Ventalation - high inhaled o2 concentration
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
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
Kawasaki disease - w/o treatment 25% will have permanent heart damage

19. Males Reproductive issues for CF patients
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Sterile-caused by blockage of thick mucous at the vas deferens
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

20. Pertussis?
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
from head to toe
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

21. 3 main causes of Bacterial meningitis in children
trunk - gonads and associative tissue
Less than 120 f.
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

22. What Pharmalogical measures can be used to treat GERD?
4 years
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

23. What is used to diagnose pyloric stenosis?
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Abdominal ultrasound - Upper GI
A typical lymphocytosis - mono-spot - EBV serology
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

24. Assessment of a patient with suspected epiglottitis
head
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Excessive stool fat

25. What is broncho-pulmonary dysplasia?
Kawasaki disease - w/o treatment 25% will have permanent heart damage
< 5%
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Sterile-caused by blockage of thick mucous at the vas deferens

26. Average rate of growth for the 2nd year of lif
5 inches
BMI chart
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Swelling or obstruction of the Larynx

27. What should be observed in a case of a seizure?
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Time and discription of seizure
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

28. 2 key factors to consider when caring for a preschooler
0-24 months
They are people - need a balance of limits and independence
Maternal infection - premature rupture of membranes
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

29. Growth spurt for adolescent boys
Mid puberty
measures the largest velocity which occurs during a forced exhale
Length Chart
<25 yrs old

30. Why is early diagnosis important w. Reye's Syndrome?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Successful management is based on early diagnosis and aggressive therapy
4 years
diazepam - lorazapam

31. Post Op treatment of a VP shunt
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Less than 120 f.
high protien and calorie - multivitamins - extra enzymes for high fat food
Barium enema

32. Nursing care of patient with Meningitis
12 years
Swelling or obstruction of the Larynx
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

33. Treatment for mononucleosis
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
passage of abdominal contents to the esophagus
none

34. Diet for CF patients
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
high protien and calorie - multivitamins - extra enzymes for high fat food
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
up to 14 days

35. Varicella communicable
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

36. Asthma
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
4 years
36 months
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

37. BMI-@ risk for overweight
Penicillin Prophylaxis (BID)
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
85-95%

38. Signs and Symptoms of mononucleosis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
head
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

39. Equipment used to measure a 24 to 36 month old height
Length board standiometer
inflammation located in the middle ear
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

40. Key nursing intervention for subacute bacterial endocarditis
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Salicylates
double birth weight
prevention - po antibiotics should be given before and after an invasive procedure

41. Normal Bilirubin
< 1
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
inflammation located in the middle ear
12-24 days

42. Part of the body that grows the fastest in the toddler-preschool age
trunk
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Dental procedures - gum disease and urinary tract infections

43. Teaching for RSV
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Triple
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
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

44. Encoperesis
4 years
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
fecal soiling
Sterile-caused by blockage of thick mucous at the vas deferens

45. Celiac Disease
Enteropathy caused by an insensitivity to the gluten found in wheat
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
6 months
Liver Biopsy

46. When does the surgery to correct hypospadias usually occur?
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Between 6-12 months
Day 3 of life
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

47. Teaching for Mononucleosis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Dental procedures - gum disease and urinary tract infections
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

48. Where does the adolescent experience rapid growth?
Between 6-12 months
13 years
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
trunk - gonads and associative tissue

49. Another name for Hemolytic Disease of the Newborn
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Erythroblastosis Fetalis
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
Hepatoxicity - pancreatitis

50. Two important assessment rules related to coarctation of the aorta?
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
larger
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
poor feeding - wt loss - fatigue - develop. delays - edema