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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. Where does the adolescent experience rapid growth?
trunk - gonads and associative tissue
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Equal to
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

2. S/SX of Hirschsprungs
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Adequate O2 adequatte hydration
Liver Biopsy
high protien and calorie - multivitamins - extra enzymes for high fat food

3. What are major risk factors for neonatal meningitis?
hearing loss - scarring - mastoiditis - meningitis
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Milk - Ice cream - Malts - Grains
Maternal infection - premature rupture of membranes

4. What should be done to minimize the risks of Sudden infant death syndrome?
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Day 3 of life

5. At what age is a length board required?
complete physical and psychosocial assessment to rule out underlying disorders
prevention - po antibiotics should be given before and after an invasive procedure
0-24 months
Maternal infection - premature rupture of membranes

6. Assess the cause of enuresis
inflammation located in the middle ear
complete physical and psychosocial assessment to rule out underlying disorders
9 months
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

7. Average rate of growth for the 2nd year of lif
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Liver Biopsy
5 inches
from trunk to extremities

8. What is Pyloric stenosis?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Rinse mouth and brush teeth
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

9. Kawasaki Disease
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
2 years
Adequate O2 adequatte hydration
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

10. Diastat rectal diazepam gel

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11. Treatment of Kawasaki disease
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Cool mist therapy - encourage oral intake - s/sx of resp. distress
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
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

12. Bilirubin encephalopathy
>95%
Dental procedures - gum disease and urinary tract infections
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Foreskin is used during the surgical repair

13. Sequence of resp distress
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Successful management is based on early diagnosis and aggressive therapy
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

14. Signs and Symptoms of intussusception
E. Coli
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
high protien and calorie - multivitamins - extra enzymes for high fat food
Cool mist therapy - encourage oral intake - s/sx of resp. distress

15. What interventions prevent urinary tract infections?
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
up to 14 days
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

16. What occurs in a subacute baterial endocarditis?
Salicylates
Bacteria enter the blood stream from a site of localized infection and grows in the heart
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
6 months

17. Characteristics of the RBC's in sickle cell

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18. Pathophysiology related to Head Trauma
hearing loss - scarring - mastoiditis - meningitis
E. Coli
trunk
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

19. Signs and Symptoms of Celiac Disease
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Length board standiometer
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Enteropathy caused by an insensitivity to the gluten found in wheat

20. 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
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Growth spurt
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

21. Treatment for Varicella
Epstein Barr Virus - transmitted with intimate contact
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
5ml/dl
Low fiber - high calorie and protein

22. S/Sx of pyloric stenosis
1-6 months
< 5%
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

23. Normal presentation of cystic fibrosis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

24. Screening for overweight or underweight child on chart
crowded living conditions - homeless and low income
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
BMI chart

25. Viral Meningitis
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
crowded living conditions - homeless and low income
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
An Acute inflamation of the meninges and CSF often caused by Enterovirus

26. Asthma inhaler - what can be done to decrease risk of thrush
Day 3 of life
Rinse mouth and brush teeth
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
# of stools per day - goal=2-3 stools per day

27. Assessment of a patient with suspected epiglottitis
12 years
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
crowded living conditions - homeless and low income
Successful management is based on early diagnosis and aggressive therapy

28. Pathophysiology of a fever and infection with sickle cell disease
drooling
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

29. Pertussis?
measures the largest velocity which occurs during a forced exhale
Maternal infection - premature rupture of membranes
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Equal to

30. Signs and Symptoms of Hemolytic Disease of the newborn
Sterile-caused by blockage of thick mucous at the vas deferens
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Low fiber - high calorie and protein
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

31. Treatment for sickle cell disease
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
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Regular diet with low sodium an no added salt

32. Steatorrhea
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
10 years
Excessive stool fat
Mid puberty

33. Two important assessment rules related to coarctation of the aorta?
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
from head to toe
Small bowel biopsy

34. How does pertussis present?
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

35. Diet for Hirschsprung's prior to corrction and treatment
Low fiber - high calorie and protein
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Time and discription of seizure
Penicillin Prophylaxis (BID)

36. 2 factors that determine birth weight
maternal nutrition and genetics
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Epstein Barr Virus - transmitted with intimate contact
36 months

37. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
Low fiber - high calorie and protein
GERD is the complications and symptoms that happen because of GER
# of stools per day - goal=2-3 stools per day
poor feeding - wt loss - fatigue - develop. delays - edema

38. Age of children at half their adult height
Previous history of life threatening reaction - Mod-severe illness w/wo fever
2 years
Group B Streptococcus
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

39. What should a child's wt be at 1 yr compared to birth weight?
No - it can only be controlled
head
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Triple

40. Signs of heart failure
Small bowel biopsy
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
poor feeding - wt loss - fatigue - develop. delays - edema
2.5 inches

41. Part of the body that grows the fastest in the toddler-preschool age
A typical lymphocytosis - mono-spot - EBV serology
Hepatoxicity - pancreatitis
trunk
10 years

42. Average rate of growth for the 1st year
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
10 inches
2 snacks
36 months

43. Contraindications to all vaccines
Previous history of life threatening reaction - Mod-severe illness w/wo fever
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Length Chart
10 inches

44. Growth spurt for adolescent boys
from head to toe
Mid puberty
5 inches
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

45. Leading cause of head injury
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
MVA - bike accidents and falls
Dental procedures - gum disease and urinary tract infections
Milk - Ice cream - Malts - Grains

46. Teaching for Mononucleosis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Epstein Barr Virus - transmitted with intimate contact
Between 6-12 months
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

47. 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
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
prevention - po antibiotics should be given before and after an invasive procedure
Rinse mouth and brush teeth

48. Signs and symptoms of Reye's Syndrome
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
head
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

49. Signs and symptoms of varicella Prodromal
Penicillin Prophylaxis (BID)
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
measures the largest velocity which occurs during a forced exhale

50. Define Magical thinking

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