Test your basic knowledge |

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. Lead screening should begin. at ..
Abdominal ultrasound - Upper GI
MVA - bike accidents and falls
9 months
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

2. Hirschsprung's Disease
Group B Streptococcus
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
trunk - gonads and associative tissue
poor feeding - wt loss - fatigue - develop. delays - edema

3. Risk factors of tuberculosis
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Milk - Ice cream - Malts - Grains
4 years
crowded living conditions - homeless and low income

4. At what age is a stadiometer required to measure linear growth?
birth-36 months
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
36 months
3 years

5. Signs of heart failure
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
poor feeding - wt loss - fatigue - develop. delays - edema
complete physical and psychosocial assessment to rule out underlying disorders
Dust - mold - animal dander - viral infections

6. Bronchiolitis
larger
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
prevention - po antibiotics should be given before and after an invasive procedure
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

7. Why avoid circumcision in a baby with hypospadias?
up to 14 days
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Length board standiometer
Foreskin is used during the surgical repair

8. Treatment of celiac disease
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
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
Swelling of the airways - mucous production - bronchospasms
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

9. What are the four main causes of viral croup?
parainfluenza - RSV - Influenza A&B - M. pneumonia
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Salicylates
GERD is the complications and symptoms that happen because of GER

10. 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
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
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
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

11. Leading cause of head injury
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
2.5 inches
Barium enema
MVA - bike accidents and falls

12. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Mechanical Ventalation - high inhaled o2 concentration
inflammation located in the middle ear
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

13. During an abdominal assessment when should auscultation occur
up to 14 days
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Length Chart

14. Key nursing intervention for subacute bacterial endocarditis
Hepatoxicity - pancreatitis
prevention - po antibiotics should be given before and after an invasive procedure
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
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

15. Growth spurt for adolescent boys
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Mechanical Ventalation - high inhaled o2 concentration
Mid puberty
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

16. Can Asthma be cured?
Triple
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
No - it can only be controlled
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

17. Average age of menarche
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
13 years
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Hepatoxicity - pancreatitis

18. Assessment of a patient with suspected epiglottitis
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Swelling or obstruction of the Larynx
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

19. ABG
Triple
Swelling of the airways - mucous production - bronchospasms
O2 status of blood - acid-base balance
up to 14 days

20. Varicella communicable
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
5 inches
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

21. Teaching for RSV
Enteropathy caused by an insensitivity to the gluten found in wheat
Urethral opening is positioned below the glans penis
Mid puberty
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

22. What occurs in a subacute baterial endocarditis?
3 years
Bacteria enter the blood stream from a site of localized infection and grows in the heart
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Successful management is based on early diagnosis and aggressive therapy

23. Nursing care of patient with Meningitis
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Liver Biopsy
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

24. Precaustions needed for pt's with varicella
Airborne and contact
diazepam - lorazapam
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

25. Treatment for sickle cell disease
Mechanical Ventalation - high inhaled o2 concentration
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
from head to toe
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

26. BMI- overweight
Low fiber - high calorie and protein
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
>95%
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

27. Pathophysiology of intussusception

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

28. Pathophysiology related to Head Trauma
12 years
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
85-95%
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

29. Males Reproductive issues for CF patients
Repeated involuntary urination in a child who should already by toilet trained at night
Sterile-caused by blockage of thick mucous at the vas deferens
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

30. Post Op treatment of a VP shunt
Liver Biopsy
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
maternal nutrition and genetics

31. What should be used for feeding a child during the post operative period following cleft palate surgery?
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
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
passage of abdominal contents to the esophagus
maternal nutrition and genetics

32. Diagnose Reye's Syndrome
Liver Biopsy
2.5 inches
fecal soiling
gum hypertrophy

33. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Length Chart
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Foreskin is used during the surgical repair

34. What is Hemolytic Disease of the Newborn
Phototherapy - exchange transfusion
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
>95%
crowded living conditions - homeless and low income

35. Average Birth Length
20 inches
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
parainfluenza - RSV - Influenza A&B - M. pneumonia
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

36. Pertussis?
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Abdominal ultrasound - Upper GI
chest x-ray following a Positive PPD skin test

37. Linear growth event happens in Adolescents
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
gum hypertrophy
Growth spurt
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

38. Teaching for Mononucleosis
Equal to
from trunk to extremities
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

39. Sequence of resp distress
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Enteropathy caused by an insensitivity to the gluten found in wheat
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

40. Non-pharmalogical measures to treat GER
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

41. What is enuresis?
85-95%
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Repeated involuntary urination in a child who should already by toilet trained at night
3 years

42. BMI - underweight
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
larger
< 5%

43. What is heart 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
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
No - it can only be controlled
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

44. What is broncho-pulmonary dysplasia?
up to 14 days
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
They are people - need a balance of limits and independence
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

45. Where does the adolescent experience rapid growth?
double birth weight
fecal soiling
Excessive stool fat
trunk - gonads and associative tissue

46. How is mononucleosis diagnosed
A typical lymphocytosis - mono-spot - EBV serology
Airborne and contact
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
12 years

47. Cause of bronchiolitis
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
from trunk to extremities
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

48. Signs and Symptoms of Celiac Disease
Sterile-caused by blockage of thick mucous at the vas deferens
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
passage of abdominal contents to the esophagus

49. Teaching for Croup
Cool mist therapy - encourage oral intake - s/sx of resp. distress
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
maternal nutrition and genetics
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

50. 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
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
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
fever and infection
passage of abdominal contents to the esophagus