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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. Average rate of growth for the 2nd year of lif
They are people - need a balance of limits and independence
5 inches
Excessive stool fat
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

2. Pertussis?
passage of abdominal contents to the esophagus
A typical lymphocytosis - mono-spot - EBV serology
Small bowel biopsy
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

3. How does pertussis present?
from head to toe
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

4. Females reproductive issues for CF patients
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
School age

5. How is mononucleosis diagnosed
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
A typical lymphocytosis - mono-spot - EBV serology
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
prevention - po antibiotics should be given before and after an invasive procedure

6. What is used to diagnose GER?
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
2.5 inches
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
1-6 months

7. BMI- overweight
>95%
Sterile-caused by blockage of thick mucous at the vas deferens
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Abdominal ultrasound - Upper GI

8. 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
3 years
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
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

9. Treatment for sickle cell disease
GERD is the complications and symptoms that happen because of GER
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Repeated involuntary urination in a child who should already by toilet trained at night
fever and infection

10. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
E. Coli
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Previous history of life threatening reaction - Mod-severe illness w/wo fever
lethargy - irritability - decrease feedings - fever - seizures

11. What has the HIB vaccine been successful in reducing?
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
5ml/dl
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

12. Post Op treatment of a VP shunt
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
fecal soiling
Length board standiometer

13. Average rate of growth for the 1st year
10 inches
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

14. Diastat rectal diazepam gel

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15. Treatment of a bleed in hemophilia
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Adequate O2 adequatte hydration
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Low fiber - high calorie and protein

16. When does the surgery to correct hypospadias usually occur?
Urethral opening is positioned below the glans penis
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
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Between 6-12 months

17. What is the cause of mononucleosis and its method of transmission?
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
trunk
Epstein Barr Virus - transmitted with intimate contact
lethargy - irritability - decrease feedings - fever - seizures

18. Varicella communicable
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
prevention - po antibiotics should be given before and after an invasive procedure
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

19. Nursing care for Kawasaki Disease
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Cool mist therapy - encourage oral intake - s/sx of resp. distress
hearing loss - scarring - mastoiditis - meningitis

20. Clinicla manifestations of sickle cell disease
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Vaso-occulisive crisis - infection and sepsis
prevention - po antibiotics should be given before and after an invasive procedure
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

21. Can Asthma be cured?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
No - it can only be controlled
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

22. Treatment of Kawasaki disease
trunk - gonads and associative tissue
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
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
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

23. S/sx of GERD
< 5%
Brain damage - hearing loss and learning disabilities
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

24. Why avoid circumcision in a baby with hypospadias?
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Foreskin is used during the surgical repair
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
hearing loss - scarring - mastoiditis - meningitis

25. At birth - head circumference is ____ compared to chest circumference
Milk - Ice cream - Malts - Grains
measures the largest velocity which occurs during a forced exhale
A narrowing within the Aorta resulting in collateral circulation
larger

26. At what age is a length board required?
Swelling or obstruction of the Larynx
< 5%
Kawasaki disease - w/o treatment 25% will have permanent heart damage
0-24 months

27. Asthma
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Dust - mold - animal dander - viral infections
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
diazepam - lorazapam

28. treatment of intussusception
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
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
Day 3 of life
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

29. Leading cause of bacterial meningitis in Neonates
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Group B Streptococcus
>95%

30. Pathophysiology of a fever and infection with sickle cell disease
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
fecal soiling

31. Teaching for RSV
Family history - EEG - CBC - LP and MRI
chest x-ray following a Positive PPD skin test
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Foreskin is used during the surgical repair

32. S/Sx of pyloric stenosis
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Hepatoxicity - pancreatitis
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

33. Childs weight at 6 months compared to birth weight
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
2 years
Brain damage - hearing loss and learning disabilities
double birth weight

34. Basic defect in coarctation of the aorta
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Bacteria enter the blood stream from a site of localized infection and grows in the heart
A narrowing within the Aorta resulting in collateral circulation
trunk

35. ABG
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
O2 status of blood - acid-base balance
Airborne and contact
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

36. Teaching for Mononucleosis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
10 inches
36 months
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

37. 3 main causes of Bacterial meningitis in children
>95%
Hepatoxicity - pancreatitis
BMI chart
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

38. Temp of home water heater to avoid burns
Less than 120 f.
Triple
Successful management is based on early diagnosis and aggressive therapy
An Acute inflamation of the meninges and CSF often caused by Enterovirus

39. Side effects of dilatin hirsuitism (body hair)
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Previous history of life threatening reaction - Mod-severe illness w/wo fever
3 years
gum hypertrophy

40. Complications of acute otitis media
9 months
Swelling of the airways - mucous production - bronchospasms
hearing loss - scarring - mastoiditis - meningitis
from trunk to extremities

41. Etiology of GERD
used for prolonged sz's
fever and infection
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

42. Puberty for boys
3 years
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
12 years

43. Pathophysiology of Chronic Asthma
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
inflammation and hypersensitivity to triggers
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

44. What is the treatment for epiglottitis?
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
from trunk to extremities
Abdominal ultrasound - Upper GI
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

45. Viral Croup
Swelling or obstruction of the Larynx
>95%
They are people - need a balance of limits and independence
high protien and calorie - multivitamins - extra enzymes for high fat food

46. Treatment for mononucleosis
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
0-24 months
3 years
none

47. BMI - underweight
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Dust - mold - animal dander - viral infections
< 5%
20 inches

48. Normal presentation of cystic fibrosis
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Enteropathy caused by an insensitivity to the gluten found in wheat
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
measures the largest velocity which occurs during a forced exhale

49. Screening for overweight or underweight child on chart
BMI chart
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
prevention - po antibiotics should be given before and after an invasive procedure
measures the largest velocity which occurs during a forced exhale

50. What is enuresis?
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Repeated involuntary urination in a child who should already by toilet trained at night
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Airborne and contact