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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. S/sx of GERD
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
# of stools per day - goal=2-3 stools per day
Salicylates
fever and infection

2. What is used to diagnose GER?
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Excessive stool fat
2.5 inches
<25 yrs old

3. Why avoid circumcision in a baby with hypospadias?
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Airborne and contact
trunk - gonads and associative tissue
Foreskin is used during the surgical repair

4. Reyes Syndrome
Previous history of life threatening reaction - Mod-severe illness w/wo fever
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
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
E. Coli

5. What confirms a positive TB infection?
chest x-ray following a Positive PPD skin test
Abdominal ultrasound - Upper GI
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
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

6. Screening for overweight or underweight child on chart
5ml/dl
BMI chart
>95%
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

7. Key nursing intervention for subacute bacterial endocarditis
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
prevention - po antibiotics should be given before and after an invasive procedure
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities

8. Part of the body that grows the fastest in the toddler-preschool age
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
5ml/dl
trunk
Sterile-caused by blockage of thick mucous at the vas deferens

9. Kawasaki Disease
from trunk to extremities
fever and infection
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
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

10. Pathophysiology of a fever and infection with sickle cell disease
Swelling of the airways - mucous production - bronchospasms
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
They are people - need a balance of limits and independence

11. 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
12 years
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
E. Coli

12. S/SX of Hirschsprungs
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Sterile-caused by blockage of thick mucous at the vas deferens
Previous history of life threatening reaction - Mod-severe illness w/wo fever

13. Part of body that grows the fastest in infancy
head
1-6 months
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Airborne and contact

14. How is Celiac Disease diagnosed?
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Small bowel biopsy
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

15. Hypospadias
Penicillin Prophylaxis (BID)
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Urethral opening is positioned below the glans penis

16. Clinicla manifestations of sickle cell disease
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Vaso-occulisive crisis - infection and sepsis
Excessive stool fat

17. first tooth
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
6 months

18. Risk factors of tuberculosis
A typical lymphocytosis - mono-spot - EBV serology
crowded living conditions - homeless and low income
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

19. What is the cause of mononucleosis and its method of transmission?
9 months
Epstein Barr Virus - transmitted with intimate contact
Milk - Ice cream - Malts - Grains
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

20. What should a child's wt be at 1 yr compared to birth weight?
Triple
Successful management is based on early diagnosis and aggressive therapy
Viral---Varicella or influenza
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

21. Normal presentation of cystic fibrosis
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
< 1
diazepam - lorazapam

22. Average rate of growth for the 2nd year of lif
crowded living conditions - homeless and low income
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
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
5 inches

23. Etiology of GERD
passage of abdominal contents to the esophagus
Excessive stool fat
GERD is the complications and symptoms that happen because of GER
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

24. Celiac Disease
trunk
Enteropathy caused by an insensitivity to the gluten found in wheat
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Hepatoxicity - pancreatitis

25. Temp of home water heater to avoid burns
Less than 120 f.
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Vaso-occulisive crisis - infection and sepsis

26. Leading cause of acquired heart disease in children
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Less than 120 f.
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Triple

27. What is an acute otitis media?
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
inflammation located in the middle ear
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
double birth weight

28. Neonatal Jaundice
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Less than 120 f.
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
2 snacks

29. Average rate of growth for the 1st year
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
10 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
measures the largest velocity which occurs during a forced exhale

30. What should be done to minimize the risks of Sudden infant death syndrome?
Small bowel biopsy
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Cool mist therapy - encourage oral intake - s/sx of resp. distress
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

31. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Phototherapy - exchange transfusion
Length Chart
complete physical and psychosocial assessment to rule out underlying disorders

32. What are the side effects of depakote?
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
School age
Dust - mold - animal dander - viral infections
Hepatoxicity - pancreatitis

33. Treatment of celiac disease
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Excessive stool fat
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
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

34. What occurs in a subacute baterial endocarditis?
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Mechanical Ventalation - high inhaled o2 concentration
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

35. Test to evaluate a Seizure disorder
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
4 years
Less than 120 f.
Family history - EEG - CBC - LP and MRI

36. Growth spurt for adolescent boys
Mid puberty
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

37. 2 key factors to consider when caring for a preschooler
Maternal infection - premature rupture of membranes
Growth spurt
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
They are people - need a balance of limits and independence

38. Diastat rectal diazepam gel

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39. Basic defect in coarctation of the aorta
2 snacks
Hepatoxicity - pancreatitis
A narrowing within the Aorta resulting in collateral circulation
Length board standiometer

40. Males Reproductive issues for CF patients
Sterile-caused by blockage of thick mucous at the vas deferens
Dental procedures - gum disease and urinary tract infections
1-6 months
10 inches

41. Leading cause of bacterial meningitis in Neonates
5ml/dl
12 years
Group B Streptococcus
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

42. Prevention of infection in Sickle Cell Disease
Penicillin Prophylaxis (BID)
4 years
20 inches
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

43. Complications of acute otitis media
hearing loss - scarring - mastoiditis - meningitis
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
MVA - bike accidents and falls
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

44. Bilirubin encephalopathy
prevention - po antibiotics should be given before and after an invasive procedure
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Milk - Ice cream - Malts - Grains
< 5%

45. Treatment for sickle cell disease
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
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
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Hepatoxicity - pancreatitis

46. Signs and Symptoms of mononucleosis
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
< 5%
up to 14 days
head

47. BMI - underweight
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
2 snacks
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
< 5%

48. Two important assessment rules related to coarctation of the aorta?
They are people - need a balance of limits and independence
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
85-95%
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

49. Define Proximodistal
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
from trunk to extremities
>95%
from head to toe

50. Nursing interventions for hemophilia
2.5 inches
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
fever and infection