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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. difference btwn GER and GERD
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
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
Dental procedures - gum disease and urinary tract infections
GERD is the complications and symptoms that happen because of GER

2. Incubation period for TB
gum hypertrophy
1-6 months
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

3. Pathophysiology of Acute Asthma
Swelling of the airways - mucous production - bronchospasms
2 years
4 years
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

4. During an abdominal assessment when should auscultation occur
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
head
Length Chart

5. Why avoid circumcision in a baby with hypospadias?
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Foreskin is used during the surgical repair
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

6. Most cases of Reye's Syndrome follows what type of illness?
Day 3 of life
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Viral---Varicella or influenza
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

7. Rheumatic Fever
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Swelling of the airways - mucous production - bronchospasms
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

8. Reyes Syndrome
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
13 years
< 1

9. What are the S/SX of bleeds in hemophilia?
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
trunk
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

10. Age group affected by mononucleosis
up to 14 days
Hepatoxicity - pancreatitis
Cool mist therapy - encourage oral intake - s/sx of resp. distress
<25 yrs old

11. Prevention of infection in Sickle Cell Disease
Contact isolation - gown - gloves and handwashing
Penicillin Prophylaxis (BID)
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
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

12. What confirms a positive TB infection?
trunk - gonads and associative tissue
chest x-ray following a Positive PPD skin test
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping

13. Pathophysiology related to Head Trauma
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
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
Brain damage - hearing loss and learning disabilities
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

14. Pathophysiology of celiac disease
<25 yrs old
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
O2 status of blood - acid-base balance
BMI chart

15. Signs and Symptoms of Hemolytic Disease of the newborn
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
6 months

16. Pathophysiology of hirschsprung's disease
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Urethral opening is positioned below the glans penis
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
measures the largest velocity which occurs during a forced exhale

17. Where does the adolescent experience rapid growth?
trunk - gonads and associative tissue
Length board standiometer
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
larger

18. Nursing interventions for hemophilia
chest x-ray following a Positive PPD skin test
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
high protien and calorie - multivitamins - extra enzymes for high fat food

19. Signs and Symptoms of Celiac Disease
12 years
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
from trunk to extremities
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

20. Age that birth length doubles
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
trunk
4 years
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

21. What should a child's wt be at 1 yr compared to birth weight?
2.5 inches
Triple
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

22. Head circumference should be assessed until what age
3 years
1-6 months
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
Excessive stool fat

23. What should be done to minimize the risks of Sudden infant death syndrome?
Vaso-occulisive crisis - infection and sepsis
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

24. Test to evaluate a Seizure disorder
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
larger
Family history - EEG - CBC - LP and MRI
gum hypertrophy

25. Bronchiolitis
3 years
< 5%
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Hepatoxicity - pancreatitis

26. At what age is a stadiometer required to measure linear growth?
36 months
none
crowded living conditions - homeless and low income
5 inches

27. Linear growth event happens in Adolescents
Growth spurt
>95%
Give freedom and choices - save battles for the important things
<25 yrs old

28. Cause of bronchiolitis
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
none
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

29. Part of the body that grows the fastest in the toddler-preschool age
13 years
# of stools per day - goal=2-3 stools per day
Swelling or obstruction of the Larynx
trunk

30. Side effects of dilatin hirsuitism (body hair)
Successful management is based on early diagnosis and aggressive therapy
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
gum hypertrophy
lethargy - irritability - decrease feedings - fever - seizures

31. 2 factors that determine birth weight
Group B Streptococcus
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
maternal nutrition and genetics
MVA - bike accidents and falls

32. Equipment used to measure a 24 to 36 month old height
< 1
12 years
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Length board standiometer

33. Etiology of GERD
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
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
Barium enema
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

34. At birth - head circumference is ____ compared to chest circumference
larger
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Mid puberty
Enteropathy caused by an insensitivity to the gluten found in wheat

35. Treatment for sickle cell disease
A narrowing within the Aorta resulting in collateral circulation
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
9 months
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days

36. What occurs in a subacute baterial endocarditis?
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Bacteria enter the blood stream from a site of localized infection and grows in the heart

37. Two important assessment rules related to coarctation of the aorta?
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Barium enema
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

38. Teaching for RSV
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Phototherapy - exchange transfusion

39. Age group the limbs grow the fastest
BMI chart
No - it can only be controlled
MVA - bike accidents and falls
School age

40. Males Reproductive issues for CF patients
double birth weight
Sterile-caused by blockage of thick mucous at the vas deferens
2 snacks
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

41. Assess the cause of enuresis
Viral---Varicella or influenza
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
complete physical and psychosocial assessment to rule out underlying disorders
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

42. How is mononucleosis diagnosed
A typical lymphocytosis - mono-spot - EBV serology
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Swelling of the airways - mucous production - bronchospasms
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

43. Clinicla manifestations of sickle cell disease
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Vaso-occulisive crisis - infection and sepsis
<25 yrs old
E. Coli

44. Why is early diagnosis important w. Reye's Syndrome?
Successful management is based on early diagnosis and aggressive therapy
crowded living conditions - homeless and low income
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Mid puberty

45. What is Cystic Fibrosis?
Phototherapy - exchange transfusion
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Mechanical Ventalation - high inhaled o2 concentration

46. Pathophysiology of cystic fibrosis
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Excessive stool fat

47. treatment of intussusception
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Erythroblastosis Fetalis
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
up to 14 days

48. Signs and symptoms of Reye's Syndrome
<25 yrs old
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Milk - Ice cream - Malts - Grains
Enteropathy caused by an insensitivity to the gluten found in wheat

49. Precaustions needed for pt's with varicella
Airborne and contact
GERD is the complications and symptoms that happen because of GER
Low fiber - high calorie and protein
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

50. Signs of heart failure
Erythroblastosis Fetalis
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
chest x-ray following a Positive PPD skin test
poor feeding - wt loss - fatigue - develop. delays - edema