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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. How is mononucleosis diagnosed
A typical lymphocytosis - mono-spot - EBV serology
Successful management is based on early diagnosis and aggressive therapy
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
O2 status of blood - acid-base balance

2. Part of the body that grows the fastest in the toddler-preschool age
trunk
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Triple

3. Post Op treatment of a VP shunt
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
parainfluenza - RSV - Influenza A&B - M. pneumonia
Liver Biopsy
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

4. Reyes Syndrome
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
double birth weight
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

5. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
O2 status of blood - acid-base balance
# of stools per day - goal=2-3 stools per day

6. Contraindications to all vaccines
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Rinse mouth and brush teeth
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

7. Signs and Symptoms of intussusception
6 months
hearing loss - scarring - mastoiditis - meningitis
Regular diet with low sodium an no added salt
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

8. At birth - head circumference is ____ compared to chest circumference
Penicillin Prophylaxis (BID)
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
larger
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

9. At what age is a stadiometer required to measure linear growth?
Repeated involuntary urination in a child who should already by toilet trained at night
Small bowel biopsy
Dust - mold - animal dander - viral infections
36 months

10. Assess the cause of enuresis
complete physical and psychosocial assessment to rule out underlying disorders
E. Coli
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
GERD is the complications and symptoms that happen because of GER

11. Encoperesis
fecal soiling
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Adequate O2 adequatte hydration

12. Puberty for boys
prevention - po antibiotics should be given before and after an invasive procedure
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
12 years
head

13. At 6-24 months - head circumference is what size in relationship to chest circumference
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
Equal to
GERD is the complications and symptoms that happen because of GER
< 5%

14. Teaching for Croup
gum hypertrophy
head
Cool mist therapy - encourage oral intake - s/sx of resp. distress
fever and infection

15. Hirschsprung's Disease
3 years
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
# of stools per day - goal=2-3 stools per day
Equal to

16. Asthma inhaler - what can be done to decrease risk of thrush
Maternal infection - premature rupture of membranes
hearing loss - scarring - mastoiditis - meningitis
Rinse mouth and brush teeth
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

17. Equipment used to measure a 24 to 36 month old height
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Length board standiometer
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

18. Age that birth length doubles
4 years
prevention - po antibiotics should be given before and after an invasive procedure
They are people - need a balance of limits and independence
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

19. difference btwn GER and GERD
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
GERD is the complications and symptoms that happen because of GER
A typical lymphocytosis - mono-spot - EBV serology
Successful management is based on early diagnosis and aggressive therapy

20. Signs and Symptoms of mononucleosis
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Barium enema
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

21. What foods are prohibited for a person with Celiac Disease?
Milk - Ice cream - Malts - Grains
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
2 snacks

22. Teaching for RSV
parainfluenza - RSV - Influenza A&B - M. pneumonia
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

23. Growth spurt for adolescent boys
Time and discription of seizure
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Mid puberty
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

24. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
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
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
lethargy - irritability - decrease feedings - fever - seizures
used for prolonged sz's

25. Term infant --Bilirubin peaks at what day of life
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
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Day 3 of life
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

26. What confirms a positive TB infection?
head
chest x-ray following a Positive PPD skin test
Between 6-12 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

27. 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
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Cool mist therapy - encourage oral intake - s/sx of resp. distress
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

28. What is an acute otitis media?
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
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
inflammation located in the middle ear

29. Pathophysiology of celiac disease
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Barium enema
GERD is the complications and symptoms that happen because of GER

30. Average rate of growth for the 1st year
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
10 inches
A typical lymphocytosis - mono-spot - EBV serology
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

31. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
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
A typical lymphocytosis - mono-spot - EBV serology
85-95%
Length Chart

32. What is physiologic Jaundice?
Length Chart
An Acute inflamation of the meninges and CSF often caused by Enterovirus
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
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

33. Pathophysiology related to Head Trauma
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
used for prolonged sz's
Liver Biopsy
GERD is the complications and symptoms that happen because of GER

34. Key nursing intervention for subacute bacterial endocarditis
They are people - need a balance of limits and independence
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
prevention - po antibiotics should be given before and after an invasive procedure
double birth weight

35. Screening for overweight or underweight child on chart
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
6 months
BMI chart

36. Varicella communicable
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
1-6 months
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Length board standiometer

37. Side effects of dilatin hirsuitism (body hair)
gum hypertrophy
Family history - EEG - CBC - LP and MRI
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
up to 14 days

38. Nursing care of the infant with pyloric stenosis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Group B Streptococcus

39. Bronchiolitis
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
85-95%
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
from trunk to extremities

40. Complications of acute otitis media
hearing loss - scarring - mastoiditis - meningitis
No - it can only be controlled
Triple
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

41. 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
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
fever and infection
Give freedom and choices - save battles for the important things

42. Signs and symptoms of varicella Prodromal
2.5 inches
fecal soiling
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping

43. Treatment for Hirschsprungs
prevention - po antibiotics should be given before and after an invasive procedure
< 1
School age
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

44. Two examples of benzodiazepines
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
diazepam - lorazapam
Time and discription of seizure
20 inches

45. Define Proximodistal
Adequate O2 adequatte hydration
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
from trunk to extremities

46. Prevention of bronchiolitis spreading
Contact isolation - gown - gloves and handwashing
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
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
Hepatoxicity - pancreatitis

47. How many days after birth do bilirubin levels return to normal limits?
2 years
12-24 days
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

48. Treatment for sickle cell disease
0-24 months
Mechanical Ventalation - high inhaled o2 concentration
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

49. What are the S/SX of bleeds in hemophilia?
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
2 years
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

50. How does pertussis present?
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
2 years
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Mid puberty