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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. Peak flow meter
4 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
measures the largest velocity which occurs during a forced exhale
No - it can only be controlled

2. Asthma
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Rinse mouth and brush teeth
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

3. Bronchiolitis
2 years
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
trunk
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

4. first tooth
Dental procedures - gum disease and urinary tract infections
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
20 inches
6 months

5. Signs and symptoms of Reye's Syndrome
complete physical and psychosocial assessment to rule out underlying disorders
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

6. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

7. Steatorrhea
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Excessive stool fat
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Swelling of the airways - mucous production - bronchospasms

8. Cause of bronchiolitis
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Phototherapy - exchange transfusion
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

9. Age group the limbs grow the fastest
Milk - Ice cream - Malts - Grains
5 inches
School age
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

10. Signs and Symptoms of mononucleosis
Repeated involuntary urination in a child who should already by toilet trained at night
larger
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
2 years

11. Treatment for Varicella
Growth spurt
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

12. Average Birth Length
head
20 inches
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
prevention - po antibiotics should be given before and after an invasive procedure

13. Diagnose Reye's Syndrome
Phototherapy - exchange transfusion
Liver Biopsy
>95%
diazepam - lorazapam

14. What are the S/SX of bleeds in hemophilia?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
3 years

15. Prevention of bronchiolitis spreading
Contact isolation - gown - gloves and handwashing
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Growth spurt
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

16. What promotes unsickling of RBC's?
Adequate O2 adequatte hydration
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
BMI chart
Penicillin Prophylaxis (BID)

17. Age range that is appropriate to use a length chart
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
birth-36 months

18. Assess the cause of enuresis
5ml/dl
none
trunk
complete physical and psychosocial assessment to rule out underlying disorders

19. Nursing care for child with seizure

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20. Focus of adolescent discipline
Repeated involuntary urination in a child who should already by toilet trained at night
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Give freedom and choices - save battles for the important things
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

21. Treatment for sickle cell disease
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Mechanical Ventalation - high inhaled o2 concentration
2.5 inches
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

22. Side effects of benzodiazepines
drooling
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

23. 3 symptoms of coarctation of the aorta
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
10 years
# of stools per day - goal=2-3 stools per day

24. Head circumference should be assessed until what age
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
3 years
diazepam - lorazapam
Triple

25. Neonatal Jaundice
Enteropathy caused by an insensitivity to the gluten found in wheat
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
head
birth-36 months

26. Test to evaluate a Seizure disorder
Group B Streptococcus
Family history - EEG - CBC - LP and MRI
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
chest x-ray following a Positive PPD skin test

27. Contraindications to all vaccines
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
9 months

28. treatment of hemolytic disease of the newborn
Phototherapy - exchange transfusion
Cool mist therapy - encourage oral intake - s/sx of resp. distress
hearing loss - scarring - mastoiditis - meningitis
< 1

29. What are development considerations for hemophilia?
No - it can only be controlled
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
measures the largest velocity which occurs during a forced exhale
Erythroblastosis Fetalis

30. 2 factors that determine birth weight
Foreskin is used during the surgical repair
Repeated involuntary urination in a child who should already by toilet trained at night
maternal nutrition and genetics
Family history - EEG - CBC - LP and MRI

31. Nursing care for a child with Reye's Syndrome
inflammation and hypersensitivity to triggers
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
chest x-ray following a Positive PPD skin test
5 inches

32. Clinical signs of infection wilth sickle cell disease
5ml/dl
Salicylates
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities

33. Average rate of growth for the 2nd year of lif
5 inches
Airborne and contact
Low fiber - high calorie and protein
Vaso-occulisive crisis - infection and sepsis

34. Age group affected by mononucleosis
diazepam - lorazapam
<25 yrs old
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
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

35. Asthma inhaler - what can be done to decrease risk of thrush
Give freedom and choices - save battles for the important things
parainfluenza - RSV - Influenza A&B - M. pneumonia
Rinse mouth and brush teeth
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

36. 2 key factors to consider when caring for a preschooler
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
from trunk to extremities
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
They are people - need a balance of limits and independence

37. Main cause of urinary tract infections
E. Coli
36 months
10 years
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

38. When does the surgery to correct hypospadias usually occur?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Day 3 of life
Abdominal ultrasound - Upper GI
Between 6-12 months

39. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
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
Length Chart
2 snacks

40. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
Barium enema
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Dust - mold - animal dander - viral infections
# of stools per day - goal=2-3 stools per day

41. S/sx of GERD
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
20 inches

42. Most cases of Reye's Syndrome follows what type of illness?
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Less than 120 f.
Viral---Varicella or influenza
Sterile-caused by blockage of thick mucous at the vas deferens

43. Pathophysiology of cystic fibrosis
larger
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
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 enema

44. Sequence of resp distress
inflammation and hypersensitivity to triggers
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Equal to

45. Nursing care for Kawasaki Disease
lethargy - irritability - decrease feedings - fever - seizures
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
head

46. What Component of Aspirin cause's Reye's Syndrome?
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Salicylates
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
5 inches

47. Growth spurt for adolescent boys
E. Coli
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Mid puberty
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

48. What is used to diagnose pyloric stenosis?
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
They are people - need a balance of limits and independence
Abdominal ultrasound - Upper GI
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

49. Leading cause of bacterial meningitis in Neonates
Mechanical Ventalation - high inhaled o2 concentration
MVA - bike accidents and falls
Group B Streptococcus
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

50. What is physiologic Jaundice?
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
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