Test your basic knowledge |

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. treatment of intussusception
Urethral opening is positioned below the glans penis
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Hepatoxicity - pancreatitis

2. 2 factors that determine birth weight
maternal nutrition and genetics
Liver Biopsy
Small bowel biopsy
6 months

3. Side effects of benzodiazepines
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
drooling
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

4. Pathophysiology of Chronic Asthma
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Less than 120 f.
inflammation and hypersensitivity to triggers

5. At what age is a length board required?
maternal nutrition and genetics
0-24 months
lethargy - irritability - decrease feedings - fever - seizures
Successful management is based on early diagnosis and aggressive therapy

6. What is an acute otitis media?
trunk - gonads and associative tissue
E. Coli
inflammation located in the middle ear
Between 6-12 months

7. Another name for Hemolytic Disease of the Newborn
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Erythroblastosis Fetalis
13 years
Time and discription of seizure

8. What is epiglottitis?
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

9. Rheumatic Fever
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
BMI chart
diazepam - lorazapam
<25 yrs old

10. Basic defect in coarctation of the aorta
A narrowing within the Aorta resulting in collateral circulation
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
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

11. Treatment for sickle cell disease
fecal soiling
lethargy - irritability - decrease feedings - fever - seizures
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Dental procedures - gum disease and urinary tract infections

12. Clinicla manifestations of sickle cell disease
Vaso-occulisive crisis - infection and sepsis
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Sterile-caused by blockage of thick mucous at the vas deferens
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

13. What should be observed in a case of a seizure?
complete physical and psychosocial assessment to rule out underlying disorders
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Time and discription of seizure
A typical lymphocytosis - mono-spot - EBV serology

14. Cause of bronchiolitis
Equal to
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Airborne and contact
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

15. Lead screening should begin. at ..
prevention - po antibiotics should be given before and after an invasive procedure
9 months
Less than 120 f.
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

16. Treatment of a bleed in hemophilia
2.5 inches
Abdominal ultrasound - Upper GI
O2 status of blood - acid-base balance
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

17. How many days after birth do bilirubin levels return to normal limits?
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
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
12-24 days

18. Linear growth event happens in Adolescents
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
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Growth spurt

19. What is broncho-pulmonary dysplasia?
from trunk to extremities
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

20. Pathophysiology of a fever and infection with sickle cell disease
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
larger

21. How is mononucleosis diagnosed
from trunk to extremities
A typical lymphocytosis - mono-spot - EBV serology
maternal nutrition and genetics
Abdominal ultrasound - Upper GI

22. Bilirubin encephalopathy
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
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
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

23. Where does the adolescent experience rapid growth?
trunk - gonads and associative tissue
Triple
E. Coli
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

24. Hirschsprung's Disease
trunk
2 snacks
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

25. Two important assessment rules related to coarctation of the aorta?
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
O2 status of blood - acid-base balance
prevention - po antibiotics should be given before and after an invasive procedure
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

26. What Pharmalogical measures can be used to treat GERD?
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
3 years
Brain damage - hearing loss and learning disabilities

27. GER (gastroesophageal reflux)
passage of abdominal contents to the esophagus
Dust - mold - animal dander - viral infections
trunk - gonads and associative tissue
6 months

28. treatment of hemolytic disease of the newborn
2 snacks
Phototherapy - exchange transfusion
Enteropathy caused by an insensitivity to the gluten found in wheat
3 years

29. Age group affected by mononucleosis
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
<25 yrs old
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

30. Clinical signs of infection wilth sickle cell disease
inflammation and hypersensitivity to triggers
< 5%
Previous history of life threatening reaction - Mod-severe illness w/wo fever
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

31. What is the treatment for epiglottitis?
hearing loss - scarring - mastoiditis - meningitis
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Phototherapy - exchange transfusion
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

32. BMI - underweight
Dental procedures - gum disease and urinary tract infections
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
up to 14 days
< 5%

33. Steatorrhea
Excessive stool fat
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

34. What is physiologic Jaundice?
5 inches
10 years
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
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

35. Precaustions needed for pt's with varicella
Airborne and contact
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
inflammation located in the middle ear
Milk - Ice cream - Malts - Grains

36. first tooth
6 months
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
parainfluenza - RSV - Influenza A&B - M. pneumonia

37. Normal presentation of cystic fibrosis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
fever and infection
2 snacks

38. Test to evaluate a Seizure disorder
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Family history - EEG - CBC - LP and MRI
12 years
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

39. Kawasaki Disease
MVA - bike accidents and falls
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
crowded living conditions - homeless and low income
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

40. Signs and symptoms of varicella Prodromal
20 inches
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
10 inches

41. Incubation period for TB
Adequate O2 adequatte hydration
gum hypertrophy
Bacteria enter the blood stream from a site of localized infection and grows in the heart
1-6 months

42. What is enuresis?
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Repeated involuntary urination in a child who should already by toilet trained at night
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
<25 yrs old

43. What are the S/SX of bleeds in hemophilia?
Salicylates
Family history - EEG - CBC - LP and MRI
Contact isolation - gown - gloves and handwashing
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

44. Leading cause of bacterial meningitis in Neonates
12-24 days
Group B Streptococcus
Triple
10 inches

45. Diet for a child with glumerlonephritis
inflammation and hypersensitivity to triggers
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Regular diet with low sodium an no added salt

46. Can Asthma be cured?
10 inches
Hepatoxicity - pancreatitis
No - it can only be controlled
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

47. Two examples of benzodiazepines
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
School age
Vaso-occulisive crisis - infection and sepsis
diazepam - lorazapam

48. Pathophysiology of Acute Asthma
up to 14 days
Swelling of the airways - mucous production - bronchospasms
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

49. Contraindications to all vaccines
E. Coli
Previous history of life threatening reaction - Mod-severe illness w/wo fever
from trunk to extremities
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

50. Why is early diagnosis important w. Reye's Syndrome?
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Successful management is based on early diagnosis and aggressive therapy
< 1
# of stools per day - goal=2-3 stools per day