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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. Teaching for Mononucleosis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
4 years

2. Pathophysiology of Chronic Asthma
Mid puberty
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Erythroblastosis Fetalis
inflammation and hypersensitivity to triggers

3. Average rate of growth for the 2nd year of lif
head
2 years
5 inches
9 months

4. Treatment of a bleed in hemophilia
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Liver Biopsy
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

5. How is Celiac Disease diagnosed?
gum hypertrophy
2 years
Small bowel biopsy
Successful management is based on early diagnosis and aggressive therapy

6. Another name for Hemolytic Disease of the Newborn
Erythroblastosis Fetalis
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
high protien and calorie - multivitamins - extra enzymes for high fat food
< 5%

7. Can Asthma be cured?
Brain damage - hearing loss and learning disabilities
Liver Biopsy
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
No - it can only be controlled

8. Signs and Symptoms of intussusception
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
Urethral opening is positioned below the glans penis
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
5ml/dl

9. Normal Bilirubin
< 1
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

10. Hypospadias
head
12 years
Phototherapy - exchange transfusion
Urethral opening is positioned below the glans penis

11. What are the S/SX of bleeds in hemophilia?
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

12. At what age is a stadiometer required to measure linear growth?
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
36 months
Repeated involuntary urination in a child who should already by toilet trained at night
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

13. S/sx of GERD
Swelling or obstruction of the Larynx
5 inches
GERD is the complications and symptoms that happen because of GER
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

14. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
birth-36 months
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Length Chart
prevention - po antibiotics should be given before and after an invasive procedure

15. Age of children at half their adult height
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
2 years
larger
used for prolonged sz's

16. Reyes Syndrome
< 1
1-6 months
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Cool mist therapy - encourage oral intake - s/sx of resp. distress

17. Signs of heart failure
Less than 120 f.
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
poor feeding - wt loss - fatigue - develop. delays - edema
Successful management is based on early diagnosis and aggressive therapy

18. Average age of breast development
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
<25 yrs old
10 years
none

19. Complications of acute otitis media
GERD is the complications and symptoms that happen because of GER
Triple
hearing loss - scarring - mastoiditis - meningitis
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

20. Hirschsprung's Disease
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
# of stools per day - goal=2-3 stools per day

21. Celiac Disease
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Enteropathy caused by an insensitivity to the gluten found in wheat
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

22. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

23. When does the surgery to correct hypospadias usually occur?
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
Between 6-12 months
0-24 months

24. Assess the cause of enuresis
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Liver Biopsy
complete physical and psychosocial assessment to rule out underlying disorders

25. Contraindications to all vaccines
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
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
Previous history of life threatening reaction - Mod-severe illness w/wo fever
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

26. What are major risk factors for neonatal meningitis?
Maternal infection - premature rupture of membranes
high protien and calorie - multivitamins - extra enzymes for high fat food
Regular diet with low sodium an no added salt
Growth spurt

27. Growth spurt for adolescent boys
fecal soiling
Small bowel biopsy
Mid puberty
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

28. Pathophysiology of hirschsprung's disease
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Dental procedures - gum disease and urinary tract infections
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Small bowel biopsy

29. Pathophysiology of a fever and infection with sickle cell disease
maternal nutrition and genetics
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
< 1
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

30. Define Proximodistal
Contact isolation - gown - gloves and handwashing
GERD is the complications and symptoms that happen because of GER
O2 status of blood - acid-base balance
from trunk to extremities

31. Signs and Symptoms of Asthma
Length board standiometer
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

32. Cause of bronchiolitis
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Excessive stool fat
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Bacteria enter the blood stream from a site of localized infection and grows in the heart

33. BMI- overweight
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
A narrowing within the Aorta resulting in collateral circulation
Successful management is based on early diagnosis and aggressive therapy
>95%

34. Main cause of urinary tract infections
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
E. Coli
maternal nutrition and genetics
Urethral opening is positioned below the glans penis

35. Teaching for RSV
hearing loss - scarring - mastoiditis - meningitis
BMI chart
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
prevention - po antibiotics should be given before and after an invasive procedure

36. What has the HIB vaccine been successful in reducing?
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Adequate O2 adequatte hydration

37. Cephalocaudal
from head to toe
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
10 years
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

38. What should be observed in a case of a seizure?
up to 14 days
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Time and discription of seizure
5 inches

39. Causes of Bronchopulmonary Dysplasia
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Liver Biopsy
Mechanical Ventalation - high inhaled o2 concentration
Erythroblastosis Fetalis

40. Side effects of dilatin hirsuitism (body hair)
Small bowel biopsy
Adequate O2 adequatte hydration
gum hypertrophy
Milk - Ice cream - Malts - Grains

41. Pathophysiology of celiac disease
from head to toe
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

42. What is the rate of growth each year from 3 yrs until puberty?
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Liver Biopsy
2.5 inches

43. Incubation period for TB
1-6 months
Sterile-caused by blockage of thick mucous at the vas deferens
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

44. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
10 inches
# of stools per day - goal=2-3 stools per day
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

45. treatment of intussusception
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
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

46. Risk factors of tuberculosis
2 years
crowded living conditions - homeless and low income
Viral---Varicella or influenza
Adequate O2 adequatte hydration

47. GER (gastroesophageal reflux)
passage of abdominal contents to the esophagus
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Time and discription of seizure
diazepam - lorazapam

48. Signs and Symptoms of Celiac Disease
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
3 years

49. Complications of meningitis
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Brain damage - hearing loss and learning disabilities
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

50. Lead screening should begin. at ..
inflammation and hypersensitivity to triggers
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Foreskin is used during the surgical repair
9 months