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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. Treatment of celiac disease
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
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
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

2. Incubation period for TB
1-6 months
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

3. Head circumference should be assessed until what age
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
3 years
double birth weight

4. What is epiglottitis?
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
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

5. Diet for a child with glumerlonephritis
Regular diet with low sodium an no added salt
fever and infection
Give freedom and choices - save battles for the important things
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

6. Average age of menarche
85-95%
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
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
13 years

7. What are the S/SX of bleeds in hemophilia?
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
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
from head to toe

8. RSV contagious for ...
passage of abdominal contents to the esophagus
up to 14 days
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
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

9. Causes of Bronchopulmonary Dysplasia
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Mechanical Ventalation - high inhaled o2 concentration
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

10. BMI- overweight
An Acute inflamation of the meninges and CSF often caused by Enterovirus
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
>95%
head

11. Leading cause of acquired heart disease in children
Kawasaki disease - w/o treatment 25% will have permanent heart damage
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

12. S/sx of GERD
parainfluenza - RSV - Influenza A&B - M. pneumonia
gum hypertrophy
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

13. Teaching for Mononucleosis
Previous history of life threatening reaction - Mod-severe illness w/wo fever
BMI chart
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

14. Contraindications to all vaccines
Previous history of life threatening reaction - Mod-severe illness w/wo fever
E. Coli
double birth weight
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

15. Age group affected by mononucleosis
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
<25 yrs old
12 years
Rinse mouth and brush teeth

16. Hypospadias
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Urethral opening is positioned below the glans penis
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
12-24 days

17. treatment of intussusception
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Mid puberty
Penicillin Prophylaxis (BID)
Group B Streptococcus

18. What should be used for feeding a child during the post operative period following cleft palate surgery?
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Group B Streptococcus

19. Side effects of dilatin hirsuitism (body hair)
2.5 inches
6 months
gum hypertrophy
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

20. Complications related to varicella
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
1-6 months
A typical lymphocytosis - mono-spot - EBV serology

21. Treatment for mononucleosis
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
20 inches
none

22. Signs and symptoms of varicella Prodromal
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

23. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
# of stools per day - goal=2-3 stools per day
6 months
O2 status of blood - acid-base balance
fever and infection

24. Pathophysiology of a fever and infection with sickle cell disease
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
fever and infection
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

25. Key nursing intervention for subacute bacterial endocarditis
poor feeding - wt loss - fatigue - develop. delays - edema
parainfluenza - RSV - Influenza A&B - M. pneumonia
prevention - po antibiotics should be given before and after an invasive procedure
20 inches

26. At birth - head circumference is ____ compared to chest circumference
Give freedom and choices - save battles for the important things
Day 3 of life
trunk
larger

27. Predisposing factors to subacute bacterial endocarditis
Dental procedures - gum disease and urinary tract infections
Small bowel biopsy
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

28. Age range that is appropriate to use a length chart
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
birth-36 months
Dental procedures - gum disease and urinary tract infections

29. Kawasaki Disease
< 5%
A typical lymphocytosis - mono-spot - EBV serology
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
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

30. BMI - underweight
< 5%
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Enteropathy caused by an insensitivity to the gluten found in wheat

31. Treatment for Hirschsprungs
10 inches
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

32. Diagnose Reye's Syndrome
Liver Biopsy
4 years
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Urethral opening is positioned below the glans penis

33. When does the surgery to correct hypospadias usually occur?
Phototherapy - exchange transfusion
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
1-6 months
Between 6-12 months

34. Nursing interventions for hemophilia
from trunk to extremities
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

35. Encoperesis
fecal soiling
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

36. Sequence of resp distress
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
They are people - need a balance of limits and independence

37. 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
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

38. first tooth
6 months
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

39. Risk factors of tuberculosis
Erythroblastosis Fetalis
crowded living conditions - homeless and low income
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
birth-36 months

40. How is Celiac Disease diagnosed?
Small bowel biopsy
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
trunk

41. Precaustions needed for pt's with varicella
<25 yrs old
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
12 years
Airborne and contact

42. Puberty for boys
12 years
used for prolonged sz's
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

43. Average rate of growth for the 1st year
lethargy - irritability - decrease feedings - fever - seizures
10 inches
Time and discription of seizure
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

44. What is Hemolytic Disease of the Newborn
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
< 1
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
6 months

45. At 6-24 months - head circumference is what size in relationship to chest circumference
Rinse mouth and brush teeth
Equal to
trunk - gonads and associative tissue
MVA - bike accidents and falls

46. Signs and symptoms of tuberculosis
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Hepatoxicity - pancreatitis
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

47. What is the treatment for epiglottitis?
School age
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Less than 120 f.
Brain damage - hearing loss and learning disabilities

48. Bronchiolitis
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
parainfluenza - RSV - Influenza A&B - M. pneumonia
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

49. 2 key factors to consider when caring for a preschooler
A typical lymphocytosis - mono-spot - EBV serology
They are people - need a balance of limits and independence
Urethral opening is positioned below the glans penis
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

50. Signs and symptoms of Reye's Syndrome
Epstein Barr Virus - transmitted with intimate contact
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Growth spurt