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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. What Pharmalogical measures can be used to treat GERD?
O2 status of blood - acid-base balance
12 years
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

2. Why avoid circumcision in a baby with hypospadias?
Foreskin is used during the surgical repair
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Successful management is based on early diagnosis and aggressive therapy
Bacteria enter the blood stream from a site of localized infection and grows in the heart

3. Treatment for Varicella
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
10 inches
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
measures the largest velocity which occurs during a forced exhale

4. Treatment for mononucleosis
birth-36 months
Penicillin Prophylaxis (BID)
none
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

5. What should be observed in a case of a seizure?
Abdominal ultrasound - Upper GI
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Time and discription of seizure
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

6. Another name for Hemolytic Disease of the Newborn
poor feeding - wt loss - fatigue - develop. delays - edema
10 inches
Erythroblastosis Fetalis
diazepam - lorazapam

7. What is broncho-pulmonary dysplasia?
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
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
School age
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

8. At what age is a stadiometer required to measure linear growth?
gum hypertrophy
Cool mist therapy - encourage oral intake - s/sx of resp. distress
36 months
<25 yrs old

9. What is enuresis?
Repeated involuntary urination in a child who should already by toilet trained at night
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Bacteria enter the blood stream from a site of localized infection and grows in the heart

10. Clinicla manifestations of 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
Vaso-occulisive crisis - infection and sepsis
Barium enema
13 years

11. Test to evaluate a Seizure disorder
Family history - EEG - CBC - LP and MRI
crowded living conditions - homeless and low income
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
fecal soiling

12. Hypospadias
Growth spurt
Urethral opening is positioned below the glans penis
0-24 months
A narrowing within the Aorta resulting in collateral circulation

13. Treatment for sickle cell disease
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Triple
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
20 inches

14. Pathophysiology of a fever and infection with sickle cell disease
>95%
Mid puberty
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

15. Rheumatic Fever
Length board standiometer
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
< 1
Family history - EEG - CBC - LP and MRI

16. 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
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
diazepam - lorazapam
from trunk to extremities

17. Assessment of a patient with suspected epiglottitis
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
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

18. 2 key factors to consider when caring for a preschooler
9 months
They are people - need a balance of limits and independence
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

19. Encoperesis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
12-24 days
Kawasaki disease - w/o treatment 25% will have permanent heart damage
fecal soiling

20. Nursing care for child with seizure

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21. Characteristics of the RBC's in sickle cell

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22. Common Asthma irritants
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Abdominal ultrasound - Upper GI
trunk - gonads and associative tissue
Dust - mold - animal dander - viral infections

23. Sequence of resp distress
>95%
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

24. S/sx of GERD
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
up to 14 days
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

25. Hirschsprung's Disease
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
chest x-ray following a Positive PPD skin test
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

26. What is an acute otitis media?
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
inflammation located in the middle ear
GERD is the complications and symptoms that happen because of GER
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

27. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Cool mist therapy - encourage oral intake - s/sx of resp. distress
2 snacks
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

28. Sickle Cell Disease
Phototherapy - exchange transfusion
1-6 months
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

29. At birth - head circumference is ____ compared to chest circumference
head
larger
diazepam - lorazapam
0-24 months

30. How is mononucleosis diagnosed
fever and infection
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
Successful management is based on early diagnosis and aggressive therapy
A typical lymphocytosis - mono-spot - EBV serology

31. S/Sx of pyloric stenosis
Dental procedures - gum disease and urinary tract infections
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
maternal nutrition and genetics

32. Average rate of growth for the 2nd year of lif
Repeated involuntary urination in a child who should already by toilet trained at night
5 inches
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
They are people - need a balance of limits and independence

33. Signs and Symptoms of Celiac Disease
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Abdominal ultrasound - Upper GI
85-95%

34. Equipment used to measure a 24 to 36 month old height
inflammation and hypersensitivity to triggers
4 years
Triple
Length board standiometer

35. Nursing care for a child with Reye's Syndrome
high protien and calorie - multivitamins - extra enzymes for high fat food
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
head
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

36. What is Hemolytic Disease of the Newborn
Sterile-caused by blockage of thick mucous at the vas deferens
85-95%
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
crowded living conditions - homeless and low income

37. Signs and symptoms of varicella Prodromal
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Day 3 of life

38. Kawasaki Disease
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
1-6 months
Contact isolation - gown - gloves and handwashing
from head to toe

39. Puberty for boys
12 years
Enteropathy caused by an insensitivity to the gluten found in wheat
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

40. Clinical signs of infection wilth sickle cell disease
Adequate O2 adequatte hydration
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
measures the largest velocity which occurs during a forced exhale
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

41. Varicella communicable
Adequate O2 adequatte hydration
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Low fiber - high calorie and protein

42. Etiology of GERD
20 inches
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
6 months
Viral---Varicella or influenza

43. first tooth
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
6 months
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

44. Pathophysiology of hirschsprung's disease
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
birth-36 months
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

45. BMI- overweight
Salicylates
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
>95%
Airborne and contact

46. Bronchiolitis
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Low fiber - high calorie and protein
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

47. What are the four main causes of viral croup?
Brain damage - hearing loss and learning disabilities
parainfluenza - RSV - Influenza A&B - M. pneumonia
6 months
BMI chart

48. Nursing care for Cystic Fibrosis
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Length board standiometer
GERD is the complications and symptoms that happen because of GER
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

49. Bilirubin encephalopathy
from head to toe
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

50. Childs weight at 6 months compared to birth weight
Dust - mold - animal dander - viral infections
Bacteria enter the blood stream from a site of localized infection and grows in the heart
double birth weight
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