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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. Nursing care of the infant with pyloric stenosis
E. Coli
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Brain damage - hearing loss and learning disabilities
chest x-ray following a Positive PPD skin test

2. What is physiologic Jaundice?
Airborne and contact
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
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
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

3. Pertussis?
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
E. Coli
Less than 120 f.

4. Sequence of resp distress
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
larger
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

5. Causes of Bronchopulmonary Dysplasia
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Mechanical Ventalation - high inhaled o2 concentration
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

6. Treatment of celiac disease
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
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
head
5ml/dl

7. Part of body that grows the fastest in infancy
A narrowing within the Aorta resulting in collateral circulation
head
larger
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

8. At birth - head circumference is ____ compared to chest circumference
larger
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

9. Lead screening should begin. at ..
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
9 months
Growth spurt

10. Common Asthma irritants
Dust - mold - animal dander - viral infections
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Growth spurt
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

11. Etiology of GERD
Viral---Varicella or influenza
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
20 inches
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

12. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Dust - mold - animal dander - viral infections
Length Chart
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
13 years

13. Test to evaluate a Seizure disorder
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Abdominal ultrasound - Upper GI
Family history - EEG - CBC - LP and MRI
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

14. Varicella communicable
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Excessive stool fat
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
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

15. What has the HIB vaccine been successful in reducing?
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

16. Asthma inhaler - what can be done to decrease risk of thrush
Directly related to force - Acceleration-Deceleration= brain striking part of skull - Shearing force= stretching caused by unequal rate of movement of the brain tissue resulting in small tearing of the cerbral vessels
Rinse mouth and brush teeth
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

17. Average rate of growth for the 1st year
Growth spurt
trunk - gonads and associative tissue
10 inches
Repeated involuntary urination in a child who should already by toilet trained at night

18. treatment of intussusception
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
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
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

19. What foods are prohibited for a person with Celiac Disease?
Swelling of the airways - mucous production - bronchospasms
one portion of the intestine 'telescopes' into another leading to lymphatic and venous obstruction which causes ischemia - mucous backflow into the intestine and leaking of blood into the intestine
Milk - Ice cream - Malts - Grains
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

20. Nursing care of patient with Meningitis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
high protien and calorie - multivitamins - extra enzymes for high fat food
Day 3 of life
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

21. Complications of meningitis
Brain damage - hearing loss and learning disabilities
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
fever and infection
< 5%

22. Signs and Symptoms of Hemolytic Disease of the newborn
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
1-6 months

23. Leading cause of head injury
double birth weight
MVA - bike accidents and falls
Growth spurt
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

24. What are the S/SX of bleeds in hemophilia?
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
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
9 months

25. Focus of adolescent discipline
high protien and calorie - multivitamins - extra enzymes for high fat food
Give freedom and choices - save battles for the important things
< 1
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

26. Treatment of Meningitis

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27. What Component of Aspirin cause's Reye's Syndrome?
Dust - mold - animal dander - viral infections
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
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Salicylates

28. Leading cause of bacterial meningitis in Neonates
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Group B Streptococcus
Sterile-caused by blockage of thick mucous at the vas deferens
O2 status of blood - acid-base balance

29. Treatment for sickle cell disease
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

30. What is epiglottitis?
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Equal to
measures the largest velocity which occurs during a forced exhale
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

31. Steatorrhea
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Excessive stool fat
Growth spurt

32. signs and symptoms of meningitis in older children
Mechanical Ventalation - high inhaled o2 concentration
Airborne and contact
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Milk - Ice cream - Malts - Grains

33. What can promote dryness in a child with enuresis?
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
2 snacks
A typical lymphocytosis - mono-spot - EBV serology

34. Signs and Symptoms of Celiac Disease
They are people - need a balance of limits and independence
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
<25 yrs old
crowded living conditions - homeless and low income

35. How is mononucleosis diagnosed
Cool mist therapy - encourage oral intake - s/sx of resp. distress
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
A typical lymphocytosis - mono-spot - EBV serology
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

36. Peak flow meter
lethargy - irritability - decrease feedings - fever - seizures
13 years
Viral---Varicella or influenza
measures the largest velocity which occurs during a forced exhale

37. Nursing interventions for hemophilia
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
birth-36 months
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

38. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
used for prolonged sz's
Erythroblastosis Fetalis
BMI chart
# of stools per day - goal=2-3 stools per day

39. What should be observed in a case of a seizure?
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
< 5%
Group B Streptococcus
Time and discription of seizure

40. What should a child's wt be at 1 yr compared to birth weight?
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
A typical lymphocytosis - mono-spot - EBV serology
Triple
4 years

41. BMI - underweight
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
< 5%
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

42. Term infant --Bilirubin peaks at what day of life
Day 3 of life
3 years
Length board standiometer
School age

43. How many days after birth do bilirubin levels return to normal limits?
gum hypertrophy
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
They are people - need a balance of limits and independence
12-24 days

44. Pathophysiology related to Head Trauma
Regular diet with low sodium an no added salt
Directly related to force - Acceleration-Deceleration= brain striking part of skull - Shearing force= stretching caused by unequal rate of movement of the brain tissue resulting in small tearing of the cerbral vessels
2 snacks
Enteropathy caused by an insensitivity to the gluten found in wheat

45. Reyes Syndrome
complete physical and psychosocial assessment to rule out underlying disorders
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Family history - EEG - CBC - LP and MRI

46. Basic defect in coarctation of the aorta
0-24 months
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Mid puberty
A narrowing within the Aorta resulting in collateral circulation

47. What is the treatment for epiglottitis?
prevention - po antibiotics should be given before and after an invasive procedure
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Growth spurt

48. Pathophysiology of Chronic Asthma
E. Coli
inflammation and hypersensitivity to triggers
head
Length Chart

49. Main cause of urinary tract infections
12-24 days
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
Hepatoxicity - pancreatitis
E. Coli

50. first tooth
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
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
6 months
Day 3 of life