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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. Term infant --Bilirubin peaks at what day of life
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Between 6-12 months
Day 3 of life
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

2. Part of the body that grows the fastest in the toddler-preschool age
Sterile-caused by blockage of thick mucous at the vas deferens
trunk
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

3. During an abdominal assessment when should auscultation occur
13 years
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Foreskin is used during the surgical repair
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

4. treatment of intussusception
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
up to 14 days
Rinse mouth and brush teeth
head

5. S/SX of Hirschsprungs
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Vaso-occulisive crisis - infection and sepsis
85-95%
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

6. Equipment used to measure a 24 to 36 month old height
complete physical and psychosocial assessment to rule out underlying disorders
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
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Length board standiometer

7. BMI - underweight
Repeated involuntary urination in a child who should already by toilet trained at night
< 5%
Give freedom and choices - save battles for the important things
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

8. Reyes Syndrome
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
10 years
E. Coli

9. What is physiologic Jaundice?
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
Brain damage - hearing loss and learning disabilities
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

10. Signs and symptoms of Reye's Syndrome
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Triple
<25 yrs old
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

11. Test to evaluate a Seizure disorder
BMI chart
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
10 inches
Family history - EEG - CBC - LP and MRI

12. Hirschsprung's 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
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Repeated involuntary urination in a child who should already by toilet trained at night

13. Nursing care of the infant with pyloric stenosis
>95%
Growth spurt
A narrowing within the Aorta resulting in collateral circulation
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

14. first tooth
Penicillin Prophylaxis (BID)
6 months
up to 14 days
9 months

15. Signs and symptoms of varicella Prodromal
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Urethral opening is positioned below the glans penis
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

16. What should be observed in a case of a seizure?
Barium enema
Time and discription of seizure
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

17. Diet for a child with glumerlonephritis
Regular diet with low sodium an no added salt
2 snacks
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Day 3 of life

18. Precaustions needed for pt's with varicella
Airborne and contact
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
<25 yrs old
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

19. Average age of breast development
Liver Biopsy
10 years
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
inflammation and hypersensitivity to triggers

20. What is an acute otitis media?
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
inflammation located in the middle ear

21. What Component of Aspirin cause's Reye's Syndrome?
Excessive stool fat
10 inches
none
Salicylates

22. Complications of meningitis
Rinse mouth and brush teeth
Brain damage - hearing loss and learning disabilities
12 years
Less than 120 f.

23. What is heart failure?
Vaso-occulisive crisis - infection and sepsis
Swelling or obstruction of the Larynx
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
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

24. Why is early diagnosis important w. Reye's Syndrome?
6 months
Successful management is based on early diagnosis and aggressive therapy
< 5%
Abdominal ultrasound - Upper GI

25. Treatment of a bleed in hemophilia
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Mid puberty
Between 6-12 months

26. What is Pyloric stenosis?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
They are people - need a balance of limits and independence
fever and infection
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

27. Most cases of Reye's Syndrome follows what type of illness?
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
parainfluenza - RSV - Influenza A&B - M. pneumonia
Viral---Varicella or influenza

28. Main cause of urinary tract infections
Epstein Barr Virus - transmitted with intimate contact
Day 3 of life
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
E. Coli

29. What has the HIB vaccine been successful in reducing?
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Hepatoxicity - pancreatitis

30. 2 factors that determine birth weight
Mechanical Ventalation - high inhaled o2 concentration
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
maternal nutrition and genetics

31. What should be used for feeding a child during the post operative period following cleft palate surgery?
Mechanical Ventalation - high inhaled o2 concentration
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

32. Causes of Bronchopulmonary Dysplasia
Mechanical Ventalation - high inhaled o2 concentration
Liver Biopsy
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Barium enema

33. What is Cystic Fibrosis?
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
BMI chart
12 years

34. At what age is a length board required?
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
0-24 months
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

35. What foods are prohibited for a person with Celiac Disease?
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Contact isolation - gown - gloves and handwashing
Milk - Ice cream - Malts - Grains

36. Age that birth length doubles
4 years
6 months
MVA - bike accidents and falls
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

37. Signs and Symptoms of Celiac Disease
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

38. Characteristics of the RBC's in sickle cell

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39. Leading cause of acquired heart disease in children
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Kawasaki disease - w/o treatment 25% will have permanent heart damage
36 months
A narrowing within the Aorta resulting in collateral circulation

40. Pathophysiology related to Head Trauma
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
complete physical and psychosocial assessment to rule out underlying disorders
Dust - mold - animal dander - viral infections
Give freedom and choices - save battles for the important things

41. What are the side effects of depakote?
An Acute inflamation of the meninges and CSF often caused by Enterovirus
12 years
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Hepatoxicity - pancreatitis

42. Nursing care for Cystic Fibrosis
used for prolonged sz's
Hepatoxicity - pancreatitis
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 years

43. Cause of bronchiolitis
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
larger
fever and infection
Give freedom and choices - save battles for the important things

44. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
Mid puberty
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

45. Another name for Hemolytic Disease of the Newborn
4 years
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
Erythroblastosis Fetalis
hearing loss - scarring - mastoiditis - meningitis

46. Childs weight at 6 months compared to birth weight
double birth weight
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
from trunk to extremities
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

47. Treatment and nursing care for pertussis
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Mid puberty
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

48. Pertussis?
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
>95%
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

49. Average rate of growth for the 2nd year of lif
Equal to
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Give freedom and choices - save battles for the important things
5 inches

50. Steatorrhea
Excessive stool fat
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy