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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 are the symptoms of pancreatic involvement in Cystic Fibrosis?
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
5 inches
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
GERD is the complications and symptoms that happen because of GER

2. Hourly maintenance Fluid Requirements
13 years
Low fiber - high calorie and protein
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

3. Can Asthma be cured?
No - it can only be controlled
Group B Streptococcus
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Barium enema

4. Asthma
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
parainfluenza - RSV - Influenza A&B - M. pneumonia

5. Part of body that grows the fastest in infancy
head
measures the largest velocity which occurs during a forced exhale
crowded living conditions - homeless and low income
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

6. Average Birth Length
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
20 inches
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Equal to

7. Define Proximodistal
1-6 months
from trunk to extremities
Swelling or obstruction of the Larynx
Abdominal ultrasound - Upper GI

8. Rheumatic Fever
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
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

9. 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
Regular diet with low sodium an no added salt
up to 14 days
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

10. Side effects of dilatin hirsuitism (body hair)
gum hypertrophy
inflammation and hypersensitivity to triggers
Day 3 of life
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

11. Nursing care for child with seizure

12. Average rate of growth for the 1st year
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
5ml/dl
10 inches
Erythroblastosis Fetalis

13. Treatment for Hirschsprungs
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Time and discription of seizure
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Group B Streptococcus

14. 3 symptoms of coarctation of the aorta
Phototherapy - exchange transfusion
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
high protien and calorie - multivitamins - extra enzymes for high fat food

15. Pathophysiology of hirschsprung's disease
Penicillin Prophylaxis (BID)
Brain damage - hearing loss and learning disabilities
E. Coli
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

16. At what age is a stadiometer required to measure linear growth?
head
Excessive stool fat
Triple
36 months

17. Teaching for Croup
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Cool mist therapy - encourage oral intake - s/sx of resp. distress
birth-36 months
Regular diet with low sodium an no added salt

18. Signs of increased ICP
36 months
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Less than 120 f.
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

19. Steatorrhea
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Family history - EEG - CBC - LP and MRI
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Excessive stool fat

20. treatment of hemolytic disease of the newborn
Phototherapy - exchange transfusion
4 years
Barium enema
Bacteria enter the blood stream from a site of localized infection and grows in the heart

21. What is epiglottitis?
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
No - it can only be controlled

22. What is Cystic Fibrosis?
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
>95%
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

23. S/sx of GERD
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
high protien and calorie - multivitamins - extra enzymes for high fat food
Enteropathy caused by an insensitivity to the gluten found in wheat
chest x-ray following a Positive PPD skin test

24. Sequence of resp distress
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
13 years
3 years
Dental procedures - gum disease and urinary tract infections

25. Treatment for sickle cell disease
Dust - mold - animal dander - viral infections
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

26. Viral Meningitis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
36 months
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

27. Predisposing factors to subacute bacterial endocarditis
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
GERD is the complications and symptoms that happen because of GER
Dental procedures - gum disease and urinary tract infections
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

28. What are major risk factors for neonatal meningitis?
3 years
Maternal infection - premature rupture of membranes
Low fiber - high calorie and protein
MVA - bike accidents and falls

29. Signs and symptoms of varicella Prodromal
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
36 months

30. What Component of Aspirin cause's Reye's Syndrome?
Salicylates
hearing loss - scarring - mastoiditis - meningitis
chest x-ray following a Positive PPD skin test
Group B Streptococcus

31. When does the surgery to correct hypospadias usually occur?
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
36 months
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Between 6-12 months

32. Why is early diagnosis important w. Reye's Syndrome?
5 inches
Barium enema
Successful management is based on early diagnosis and aggressive therapy
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

33. 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
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
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
hearing loss - scarring - mastoiditis - meningitis

34. Signs and Symptoms of Asthma
parainfluenza - RSV - Influenza A&B - M. pneumonia
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
10 years

35. Signs and Symptoms of intussusception
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
GERD is the complications and symptoms that happen because of GER
School age
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

36. Head circumference should be assessed until what age
3 years
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
trunk - gonads and associative tissue
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

37. Characteristics of the RBC's in sickle cell

38. Non-pharmalogical measures to treat GER
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
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
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Equal to

39. Define Magical thinking

40. Normal Bilirubin
< 1
up to 14 days
Bacteria enter the blood stream from a site of localized infection and grows in the heart
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

41. How is mononucleosis diagnosed
Triple
chest x-ray following a Positive PPD skin test
A typical lymphocytosis - mono-spot - EBV serology
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

42. Nursing care for Kawasaki Disease
hearing loss - scarring - mastoiditis - meningitis
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
from head to toe
9 months

43. Contraindications to all vaccines
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
trunk

44. Where does the adolescent experience rapid growth?
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
trunk - gonads and associative tissue
< 1
Penicillin Prophylaxis (BID)

45. Treatment for Varicella
3 years
Day 3 of life
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

46. 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
Enteropathy caused by an insensitivity to the gluten found in wheat
Excessive stool fat
parainfluenza - RSV - Influenza A&B - M. pneumonia

47. Temp of home water heater to avoid burns
Phototherapy - exchange transfusion
Less than 120 f.
Maternal infection - premature rupture of membranes
E. Coli

48. Leading cause of bacterial meningitis in Neonates
Group B Streptococcus
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
13 years
A narrowing within the Aorta resulting in collateral circulation

49. Age group the limbs grow the fastest
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
birth-36 months
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
School age

50. BMI-@ risk for overweight
85-95%
2 years
Successful management is based on early diagnosis and aggressive therapy
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