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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. Causes of Bronchopulmonary Dysplasia
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Mechanical Ventalation - high inhaled o2 concentration
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

2. RSV contagious for ...
up to 14 days
Hepatoxicity - pancreatitis
larger
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

3. Equipment used to measure a 24 to 36 month old height
Length board standiometer
3 years
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Family history - EEG - CBC - LP and MRI

4. Treatment for sickle cell disease
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Growth spurt
hearing loss - scarring - mastoiditis - meningitis
Salicylates

5. At 6-24 months - head circumference is what size in relationship to chest circumference
9 months
Equal to
Length Chart
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

6. Teaching for RSV
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
# of stools per day - goal=2-3 stools per day
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver

7. Diastat rectal diazepam gel

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8. What has the HIB vaccine been successful in reducing?
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
10 years
Repeated involuntary urination in a child who should already by toilet trained at night

9. What interventions prevent urinary tract infections?
Urethral opening is positioned below the glans penis
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Less than 120 f.
Epstein Barr Virus - transmitted with intimate contact

10. Kawasaki Disease
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
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
10 years

11. Viral Meningitis
12-24 days
inflammation and hypersensitivity to triggers
Penicillin Prophylaxis (BID)
An Acute inflamation of the meninges and CSF often caused by Enterovirus

12. What is broncho-pulmonary dysplasia?
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

13. 2 factors that determine birth weight
diazepam - lorazapam
maternal nutrition and genetics
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
Foreskin is used during the surgical repair

14. Side effects of benzodiazepines
drooling
Brain damage - hearing loss and learning disabilities
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
from trunk to extremities

15. Females reproductive issues for CF patients
high protien and calorie - multivitamins - extra enzymes for high fat food
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

16. Nursing care of patient with Meningitis
up to 14 days
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Salicylates
0-24 months

17. signs and symptoms of meningitis in older children
Time and discription of seizure
Dust - mold - animal dander - viral infections
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

18. What is used to diagnose pyloric stenosis?
Abdominal ultrasound - Upper GI
A narrowing within the Aorta resulting in collateral circulation
Liver Biopsy
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

19. What is physiologic Jaundice?
Brain damage - hearing loss and learning disabilities
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - 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
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

20. Age group the limbs grow the fastest
Contact isolation - gown - gloves and handwashing
Phototherapy - exchange transfusion
School age
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

21. Pathophysiology of hirschsprung's disease
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

22. Neonatal Jaundice
gum hypertrophy
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

23. Key nursing intervention for subacute bacterial endocarditis
complete physical and psychosocial assessment to rule out underlying disorders
prevention - po antibiotics should be given before and after an invasive procedure
Salicylates
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

24. Diagnose Intussusception by
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
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
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Barium enema

25. Prevention of infection in Sickle Cell Disease
Penicillin Prophylaxis (BID)
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Less than 120 f.

26. What are the S/SX of bleeds in hemophilia?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Liver Biopsy

27. What is heart failure?
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
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

28. Normal presentation of cystic fibrosis
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Enteropathy caused by an insensitivity to the gluten found in wheat
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

29. Signs and Symptoms of intussusception
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Penicillin Prophylaxis (BID)
Foreskin is used during the surgical repair
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

30. What occurs in a subacute baterial endocarditis?
from trunk to extremities
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
12-24 days

31. Prevention of bronchiolitis spreading
Contact isolation - gown - gloves and handwashing
from head to toe
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

32. What promotes unsickling of RBC's?
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Adequate O2 adequatte hydration
13 years
GERD is the complications and symptoms that happen because of GER

33. What is epiglottitis?
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
No - it can only be controlled
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

34. Define Magical thinking

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35. Nursing care for a child with Reye's Syndrome
Rinse mouth and brush teeth
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
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications

36. Asthma
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Small bowel biopsy

37. Signs and symptoms of tuberculosis
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
9 months

38. Diagnose Reye's Syndrome
12-24 days
Liver Biopsy
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
Phototherapy - exchange transfusion

39. What is Hemolytic Disease of the Newborn
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

40. Incubation period for TB
head
Salicylates
1-6 months
diazepam - lorazapam

41. Assessment of a patient with suspected epiglottitis
Rinse mouth and brush teeth
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

42. Teaching for Mononucleosis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
2.5 inches
20 inches

43. Pathophysiology of Chronic Asthma
10 inches
10 years
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
inflammation and hypersensitivity to triggers

44. Nursing care for Kawasaki Disease
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
School age
2 years
Cool mist therapy - encourage oral intake - s/sx of resp. distress

45. How does pertussis present?
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

46. Basic defect in coarctation of the aorta
Airborne and contact
Contact isolation - gown - gloves and handwashing
complete physical and psychosocial assessment to rule out underlying disorders
A narrowing within the Aorta resulting in collateral circulation

47. treatment of hemolytic disease of the newborn
Barium enema
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Mid puberty
Phototherapy - exchange transfusion

48. Signs and Symptoms that indicate and adverse reaction to a vaccine
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
10 inches
O2 status of blood - acid-base balance

49. What is used to diagnose GER?
hearing loss - scarring - mastoiditis - meningitis
A typical lymphocytosis - mono-spot - EBV serology
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

50. What are the side effects of depakote?
Phototherapy - exchange transfusion
Hepatoxicity - pancreatitis
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus