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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 four main causes of viral croup?
Contact isolation - gown - gloves and handwashing
parainfluenza - RSV - Influenza A&B - M. pneumonia
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
<25 yrs old

2. What promotes unsickling of RBC's?
Enteropathy caused by an insensitivity to the gluten found in wheat
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
20 inches
Adequate O2 adequatte hydration

3. Treatment and nursing care for pertussis
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

4. Causes of Bronchopulmonary Dysplasia
Mechanical Ventalation - high inhaled o2 concentration
O2 status of blood - acid-base balance
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Maternal infection - premature rupture of membranes

5. How does pertussis present?
4 years
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

6. Clinical signs of infection wilth sickle cell disease
2 snacks
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
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

7. Diagnose Intussusception by
Barium enema
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Small bowel biopsy

8. Clinicla manifestations of sickle cell disease
Dental procedures - gum disease and urinary tract infections
Excessive stool fat
double birth weight
Vaso-occulisive crisis - infection and sepsis

9. Diet for a child with glumerlonephritis
Regular diet with low sodium an no added salt
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Repeated involuntary urination in a child who should already by toilet trained at night
9 months

10. 2 key factors to consider when caring for a preschooler
up to 14 days
Barium enema
10 years
They are people - need a balance of limits and independence

11. Signs and Symptoms of intussusception
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
Less than 120 f.
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

12. Average Birth Length
20 inches
Family history - EEG - CBC - LP and MRI
Growth spurt
up to 14 days

13. What is heart failure?
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 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
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

14. 3 main causes of Bacterial meningitis in children
prevention - po antibiotics should be given before and after an invasive procedure
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
5 inches

15. Another name for Hemolytic Disease of the Newborn
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
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
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
Erythroblastosis Fetalis

16. Encoperesis
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
fecal soiling
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Hepatoxicity - pancreatitis

17. What is enuresis?
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
6 months
Repeated involuntary urination in a child who should already by toilet trained at night
crowded living conditions - homeless and low income

18. Prevention of bronchiolitis spreading
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
lethargy - irritability - decrease feedings - fever - seizures
>95%
Contact isolation - gown - gloves and handwashing

19. Neonatal Jaundice
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
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
poor feeding - wt loss - fatigue - develop. delays - edema
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

20. Complications related to varicella
Mid puberty
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

21. Asthma inhaler - what can be done to decrease risk of thrush
inflammation located in the middle ear
Abdominal ultrasound - Upper GI
Rinse mouth and brush teeth
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

22. At what age is a stadiometer required to measure linear growth?
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
10 inches
36 months

23. What Component of Aspirin cause's Reye's Syndrome?
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Salicylates
Urethral opening is positioned below the glans penis
20 inches

24. Side effects of benzodiazepines
drooling
2 snacks
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
>95%

25. Diet for CF patients
Contact isolation - gown - gloves and handwashing
measures the largest velocity which occurs during a forced exhale
high protien and calorie - multivitamins - extra enzymes for high fat food
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

26. Contraindications to all vaccines
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
2.5 inches
Urethral opening is positioned below the glans penis

27. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
# of stools per day - goal=2-3 stools per day
Foreskin is used during the surgical repair
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

28. Etiology of GERD
fever and infection
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
complete physical and psychosocial assessment to rule out underlying disorders
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

29. At 6-24 months - head circumference is what size in relationship to chest circumference
high protien and calorie - multivitamins - extra enzymes for high fat food
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Equal to
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

30. Normal Bilirubin
< 1
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
gum hypertrophy
Family history - EEG - CBC - LP and MRI

31. What is Hemolytic Disease of the Newborn
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
larger
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
2 years

32. Precaustions needed for pt's with varicella
Milk - Ice cream - Malts - Grains
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Airborne and contact
Triple

33. Steatorrhea
Urethral opening is positioned below the glans penis
Excessive stool fat
E. Coli
Less than 120 f.

34. Two examples of benzodiazepines
none
diazepam - lorazapam
Milk - Ice cream - Malts - Grains
10 inches

35. Age group affected by mononucleosis
larger
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
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
<25 yrs old

36. What Pharmalogical measures can be used to treat GERD?
Regular diet with low sodium an no added salt
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

37. What are the S/SX of bleeds in hemophilia?
1-6 months
Foreskin is used during the surgical repair
Salicylates
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

38. BMI - underweight
Viral---Varicella or influenza
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
< 5%
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

39. signs and symptoms of meningitis in older children
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Give freedom and choices - save battles for the important things
0-24 months
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

40. Signs and symptoms of neonatal meningitis
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Swelling of the airways - mucous production - bronchospasms
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
2.5 inches

41. Normal presentation of cystic fibrosis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
GERD is the complications and symptoms that happen because of GER
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

42. treatment of intussusception
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Family history - EEG - CBC - LP and MRI
hearing loss - scarring - mastoiditis - meningitis
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

43. Prevention of infection in Sickle Cell Disease
Penicillin Prophylaxis (BID)
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

44. Lead screening should begin. at ..
9 months
Rinse mouth and brush teeth
Liver Biopsy
crowded living conditions - homeless and low income

45. What is an acute otitis media?
inflammation located in the middle ear
Day 3 of life
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

46. When does the surgery to correct hypospadias usually occur?
Between 6-12 months
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
5 inches
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

47. first tooth
6 months
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

48. Nursing care for a child with Reye's Syndrome
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
none
Salicylates
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

49. Where does the adolescent experience rapid growth?
trunk - gonads and associative tissue
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Erythroblastosis Fetalis
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

50. Age group the limbs grow the fastest
School age
36 months
Salicylates
<25 yrs old