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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. Define Magical thinking

2. What are major risk factors for neonatal meningitis?
Viral---Varicella or influenza
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Penicillin Prophylaxis (BID)
Maternal infection - premature rupture of membranes

3. Clinicla manifestations of sickle cell disease
Vaso-occulisive crisis - infection and sepsis
Foreskin is used during the surgical repair
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
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

4. Average age of breast development
10 years
maternal nutrition and genetics
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Phototherapy - exchange transfusion

5. 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
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Kawasaki disease - w/o treatment 25% will have permanent heart damage
9 months

6. Complications of acute otitis media
measures the largest velocity which occurs during a forced exhale
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
hearing loss - scarring - mastoiditis - meningitis

7. Common Asthma irritants
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Dental procedures - gum disease and urinary tract infections
Dust - mold - animal dander - viral infections
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

8. Diastat rectal diazepam gel

9. Rheumatic Fever
6 months
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Give freedom and choices - save battles for the important things
Cool mist therapy - encourage oral intake - s/sx of resp. distress

10. Peak flow meter
Swelling or obstruction of the Larynx
Sterile-caused by blockage of thick mucous at the vas deferens
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
measures the largest velocity which occurs during a forced exhale

11. What Pharmalogical measures can be used to treat GERD?
Vaso-occulisive crisis - infection and sepsis
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
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
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

12. Incubation period for TB
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
1-6 months
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
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

13. 2 key factors to consider when caring for a preschooler
12 years
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
They are people - need a balance of limits and independence
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

14. Females reproductive issues for CF patients
larger
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Equal to
Brain damage - hearing loss and learning disabilities

15. Average rate of growth for the 1st year
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
6 months
10 inches
Rinse mouth and brush teeth

16. Most cases of Reye's Syndrome follows what type of illness?
Viral---Varicella or influenza
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
maternal nutrition and genetics
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

17. Signs and Symptoms that indicate and adverse reaction to a vaccine
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Repeated involuntary urination in a child who should already by toilet trained at night
Triple

18. Diet for CF patients
9 months
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
high protien and calorie - multivitamins - extra enzymes for high fat food
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

19. 3 main causes of Bacterial meningitis in children
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
high protien and calorie - multivitamins - extra enzymes for high fat food
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

20. Basic defect in coarctation of the aorta
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
School age
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
A narrowing within the Aorta resulting in collateral circulation

21. What are the side effects of depakote?
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
>95%
Hepatoxicity - pancreatitis
Vaso-occulisive crisis - infection and sepsis

22. Nursing care for Cystic Fibrosis
12 years
# of stools per day - goal=2-3 stools per day
They are people - need a balance of limits and independence
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

23. Treatment of Kawasaki disease
3 years
prevention - po antibiotics should be given before and after an invasive procedure
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

24. What is epiglottitis?
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Group B Streptococcus
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

25. At what age is a length board required?
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
0-24 months
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Bacteria enter the blood stream from a site of localized infection and grows in the heart

26. Asthma
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Equal to
Time and discription of seizure
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

27. What is broncho-pulmonary dysplasia?
Hepatoxicity - pancreatitis
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

28. RSV contagious for ...
36 months
Maternal infection - premature rupture of membranes
up to 14 days
Low fiber - high calorie and protein

29. Hourly maintenance Fluid Requirements
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Kawasaki disease - w/o treatment 25% will have permanent heart damage
head

30. Equipment used to measure a 24 to 36 month old height
Day 3 of life
trunk - gonads and associative tissue
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Length board standiometer

31. What is used to diagnose GER?
maternal nutrition and genetics
Kawasaki disease - w/o treatment 25% will have permanent heart damage
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

32. Treatment for Varicella
Barium enema
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Low fiber - high calorie and protein
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

33. Treatment of celiac disease
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
larger
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

34. Steatorrhea
Excessive stool fat
Viral---Varicella or influenza
< 5%
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

35. Cephalocaudal
BMI chart
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Between 6-12 months
from head to toe

36. What should be used for feeding a child during the post operative period following cleft palate surgery?
4 years
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
10 years

37. Age of children at half their adult height
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Triple
2 years
Cool mist therapy - encourage oral intake - s/sx of resp. distress

38. How many meals and snacks should a 1-3 yr old have in a day 3 meals
2 snacks
< 1
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Excessive stool fat

39. Hirschsprung's Disease
Contact isolation - gown - gloves and handwashing
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
gum hypertrophy
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

40. How many days after birth do bilirubin levels return to normal limits?
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
12-24 days
Length Chart
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

41. What promotes unsickling of RBC's?
5 inches
Regular diet with low sodium an no added salt
Adequate O2 adequatte hydration
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

42. Nursing interventions for hemophilia
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
passage of abdominal contents to the esophagus
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

43. What is the treatment for epiglottitis?
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Foreskin is used during the surgical repair
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

44. Puberty for boys
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
12 years
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

45. Treatment of a bleed in hemophilia
Swelling of the airways - mucous production - bronchospasms
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

46. Treatment for mononucleosis
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
up to 14 days
none
4 years

47. Normal presentation of cystic fibrosis
maternal nutrition and genetics
< 1
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
1-6 months

48. Leading cause of acquired heart disease in children
Between 6-12 months
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Foreskin is used during the surgical repair

49. Age group affected by mononucleosis
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
<25 yrs old
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

50. Temp of home water heater to avoid burns
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Less than 120 f.
diazepam - lorazapam