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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. Viral Croup
Swelling or obstruction of the Larynx
Small bowel biopsy
lethargy - irritability - decrease feedings - fever - seizures
Mid puberty

2. Clinicla manifestations of sickle cell disease
Vaso-occulisive crisis - infection and sepsis
fecal soiling
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
complete physical and psychosocial assessment to rule out underlying disorders

3. At what age is a stadiometer required to measure linear growth?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
36 months
6 months

4. BMI - underweight
Dental procedures - gum disease and urinary tract infections
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
used for prolonged sz's
< 5%

5. Celiac Disease
85-95%
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
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

6. Age of children at half their adult height
E. Coli
2 years
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
used for prolonged sz's

7. Leading cause of bacterial meningitis in Neonates
Group B Streptococcus
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Bacteria enter the blood stream from a site of localized infection and grows in the heart
birth-36 months

8. ABG
O2 status of blood - acid-base balance
A typical lymphocytosis - mono-spot - EBV serology
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

9. Average rate of growth for the 1st year
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
10 inches

10. What are development considerations for hemophilia?
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
BMI chart
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
maternal nutrition and genetics

11. Equipment used to measure a 24 to 36 month old height
Length board standiometer
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
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
12-24 days

12. Teaching for Croup
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
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Give freedom and choices - save battles for the important things
lethargy - irritability - decrease feedings - fever - seizures

13. 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
< 1
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
13 years

14. Nursing interventions for hemophilia
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
A typical lymphocytosis - mono-spot - EBV serology
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

15. How is Celiac Disease diagnosed?
Liver Biopsy
Equal to
Small bowel biopsy
Swelling of the airways - mucous production - bronchospasms

16. 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
Vaso-occulisive crisis - infection and sepsis
Low fiber - high calorie and protein
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

17. What is heart failure?
Erythroblastosis Fetalis
Repeated involuntary urination in a child who should already by toilet trained at night
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
13 years

18. Pathophysiology of hirschsprung's disease
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

19. Complications of meningitis
Erythroblastosis Fetalis
Brain damage - hearing loss and learning disabilities
3 years
Mid puberty

20. What is enuresis?
6 months
Repeated involuntary urination in a child who should already by toilet trained at night
none
5 inches

21. difference btwn GER and GERD
head
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
GERD is the complications and symptoms that happen because of GER
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

22. Average age of breast development
fecal soiling
10 years
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
inflammation and hypersensitivity to triggers

23. Where does the adolescent experience rapid growth?
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
trunk - gonads and associative tissue
used for prolonged sz's

24. Causes of Bronchopulmonary Dysplasia
from head to toe
Mechanical Ventalation - high inhaled o2 concentration
Repeated involuntary urination in a child who should already by toilet trained at night
12 years

25. What is the cause of mononucleosis and its method of transmission?
Enteropathy caused by an insensitivity to the gluten found in wheat
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
2 years
Epstein Barr Virus - transmitted with intimate contact

26. What confirms a positive TB infection?
2.5 inches
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
chest x-ray following a Positive PPD skin test

27. Signs and Symptoms of Asthma
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Enteropathy caused by an insensitivity to the gluten found in wheat
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Day 3 of life

28. Diagnose Intussusception by
Barium enema
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
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
gum hypertrophy

29. Contraindications to all vaccines
from trunk to extremities
Mid puberty
3 years
Previous history of life threatening reaction - Mod-severe illness w/wo fever

30. Peak flow meter
measures the largest velocity which occurs during a forced exhale
Repeated involuntary urination in a child who should already by toilet trained at night
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
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

31. Common Asthma irritants
Dust - mold - animal dander - viral infections
Urethral opening is positioned below the glans penis
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
none

32. Post Op treatment of a VP shunt
12-24 days
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
36 months

33. 3 main causes of Bacterial meningitis in children
36 months
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
measures the largest velocity which occurs during a forced exhale
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

34. Viral Meningitis
An Acute inflamation of the meninges and CSF often caused by Enterovirus
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

35. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
prevention - po antibiotics should be given before and after an invasive procedure
# of stools per day - goal=2-3 stools per day
birth-36 months
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

36. Test to evaluate a Seizure disorder
Small bowel biopsy
Family history - EEG - CBC - LP and MRI
Liver Biopsy
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

37. Signs and Symptoms that indicate and adverse reaction to a vaccine
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
13 years
gum hypertrophy
Hepatoxicity - pancreatitis

38. Diet for Hirschsprung's prior to corrction and treatment
Low fiber - high calorie and protein
Penicillin Prophylaxis (BID)
parainfluenza - RSV - Influenza A&B - M. pneumonia
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

39. How is mononucleosis diagnosed
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
A typical lymphocytosis - mono-spot - EBV serology
Kawasaki disease - w/o treatment 25% will have permanent heart damage

40. Focus of adolescent discipline
Give freedom and choices - save battles for the important things
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

41. What are the S/SX of bleeds in hemophilia?
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Family history - EEG - CBC - LP and MRI
Rinse mouth and brush teeth
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)

42. Neonatal Jaundice
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system

43. Complications of acute otitis media
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
hearing loss - scarring - mastoiditis - meningitis
>95%
prevention - po antibiotics should be given before and after an invasive procedure

44. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
none
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
5ml/dl
hearing loss - scarring - mastoiditis - meningitis

45. Pathophysiology of intussusception

46. Signs and symptoms of tuberculosis
Brain damage - hearing loss and learning disabilities
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

47. Considerations should be taken when treating a child with cystic fibrosis who has a ___________ tx promptly since bacterial colonization increases destruction of lung tissue----prevention is key
fever and infection
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Group B Streptococcus

48. Key nursing intervention for subacute bacterial endocarditis
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
trunk - gonads and associative tissue
prevention - po antibiotics should be given before and after an invasive procedure
1-6 months

49. Normal presentation of cystic fibrosis
birth-36 months
85-95%
Give freedom and choices - save battles for the important things
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

50. Cephalocaudal
Vaso-occulisive crisis - infection and sepsis
from head to toe
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention