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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. 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
none
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

2. What interventions prevent urinary tract infections?
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
gum hypertrophy
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

3. Treatment for Hirschsprungs
Give freedom and choices - save battles for the important things
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
O2 status of blood - acid-base balance
up to 14 days

4. Steatorrhea
Excessive stool fat
Liver Biopsy
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
Length board standiometer

5. Signs and Symptoms of Asthma
Foreskin is used during the surgical repair
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
passage of abdominal contents to the esophagus

6. Signs of heart failure
Family history - EEG - CBC - LP and MRI
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
poor feeding - wt loss - fatigue - develop. delays - edema
Bacteria enter the blood stream from a site of localized infection and grows in the heart

7. treatment of hemolytic disease of the newborn
Phototherapy - exchange transfusion
# of stools per day - goal=2-3 stools per day
1-6 months
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

8. What are the side effects of depakote?
used for prolonged sz's
O2 status of blood - acid-base balance
prevention - po antibiotics should be given before and after an invasive procedure
Hepatoxicity - pancreatitis

9. Peak flow meter
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
measures the largest velocity which occurs during a forced exhale
Growth spurt
0-24 months

10. What promotes unsickling of RBC's?
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Equal to
Adequate O2 adequatte hydration
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

11. Causes of Bronchopulmonary Dysplasia
maternal nutrition and genetics
larger
MVA - bike accidents and falls
Mechanical Ventalation - high inhaled o2 concentration

12. Assess the cause of enuresis
complete physical and psychosocial assessment to rule out underlying disorders
Epstein Barr Virus - transmitted with intimate contact
Give freedom and choices - save battles for the important things
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

13. During an abdominal assessment when should auscultation occur
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
12 years

14. What foods are prohibited for a person with Celiac Disease?
maternal nutrition and genetics
Milk - Ice cream - Malts - Grains
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
drooling

15. Pathophysiology of Acute Asthma
Swelling or obstruction of the Larynx
Epstein Barr Virus - transmitted with intimate contact
gum hypertrophy
Swelling of the airways - mucous production - bronchospasms

16. Nursing care for Kawasaki Disease
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
10 years
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

17. Average rate of growth for the 1st year
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
crowded living conditions - homeless and low income
Successful management is based on early diagnosis and aggressive therapy
10 inches

18. Average Birth Length
<25 yrs old
Contact isolation - gown - gloves and handwashing
20 inches
GERD is the complications and symptoms that happen because of GER

19. Treatment of celiac disease
Give freedom and choices - save battles for the important things
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
13 years
larger

20. RSV contagious for ...
Low fiber - high calorie and protein
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
up to 14 days

21. What is the cause of mononucleosis and its method of transmission?
maternal nutrition and genetics
crowded living conditions - homeless and low income
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Epstein Barr Virus - transmitted with intimate contact

22. Two examples of benzodiazepines
2 years
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
gum hypertrophy
diazepam - lorazapam

23. Hypospadias
< 5%
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Epstein Barr Virus - transmitted with intimate contact
Urethral opening is positioned below the glans penis

24. What should be done to minimize the risks of Sudden infant death syndrome?
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
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
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
head

25. Most cases of Reye's Syndrome follows what type of illness?
Enteropathy caused by an insensitivity to the gluten found in wheat
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Viral---Varicella or influenza
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

26. Reyes Syndrome
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Salicylates
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness

27. What is heart failure?
2 years
0-24 months
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
head

28. Average rate of growth for the 2nd year of lif
Liver Biopsy
12-24 days
5 inches
Urethral opening is positioned below the glans penis

29. Childs weight at 6 months compared to birth weight
crowded living conditions - homeless and low income
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
double birth weight
poor feeding - wt loss - fatigue - develop. delays - edema

30. What should a child's wt be at 1 yr compared to birth weight?
Growth spurt
Triple
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

31. signs and symptoms of meningitis in older children
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
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
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Adequate O2 adequatte hydration

32. What occurs in a subacute baterial endocarditis?
Bacteria enter the blood stream from a site of localized infection and grows in the heart
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
5 inches
They are people - need a balance of limits and independence

33. How many days after birth do bilirubin levels return to normal limits?
3 years
20 inches
12-24 days
Give freedom and choices - save battles for the important things

34. Growth spurt for adolescent boys
diazepam - lorazapam
Between 6-12 months
Mid puberty
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

35. Asthma
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
trunk - gonads and associative tissue

36. Why avoid circumcision in a baby with hypospadias?
Foreskin is used during the surgical repair
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
fecal soiling
BMI chart

37. Asthma inhaler - what can be done to decrease risk of thrush
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Rinse mouth and brush teeth
12-24 days
Low fiber - high calorie and protein

38. What confirms a positive TB infection?
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
chest x-ray following a Positive PPD skin test
birth-36 months
Regular diet with low sodium an no added salt

39. Leading cause of acquired heart disease in children
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Kawasaki disease - w/o treatment 25% will have permanent heart damage
Abdominal ultrasound - Upper GI
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

40. Sequence of resp distress
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
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
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Erythroblastosis Fetalis

41. Treatment of a bleed in hemophilia
gum hypertrophy
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
parainfluenza - RSV - Influenza A&B - M. pneumonia
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

42. Hirschsprung's Disease
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
double birth weight
# of stools per day - goal=2-3 stools per day
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

43. Lead screening should begin. at ..
double birth weight
9 months
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
12-24 days

44. Etiology of GERD
Penicillin Prophylaxis (BID)
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

45. Define Magical thinking

46. Nursing interventions for hemophilia
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
12-24 days
Mid puberty

47. ABG
O2 status of blood - acid-base balance
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Length board standiometer
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

48. Nursing care of patient with Meningitis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
10 inches
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
none

49. Teaching for RSV
12-24 days
0-24 months
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
Swelling or obstruction of the Larynx

50. Assessment of a patient with suspected epiglottitis
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Urethral opening is positioned below the glans penis
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Delayed puberty - viscous cervical secretions - difficulty getting pregnant