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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. Side effects of dilatin hirsuitism (body hair)
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
Equal to
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
gum hypertrophy

2. Nursing care for Kawasaki Disease
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
1-6 months

3. Bronchiolitis
high protien and calorie - multivitamins - extra enzymes for high fat food
Less than 120 f.
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

4. Nursing care for child with seizure

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5. S/sx of GERD
1-6 months
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

6. Two important assessment rules related to coarctation of the aorta?
2.5 inches
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Swelling of the airways - mucous production - bronchospasms

7. What occurs in a subacute baterial endocarditis?
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Bacteria enter the blood stream from a site of localized infection and grows in the heart

8. Signs and Symptoms that indicate and adverse reaction to a vaccine
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
drooling
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

9. Average rate of growth for the 1st year
from trunk to extremities
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
10 inches
# of stools per day - goal=2-3 stools per day

10. Age that birth length doubles
4 years
high protien and calorie - multivitamins - extra enzymes for high fat food
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

11. Temp of home water heater to avoid burns
Less than 120 f.
Barium enema
Day 3 of life
Kawasaki disease - w/o treatment 25% will have permanent heart damage

12. Teaching for Mononucleosis
fecal soiling
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Dental procedures - gum disease and urinary tract infections

13. What is epiglottitis?
inflammation located in the middle ear
Erythroblastosis Fetalis
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Give freedom and choices - save battles for the important things

14. Cephalocaudal
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
O2 status of blood - acid-base balance
Less than 120 f.
from head to toe

15. What should a child's wt be at 1 yr compared to birth weight?
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Epstein Barr Virus - transmitted with intimate contact
Triple

16. Bilirubin encephalopathy
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void

17. Leading cause of bacterial meningitis in Neonates
A narrowing within the Aorta resulting in collateral circulation
Growth spurt
1-6 months
Group B Streptococcus

18. Childs weight at 6 months compared to birth weight
Mid puberty
Rinse mouth and brush teeth
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
double birth weight

19. treatment of intussusception
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
10 years
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Low fiber - high calorie and protein

20. Signs and Symptoms of Hemolytic Disease of the newborn
9 months
measures the largest velocity which occurs during a forced exhale
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
0-24 months

21. Hourly maintenance Fluid Requirements
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
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Previous history of life threatening reaction - Mod-severe illness w/wo fever
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml

22. Age range that is appropriate to use a length chart
birth-36 months
Vaso-occulisive crisis - infection and sepsis
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
Liver Biopsy

23. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Length Chart
BMI chart

24. Pathophysiology of Acute Asthma
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
trunk - gonads and associative tissue
Swelling of the airways - mucous production - bronchospasms
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

25. What is Pyloric stenosis?
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

26. Term infant --Bilirubin peaks at what day of life
O2 status of blood - acid-base balance
Day 3 of life
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

27. Another name for Hemolytic Disease of the Newborn
from head to toe
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Erythroblastosis Fetalis
GERD is the complications and symptoms that happen because of GER

28. Average age of menarche
13 years
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
Rinse mouth and brush teeth
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain

29. Clinical signs of infection wilth sickle cell disease
They are people - need a balance of limits and independence
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

30. What is Hemolytic Disease of the Newborn
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Contact isolation - gown - gloves and handwashing
# of stools per day - goal=2-3 stools per day

31. Pathophysiology related to Head Trauma
Repeated involuntary urination in a child who should already by toilet trained at night
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
20 inches
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

32. Signs and Symptoms of intussusception
birth-36 months
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
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

33. Define Magical thinking

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34. How is mononucleosis diagnosed
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
A typical lymphocytosis - mono-spot - EBV serology
fever and infection
36 months

35. Average age of breast development
10 years
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
4 years
inflammation and hypersensitivity to triggers

36. Precaustions needed for pt's with varicella
Airborne and contact
Triple
fever and infection
fecal soiling

37. What is an acute otitis media?
inflammation located in the middle ear
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
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
Sterile-caused by blockage of thick mucous at the vas deferens

38. How does pertussis present?
double birth weight
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
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

39. When does the surgery to correct hypospadias usually occur?
Between 6-12 months
< 1
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
parainfluenza - RSV - Influenza A&B - M. pneumonia

40. Treatment for Hirschsprungs
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
Triple
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

41. Treatment for sickle cell disease
1-6 months
5ml/dl
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

42. ABG
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
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
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
O2 status of blood - acid-base balance

43. Males Reproductive issues for CF patients
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Sterile-caused by blockage of thick mucous at the vas deferens
Vaso-occulisive crisis - infection and sepsis

44. Predisposing factors to subacute bacterial endocarditis
chest x-ray following a Positive PPD skin test
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
Dental procedures - gum disease and urinary tract infections
Erythroblastosis Fetalis

45. How many days after birth do bilirubin levels return to normal limits?
Dental procedures - gum disease and urinary tract infections
12-24 days
poor feeding - wt loss - fatigue - develop. delays - edema
No - it can only be controlled

46. Test to evaluate a Seizure disorder
Family history - EEG - CBC - LP and MRI
Less than 120 f.
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

47. Leading cause of head injury
3 years
MVA - bike accidents and falls
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
# of stools per day - goal=2-3 stools per day

48. Define Proximodistal
fecal soiling
Small bowel biopsy
from trunk to extremities
Phototherapy - exchange transfusion

49. At what age is a stadiometer required to measure linear growth?
36 months
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Swelling or obstruction of the Larynx
Vaso-occulisive crisis - infection and sepsis

50. Complications related to varicella
Vaso-occulisive crisis - infection and sepsis
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
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
double birth weight