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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. Nursing care for Kawasaki Disease
2.5 inches
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

2. Etiology of GERD
chest x-ray following a Positive PPD skin test
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
dysfunction of the lower esophageal sphincter and delayed gastric emptying time

3. Linear growth event happens in Adolescents
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Growth spurt
from head to toe
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

4. Signs and symptoms of neonatal meningitis
Equal to
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Small bowel biopsy

5. How many meals and snacks should a 1-3 yr old have in a day 3 meals
Foreskin is used during the surgical repair
used for prolonged sz's
Less than 120 f.
2 snacks

6. Treatment for Varicella
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
high protien and calorie - multivitamins - extra enzymes for high fat food
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

7. Precaustions needed for pt's with varicella
Equal to
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Airborne and contact
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

8. What is the rate of growth each year from 3 yrs until puberty?
2.5 inches
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
9 months
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

9. How is mononucleosis diagnosed
Cool mist therapy - encourage oral intake - s/sx of resp. distress
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Urethral opening is positioned below the glans penis
A typical lymphocytosis - mono-spot - EBV serology

10. 3 main causes of Bacterial meningitis in children
from head to toe
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
passage of abdominal contents to the esophagus
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

11. Incubation period for TB
trunk - gonads and associative tissue
1-6 months
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
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2

12. Normal presentation of cystic fibrosis
5 inches
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Steatorrhea - frequent respiratory infections during infancy - failure to thrive

13. What should be done to minimize the risks of Sudden infant death syndrome?
used for prolonged sz's
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Sterile-caused by blockage of thick mucous at the vas deferens
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

14. Signs and Symptoms of Asthma
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Sterile-caused by blockage of thick mucous at the vas deferens
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

15. Leading cause of bacterial meningitis in Neonates
Group B Streptococcus
Small bowel biopsy
inflammation located in the middle ear
Hepatoxicity - pancreatitis

16. Diet for CF patients
A typical lymphocytosis - mono-spot - EBV serology
13 years
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
high protien and calorie - multivitamins - extra enzymes for high fat food

17. Screening for overweight or underweight child on chart
BMI chart
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Penicillin Prophylaxis (BID)

18. What is Pyloric stenosis?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Airborne and contact
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

19. Prevention of infection in Sickle Cell Disease
Mid puberty
Penicillin Prophylaxis (BID)
No - it can only be controlled
fecal soiling

20. How many days after birth do bilirubin levels return to normal limits?
chest x-ray following a Positive PPD skin test
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
12-24 days
Enteropathy caused by an insensitivity to the gluten found in wheat

21. Males Reproductive issues for CF patients
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Sterile-caused by blockage of thick mucous at the vas deferens
<25 yrs old
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

22. How is Celiac Disease diagnosed?
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
9 months
Small bowel biopsy
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

23. Leading cause of head injury
MVA - bike accidents and falls
complete physical and psychosocial assessment to rule out underlying disorders
poor feeding - wt loss - fatigue - develop. delays - edema
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

24. Cephalocaudal
from head to toe
O2 status of blood - acid-base balance
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Brain damage - hearing loss and learning disabilities

25. Hourly maintenance Fluid Requirements
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Adequate O2 adequatte hydration
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
12-24 days

26. Clinical signs of infection wilth sickle cell disease
Dust - mold - animal dander - viral infections
36 months
<25 yrs old
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

27. What should be used for feeding a child during the post operative period following cleft palate surgery?
Milk - Ice cream - Malts - Grains
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

28. Can Asthma be cured?
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin
They are people - need a balance of limits and independence
2.5 inches
No - it can only be controlled

29. Average Birth Length
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
prevention - po antibiotics should be given before and after an invasive procedure
gum hypertrophy
20 inches

30. Two important assessment rules related to coarctation of the aorta?
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
10 inches
hearing loss - scarring - mastoiditis - meningitis
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

31. Peak flow meter
measures the largest velocity which occurs during a forced exhale
13 years
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

32. Treatment for mononucleosis
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
none

33. Pathophysiology of a fever and infection with sickle cell disease
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old

34. Varicella communicable
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

35. Assessment of a patient with suspected epiglottitis
20 inches
Penicillin Prophylaxis (BID)
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

36. Signs and Symptoms of Celiac Disease
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
An Acute inflamation of the meninges and CSF often caused by Enterovirus
gum hypertrophy
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

37. Treatment for Hirschsprungs
# of stools per day - goal=2-3 stools per day
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
5 inches

38. Treatment of Kawasaki disease
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Salicylates
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

39. Age of children at half their adult height
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
2.5 inches
2 years
Brain damage - hearing loss and learning disabilities

40. Characteristics of the RBC's in sickle cell

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41. Test to evaluate a Seizure disorder
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Family history - EEG - CBC - LP and MRI
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

42. Encoperesis
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
fecal soiling
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
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

43. Signs and Symptoms of intussusception
crowded living conditions - homeless and low income
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
gum hypertrophy
double birth weight

44. Pathophysiology of celiac disease
Epstein Barr Virus - transmitted with intimate contact
Barium enema
< 5%
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

45. first tooth
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Between 6-12 months
6 months
Hepatoxicity - pancreatitis

46. S/SX of Hirschsprungs
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
complete physical and psychosocial assessment to rule out underlying disorders
Regular diet with low sodium an no added salt

47. Females reproductive issues for CF patients
Phototherapy - exchange transfusion
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

48. What should a child's wt be at 1 yr compared to birth weight?
Triple
Successful management is based on early diagnosis and aggressive therapy
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
2.5 inches

49. At 6-24 months - head circumference is what size in relationship to chest circumference
5 inches
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
2 years
Equal to

50. Teaching for Croup
12 years
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications