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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. Treatment of a bleed in hemophilia
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
10 inches
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

2. Why is early diagnosis important w. Reye's Syndrome?
O2 status of blood - acid-base balance
none
Successful management is based on early diagnosis and aggressive therapy
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics

3. Signs and Symptoms of Asthma
Repeated involuntary urination in a child who should already by toilet trained at night
Abdominal ultrasound - Upper GI
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
measures the largest velocity which occurs during a forced exhale

4. What is Pyloric stenosis?
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
O2 status of blood - acid-base balance
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet

5. Bilirubin encephalopathy
Equal to
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
School age
lethargy - irritability - decrease feedings - fever - seizures

6. 2 key factors to consider when caring for a preschooler
They are people - need a balance of limits and independence
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

7. ABG
>95%
Successful management is based on early diagnosis and aggressive therapy
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
O2 status of blood - acid-base balance

8. Key nursing intervention for subacute bacterial endocarditis
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
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
prevention - po antibiotics should be given before and after an invasive procedure
13 years

9. Causes of Bronchopulmonary Dysplasia
Mechanical Ventalation - high inhaled o2 concentration
Foreskin is used during the surgical repair
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
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

10. Assess the cause of enuresis
complete physical and psychosocial assessment to rule out underlying disorders
double birth weight
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

11. Males Reproductive issues for CF patients
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Sterile-caused by blockage of thick mucous at the vas deferens
Day 3 of life

12. S/sx of GERD
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
0-24 months
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Between 6-12 months

13. BMI- overweight
Phototherapy - exchange transfusion
>95%
< 5%
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth

14. What should a child's wt be at 1 yr compared to birth weight?
# of stools per day - goal=2-3 stools per day
Triple
parainfluenza - RSV - Influenza A&B - M. pneumonia
5 inches

15. What should be observed in a case of a seizure?
Repeated involuntary urination in a child who should already by toilet trained at night
Low fiber - high calorie and protein
Time and discription of seizure
hearing loss - scarring - mastoiditis - meningitis

16. Signs and symptoms of neonatal meningitis
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Airborne and contact

17. What is Cystic Fibrosis?
fecal soiling
Urethral opening is positioned below the glans penis
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
lethargy - irritability - decrease feedings - fever - seizures

18. During an abdominal assessment when should auscultation occur
Milk - Ice cream - Malts - Grains
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Urethral opening is positioned below the glans penis
O2 status of blood - acid-base balance

19. Steatorrhea
Excessive stool fat
An Acute inflamation of the meninges and CSF often caused by Enterovirus
up to 14 days
Penicillin Prophylaxis (BID)

20. How many days after birth do bilirubin levels return to normal limits?
crowded living conditions - homeless and low income
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
12-24 days
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

21. What is broncho-pulmonary dysplasia?
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Barium enema
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

22. Pathophysiology related to Head Trauma
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
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
# of stools per day - goal=2-3 stools per day

23. Risk factors of tuberculosis
2 years
Triple
crowded living conditions - homeless and low income
Barium enema

24. BMI-@ risk for overweight
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
trunk - gonads and associative tissue
A narrowing within the Aorta resulting in collateral circulation
85-95%

25. Teaching for Mononucleosis
Length Chart
Dust - mold - animal dander - viral infections
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

26. Nursing care for Cystic Fibrosis
Sterile-caused by blockage of thick mucous at the vas deferens
larger
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
poor feeding - wt loss - fatigue - develop. delays - edema

27. Peak flow meter
measures the largest velocity which occurs during a forced exhale
Between 6-12 months
5 inches
BMI chart

28. treatment of hemolytic disease of the newborn
Mid puberty
Phototherapy - exchange transfusion
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

29. Signs and symptoms of tuberculosis
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
5 inches
Less than 120 f.

30. Leading cause of bacterial meningitis in Neonates
1-6 months
Group B Streptococcus
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine

31. Age of children at half their adult height
Time and discription of seizure
2 years
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated

32. Can Asthma be cured?
Group B Streptococcus
No - it can only be controlled
Vaso-occulisive crisis - infection and sepsis
head

33. Average age of breast development
prevention - po antibiotics should be given before and after an invasive procedure
5 inches
larger
10 years

34. Bronchiolitis
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Airborne and contact
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
School age

35. signs and symptoms of meningitis in older children
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
Phototherapy - exchange transfusion
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Mid puberty

36. Linear growth event happens in Adolescents
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
3 years
Growth spurt
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds

37. Puberty for boys
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
12 years
Sterile-caused by blockage of thick mucous at the vas deferens
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

38. Signs and symptoms of Reye's Syndrome
drooling
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

39. Signs and Symptoms of Celiac Disease
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Time and discription of seizure

40. What should be used for feeding a child during the post operative period following cleft palate surgery?
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
head
Salicylates

41. first tooth
Sterile-caused by blockage of thick mucous at the vas deferens
Enteropathy caused by an insensitivity to the gluten found in wheat
Successful management is based on early diagnosis and aggressive therapy
6 months

42. Common Asthma irritants
Dust - mold - animal dander - viral infections
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
high protien and calorie - multivitamins - extra enzymes for high fat food

43. Signs of increased ICP
larger
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

44. What foods are prohibited for a person with Celiac Disease?
Milk - Ice cream - Malts - Grains
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
Swelling or obstruction of the Larynx
measures the largest velocity which occurs during a forced exhale

45. Sequence of resp distress
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
An Acute inflamation of the meninges and CSF often caused by Enterovirus
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
5 inches

46. Two examples of benzodiazepines
diazepam - lorazapam
parainfluenza - RSV - Influenza A&B - M. pneumonia
GERD is the complications and symptoms that happen because of GER
prevention - po antibiotics should be given before and after an invasive procedure

47. What has the HIB vaccine been successful in reducing?
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Mid puberty
Barium enema

48. Celiac Disease
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Growth spurt
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Enteropathy caused by an insensitivity to the gluten found in wheat

49. 2 factors that determine birth weight
A narrowing within the Aorta resulting in collateral circulation
maternal nutrition and genetics
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Length board standiometer

50. Rheumatic Fever
GERD is the complications and symptoms that happen because of GER
larger
chest x-ray following a Positive PPD skin test
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection