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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. Common Asthma irritants
Dust - mold - animal dander - viral infections
10 years
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

2. What are the side effects of depakote?
Hepatoxicity - pancreatitis
Triple
85-95%
Urethral opening is positioned below the glans penis

3. Test to evaluate a Seizure disorder
4 years
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Family history - EEG - CBC - LP and MRI
36 months

4. Main cause of urinary tract infections
Adequate O2 adequatte hydration
10 inches
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
E. Coli

5. What is an acute otitis media?
inflammation located in the middle ear
4 years
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

6. Signs of increased ICP
maternal nutrition and genetics
none
Sterile-caused by blockage of thick mucous at the vas deferens
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

7. When does the surgery to correct hypospadias usually occur?
5ml/dl
Between 6-12 months
poor feeding - wt loss - fatigue - develop. delays - edema
Enteropathy caused by an insensitivity to the gluten found in wheat

8. Precaustions needed for pt's with varicella
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Airborne and contact
Rinse mouth and brush teeth

9. Non-pharmalogical measures to treat GER
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Equal to
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Mid puberty

10. difference btwn GER and GERD
prevention - po antibiotics should be given before and after an invasive procedure
<25 yrs old
GERD is the complications and symptoms that happen because of GER
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia

11. Males Reproductive issues for CF patients
Milk - Ice cream - Malts - Grains
Sterile-caused by blockage of thick mucous at the vas deferens
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Viral---Varicella or influenza

12. ABG
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
O2 status of blood - acid-base balance
Airborne and contact

13. Cause of bronchiolitis
Give freedom and choices - save battles for the important things
An Acute inflamation of the meninges and CSF often caused by Enterovirus
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
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

14. Puberty for boys
85-95%
2 years
12 years
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

15. Signs and symptoms of varicella Prodromal
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
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
from trunk to extremities
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

16. Etiology of GERD
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Length Chart

17. 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
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
fever and infection
Day 3 of life
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

18. How is Celiac Disease diagnosed?
No - it can only be controlled
Small bowel biopsy
Abdominal ultrasound - Upper GI
2 snacks

19. What should be used for feeding a child during the post operative period following cleft palate surgery?
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
diazepam - lorazapam
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

20. Treatment and nursing care for pertussis
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Low fiber - high calorie and protein
Triple
Family history - EEG - CBC - LP and MRI

21. BMI-@ risk for overweight
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
85-95%
passage of abdominal contents to the esophagus
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes

22. Age group the limbs grow the fastest
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Liver Biopsy
School age
Hepatoxicity - pancreatitis

23. Assessment of a patient with suspected epiglottitis
3 years
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film
Rinse mouth and brush teeth
5ml/dl

24. signs and symptoms of meningitis in older children
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Swelling of the airways - mucous production - bronchospasms

25. Growth spurt for adolescent boys
Length board standiometer
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Mid puberty
poor feeding - wt loss - fatigue - develop. delays - edema

26. What occurs in a subacute baterial endocarditis?
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
Between 6-12 months

27. Pathophysiology of intussusception

28. Average rate of growth for the 1st year
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function
10 inches
Triple
genetic disorder of hemoglobin production characterized by the abnormal hemoglobin

29. Prevention of bronchiolitis spreading
Contact isolation - gown - gloves and handwashing
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Mechanical Ventalation - high inhaled o2 concentration
Growth spurt

30. Treatment of Meningitis

31. Define Magical thinking

32. How many days after birth do bilirubin levels return to normal limits?
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
12-24 days
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure

33. Define Proximodistal
inflammation and hypersensitivity to triggers
from trunk to extremities
School age
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

34. Kawasaki Disease
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
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
# of stools per day - goal=2-3 stools per day

35. Basic defect in coarctation of the aorta
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
chest x-ray following a Positive PPD skin test
A narrowing within the Aorta resulting in collateral circulation
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

36. Term infant --Bilirubin peaks at what day of life
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
used for prolonged sz's
Day 3 of life
10 inches

37. What level does the bilirubin need to be at in order for jaundice to occur?
5ml/dl
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
5 inches
Erythroblastosis Fetalis

38. Childs weight at 6 months compared to birth weight
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
O2 status of blood - acid-base balance
Abdominal ultrasound - Upper GI
double birth weight

39. Signs and symptoms of Reye's Syndrome
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
Regular diet with low sodium an no added salt
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
2 snacks

40. Viral Croup
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
used for prolonged sz's
Swelling or obstruction of the Larynx
BMI chart

41. How is mononucleosis diagnosed
complete physical and psychosocial assessment to rule out underlying disorders
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
A typical lymphocytosis - mono-spot - EBV serology
high protien and calorie - multivitamins - extra enzymes for high fat food

42. Signs of heart failure
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
poor feeding - wt loss - fatigue - develop. delays - edema
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
36 months

43. Complications related to varicella
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
lethargy - irritability - decrease feedings - fever - seizures

44. Temp of home water heater to avoid burns
Swelling of the airways - mucous production - bronchospasms
5 inches
Less than 120 f.
13 years

45. Encoperesis
fecal soiling
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
85-95%
Enteropathy caused by an insensitivity to the gluten found in wheat

46. first tooth
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Milk - Ice cream - Malts - Grains
6 months
< 1

47. Clinical signs of infection wilth sickle cell disease
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Swelling of the airways - mucous production - bronchospasms
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
< 5%

48. Normal Bilirubin
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
< 1
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
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

49. Treatment for sickle cell disease
Equal to
fecal soiling
Abdominal ultrasound - Upper GI
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

50. Cephalocaudal
Adequate O2 adequatte hydration
Contact isolation - gown - gloves and handwashing
from head to toe
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure