Test your basic knowledge |

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. What are the S/SX of bleeds in hemophilia?
up to 14 days
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
E. Coli
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)

2. Average rate of growth for the 1st year
10 inches
Salicylates
Mid puberty
2 snacks

3. BMI - underweight
< 5%
Auscultation should be preformed after observation and prior to percussion and palpation to avoid altering the true bowel sounds
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening

4. Normal presentation of cystic fibrosis
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
from head to toe
Erythroblastosis Fetalis

5. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
# of stools per day - goal=2-3 stools per day

6. Clinical signs of infection wilth sickle cell disease
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Mechanical Ventalation - high inhaled o2 concentration
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption

7. Where does the adolescent experience rapid growth?
Successful management is based on early diagnosis and aggressive therapy
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Penicillin Prophylaxis (BID)
trunk - gonads and associative tissue

8. What confirms a positive TB infection?
Airborne and contact
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
BMI chart
chest x-ray following a Positive PPD skin test

9. Average rate of growth for the 2nd year of lif
Liver Biopsy
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
5 inches
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

10. What are the symptoms of pancreatic involvement in Cystic Fibrosis?
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
maternal nutrition and genetics
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough

11. Viral Meningitis
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
Swelling of the airways - mucous production - bronchospasms
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
An Acute inflamation of the meninges and CSF often caused by Enterovirus

12. Puberty for boys
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
12 years

13. Treatment of Meningitis

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

14. Nursing care for Kawasaki Disease
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
drooling
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention

15. first tooth
6 months
Dust - mold - animal dander - viral infections
Less than 120 f.
Cool mist therapy - encourage oral intake - s/sx of resp. distress

16. What is the cause of mononucleosis and its method of transmission?
Foreskin is used during the surgical repair
9 months
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Epstein Barr Virus - transmitted with intimate contact

17. What is enuresis?
Repeated involuntary urination in a child who should already by toilet trained at night
An Acute inflamation of the meninges and CSF often caused by Enterovirus
Contact isolation - gown - gloves and handwashing
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache

18. Hypospadias
Urethral opening is positioned below the glans penis
head
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

19. Pathophysiology of celiac disease
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Salicylates

20. What should be done to minimize the risks of Sudden infant death syndrome?
Kawasaki disease - w/o treatment 25% will have permanent heart damage
< 1
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op

21. Incubation period for TB
1-6 months
Repeated involuntary urination in a child who should already by toilet trained at night
Maternal infection - premature rupture of membranes
hearing loss - scarring - mastoiditis - meningitis

22. Signs and Symptoms of Asthma
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Cool mist therapy - encourage oral intake - s/sx of resp. distress
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
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing

23. treatment of hemolytic disease of the newborn
3 years
They are people - need a balance of limits and independence
Phototherapy - exchange transfusion
inflammation and hypersensitivity to triggers

24. Treatment for sickle cell disease
20 inches
poor feeding - wt loss - fatigue - develop. delays - edema
Between 6-12 months
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

25. Basic defect in coarctation of the aorta
20 inches
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
Sterile-caused by blockage of thick mucous at the vas deferens
A narrowing within the Aorta resulting in collateral circulation

26. What are major risk factors for neonatal meningitis?
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
5ml/dl
Maternal infection - premature rupture of membranes
Successful management is based on early diagnosis and aggressive therapy

27. Why is early diagnosis important w. Reye's Syndrome?
lethargy - irritability - decrease feedings - fever - seizures
Successful management is based on early diagnosis and aggressive therapy
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Excessive stool fat

28. What is used to diagnose pyloric stenosis?
measures the largest velocity which occurs during a forced exhale
A narrowing within the Aorta resulting in collateral circulation
Growth spurt
Abdominal ultrasound - Upper GI

29. Nursing care of the infant with pyloric stenosis
Vaso-occulisive crisis - infection and sepsis
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Enteropathy caused by an insensitivity to the gluten found in wheat
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

30. Why avoid circumcision in a baby with hypospadias?
6 months
Vaso-occulisive crisis - infection and sepsis
Foreskin is used during the surgical repair
Hepatoxicity - pancreatitis

31. Test to evaluate a Seizure disorder
Excessive stool fat
Family history - EEG - CBC - LP and MRI
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Regular diet with low sodium an no added salt

32. What level does the bilirubin need to be at in order for jaundice to occur?
Less than 120 f.
Swelling or obstruction of the Larynx
5ml/dl
Between 6-12 months

33. At birth - head circumference is ____ compared to chest circumference
Small bowel biopsy
larger
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus

34. Growth spurt for adolescent boys
up to 14 days
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Salicylates
Mid puberty

35. Pertussis?
trunk - gonads and associative tissue
Enteropathy caused by an insensitivity to the gluten found in wheat
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Equal to

36. What is the treatment for epiglottitis?
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Contact isolation - gown - gloves and handwashing
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days

37. Nursing interventions for hemophilia
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection

38. Clinicla manifestations of sickle cell disease
Vaso-occulisive crisis - infection and sepsis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture
double birth weight
Equal to

39. Another name for Hemolytic Disease of the Newborn
Erythroblastosis Fetalis
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Salicylates
Vaso-occulisive crisis - infection and sepsis

40. Leading cause of head injury
9 months
< 1
complete physical and psychosocial assessment to rule out underlying disorders
MVA - bike accidents and falls

41. What can promote dryness in a child with enuresis?
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
Foreskin is used during the surgical repair
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
high protien and calorie - multivitamins - extra enzymes for high fat food

42. Leading cause of bacterial meningitis in Neonates
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Group B Streptococcus
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Kawasaki disease - w/o treatment 25% will have permanent heart damage

43. Diagnose Intussusception by
Barium enema
6 months
Less than 120 f.
larger

44. Age group the limbs grow the fastest
School age
Day 3 of life
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
Regular diet with low sodium an no added salt

45. Bronchiolitis
Isolation - decrease environmental stimuli - neuro checks - observe for complications - strict I&O - IV antibiotics
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
2 years

46. What has the HIB vaccine been successful in reducing?
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
6 months
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis

47. Equipment used to measure a 24 to 36 month old height
A narrowing within the Aorta resulting in collateral circulation
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Adequate O2 adequatte hydration
Length board standiometer

48. What Component of Aspirin cause's Reye's Syndrome?
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
none
Triple
Salicylates

49. RSV contagious for ...
<25 yrs old
Urethral opening is positioned below the glans penis
none
up to 14 days

50. What is broncho-pulmonary dysplasia?
13 years
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
10 years