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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. What are the four main causes of viral croup?
parainfluenza - RSV - Influenza A&B - M. pneumonia
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
trunk
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks

2. 2 factors that determine birth weight
maternal nutrition and genetics
Swelling of the airways - mucous production - bronchospasms
No - it can only be controlled
head

3. What are development considerations for hemophilia?
85-95%
Length board standiometer
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

4. RSV contagious for ...
up to 14 days
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Low fiber - high calorie and protein

5. Signs and symptoms of tuberculosis
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Mid puberty
Abdominal ultrasound - Upper GI

6. Treatment for Hirschsprungs
Penicillin Prophylaxis (BID)
School age
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

7. Neonatal Jaundice
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
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

8. treatment of hemolytic disease of the newborn
Liver Biopsy
Length board standiometer
Phototherapy - exchange transfusion
< 1

9. Age of children at half their adult height
Foreskin is used during the surgical repair
2 years
School age
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

10. What Component of Aspirin cause's Reye's Syndrome?
Salicylates
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Epstein Barr Virus - transmitted with intimate contact

11. What interventions prevent urinary tract infections?
ABC's - suction secretions - provide O2 - turn on side - no restraints or objects in the mouth
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
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Penicillin Prophylaxis (BID)

12. What level does the bilirubin need to be at in order for jaundice to occur?
head
5ml/dl
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support
2 years

13. Pathophysiology of Acute Asthma
Swelling of the airways - mucous production - bronchospasms
Brain damage - hearing loss and learning disabilities
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Erythroblastosis Fetalis

14. Pertussis?
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
Mechanical Ventalation - high inhaled o2 concentration
Growth spurt
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death

15. Treatment for mononucleosis
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
none
Excessive stool fat
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

16. Predisposing factors to subacute bacterial endocarditis
Low fiber - high calorie and protein
Dental procedures - gum disease and urinary tract infections
Swelling or obstruction of the Larynx
Previous history of life threatening reaction - Mod-severe illness w/wo fever

17. Viral Meningitis
< 1
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
An Acute inflamation of the meninges and CSF often caused by Enterovirus

18. Leading cause of head injury
Equal to
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
birth-36 months
MVA - bike accidents and falls

19. Where does the adolescent experience rapid growth?
4 years
trunk - gonads and associative tissue
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
from trunk to extremities

20. Nursing care of the infant with pyloric stenosis
No - it can only be controlled
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Urethral opening is positioned below the glans penis
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis

21. What is Pyloric stenosis?
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
lethargy - irritability - decrease feedings - fever - seizures
< 1
They are people - need a balance of limits and independence

22. Signs and symptoms of neonatal meningitis
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
larger
Erythroblastosis Fetalis
Mild analgesic - throat remedies - activity restrictions due to the risk of splenic rupture

23. Two important assessment rules related to coarctation of the aorta?
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant

24. What is the rate of growth each year from 3 yrs until puberty?
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities
poor feeding - wt loss - fatigue - develop. delays - edema
2.5 inches

25. Test to evaluate a Seizure disorder
Adequate O2 adequatte hydration
Time and discription of seizure
Sterile-caused by blockage of thick mucous at the vas deferens
Family history - EEG - CBC - LP and MRI

26. Treatment for Varicella
measures the largest velocity which occurs during a forced exhale
5ml/dl
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
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

27. Non-pharmalogical measures to treat GER
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia
Repeated involuntary urination in a child who should already by toilet trained at night

28. Lead screening should begin. at ..
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
9 months
high protien and calorie - multivitamins - extra enzymes for high fat food
diazepam - lorazapam

29. Average age of breast development
10 years
Swelling or obstruction of the Larynx
13 years
Dental procedures - gum disease and urinary tract infections

30. Part of body that grows the fastest in infancy
MVA - bike accidents and falls
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
head

31. Focus of adolescent discipline
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Give freedom and choices - save battles for the important things
lethargy - irritability - decrease feedings - fever - seizures
Rinse mouth and brush teeth

32. treatment of intussusception
BMI chart
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice

33. Nursing care for a child with Reye's Syndrome
fever and infection
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
< 5%
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old

34. Nursing care for Kawasaki Disease
Excessive stool fat
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
pneumonia - encephalitis - secondary bacterial infections (abscess - cellulitis - sepsis)
Urethral opening is positioned below the glans penis

35. Rheumatic Fever
12-24 days
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
BMI chart

36. What is broncho-pulmonary dysplasia?
prevention - po antibiotics should be given before and after an invasive procedure
Phototherapy - exchange transfusion
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Vaso-occulisive crisis - infection and sepsis

37. Signs and Symptoms that indicate and adverse reaction to a vaccine
Successful management is based on early diagnosis and aggressive therapy
hearing loss - scarring - mastoiditis - meningitis
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia
increase BP proximal to defect - decrease in BP distal to defect - Absent pulses in lower extremities

38. Contraindications to all vaccines
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Previous history of life threatening reaction - Mod-severe illness w/wo fever
inflammation located in the middle ear

39. How many days after birth do bilirubin levels return to normal limits?
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
12-24 days
Low fiber - high calorie and protein
inflammation located in the middle ear

40. At birth - head circumference is ____ compared to chest circumference
Swelling or obstruction of the Larynx
Successful management is based on early diagnosis and aggressive therapy
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
larger

41. 3 main causes of Bacterial meningitis in children
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
prevention - po antibiotics should be given before and after an invasive procedure
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Haemophilus influenza type B--strep pneumoniae--Neisseria Meningitides

42. Kawasaki Disease
20 inches
5ml/dl
A bacterial infection in the respiratory tract that is characterized by a paroxysmal (barky) cough
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

43. Asthma
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
complete physical and psychosocial assessment to rule out underlying disorders
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
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli

44. Assessment of a patient with suspected epiglottitis
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
1-6 months
No manual assessment w/out equip. for rapid intubation--obtain a lateral neck film

45. How many meals and snacks should a 1-3 yr old have in a day 3 meals
2 snacks
10 inches
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
5ml/dl

46. Teaching for Croup
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
Swelling or obstruction of the Larynx
Cool mist therapy - encourage oral intake - s/sx of resp. distress
Difficulty breathing - hoarseness - hives - dizziness - lethargy - pallor - tachycardia

47. What is the cause of mononucleosis and its method of transmission?
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash
Epstein Barr Virus - transmitted with intimate contact
# of stools per day - goal=2-3 stools per day
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

48. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
Length Chart
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
2.5 inches
Bacteria enter the blood stream from a site of localized infection and grows in the heart

49. Head circumference should be assessed until what age
3 years
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
fever and infection
Adequate O2 adequatte hydration

50. Average age of menarche
13 years
Time and discription of seizure
Successful management is based on early diagnosis and aggressive therapy
Steatorrhea - frequent respiratory infections during infancy - failure to thrive