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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. first tooth
crowded living conditions - homeless and low income
6 months
Sterile-caused by blockage of thick mucous at the vas deferens
Erythroblastosis Fetalis

2. Males Reproductive issues for CF patients
Sterile-caused by blockage of thick mucous at the vas deferens
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Appears 1-5 yrs after starting solid foods - failure to thrive - chronic diarrhea - abdominal distention - anorexia and muscle wasting

3. Characteristics of the RBC's in sickle cell

4. What are major risk factors for neonatal meningitis?
3 years
Maternal infection - premature rupture of membranes
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
chest x-ray following a Positive PPD skin test

5. Signs and symptoms of varicella Prodromal
2.5 inches
Phototherapy - exchange transfusion
< 5%
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages

6. Signs of heart failure
An Acute inflamation of the meninges and CSF often caused by Enterovirus
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
poor feeding - wt loss - fatigue - develop. delays - edema
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor

7. Clinical signs of infection wilth sickle cell disease
signs of sepsis - may be only a fever - fever > 101.5 requires IMMEDIATE attention and treatment because risk of death
Time and discription of seizure
Small frequent feeds - thickend feeds - increase caloric density - monitor weight gain - car seat feedings - elevate head of bed - place on stomach for sleeping
chest x-ray following a Positive PPD skin test

8. Age range that is appropriate to use a length chart
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
birth-36 months
Protein/glutten causes villious atrophy in the small intestines resulting in malabsorption caused by decreased surface area for absorption
2.5 inches

9. What should be observed in a case of a seizure?
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
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
Time and discription of seizure

10. Diet for Hirschsprung's prior to corrction and treatment
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
Low fiber - high calorie and protein
Erythroblastosis Fetalis
O2 status of blood - acid-base balance

11. Treatment of a bleed in hemophilia
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
Dust - mold - animal dander - viral infections
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

12. Post Op treatment of a VP shunt
9 months
Equal to
trunk
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP

13. What is Cystic Fibrosis?
poor feeding - wt loss - fatigue - develop. delays - edema
Growth spurt
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

14. At birth - head circumference is ____ compared to chest circumference
larger
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Repeated involuntary urination in a child who should already by toilet trained at night

15. Rheumatic Fever
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
Erythroblastosis Fetalis

16. Contraindications to all vaccines
12 years
Foreskin is used during the surgical repair
trunk
Previous history of life threatening reaction - Mod-severe illness w/wo fever

17. Can Asthma be cured?
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
BMI chart
No - it can only be controlled
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds

18. RSV contagious for ...
Conditioning traning - which involves a stimulus to waske the child. Retention control-have child drink fluids and delay urination. Waking child to void
up to 14 days
Epstein Barr Virus - transmitted with intimate contact
Small bowel biopsy

19. Signs of increased ICP
maternal nutrition and genetics
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption

20. Treatment and nursing care for pertussis
Equal to
Erythromycin - droplet precaution - hydration - antipyretics - humidified o2
antibiotic therapy - mgmt of increased ICP - mgmt of acute shock - control Sz's - mgmt of airway and other complications
Airborne and contact

21. Growth spurt for adolescent boys
complete physical and psychosocial assessment to rule out underlying disorders
Mid puberty
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
5ml/dl

22. At what age is a length board required?
0-24 months
birth-36 months
fecal soiling
>95%

23. treatment of intussusception
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
crowded living conditions - homeless and low income
Mid puberty

24. Celiac Disease
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
4 years
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
Enteropathy caused by an insensitivity to the gluten found in wheat

25. 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
Dental procedures - gum disease and urinary tract infections
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
fever and infection
Day 3 of life

26. Signs and Symptoms of Hemolytic Disease of the newborn
12 years
dysfunction of the lower esophageal sphincter and delayed gastric emptying time
Jaundice in the first 24 hours of life - a rise in unconjugated bilirubin - anemia lasting 7-21 days
Frequent emesis - irritability - poor wt. gain - apnea - recurrent pneumonia

27. Cephalocaudal
Factor replacements - joint immobilization - elevation of joints - monitor for bleeds
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
from head to toe
Milk - Ice cream - Malts - Grains

28. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
lethargy - irritability - decrease feedings - fever - seizures
Bacteria enter the blood stream from a site of localized infection and grows in the heart
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
crowded living conditions - homeless and low income

29. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
They are people - need a balance of limits and independence
Length Chart
poor feeding - wt loss - fatigue - develop. delays - edema
up to 14 days

30. Basic defect in coarctation of the aorta
Growth spurt
A narrowing within the Aorta resulting in collateral circulation
10 years
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

31. Term infant --Bilirubin peaks at what day of life
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
6 months
Day 3 of life
Vaso-occulisive crisis - infection and sepsis

32. Screening for overweight or underweight child on chart
O2 status of blood - acid-base balance
Steatorrhea - frequent respiratory infections during infancy - failure to thrive
BMI chart
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea

33. Complications of meningitis
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months
Liver Biopsy
2 snacks
Brain damage - hearing loss and learning disabilities

34. Treatment for Hirschsprungs
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
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
signs-URI - fever - malaise - pruritic rash appears first on trunk - lesion appear at different stages
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas

35. What should be done to minimize the risks of Sudden infant death syndrome?
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Avoid smoking - supine sleeping - avoid soft bedding or overheating infant
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)

36. difference btwn GER and GERD
GERD is the complications and symptoms that happen because of GER
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
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Excessive stool fat

37. Encoperesis
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen
fecal soiling
9 months

38. Two important assessment rules related to coarctation of the aorta?
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures
passage of abdominal contents to the esophagus
Antacids (Ranitidine) decrease gastric acid present - Reglan- increases gastric emptying time by increasing peristalsis
Between 6-12 months

39. Incubation period for TB
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
1-6 months
A narrowing within the Aorta resulting in collateral circulation
Viral---Varicella or influenza

40. Key nursing intervention for subacute bacterial endocarditis
prevention - po antibiotics should be given before and after an invasive procedure
Barium enema
Swelling or obstruction of the Larynx
9 months

41. What is Pyloric stenosis?
Sterile-caused by blockage of thick mucous at the vas deferens
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
1st-10kg= x 4ml 2nd-10kg= x 2ml each additional kg x 1ml kg over 20kg add 40 ml
# of stools per day - goal=2-3 stools per day

42. When does the surgery to correct hypospadias usually occur?
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Between 6-12 months
RBC's are stiff and non-pliable resulting in RBC trapping - vaso-occlusion and tissue ischemia
5 inches

43. GER (gastroesophageal reflux)
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
2.5 inches
passage of abdominal contents to the esophagus
larger

44. signs and symptoms of meningitis in older children
85-95%
Regular diet with low sodium an no added salt
<25 yrs old
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

45. Define Magical thinking

46. Average age of menarche
none
13 years
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
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

47. Average age of breast development
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
10 years
congenital anomaly of lower intestine resulting in mechanical obstruction of intestine
Growth spurt

48. Treatment for sickle cell disease
head
Brain damage - hearing loss and learning disabilities
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

49. Diet for a child with glumerlonephritis
Mid puberty
lethargy - irritability - decrease feedings - fever - seizures
measures the largest velocity which occurs during a forced exhale
Regular diet with low sodium an no added salt

50. Assess the cause of enuresis
complete physical and psychosocial assessment to rule out underlying disorders
2 snacks
O2 status of blood - acid-base balance
Barium enema