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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 should be used for feeding a child during the post operative period following cleft palate surgery?
Lack of energy (hallmark) - sore throat - fever - increase in atypical lymphocytes - lymphodenopathy - splenomegaly - hepato megaly - Jaundice
Give freedom and choices - save battles for the important things
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

2. Pancreatic enzyme therapy for cystic fibrosis is adjusted based on what factors growth and development?
inflammation located in the middle ear
Erythroblastosis Fetalis
# of stools per day - goal=2-3 stools per day
6 months

3. Signs and Symptoms of Bilirubin Kernicterus (encephalopathy)
Erythroblastosis Fetalis
parainfluenza - RSV - Influenza A&B - M. pneumonia
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
lethargy - irritability - decrease feedings - fever - seizures

4. Which growth chart is appropriate for use - Growth for the young child who is measured laying down?
fever - profound impairment of consciousness caused by cerebral edema - impaired hepatic function caused by fatty changes of the liver
An obstruction of the small airways (bronchioles) caused by an acute upper resp. infection
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Length Chart

5. What has the HIB vaccine been successful in reducing?
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
Less than 120 f.
lethargy - irritability - decrease feedings - fever - seizures
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection

6. Treatment of celiac disease
Family history - EEG - CBC - LP and MRI
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
Mechanical Ventalation - high inhaled o2 concentration
Day 3 of life

7. Neonatal Jaundice
used for prolonged sz's
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
IVIG-reduces the incidence of coronary artery abnormalities if given with 10 days of symptons - Salicylate therapy

8. What interventions prevent urinary tract infections?
trunk - gonads and associative tissue
Acidic Bevarages (Cranberry Juice) -voiding before and after sexual intercourse -avoid bubble baths - avoid tight fitting clothes
crowded living conditions - homeless and low income
Viral---Varicella or influenza

9. Sequence of resp distress
Small bowel biopsy
gum hypertrophy
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

10. How many meals and snacks should a 1-3 yr old have in a day 3 meals
2 snacks
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

11. 2 key factors to consider when caring for a preschooler
measures the largest velocity which occurs during a forced exhale
Equal to
Small bowel biopsy
They are people - need a balance of limits and independence

12. Screening for overweight or underweight child on chart
1 day prior to the appearance of lesions until all scabs are crusted and healed usually 2-4 weeks
high protien and calorie - multivitamins - extra enzymes for high fat food
BMI chart
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration

13. Lead screening should begin. at ..
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
9 months
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
lethargy - irritability - decrease feedings - fever - seizures

14. Diagnose Reye's Syndrome
up to 14 days
Liver Biopsy
12 years
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

15. RSV contagious for ...
Kawasaki disease - w/o treatment 25% will have permanent heart damage
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations
diazepam - lorazapam
up to 14 days

16. Cause of bronchiolitis
Severe brain damage caused by the deposit of unconjugated bilirubin in the brain
A thickening of the abdomianal muscle around the circular pylorus muscle causing obstruction of the gastric outlet
RSV (80%) - Parainfluenza - Adenovirus - Rhino Virus
fever - chills - headache - stiff neck - irritability - petichial or purpuritic rash

17. What promotes unsickling of RBC's?
Contact isolation - gown - gloves and handwashing
Epstein Barr Virus - transmitted with intimate contact
Adequate O2 adequatte hydration
A typical lymphocytosis - mono-spot - EBV serology

18. Leading cause of bacterial meningitis in Neonates
A disorder of toxic encephalopathy assoc. with other characteristic organ involvement. Assoc. w/Aspirin intake during a fever or viral illness
Blockage of duct results in pancreatic enzymes unabailable in the duodenum - decreased nutrient absorption
Group B Streptococcus
lethargy - irritability - decrease feedings - fever - seizures

19. Encoperesis
fecal soiling
5 inches
tachypnea - hypoxemia - accessory muscle use - nasal flaring - hypoventilation - apnea - resp failure
gum hypertrophy

20. 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
5 inches

21. Key nursing intervention for subacute bacterial endocarditis
prevention - po antibiotics should be given before and after an invasive procedure
10 years
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
infants-medicine dropper - bulb w/soft tip - special oral soft nipple - AVOID straws and sharp objects

22. Signs and symptoms of neonatal meningitis
Repeated involuntary urination in a child who should already by toilet trained at night
Poor suck - decrease tone - weak cry - fever - irritability - vomiting and diarrhea
from head to toe
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US

23. Two important assessment rules related to coarctation of the aorta?
decrease spleen function places the child at risk for infection. This is the #1 cause of death under 5 yrs old
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth
Erythroblastosis Fetalis
Assess bilateral upper and lower pulses - assess 4-extremity blood pressures

24. Nursing care for Kawasaki Disease
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks
Swelling of the airways - mucous production - bronchospasms
Excessive stool fat
Upper respiratory infection - after 1-2 weeks barky cough that lasts for several months

25. At birth - head circumference is ____ compared to chest circumference
larger
trunk
decrease anxiety - IV antibiotics and corticosteroids - intubation/tracheotomy - After IV antibiotics then oral antibiotics for 7-10 days
Increased viscosity of mucous gland secretions - elevation of sweat electrolytes - increase in organic and enzymatic constituents of saliva - abnormalities in autonmoic nervous system function

26. What is Hemolytic Disease of the Newborn
from trunk to extremities
An inherited autosomal recessive disorder of the exocrine glands - most common genetic disorder in the US
Airborne and contact
An abnormally rapid rate of RBC destruction due to RH or ABO incompatibility

27. Average age of menarche
Contact isolation - gown - gloves and handwashing
trunk - gonads and associative tissue
13 years
Liver Biopsy

28. Common Asthma irritants
from trunk to extremities
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Dust - mold - animal dander - viral infections
Occurs in the first few weeks of life - increase occurence in males - dehydration and olive-like mass in the abdomen

29. What are development considerations for hemophilia?
Oatmeal baths - short nails - mittens - tylenol - fluids - warm baths - Acyclovir (immunocompromised pts)
Length board standiometer
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

30. What are the S/SX of bleeds in hemophilia?
Swelling at bleeding site - joint immobility @ site of hemarthrosis (joint bleeding)
Previous history of life threatening reaction - Mod-severe illness w/wo fever
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Delayed puberty - viscous cervical secretions - difficulty getting pregnant

31. Viral Meningitis
13 years
An Acute inflamation of the meninges and CSF often caused by Enterovirus
from head to toe
Dental procedures - gum disease and urinary tract infections

32. Pathophysiology of hirschsprung's disease
They are people - need a balance of limits and independence
absence of ganglionic cells in distal bowel - peristalsis is absent as a result - resulting in inability to move food to be evacuated
measures the largest velocity which occurs during a forced exhale
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

33. Nursing care of the infant with pyloric stenosis
History - IV fluid therapy - electrolyte balance - npo - po feeds within 24-48 hours post op
6 months
12-24 days
Group B Streptococcus

34. Diet for CF patients
Bulb Suction - Chest PT - Small frequent feedings - signs of dehydration
high protien and calorie - multivitamins - extra enzymes for high fat food
double birth weight
IV Factor Replacements - PT for joint damage related to repeated hemarthrosis

35. Prevention of infection in Sickle Cell Disease
Penicillin Prophylaxis (BID)
increase in bilirubin caused by increase in RBC destruction and decrease in bilirubin clearance through the GI system
Delayed puberty - viscous cervical secretions - difficulty getting pregnant
Day 3 of life

36. What is heart failure?
Salicylates
Less than 120 f.
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
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium

37. Diastat rectal diazepam gel

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38. S/SX of Hirschsprungs
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
10 inches
inflammatory disease that often occurs following an untreated group a beta-hemolytic streptococci infection
Cardiac monitoring - relief of skin discomfort - mouth care - medicaiton administration - support family because childs irritablity - offer breaks

39. Part of body that grows the fastest in infancy
Mechanical Ventalation - high inhaled o2 concentration
13 years
head
Infant-circumcision - toddler prevent falls - consider helmet - school-age= no contact sports. Discuss limits - educate psychosocial support

40. What are the four main causes of viral croup?
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli
Epstein Barr Virus - transmitted with intimate contact
parainfluenza - RSV - Influenza A&B - M. pneumonia
fever - malaise - poor appetite - wt loss -cough - night sweats and chills

41. Nursing care for a child with Reye's Syndrome
Strict I&O - watch for increase ICP - Monitor LFT (liver function) educate about avoidance for aspirin for kids < 18 yrs old
Hydrostatic reduction with a barium enema - using water soluable contrast w/air pressure instead of barium
fecal soiling
4 years

42. Most cases of Reye's Syndrome follows what type of illness?
Sterile-caused by blockage of thick mucous at the vas deferens
Mid puberty
complete physical and psychosocial assessment to rule out underlying disorders
Viral---Varicella or influenza

43. What is broncho-pulmonary dysplasia?
Salicylates
Cough at night or after physical activity lasting >1 week - chest tightness - shortness of breath - wheezing
Milk - Ice cream - Malts - Grains
Chronic disease of the pulmonary system in infancy -is common in infants who require supplemental o2 for more than 28 days after birth

44. Signs and symptoms of tuberculosis
fever - malaise - poor appetite - wt loss -cough - night sweats and chills
Mechanical Ventalation - high inhaled o2 concentration
A narrowing within the Aorta resulting in collateral circulation
5ml/dl

45. Signs of increased ICP
poor feeding - wt loss - fatigue - develop. delays - edema
Barium Swallow Upper GI to rule out abnormalities - PH probe - Apnea monitor
Pallor - malaise - irritability - fatigue - throbbing bilateral or unilateral headache
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

46. Main cause of urinary tract infections
measure head circumference - strict I&O - fluid restriction - skin care at incision site - S & Sx of infection or increased ICP
E. Coli
the incidence of epiglottis - a life-threatening resp condition involving swelling of the supraglottis
supportive - folic acid daily - hydroxyurea for kids with high % HBS and frequent severe manifestations

47. Where does the adolescent experience rapid growth?
3 years
trunk - gonads and associative tissue
Enemas to releave mechanical obstruction or surgical correction if unresponsive to enemas
10 years

48. Average rate of growth for the 2nd year of lif
< 5%
5 inches
acute and serious inflammation and obstruction of the supraglottis----LIFE threatening
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting

49. Age that birth length doubles
Chronic constipation - ribbon-like foul smelling stools - chronic abdominal distention
4 years
BMI chart
fever and infection

50. Asthma
Maternal infection - premature rupture of membranes
A narrowing within the Aorta resulting in collateral circulation
Hallmark--Currant Jelly stools - sudden onset of abdominal pain - inconsolable crying - drawing knees to chest - bilious vominting
A Chronic inflammation of the airway w. reversible episodes of obstruction - caused by an increased reaction of the airways to various stimuli