Certified Pediatric Nurse Exam 61 Questions with Verified Answers,100% CORRECT

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Certified Pediatric Nurse Exam 61 Questions with Verified Answers 3 month Key Milestones - CORRECT ANSWER Brings hands to mouth Grasps and hold object- actively holds rattle but not reaching for... it Takes swipes at objects Watches faces intently Smiles at sound of your voice begins to imitate some sounds 4 to 6 Months - CORRECT ANSWER Demands and enjoys attention Chuckles and laughs Attachment begins discovers hands 6 Months - CORRECT ANSWER Peak time of development Good head support - no head lag Rolling in both directions Bares weight on legs Sitting with support - tripod position 6 Months Red Flags - CORRECT ANSWER Stiff of floppy tone No affections or cuddling behavior Does not track objects with eyes Does not respond to sounds Lack of social smile by 5 months 12 Month Red Flags - CORRECT ANSWER Not crawling Not standing with support Not using consonant sounds (dada mama) Not using gestures Anterior fontanel closure - CORRECT ANSWER 18mo First steps - CORRECT ANSWER 12-15 mo Red Flag Toddler - CORRECT ANSWER Not walking at 15mo Toe walking Not using words Car Seats - CORRECT ANSWER Under 2- rear facing 2-3yrs forward facing 4-8yrs booster seat in rear 5 types of play - CORRECT ANSWER solitary, onlooker, parallel, associative, cooperative solitary play - CORRECT ANSWER playing alone Begins in infancy and common in toddlers Toys are dissimilar if there are other children in room Parallel play - CORRECT ANSWER Children play side by side Especially common in toddlers Similar toys but lack interaction Associative play - CORRECT ANSWER Group play without group goals Preschool period Lack of formal organization Cooperative Play - CORRECT ANSWER Organized with group goals Begins late in preschool years Children are either in or out of group Onlooker Play - CORRECT ANSWER Observer Toddler years Lead Poisoning Blood Sample - CORRECT ANSWER (Blood lead level) BLL >10mcg/dl needs to be rescreened in 1yr BLL >20mcg/dl requires clinical management BLL>45mcg/dl chelation therapy Otitis Media - CORRECT ANSWER inflammation of MIDDLE EAR without reference to etiology Acute Otitis Media - CORRECT ANSWER inflammation with RAPID ONSET of FEVER and ear pain (OTALGIA) Otitis Media with Effusion - CORRECT ANSWER FLUID in middle ear space without symptoms of infection Otitis Externa - CORRECT ANSWER infections of external ear due to EXCESSIVE wetness or dryness AKA "Swimmer's Ear" Otitis Media Signs and Symptoms - CORRECT ANSWER Purulent fluid accumulating in middle ear Bulging red tympanic membrane Pain from pressure Irritable, pulling or holding ears Rolling head side to side Febrile Rhinorrhea, V, D, S&S respiratory infection Loss of appetite Otitis Media Treatment - CORRECT ANSWER Antibiotics (amoxicillin 10-14 days) Antipyretics, analgesic Myringotomy (excision of ear drum, allows fluid to drain) PE tubes (Pressure Equalizing tubes), ventilation of middle ear Otitis Media Prevention - CORRECT ANSWER Breastfeeding until 6mo Feed in upright position D/c pacifier after 6mo Pneumococcal vaccine Avoid passive smoking Acute Laryngotracheobronchitis (Croup) - CORRECT ANSWER Hoarseness Barking and Brassy cough inflammation of mucosa lining larynx and trachea Narrowing of airway Inspiratory stridor Croup S&S - CORRECT ANSWER Inspiratory stridor (confirm not foreign body) SUPRAsternal retractions Nasal flaring Tachypnea Grandual onset of fever Barky/Brassy cought Worse at night during cold weather Acute Epiglottitis - CORRECT ANSWER Obstruction of supraglottitis 2-5yrs old Prevention: Hib vaccine Acute Epiglottitis S&S - CORRECT ANSWER Abrupt onset, night Pain on swallowing Fever Tripod position Drooling, excess secretions Voice muffled Restless/irrtatble Froglike croaking on INSPIRATION Cherry red edematous epiglottis RSV x-ray - CORRECT ANSWER Patchy atelectasis Infiltration Hyperinflation RSV S&S - CORRECT ANSWER Begins with URI Bronchiolar mucosa swells, fill wit mucous and exudates Rhinorrhea Low grade temp Otitis media Conjunctivitis Cough Wheezing Retractions Crackles Dyspnea and Tachypnea Synagis - CORRECT ANSWER Vaccine for RSV High risk infants <2 yrs with BPD <32 wks gestation at birth <2yrs with heart disorders RSV treatment - CORRECT ANSWER Cool humidified O2 Fluid hydration Airway maintenance Chest PPD Albuterol or RACEMIC EPI Asthma - CORRECT ANSWER Chronic inflammatory disorder of airways Episodes of progressive worsening of SOB, CO, wheeze, chest tightness Primary cause of school absence, 3rd leading cause for hospitalization - CORRECT ANSWER Asthma Asthma S&S - CORRECT ANSWER Spasm attacks of bronchi and bronchioles Inflammation of edema of mucous membrane Accumulation of tenacious secretions Episodes of progressive worsening of SOB, CO, wheeze, chest tightness Decreased EXPIRATORY airflow due to resistance Older pts "abd pain" Tripod position Restless/Apprehensive Asthma Diagnosis - CORRECT ANSWER PFT Spirometry Peak Expiratory flow rate (PEFR) Asthma treatment long term - CORRECT ANSWER Maintains control of inflammation Inhaled corticosteroids Cromolyn sodium long activng B antagonists leukotriene modifiers Singular Nebulizer or metered inhaler with spacer Asthma treatment quick relief - CORRECT ANSWER Short acting be atagonists anticholinergics systemic corticosteroids B Adrenergic Agents Albuterol Terbutaline (broncho spasm) Atropine Ipratropium Mag sulfate Status Asthmaticus - CORRECT ANSWER Continued RDS despite measures Gradual or rapid Medical emergency Respiratory ACIDOSIS Dehydration O2 Pyloric Stenosis - CORRECT ANSWER Metabolic Alkalosis (decreased NA, K, Cl) Pyloric Stenosis - CORRECT ANSWER Olive shaped mass projectile vomiting Metabolic ALKalosis FTT visible peristaltic waves Intussusception Triad - CORRECT ANSWER Sudden on-set of pain palpable sausage shaped abd mass currant jelly like stool Hirschsprung disease (congenital aganglionic megacolon) - CORRECT ANSWER Congenital anomaly that results in mechanical obstruction from inadequate motility of part of the intestine Hirschprung Disease - CORRECT ANSWER Autosomal DOMINANT contraction of bowl lack of peristalsis Diarrhea - CORRECT ANSWER Metabolic Acidosis Fluid Replacement - CORRECT ANSWER 1-10kg 4ml/hr 10-20kg 2ml/hr +kg 1ml/hr Vomiting - CORRECT ANSWER metabolic alkalosis Hirsprung's disease pre-op diet - CORRECT ANSWER Low fiber (decrease bulk) High Calorie & High Protein (prep for surgical healing) Positioning for peritonitis post-op - CORRECT ANSWER Right side lying allows peritoneal cavity to drain and decreases risk of abscess formation Misshapen newborn ears - CORRECT ANSWER Evaluate for kidney malformations (developing at the same time in utero) Normal Hgb - CORRECT ANSWER 11.5-14.5mg/dl Normal RBC lifespan - CORRECT ANSWER 90-120 days Acute Anemia - CORRECT ANSWER Increased CV output Heart Murmur Tachy HA Acute tissue hypoxia Chronic Anemia - CORRECT ANSWER Growth retardation Delayed sexual maturation Tachy Increased CV output Heart Murmur Iron Deficiency Anemia - CORRECT ANSWER Inadequate supply Impaired absorption Bld loss Excessive growth demands At risk: prematurity multiple pregnancy low income Aplastic Anemia - CORRECT ANSWER Bone marrow fails to produce blood components Congenital or Acquired Thrombocytopenia Leukopenia Tx: BMA, immunosuppressives, BMT, Transfusions SCD genetics - CORRECT ANSWER Autosomal recessive disease Both parents with trait: 25% chance Newborn screen SCD Complication - CORRECT ANSWER Infection/Sepsis VasoOcculusive Crisis Acute Chest Syndrome Aplastic Crisis ITP - CORRECT ANSWER URI or viral illness precedes Platelets <20,000 IVIG if <20,000 ANC - CORRECT ANSWER (Bands + Segs) x true WBC/100 (Bands + Segs) x (Abr. WBC x10) Protective Isolation ANC - CORRECT ANSWER ANC <500 Wilm's Tumor - CORRECT ANSWER Firm Nontender Unilateral mass- deep flank No mvmt with respiration Do not palpate- keep encapsulated loosen clothingA [Show More]

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