CPEN Practice Test 1 questions with answers 2023, Exams of Nursing

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CPEN Practice Test 1 questions with

answers 2023

Normal BP for newborn or preterm infant ✔MAP= gestational age Normal systolic pressure in children ✔70 + 2(age) for ages 1-10yrs Pediatric Assessment Triangle (PAT) ✔A structured assessment tool that allows you to rapidly form a general impression of the infant or child without touching him or her; consists of assessing appearance, work of breathing, and circulation to the skin. Urine output in pediatrics ✔1-2ml/kg/hr CIAMPEDS (mneumonic for pediatric triage) ✔Chief complaint, Immunizations/Isolation, Allergies, Medications/Medical history, Parent's impression of the situation, Events surrounding, Diet/Diapers, Symptoms associated with illness/injury growth and development (2 months) ✔holds up head Growth and Development (4 months) ✔Rolls over Growth and Development (6 months) ✔Sits up Growth and Development (1 year) ✔Walking Growth and Development (9 Months) ✔crawling ETT sizing

✔Broslow tape or (age/4)+ Epi dosing in peds ✔0.01mg/kg- trick for ml move decimal over 1 and for dose move decimal over two. For example 20kg gets 2ml or 0.2mg Pediatric defibrillation dose ✔First shock: 2 J/kg Second shock: 4 J/kg Subsequent shocks: 4-10 J/kg Drugs that can be given through ETT ✔LEAN-Lido, epi, atropine, narcan (doses may be much higher than IV doses Adenosine dosing pediatric ✔0.1-0.2mg/kg Suction catheter size in pediatrics ✔2ETT; suction no more than 3-5sec NG and Foley size in peds ✔2ETT Chest tube size in peds pneumothorax ✔3ETT Chest tube size in peds hemothorax ✔4ETT Pediatric Fluid resuscitation is ✔20 cc/kg bolus but may need to be repeated 3 times Maintenance Fluids in pediatrics ✔4:2:1 rule 4ml/kg up to 10kg 2ml/kg up to 10kg 1ml/kg each kg thereafter Respiratory distress in ventilated patient

✔DOPE-dislodged, obstructed, pneumo, extubated/equipment CO2 detector colors ✔Gold=good purple=purple patient=bad Where should a ETT be taped ✔3ETT at the lip 3ETT + 2 at the nose oral airway ✔Only for use without a gag reflex/measure from corner of mouth to mandible of jaw nasal airway ✔measure from the corner of the nose to the angle of the jaw Oxygen Delivery Devices ✔Nasal Cannula- 1-6 lpm (24-44%) Venturi Mask- 24-60% Partial Non-rebreather- 10-12 lpm (40-60%) Non-Rebreather- 12-15lpm (80-90%) Surgical Cricothyroidotomy ✔creation of a temporary airway by making a small opening in the throat between the thyroid cartilage and the cricoid cartilage, usually only in children older than 8; needle "cric" for yopunger but only if absolutely necessary tension pneumothorax needle decompression ✔at the 2nd intercostal space, mid-clavicular line, just above the 3rd rib, trachea deviates to opposite side, hyper-resonance on affected side Hemothorax placement ✔midaxillary line, 4th intercostal space just above 6th rib Sharkfin wave form ✔Bronchospasm, asthma, COPD Malrotation with volvulus ✔--congenital malrotation midgut, abnorm positioning small intestine

-sx: first month of life, bilious vomiting, crampy abd pain, distended abdomen --emergency surgery for gastric volvulus; surgery if volvulus intestinal intussusception ✔Common in kids with CF. Obstruction may cause fecal emesis, current jelly stools, colicky abd pain. enema---resolution=bowel movements pyloric stenosis ✔- Projectile vomiting

• Olive like mass Hirschsprung disease ✔explosive diarrhea, nausea, vomiting, abd pain Kawasaki disease ✔B/L conjunctivitis Unilateral cervical LAD Strawberry tongue Rash of hands and feet Tx with ASA Chest Tube water seal ✔Should fluctuate with inspiration or exhalation; no fluctuation indicate a fully re- expanded lung or kink in the tubing Beck's triad ✔Jugular Venous distension, muffled heart sounds, decreased BP -----> Cardiac Tamponade TX: pericardiocentesis Ocular pH ✔7.0 irrigation should continue until this pH is reached Late signs of increased ICP ✔bradycardia, widening pulse pressure, sluggish pupils early sign of increased ICP ✔change in loc, irritability, HA, fatigue, vomiting Ludwig's angina

✔submandibular/lingual gland infection. Source- tooth. Can asphyxiate, impaired gas exchange may occur airway and breathing are most important factors in treating Increasing ETCO ✔>45mmHg indicated hypoventilation Bottulism ✔b/l pytosis, muscle weakness, paralysis, dry mouth SSRI toxicity ✔Tox: CNS stimulation, sexual dysfunction, seizures in overdose, serotonin syndrome (SS). SS Tx: Cyproheptadine (Serotin receptor antagonist) seratonin syndrome ✔may start 2-72 hours after- can be LETHAL confusion, fever, agitation, anxiety, hallucination, hyperflexia, diaphoresis, tremors, hypertension Newboren resuscutation ✔Suction airway, vigorously dry to stimulate, place in warm environment, bag if HR < Septal Ventricular Defect ✔leads to increased blood flow through pulm arteries, leading to vascular congestion and CHF coarctication of the aorta ✔severe narrowing of the descending aorta, a congenital heart defect, usually manifests with increased upper extremity BP and decreased lower ext BP, decreased pulses in lower ext. Tetralogy of Fallot (TOF) ✔set of four congenital heart defects occurring together Pertussis (whooping cough) ✔An airborne bacterial infection that affects mostly children younger than 6 years. Patients will be feverish and exhibit a "whoop" sound on inspiration after a coughing attack; highly contagious through droplet infection. paroxysmal cough