CPEN Practice Test 2 Questions with answers 2023, Exams of Nursing

Download CPEN Practice Test 2 Questions with answers 2023 and more Exams Nursing in PDF only on Docsity! CPEN Practice Test 2 Questions with answers 2023 Difference between bacterial and viral conjunctivitis. ✔Bacterial will cause purulent eye drainage, a viral infection will not. What class of medication is Diltiazem? ✔Calcium channel blocker. ______________ infections usually begin in the oral mucosa and are very contagious. ✔Variola/Small Pox Infection in which the accompanying rash progresses centrally, then outward to the limbs. ✔Chicken Pox The size or gauge of the needle used contributes directly to which side effect post LP? ✔Post Spinal Headachce Sickle cell disease may present with which other disease processes? ✔Pneumonia or Acute Chest Syndrome Which medication is often used to enhance elimination of acidic drugs such as Salicylate in the case of overdose or poisoning? ✔Sodium bi-carb What is the name of a rectal form of benzodiazepine? ✔Diastat Treatment of which virus may cause a rash without a true penicillin allergy? ✔EBV w Mononucliousis What is a common cause of multiple brain abscesses in children? ✔Cyanotic Heart Disease A newborn shows signs of lethargy, hypotension, ash colored skin, and abdominal distention. What medication was the mother most likely taking? ✔Chloramphenicol. This medication may cause "gray baby syndrome." Which mechanical cardiac function is occurring during the P wave? ✔Atrial contraction Which embryonic layer gives rise to the tooth enamel? ✔Ectoderm What can happen upon administration of a beta blocker to a patient with any type of heart block? ✔A complete heart block Children make up which portion of ED visits each year? ✔20% or 119 million What is the leading cause of injury in children? ✔Falls What percentage of children had no healthcare visits to the office or clinic in the past 12 months? ✔14.4% What is the leading cause of death for African Americans aged 10-24 years? ✔Homicide What is the most common illness that children are admitted for? ✔Asthma What is the leading cause of death for infants 28 days to 11 months? ✔SIDS and congenital anomalies. What is the leading cause of death after the age of 1 year? ✔Injury Children are at increased risk for what during intubation? ✔Right stem intubation Pediatric milestones "Head, Shoulders, Knees, and Toes" ✔2 months: Holds head up 4 months: Rolls 6 months: Sits unsupported 1 year: Walking Which type chemical burns may cause more damage to the eyes? ✔Alkali What is Beck's Triad? ✔Cardiac Tamponade Signs -JVD -Muffled heart sounds -Narrowed pulse pressure Differences with Cardiomyopathy. Left vs Right ✔-Left heart failure backs up to the lungs -Right sided the rest of the body What is Waddell's Triad? ✔Child vs Car (Child Waddell's away from the car) -Femur fracture -Belly or chest injuries -Head injuries What would raccoon eyes, and battle's sign indicate? ✔A basilar skull fracture Glasgow Coma Scale ✔Eye (4) Verbal (5) Motor (6) Describe decorticate posturing ✔Abnormal flexion (bad) Describe decerebrate posturing ✔Abnormal extension (worst) Kernig's Sign ✔Meningitis Sign-Pain with flexion of knees Brudzinski's Sign ✔Meningitis Sign-"B"ends knees after you "B"end their neck In the case of suspected bacterial meningitis consider administering antibiotics when? ✔Prior to lumber puncture In which cases would you hyperventilate a patient with increased ICP. ✔-A single blown pupil -Unilateral paralysis -GCS drops by 3 or more points -Keep them alive long enough for a CT and neurosurgery Signs of Bacterial Meningitis ✔-Flu like symptoms -Rapidly spreading, purple, non-blanching rash -Most feared is Meningococcal Febrile Seizures 5,5,5 ✔-Less than 5 minutes -Most kids under 5 years -Occur with temps 102F-105F Another name for Spina Bifida ✔Myelomeningocele *Latex allergy may come up on exam* Reye's Symdrome ✔Think Aspirin Guillain-Barre ✔-Viral Syndrome with Ascending weakness -Also flu-like symptoms Botulism ✔Think honey Rule of 9's for Burns in Adults ✔9% Head and each arm, 18% for each of chest+abdomen, back, and each leg Rule of 9's for Burns in Children ✔9%for each arm, 18% for each of the head, chest/belly, and back 14% for each leg Parkland Burn Formula ✔(4cc x kg x BSA for amount in 24 hours)/2 for admin in the first 8 hours. Pediatric IV Fluid Maintenance Formula ✔mL/hr = (4ml x first 10kg) + (2ml x second 10kg) + (1ml x every 1kg after) Kehr's Sign ✔For possible Spleen injury -Shoulder pain w/ no shoulder trauma "Kehr's occurs with no trauma to the shoulder." Cullen's Sign ✔If you "C" bruising around the umbilicus then thats Cullen's Sign. Grey-Turner's Sign ✔Turn on your flank. If you see bruising thats Grey-Turner's Sign Intussuseption ✔-Currant jelly stools -Treated with air or barium enema What is a volvulus? ✔Twisting of the bowel on itself -A true surgical emergency A fever in Celcius? ✔39 C=102 F One of the considerations in the administration of blood products ✔It can cause hypocalcemia due to the preservatives/additives in blood banked products. A nurse should prepare for a possible septic work up for a child less than what age presenting to the ED with a fever?