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CPEN Review - Practice Test – Q&A
Typology: Exams
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Priority intervention for epiglottitis - ✔ Prepare for emergency airway Suspicion for neglect in school-age children - ✔ Antisocial behaviors Rubeola (measles) S/S - ✔ High fever, Koplik spots (white patches, not lesions) Rubella S/S - ✔ No/low fever, sore throat, no oral lesions Varicella S/S - ✔ Chicken pox, slight fever, no oral lesions Coxsackie - ✔ Hand/foot/mouth, low-grade fever, vesicles Heat stroke interventions - ✔ Aggressive cooling to 38 degrees, continuous core temperature monitoring; antipyretics can increase liver injury or coagulation disorders Phimosis - ✔ Inability to retract foreskin Paraphimosis - ✔ Retracted foreskin becomes entrapped and occludes blood flow to the glans; treatment includes sedation, local block, ice, gentle manual traction Vascular headache - ✔ Throbbing pain, vision changes, nausea, vomiting, photophobia Inflammatory headache - ✔ Neck stiffness, fever, altered level of consciousness
Structural headache - ✔ Drowsiness, nausea, focal neurological defecits Ectopic pregnancy S/S - ✔ Non-specific abdominal and/or pelvic pain, referred shoulder pain CO poisoning - ✔ Headache, nausea, dizziness, change in judgment Do not use lidocaine with epinephrine on... - ✔ Fingers, toes, penis, ears Orbital cellulitis - ✔ Acute inflammation involving posterior eye structures; causes fever, pain, swelling, and impaired extra-ocular movement; may need topical antibiotics Periorbital cellulitis - ✔ Acute inflammation involving eyelid; may need topical antibiotics Larynx fracture - ✔ Shortness of breath, bruising, abrasions, swelling, subcutaneous emphysema; main causes are MVA, strangulation, and trauma; need airway Pediatric assessment triangle - ✔ Appearance, work of breathing, circulation Tracheomalacia - ✔ Stridor at rest is normal; non- infectious Spinal cord compression - ✔ Back pain in children caused by tumor; causes weakness and numbness of legs, incontinence Malrotation volvulus S/S - ✔ Bilious vomiting, distended abdomen Intussusception S/S - ✔ Colicky pain, currant jelly stools
Tracheoesophageal fistula S/S - ✔ Cyanosis and choking with feeding Botulism toxicity S/S - ✔ Ptosis, dry mouth, muscle flaccidity Acute renal failure S/S - ✔ Decreased GFR, nausea, vomiting, edema, hematuria Scarlet fever S/S - ✔ Bacterial infection caused by group A strep; fever, nausea, sore throat, rough red rash SSRI overdose - ✔ Altered LOC, agitation, confusion, flushing, diaphoresis, nausea, vomiting, tremors, hyperthermia, tachycardia Glomerulonephritis - ✔ Tea-colored urine, usually after infection/antibiotics School-age children with pain - ✔ May be dishonest and try to appear brave Cover burns with... - ✔ Dry towel/sheet/gauze Hydrocephalus in school-aged children may cause.....