PNCB CPN CORE MAIN EXAMS TIPS QUESTIONS
AND ANSWERS SURE A+
✔✔Ruptured Appendicitis - ✔✔Peritonitis; sudden relief of pain followed by diffuse pain;
SURGICAL EMERGENCY
✔✔Celiac Disease - ✔✔steatorhea (fatty stools)
✔✔Encopresis - ✔✔fecal incontinence or soiling in child >4 years who was previously
continent;
self-induced constipation
✔✔Neonatal Jaundice - ✔✔Peaks at 4 days then decreases
concern if seen at 1 week well baby appt
✔✔When drawing blood on jaundice baby - ✔✔TURN OFF PHOTOTHERAPY LIGHTS!
blood exposed to light shows falsely low results
✔✔Biliary Atresia - ✔✔Pruritis (itching) if irritable give antihistimine
caused by decrease in absorption of fat soluable vitamins
✔✔NG Tubes - ✔✔document pH and color of aspirate with initial placement, use to
confirm placement
, ✔✔Acetaminophen administration - ✔✔Dose: 10-15mg/kg per dose q4h
below is non-therapuetic
overdose: liver damage
✔✔Codeine alternatives - ✔✔Codeine metabolizes in liver and converts to morphine,
genetic mutation causes too high dose, not recommended,
alternatives: hydrocodone/acetaminophen
oxy/acetaminophen
morphine
fentanyl
demorol
✔✔Assessing ear - ✔✔under 3 pull down
over 3 pull up
✔✔RSV - ✔✔severe infection under 1 year significant risk factor for developing asthma
✔✔Carbon monoxide poisoning symptoms - ✔✔Dull headache
dizziness
weakness
nausea
loss of consciousness
death
✔✔HiB Vaccine - ✔✔Preventis Epliglottitis
✔✔Dried bean aspiration - ✔✔absorbs moisture and enlarges
✔✔peanut aspiration - ✔✔causes immediate emphysema reaction
✔✔Foreign body aspiration - ✔✔unilateral diminished breath sounds
✔✔Tonsillitis post-op - ✔✔side-lying to promote drainage
clear, cool fluids
nothing red
✔✔Tonsillitis post-op signs of hemorrhage - ✔✔frequent swallowing
✔✔Cystic Fibrosis - ✔✔increase viscosity of bronchial mucus with decreased ciliary
action
✔✔CF infection organism - ✔✔pseudomonas aeruginosa
Burkholderia cepacia
AND ANSWERS SURE A+
✔✔Ruptured Appendicitis - ✔✔Peritonitis; sudden relief of pain followed by diffuse pain;
SURGICAL EMERGENCY
✔✔Celiac Disease - ✔✔steatorhea (fatty stools)
✔✔Encopresis - ✔✔fecal incontinence or soiling in child >4 years who was previously
continent;
self-induced constipation
✔✔Neonatal Jaundice - ✔✔Peaks at 4 days then decreases
concern if seen at 1 week well baby appt
✔✔When drawing blood on jaundice baby - ✔✔TURN OFF PHOTOTHERAPY LIGHTS!
blood exposed to light shows falsely low results
✔✔Biliary Atresia - ✔✔Pruritis (itching) if irritable give antihistimine
caused by decrease in absorption of fat soluable vitamins
✔✔NG Tubes - ✔✔document pH and color of aspirate with initial placement, use to
confirm placement
, ✔✔Acetaminophen administration - ✔✔Dose: 10-15mg/kg per dose q4h
below is non-therapuetic
overdose: liver damage
✔✔Codeine alternatives - ✔✔Codeine metabolizes in liver and converts to morphine,
genetic mutation causes too high dose, not recommended,
alternatives: hydrocodone/acetaminophen
oxy/acetaminophen
morphine
fentanyl
demorol
✔✔Assessing ear - ✔✔under 3 pull down
over 3 pull up
✔✔RSV - ✔✔severe infection under 1 year significant risk factor for developing asthma
✔✔Carbon monoxide poisoning symptoms - ✔✔Dull headache
dizziness
weakness
nausea
loss of consciousness
death
✔✔HiB Vaccine - ✔✔Preventis Epliglottitis
✔✔Dried bean aspiration - ✔✔absorbs moisture and enlarges
✔✔peanut aspiration - ✔✔causes immediate emphysema reaction
✔✔Foreign body aspiration - ✔✔unilateral diminished breath sounds
✔✔Tonsillitis post-op - ✔✔side-lying to promote drainage
clear, cool fluids
nothing red
✔✔Tonsillitis post-op signs of hemorrhage - ✔✔frequent swallowing
✔✔Cystic Fibrosis - ✔✔increase viscosity of bronchial mucus with decreased ciliary
action
✔✔CF infection organism - ✔✔pseudomonas aeruginosa
Burkholderia cepacia
