CPN Study Guide Questions With Complete Solutions
2 types ADHD Correct Answers hyperactive: fidgets, squirms,
cannot be still, talks excessively, interrupts, difficulty taking
turns
inattentive type: inattentive to details/directions, problems with
organization, easily distracted and forgetful
75% of language is intelligible Correct Answers 3 year old
acetaminophen adminstration Correct Answers 10-15 mg/kg
per dose Q 4
non therapeutic: less than 10 mg/kg
overdose: risk for liver failure treated with N-acetylcystine
anecdote
acute glomerulonephritis Correct Answers autoimmune from
untreated strep
SPAGHETTI strainer - holes even bigger/more permeable
allowing RBCs and proteins to pass
4-7 years
acute glomerulonephritis assessment Correct Answers
hematuria, coca-cola colored (smoky), dec output
inc ESR (sed rate), inc ASO titer (recent strep)
inc blood pressure
edema
irriability/lethargy
anemia
,acute glomerulonephritis management Correct Answers same
as nephrotic
abx
anti HTN
acute vs chronic anemia Correct Answers acute: muscle
weakness, fatigue, pallor, headache, lightheadedness, inc HR
(treat with iron supp for iron deficiency, blood trans under 7-8,
iron supp above 7-8)
chronic: growth retardation, delayed sexual maturation, inc HR,
heart murmur (blood usually not given until under 6)
Acyanotic heart defects signs & symptoms Correct Answers
pink baby with normal oxygen saturations (can have desats
wioth exertion)
asymptomatic, symptoms may emerge
activity intolerance, feeding difficulties
recurrent respiratory infections
respiratory distress
examples: ventricular septal defect, atrial septal defect, patent
ductus arteriosus, pulmonary stenosis, aortic stenosis,
coarctation of the aorta
ADHD Correct Answers dysregulation of neurotransmitters:
inattention, impulsivity, with/without hyperactivity
genetic predisposition 50%
behaviors in 2+ settings (home and school), more than 6 months,
present before age 12
,ADHD management Correct Answers psychostimulant meds
(inc neurotransmitter availability and focus/attention) SE
anorexia and sleep disturbance
structured environment
consistent routine and schedule
clear, simple rules
reduce environmental stimuli
get child's attention before instructing them
adjusted/corrected age Correct Answers chronologic age
minus # of weeks born prematurely (less than 37 weeks old)
would be used first two years of life
adolescent altered mental health and high risk behaviors Correct
Answers Home
Education
Employment
Activities
Drugs
Sexuality
Suicide
Safety (violence/firearms)
adolescent development Correct Answers identity
development (beliefs, values, sexual orientation)
thinking is adaptable, flexible, abstract (expanding thoughts)
promote their privacy and modesty, promote peer contact, open
ended questions (Tell me...), remain objective
promote and reinforce good choices, save battles for important
things
, Adverse Childhood Experiences Correct Answers trauma
experiences that occur before age 18 are remembered into
adulthood and have an impact on health
results on ACEs: alcohol abuse, depression, suicide, ischemic
heart disease, early initiation of smoking, early of sexual
activities, teenage pregnancies
allergic transfusion reaction Correct Answers hives and itching
allergy - eczema Correct Answers causes: foods, contactants
(latex and wool), temp changes, emotional, bathing, sweating
assessments: red, oozing pruritic vesicles that crust, dry and
scaly skin that cannot trap water, secondary infections
interventions: bathe with gentle cleaner or body wash as
prescribed by MD, moisturizing lotion, pat dry, cortisone
creams, antihistamines, antibiotics
allergy - GI Correct Answers milk, shellfish, nuts, wheat,
citrus
rare but can happen by touch
assess for: vomiting, diarrhea, colic, oral skin irritation, resp
distress, FTT
interventions: identify food and eliminate from diet
allergy - inhalants Correct Answers respiratory allergies
ex. pollen, animal dander, smoke, strong odors, chemicals, dust,
latex, insect bites, ingestants
assessment: allergic shiners (dark circles under eyes from
venous dilation and edema), allergic salute (pushing up and out
on the base of nose), open mouth breathing, itchy/watery eyes,
itchy throat, wheezing
2 types ADHD Correct Answers hyperactive: fidgets, squirms,
cannot be still, talks excessively, interrupts, difficulty taking
turns
inattentive type: inattentive to details/directions, problems with
organization, easily distracted and forgetful
75% of language is intelligible Correct Answers 3 year old
acetaminophen adminstration Correct Answers 10-15 mg/kg
per dose Q 4
non therapeutic: less than 10 mg/kg
overdose: risk for liver failure treated with N-acetylcystine
anecdote
acute glomerulonephritis Correct Answers autoimmune from
untreated strep
SPAGHETTI strainer - holes even bigger/more permeable
allowing RBCs and proteins to pass
4-7 years
acute glomerulonephritis assessment Correct Answers
hematuria, coca-cola colored (smoky), dec output
inc ESR (sed rate), inc ASO titer (recent strep)
inc blood pressure
edema
irriability/lethargy
anemia
,acute glomerulonephritis management Correct Answers same
as nephrotic
abx
anti HTN
acute vs chronic anemia Correct Answers acute: muscle
weakness, fatigue, pallor, headache, lightheadedness, inc HR
(treat with iron supp for iron deficiency, blood trans under 7-8,
iron supp above 7-8)
chronic: growth retardation, delayed sexual maturation, inc HR,
heart murmur (blood usually not given until under 6)
Acyanotic heart defects signs & symptoms Correct Answers
pink baby with normal oxygen saturations (can have desats
wioth exertion)
asymptomatic, symptoms may emerge
activity intolerance, feeding difficulties
recurrent respiratory infections
respiratory distress
examples: ventricular septal defect, atrial septal defect, patent
ductus arteriosus, pulmonary stenosis, aortic stenosis,
coarctation of the aorta
ADHD Correct Answers dysregulation of neurotransmitters:
inattention, impulsivity, with/without hyperactivity
genetic predisposition 50%
behaviors in 2+ settings (home and school), more than 6 months,
present before age 12
,ADHD management Correct Answers psychostimulant meds
(inc neurotransmitter availability and focus/attention) SE
anorexia and sleep disturbance
structured environment
consistent routine and schedule
clear, simple rules
reduce environmental stimuli
get child's attention before instructing them
adjusted/corrected age Correct Answers chronologic age
minus # of weeks born prematurely (less than 37 weeks old)
would be used first two years of life
adolescent altered mental health and high risk behaviors Correct
Answers Home
Education
Employment
Activities
Drugs
Sexuality
Suicide
Safety (violence/firearms)
adolescent development Correct Answers identity
development (beliefs, values, sexual orientation)
thinking is adaptable, flexible, abstract (expanding thoughts)
promote their privacy and modesty, promote peer contact, open
ended questions (Tell me...), remain objective
promote and reinforce good choices, save battles for important
things
, Adverse Childhood Experiences Correct Answers trauma
experiences that occur before age 18 are remembered into
adulthood and have an impact on health
results on ACEs: alcohol abuse, depression, suicide, ischemic
heart disease, early initiation of smoking, early of sexual
activities, teenage pregnancies
allergic transfusion reaction Correct Answers hives and itching
allergy - eczema Correct Answers causes: foods, contactants
(latex and wool), temp changes, emotional, bathing, sweating
assessments: red, oozing pruritic vesicles that crust, dry and
scaly skin that cannot trap water, secondary infections
interventions: bathe with gentle cleaner or body wash as
prescribed by MD, moisturizing lotion, pat dry, cortisone
creams, antihistamines, antibiotics
allergy - GI Correct Answers milk, shellfish, nuts, wheat,
citrus
rare but can happen by touch
assess for: vomiting, diarrhea, colic, oral skin irritation, resp
distress, FTT
interventions: identify food and eliminate from diet
allergy - inhalants Correct Answers respiratory allergies
ex. pollen, animal dander, smoke, strong odors, chemicals, dust,
latex, insect bites, ingestants
assessment: allergic shiners (dark circles under eyes from
venous dilation and edema), allergic salute (pushing up and out
on the base of nose), open mouth breathing, itchy/watery eyes,
itchy throat, wheezing
