PNCB CPNP- TEST PREP Materials 2023

PNCB CPNP- TEST PREP Materials 2023 Cystic fibrosis is more commonly seen in which ancenstry? - ANS-Eastern European Common signs and symptoms of Hodgkin's disease include: - ANS-- Night sweats - Weight loss - Itchy skin - Enlargement of the spleen and liver - Swollen lymph nodes Pulmonary hypertension causes: - ANS-- Increased blood pressure in the pulmonary artery, vein and capillaries - Causes shortness of breath and dizziness An 18-month old is brought in and her nail beds are softening. What is this a sign of? - ANS-Clubbing - Clubbing is a sign of a congenital heart defect For the patient who has recently undergone a kidney transplant, what anticipatory guidance regarding immunosuppressives should be given? - ANS-- The need for immunosuppressives is lifelong - Immunosuppressives are required after surgery to prevent organ rejection - Continue taking immunosuppressives even during illness - Immunosuppressives should be taken on a strict schedule What is the importance of hydration in treating sickle cell disease? - ANS-Adequate hydration promotes hemodilution and circulation of red blood cells Understanding "no" is expected in the 10-month-old. True or False. - ANS-True Characteristics of active listening: - ANS-- Maintaining eye contact - Asking open-ended questions - Reflecting back what the speaker has said Signs of pain in an infant: - ANS-- Grimacing - Crying - Restlessness - Thrashing - Flailing Classic symptom of scabies: - ANS-Itching that is worse at night A patient with primary case of scabies was probably infected how long ago? - ANS-3 to 4 weeks ago - 3 to 4 weeks is the incubation period for scabies Management of vulvovaginitis: - ANS-- Discontinue bubble baths - Keep perineal area clean - Have the child wear cotton or cotton-lined underwear Do PPO plan members need authorizations to visit specialists? - ANS-No Do HMO plan members need authorizations for services and visits to specialists? - ANS-Yes Patients that come in with frequent urination, that is mostly water, will be diagnosed with: - ANS-Diabetes Insipidus What assessment findings confirm Osgood-Schlatter Disease? - ANS-- Pain worsens with quadricep contraction - There is swelling of the tibial tubercle Signs of Rotavirus include: - ANS-- Vomiting - Diarrhea - Fever - *typically affects children between 6mos and 2yo A patient is given Vancomycin IV. What would cause Red Man Syndrome? - ANSPushing the infusion too fast/ Rapid infusion One of the indications of muscular dystrophy is the child's difficulty in rising to a standing position. The child has to "walk" up his legs using his hands. What is this called? - ANS-Gower's sign Management of a brown recluse spider bite: - ANS-- Ice pack and elevation of extremity to decrease edema - Immobilize the area - Give tetanus toxoid - Antihistamines to reduce swelling and itching - PO Augmentin x 14 days Pharmacologic management of brown recluse spider bites include: - ANS-Amoxicillinclavulanate (AUGMENTIN) PO x 14 days Birth length usually doubles by: - ANS-4 years of age HIPAA - ANS-- Health Information Portability and Accountability Act (1996) - Governs the privacy and disclosure of health information as well as electronic transfer of information Continues...