CPEN Review - Practice Test Flashcards

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Questions and Answers

What is the priority intervention for epiglottitis?

Prepare for emergency airway

What behavior may indicate suspicion for neglect in school-age children?

Antisocial behaviors

What are the signs and symptoms of rubeola (measles)?

High fever, Koplik spots

What are the signs and symptoms of rubella?

No/low fever, sore throat, no oral lesions Signup and view all the answers

What are the signs and symptoms of varicella?

Chicken pox, slight fever, no oral lesions Signup and view all the answers

What are the signs and symptoms of Coxsackie?

Hand/foot/mouth, low-grade fever, vesicles Signup and view all the answers

What are the interventions for heat stroke?

Aggressive cooling to 38 degrees, continuous core temperature monitoring Signup and view all the answers

What is phimosis?

Inability to retract foreskin Signup and view all the answers

What is paraphimosis?

Retracted foreskin becomes entrapped Signup and view all the answers

What are the symptoms of a vascular headache?

Throbbing pain, vision changes, nausea, vomiting, photophobia Signup and view all the answers

What are the symptoms of an inflammatory headache?

Neck stiffness, fever, altered level of consciousness Signup and view all the answers

What are the symptoms of a structural headache?

Drowsiness, nausea, focal neurological deficits Signup and view all the answers

What are the signs and symptoms of ectopic pregnancy?

Non-specific abdominal and/or pelvic pain, referred shoulder pain Signup and view all the answers

What are the symptoms of CO poisoning?

Headache, nausea, dizziness, change in judgment Signup and view all the answers

Where should lidocaine with epinephrine not be used?

Ears Signup and view all the answers

What is orbital cellulitis?

Acute inflammation involving posterior eye structures Signup and view all the answers

What is periorbital cellulitis?

Acute inflammation involving eyelid Signup and view all the answers

What are the symptoms of a larynx fracture?

Shortness of breath, bruising, abrasions, swelling, subcutaneous emphysema Signup and view all the answers

What are the components of the pediatric assessment triangle?

Appearance, work of breathing, circulation Signup and view all the answers

What is tracheomalacia?

Stridor at rest is normal; non-infectious Signup and view all the answers

What causes spinal cord compression in children?

Back pain caused by tumor Signup and view all the answers

What are the signs and symptoms of malrotation volvulus?

Bilious vomiting, distended abdomen Signup and view all the answers

What are the signs and symptoms of intussusception?

Colicky pain, currant jelly stools Signup and view all the answers

What is septic arthritis?

Bacterial infection of joints Signup and view all the answers

If EtCO2 is __________

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Study Notes

Priority Interventions

Immediate preparation for emergency airway management is essential for epiglottitis.

Antisocial Behaviors

Antisocial behaviors in school-age children may suggest potential neglect.

Measles (Rubeola) Characteristics

Rubeola presents with high fever and Koplik spots, characterized by white patches in the mouth.

Rubella (German Measles)

Symptoms include no or low fever, sore throat, but absence of oral lesions.

Chickenpox (Varicella)

Varicella features include chickenpox rash, slight fever, and no oral lesions.

Coxsackie Virus

Hand, foot, and mouth disease typically presents with low-grade fever and vesicles.

Heat Stroke Management

Aggressive cooling to a target temperature of 38 degrees is vital; continuous core monitoring is required, and care with antipyretics is necessary due to potential liver injury.

Phimosis

Refers to the inability to retract the foreskin of the penis.

Paraphimosis

Condition where retracted foreskin becomes trapped, leading to impaired blood flow to the glans; treatment includes sedation, local block, ice application, and gentle manual traction.

Vascular Headaches

Characterized by throbbing pain, vision changes, nausea, vomiting, and photophobia.

Inflammatory Headaches

May present with neck stiffness, fever, and altered consciousness.

Structural Headaches

Symptoms include drowsiness, nausea, and focal neurological deficits.

Ectopic Pregnancy Indicators

Non-specific abdominal or pelvic pain and referred shoulder pain are significant signs.

Carbon Monoxide (CO) Poisoning

Symptoms include headache, nausea, dizziness, and impaired judgment.

Lidocaine with Epinephrine Precautions

Should not be used on fingers, toes, penis, and ears to avoid ischemia.

Orbital Cellulitis

Acute inflammation affecting deeper eye structures; symptoms include fever, pain, swelling, and impaired movement; may require topical antibiotics.

Periorbital Cellulitis

Involves inflammation of the eyelid; may also require topical antibiotics.

Larynx Fracture Symptoms

Signs include shortness of breath, bruising, abrasions, swelling, and subcutaneous emphysema; often due to motor vehicle accidents, strangulation, or trauma.

Pediatric Assessment Triangle

Consists of three components: appearance, work of breathing, and circulation.

Tracheomalacia

Characterized by stridor at rest; condition is non-infectious.

Spinal Cord Compression in Children

Back pain potentially due to a tumor; can lead to weakness, numbness in legs, and incontinence.

Malrotation Volvulus Symptoms

Bilious vomiting and distended abdomen are key indicators.

Intussusception Symptoms

Presents with colicky abdominal pain and currant jelly stools.

Septic Arthritis

Bacterial joint infection causing severe pain, swelling, warmth, redness, and resistance to movement; can also lead to systemic symptoms such as fever and malaise.

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Description

Test your knowledge with these flashcards focused on priority interventions and signs/symptoms for various medical conditions relevant to pediatric nursing. Perfect for healthcare professionals preparing for the CPEN exam, these cards cover key concepts like epiglottitis, neglect in children, and contagious diseases.