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CPN Exam Questions And 100% Accurate Answers
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CPN Exam Questions And 100% Accurate AnswersRheumatic fever-ANSWER A bacterial infection that can be carried in the blood to the
joints, also causes damage to cardiac valves
Most frequent benign manifestation inrheumatic fever-ANSWER polyarthritis
infective endocarditis-ANSWER inflammation of the inner layer of heart tissue as a result
of an infectious microorganism
Most common clinical presentation of Transposition of the Great Arteries - ANSWER
Cyanosis in first few hours of life that is unresponsive to oxygen therapy
Ross procedure (cardiac) - ANSWER Cardiac surgery to replace damaged aortic valves
TIme period in which the anterior fontenel closes - ANSWER 12-18 months
cheyne-stokes respirations - ANSWER Respiratory pattern that involves alternating
periods of apnea and deep, rapid breathing
caput succedaneum - ANSWER diffuse edema of the fetal scalp that crosses the suture
lines. Occurs during labor, reabsorbes within 1 to 3 days
Treatment for Influenza A - ANSWER Amantadine hydrocloride
Early signs of theophylline toxicity - ANSWER nausea, vomiting, headaches,
tachycardia, irritability
,Late signs of theophylline toxicity - ANSWER seizures
Drugs that may cause constipation in children - ANSWER Opiods, Antihistamines,
antacids, diuretics, antiepileptic, iron
Idiopathic thrombocytopenic purpura - ANSWER An acquired hemorrhagic disorder
characterized by an excessive destruction of platelets, discolorations caused by
petechiae beneath the skin, and a normal bone marrow
Aplastic anemia - ANSWER a bone marrow failure condition in which formed elements of
the blood are simultaneously depressed
Thalassemia major - ANSWER group of blood disorders characterized by deficiencies in
production rate of specific hemoglobin globin chains
Disseminated intravascular coagulation - ANSWER diffuse fibrin deposition in the
microvasculature, consumption of coagulation factors and endogenous generation of
thrombin and plasma
Hypospadias - ANSWER congenital condition in which urethral opening is on ventral
side of penis
Papilledema - ANSWER edema & inflammation of optic nerve. Common sign of increased
ICP
Dolls Head maneuver - ANSWER test for brainstem or oculomotor nerve dysfxn
Clinical manifestations of hydrocephalus - ANSWER bulging fontanels, dilated scalp
veins, seperated sutures in neonates
Acromegaly - ANSWER Excess GH AFTER closure of epiphyseal plates
,Gigantism - ANSWER hypersecretion of GH before the closure of the epiphyseal plates
Clinical manifestation of juvenile hypothyroidism - ANSWER dry skin, constipation,
declined growth, fatigue, mental declinne, myxedematous skin change
Diabetic ketoacidosis - ANSWER state of relative insulin insufficiency and may include
presence of hyperglycemia( >330mg/dl)
Buck extension - ANSWER Type of skin traction with the legs in extended position
Types of conditions Buck extenstion traction is used for - ANSWER dislocated hips,
contractures, bone deformites( Legg-Calve Perthes)
Dunlop Traction - ANSWER upper extremity traction used for fractures of the humerus
Bryant traction - ANSWER skin traction with legs flexed at 90 degree angle at the hip
Russell Traction - ANSWER skin traction on the lower leg and a padded sling under the
knee
Important electolytes - ANSWER Na- water distribution
K-cell membrane excitability, cardiac conduction
Ca- cell membrane permeability, bone, teeth, clotting cascade
Phosphorus- energy prod, bone growth
Mg- muscle/nerve activity
Best measure of kidney function from labs - ANSWER Creatinine clearance-end product
of energy metabolism from muscle, usually constant
, Asprin toxicity - ANSWER >200mg/kg
-metabolic acidosis--> respiratory rate increases
-irritability
-restlessness
-tinnitis
-hypoglycemia
Normal serum HCO3 for child - ANSWER 22-26 mEq/L
Normal serum PaCo2 - ANSWER 35-45mmHg
Respiratory acidosis - ANSWER retention of CO, always decreases PaO2, pH <7.35
Metabolic acidosis - ANSWER decreased HCo3
Causes of metabolic acidosis - ANSWER -diarrhea
-increased acid ingestion
-increased acid production(diabetic keto)
-Production of bicarb in kidney
Symptoms of Aspirin poisoning - ANSWER -Increased RR from metabolic acidosis
-Fever
- hypoglyecemia
- peteciae(altered clotting fxn)
-irritability
-restlessness
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