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PNCB CPNP: TEST PREP Materials: Complete Study Set

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PNCB CPNP: TEST PREP Materials: Complete Study Set

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PNCB CPNP: TEST PREP Materials: Complete Study Set

Cystic fibrosis is more commonly seen in which ancenstry? Right Ans -
Eastern European

Common signs and symptoms of Hodgkin's disease include: Right Ans - -
Night sweats
- Weight loss
- Itchy skin
- Enlargement of the spleen and liver
- Swollen lymph nodes

Pulmonary hypertension causes: Right 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? Right 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?
Right 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? Right
Ans - Adequate hydration promotes hemodilution and circulation of red blood
cells

Understanding "no" is expected in the 10-month-old. True or False. Right
Ans - True

Characteristics of active listening: Right Ans - - Maintaining eye contact
- Asking open-ended questions
- Reflecting back what the speaker has said

Signs of pain in an infant: Right Ans - - Grimacing

,- Crying
- Restlessness
- Thrashing
- Flailing

Classic symptom of scabies: Right Ans - Itching that is worse at night

A patient with primary case of scabies was probably infected how long ago?
Right Ans - 3 to 4 weeks ago
- 3 to 4 weeks is the incubation period for scabies

Management of vulvovaginitis: Right 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? Right Ans -
No

Do HMO plan members need authorizations for services and visits to
specialists? Right Ans - Yes

Patients that come in with frequent urination, that is mostly water, will be
diagnosed with: Right Ans - Diabetes Insipidus

What assessment findings confirm Osgood-Schlatter Disease? Right Ans - -
Pain worsens with quadricep contraction
- There is swelling of the tibial tubercle

Signs of Rotavirus include: Right Ans - - Vomiting
- Diarrhea
- Fever
- *typically affects children between 6mos and 2yo

A patient is given Vancomycin IV. What would cause Red Man Syndrome?
Right Ans - Pushing 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? Right Ans - Gower's sign

, Management of a brown recluse spider bite: Right 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: Right
Ans - Amoxicillin-clavulanate (AUGMENTIN) PO x 14 days

Birth length usually doubles by: Right Ans - 4 years of age

HIPAA Right Ans - - Health Information Portability and Accountability Act
(1996)
- Governs the privacy and disclosure of health information as well as
electronic transfer of information

What is the pharmacologic treatment of choice for a 17yo pregnant female
with a UTI? Right Ans - Nitrofurantoin (Macrodantin)

A child who displays urinary incontinence who has never been dry through
the night is said to have: Right Ans - Primary enuresis

What is the causative organism of bronchiolitis? Right Ans - Respiratory
Syncytial Virus (RSV)

Management of a patient with PCOS includes: Right Ans - - Exercise and
weight loss
- Metformin (Glucophage) to improve insulin sensitivity, lower LH, androgens
and improve fertility
- Monthly provera

Excessive estrogen in patients with PCOS leads to: Right Ans -
Hyperinsulinemia

Ignoring Right Ans - A pattern of behavior in which an adult refuses to
interact with or respond to a child

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