Certified Pediatric Emergency Nurse Exam Study
Guide Questions
1.Infant breathing method: Infants and young children under 6 are
preferential nose breathers
2.Narrowest part of the pediatric airway: cricoid cartilage
3.Cap refill in children: 2 seconds
4.Pediatric BP formulas
- Minimum
- Median: Minimum SBP: 70 + (AGE
X 2) Median SBP 90 + (AGEX2)
5.Minimum newborn bp: MAP= gestational age in weeks
6. a cold, a fever: Feed a cold, feed a fever
7.Gynecomastia: the condition of excessive mammary development in th
male
8.Position for palpating fontanelles: Upright, not crying
9.2,4,6,8- head, shoulders, knees, toes/no: Head: 2 months, rolls over: 4
months, sits unsupported: 6 months, walking: 1 year
10.Defibrillation energy: 2 j/kg, 4 j/kg
11.Airway for a facial trauma: LMA king
12.ml of 1:10,000 epi for 20 kg child: 2 Ml= 0.2 mg
13.ETT drugs: Lidocaine, Epinephrine, Atropine, Narcan ((LEAN)
14.Dose of epinephrine in ETT tube: 10x IV dose diluted in 5-10 mL saline
15.Suction cath, NG, foley sizing: 2x ETT size
16.Tube suctioning max time: 3-5 seconds per pass
17.Mnemonic for respiratory distress on ventilator: Displacement,
Oxygen/ob- struction, Pneumothorax, Equipment (DOPE)
18. Colormetric CO2 detectors turn
when CO2 is exhaled, confirming the ET tube is in the trachea.: gold
(will likely not change for person in full arrest because there is minimal
gas ex- change)
19.Tape depth of ETT: 3x size of ETT
20.NRB oxygen delivered: 65-75%
21.IO lethal complication: Air embolus
22.acute hemolytic reaction: chills, fever, LOW BACK PAIN, tachycardia,
tachyp- nea, hypotension
23.febrile nonhemolytic reaction: Most common blood transfusion
reaction; sud- den chills and fever, headaches, flushing, anxiety, and
muscle pain
24.Surgical Cricothyrotomy min age: 8 (needle cric for children under 9)
,25.Tension pneumothroax needle decompression landmarks: secon
dinter- costal space, midclavicular line, above the third rib
26.tension pneumothorax s/s: JVD, tracheal deviation away from the
affected side of the chest, hyperresonance on the affected side
27.post tonsillectomy bleeding: most common 5-10 days post surgery
28.Insect removal from ear: instill ear with lidocaine to paralyze the
insect before attempting to remove it
29.Treatment for ophthalmologic problem with bell's palsy: use artificial
tears to prevent corneal abrasions
30.Most destructive type of eye burn: alkali
31.flail chest: fracture of two or more adjacent ribs in two or more places
that allows for free movement of the fractured segment
32.Homan's sign: pain in *calf upon dorsiflexion* of foot and may indicate
DVT
33.Pt position for trach tube replacement: supine with towel between the
shoul- ders
34.High peep side effect: Hypotension- high pressure in the lungs and
chest slows blood return to the heart from the body
35.Heliox: less dense and less turbulent than oxygen alone-
increases oxygen delivery
36.Hyphema: blood in the anterior chamber of the eye
37.Teeth reimplantation: if seen immediately- place in socket; if not
place in milk or gauze dipped in NS
38.Early shock diagnosis: Prolonged cap refill, decreased peripheral
pulses- no changes in VS in early shock
39.Most common type of pediatric shock: Hypovolemic
40.Primary compensatory mechanism for shock: increased heart rate
41.cardiogenic shock: A state in which not enough oxygen is
delivered to the tissues of the body, caused by low output of blood
from the heart- "pipes are overfilled" treat with diuretics and
inotropes
42.Cardiogenic shock symptoms: JVD, pulmonary congestion (rales), S4
heart sound
43.Chvostek's sign: Cheek, facial spasm when Cheek is tapped
associates with hypocalcemia
44.Babinski sign: The toes flex upward when sole of foot is stimulated,
indicating motor nerve damage.
45.Brudzinski's sign: Sign of meningitis; positive when a patient's legs
lift involun- tarily when lifting a patient's head
,46.Trousseau's sign: A sign of hypocalcemia . Carpal spasm caused by
inflating a blood pressure cuff above the client's systolic pressure and
leaving it in place for 3 minutes.
47.Cullen's sign: ecchymosis in umbilical area, seen with pancreatitis/
retroperi- toneal bleeding
, 48.Kawasaki disease: -fever unresponsive to antipyretics
- conjunctivitis without discharge
-strawberry tongue/lips with white coating or red bumps on the posterior
aspect
-swelling of hands and feet with red palms and soles
-nonblistering rash
-sore throat
-enlarged lymph nodes
-IV fluids to prevent dehydration
-IV gamma globulin according to policy
-aspirin
49.H's and T's: 5
H's H ypoxia
H ypovolemia
H ydrogen ion
(acidosis) H ypo / H
yper kalemia H
ypothermia
5 T's
T ension
pneumothorax T
amponade
T oxins
T hrombosis
(pulmonary) T
hrombosis (coronary)
50.patent ductus arteriosus (PDA): passageway (ductus arteriosus)
between the aorta and the pulmonary artery remains open (patent)
after birth (can be present in congenital heart defects to allow for
oxygenated blood flow when it would otherwise not be possible)
51.PGE1: Used in pediatrics to maintain patency of ductus arteriosis;
side effect hypotension, skin flushing/fever, apnea; run in it's own line
52.coarctation of the aorta: narrowing of the descending portion of the
aorta, resulting in a limited flow of blood to the lower part of the body
(marked differences between UE and LE pulse strength and blood
pressures)
53.Commotio cordis: A blunt chest injury caused by a sudden, direct
blow to the chest that occurs only during the critical portion of a
Guide Questions
1.Infant breathing method: Infants and young children under 6 are
preferential nose breathers
2.Narrowest part of the pediatric airway: cricoid cartilage
3.Cap refill in children: 2 seconds
4.Pediatric BP formulas
- Minimum
- Median: Minimum SBP: 70 + (AGE
X 2) Median SBP 90 + (AGEX2)
5.Minimum newborn bp: MAP= gestational age in weeks
6. a cold, a fever: Feed a cold, feed a fever
7.Gynecomastia: the condition of excessive mammary development in th
male
8.Position for palpating fontanelles: Upright, not crying
9.2,4,6,8- head, shoulders, knees, toes/no: Head: 2 months, rolls over: 4
months, sits unsupported: 6 months, walking: 1 year
10.Defibrillation energy: 2 j/kg, 4 j/kg
11.Airway for a facial trauma: LMA king
12.ml of 1:10,000 epi for 20 kg child: 2 Ml= 0.2 mg
13.ETT drugs: Lidocaine, Epinephrine, Atropine, Narcan ((LEAN)
14.Dose of epinephrine in ETT tube: 10x IV dose diluted in 5-10 mL saline
15.Suction cath, NG, foley sizing: 2x ETT size
16.Tube suctioning max time: 3-5 seconds per pass
17.Mnemonic for respiratory distress on ventilator: Displacement,
Oxygen/ob- struction, Pneumothorax, Equipment (DOPE)
18. Colormetric CO2 detectors turn
when CO2 is exhaled, confirming the ET tube is in the trachea.: gold
(will likely not change for person in full arrest because there is minimal
gas ex- change)
19.Tape depth of ETT: 3x size of ETT
20.NRB oxygen delivered: 65-75%
21.IO lethal complication: Air embolus
22.acute hemolytic reaction: chills, fever, LOW BACK PAIN, tachycardia,
tachyp- nea, hypotension
23.febrile nonhemolytic reaction: Most common blood transfusion
reaction; sud- den chills and fever, headaches, flushing, anxiety, and
muscle pain
24.Surgical Cricothyrotomy min age: 8 (needle cric for children under 9)
,25.Tension pneumothroax needle decompression landmarks: secon
dinter- costal space, midclavicular line, above the third rib
26.tension pneumothorax s/s: JVD, tracheal deviation away from the
affected side of the chest, hyperresonance on the affected side
27.post tonsillectomy bleeding: most common 5-10 days post surgery
28.Insect removal from ear: instill ear with lidocaine to paralyze the
insect before attempting to remove it
29.Treatment for ophthalmologic problem with bell's palsy: use artificial
tears to prevent corneal abrasions
30.Most destructive type of eye burn: alkali
31.flail chest: fracture of two or more adjacent ribs in two or more places
that allows for free movement of the fractured segment
32.Homan's sign: pain in *calf upon dorsiflexion* of foot and may indicate
DVT
33.Pt position for trach tube replacement: supine with towel between the
shoul- ders
34.High peep side effect: Hypotension- high pressure in the lungs and
chest slows blood return to the heart from the body
35.Heliox: less dense and less turbulent than oxygen alone-
increases oxygen delivery
36.Hyphema: blood in the anterior chamber of the eye
37.Teeth reimplantation: if seen immediately- place in socket; if not
place in milk or gauze dipped in NS
38.Early shock diagnosis: Prolonged cap refill, decreased peripheral
pulses- no changes in VS in early shock
39.Most common type of pediatric shock: Hypovolemic
40.Primary compensatory mechanism for shock: increased heart rate
41.cardiogenic shock: A state in which not enough oxygen is
delivered to the tissues of the body, caused by low output of blood
from the heart- "pipes are overfilled" treat with diuretics and
inotropes
42.Cardiogenic shock symptoms: JVD, pulmonary congestion (rales), S4
heart sound
43.Chvostek's sign: Cheek, facial spasm when Cheek is tapped
associates with hypocalcemia
44.Babinski sign: The toes flex upward when sole of foot is stimulated,
indicating motor nerve damage.
45.Brudzinski's sign: Sign of meningitis; positive when a patient's legs
lift involun- tarily when lifting a patient's head
,46.Trousseau's sign: A sign of hypocalcemia . Carpal spasm caused by
inflating a blood pressure cuff above the client's systolic pressure and
leaving it in place for 3 minutes.
47.Cullen's sign: ecchymosis in umbilical area, seen with pancreatitis/
retroperi- toneal bleeding
, 48.Kawasaki disease: -fever unresponsive to antipyretics
- conjunctivitis without discharge
-strawberry tongue/lips with white coating or red bumps on the posterior
aspect
-swelling of hands and feet with red palms and soles
-nonblistering rash
-sore throat
-enlarged lymph nodes
-IV fluids to prevent dehydration
-IV gamma globulin according to policy
-aspirin
49.H's and T's: 5
H's H ypoxia
H ypovolemia
H ydrogen ion
(acidosis) H ypo / H
yper kalemia H
ypothermia
5 T's
T ension
pneumothorax T
amponade
T oxins
T hrombosis
(pulmonary) T
hrombosis (coronary)
50.patent ductus arteriosus (PDA): passageway (ductus arteriosus)
between the aorta and the pulmonary artery remains open (patent)
after birth (can be present in congenital heart defects to allow for
oxygenated blood flow when it would otherwise not be possible)
51.PGE1: Used in pediatrics to maintain patency of ductus arteriosis;
side effect hypotension, skin flushing/fever, apnea; run in it's own line
52.coarctation of the aorta: narrowing of the descending portion of the
aorta, resulting in a limited flow of blood to the lower part of the body
(marked differences between UE and LE pulse strength and blood
pressures)
53.Commotio cordis: A blunt chest injury caused by a sudden, direct
blow to the chest that occurs only during the critical portion of a
