2022 NEW CPEN EXAM QUESTIONS AND ANSWERS GRADED A EXAM SOLUTION
What are Common Causes of Respiratory Arrest in Children?
- CORRECT ANSWER Having smaller airways than adults
Having underdeveloped immune systems
Lacking coordination
Being susceptible to choking on food and small objects
Being susceptible to sudden infant death syndrome
What are the Drugs Administered Through Tracheal Tube?
- CORRECT ANSWER L: lidocaine
E: epinephrine
A: atropine
N: naloxone
What is the Nursing Management of a Child With a Pediatric Emergency?
- CORRECT ANSWER Maintaining a patent airway
Providing supplemental oxygen
Monitoring for changes in status
Assisting ventilation
Offering support and education to the child and family
What are Airway and Ventilation Methods?
- CORRECT ANSWER Anesthesia bag or flow-inflating ventilation system
Bag-valve-mask device or manual resuscitator
Laryngeal mask airway
Tracheal intubation
The nurse assisting a child in respiratory distress inserts the rubber connecting tube of an
inflatable silicone mask blindly into the airway to form a seal. What method of resuscitation is
being performed by the nurse?
a. anesthesia bag
b. flow-inflating ventilation system
c. bag-valve-mask device
d. laryngeal mask airway - CORRECT ANSWER d. laryngeal mask airway. Using this method, the
nurse inserts the rubber connecting tube of an inflatable silicone mask blindly into the airway to
form a seal.
Rationale: Using an anesthesia bag or flow-inflating ventilation system involves a small
collapsible bag that consists of a reservoir bag, an overflow port, and a fresh gas inflow port. A
bag-valve-mask device is a self-inflating oxygen delivery bag that does not need a source of
oxygen for resuscitation and ventilation.
, What are the Forms of Vascular Access? - CORRECT ANSWER Peripheral IV route
Central IV route
Saphenous vein
Intraosseous access
Is the following statement true or false?
The nurse accessing a vein to manage a child while CPR is in progress uses the recommended
route, the saphenous vein. - CORRECT ANSWER False. The femoral route is best for obtaining
central venous access while CPR is in progress.
Rationale: The femoral route is best for obtaining central venous access while CPR is in progress
because the insertion procedure will not interfere with life-saving interventions involving the
airway and cardiac compressions. The saphenous vein (found in the ankle) is an alternative
route for venous access that is obtained using a surgical incision.
What are ABCs of Life Support? - CORRECT ANSWER Evaluate sensorium in an older child.
Evaluate interest in environment in an infant.
Evaluate the child's head.
Assess the eyes.
Evaluate the child's face.
Evaluate spontaneous movement of extremities.
May use Pediatric Glasgow Coma Scale
What is shock? - CORRECT ANSWER Shock is the result of dramatic respiratory or hemodynamic
compromise.
What causes shock? - CORRECT ANSWER Impaired cardiac output, impaired systemic vascular
resistance (SVR), or a combination of both causes shock.
How does shock differ in children and adults? - CORRECT ANSWER Infants and young children
differ from adults in that their cardiac output depends on their heart rate, not their stroke
volume.
What are common shocks? - CORRECT ANSWER The most common types of shock are
hypovolemic, septic, cardiogenic, and distributive.
What are Common Types of Emergencies in Children? - CORRECT ANSWER Respiratory arrest
Shock
Cardiac arrhythmias and arrest
Near drowning
Poisoning
Traumatic injury
What is tackypnea - CORRECT ANSWER Tachypnea
Increased respiratory rate
What are Common Causes of Respiratory Arrest in Children?
- CORRECT ANSWER Having smaller airways than adults
Having underdeveloped immune systems
Lacking coordination
Being susceptible to choking on food and small objects
Being susceptible to sudden infant death syndrome
What are the Drugs Administered Through Tracheal Tube?
- CORRECT ANSWER L: lidocaine
E: epinephrine
A: atropine
N: naloxone
What is the Nursing Management of a Child With a Pediatric Emergency?
- CORRECT ANSWER Maintaining a patent airway
Providing supplemental oxygen
Monitoring for changes in status
Assisting ventilation
Offering support and education to the child and family
What are Airway and Ventilation Methods?
- CORRECT ANSWER Anesthesia bag or flow-inflating ventilation system
Bag-valve-mask device or manual resuscitator
Laryngeal mask airway
Tracheal intubation
The nurse assisting a child in respiratory distress inserts the rubber connecting tube of an
inflatable silicone mask blindly into the airway to form a seal. What method of resuscitation is
being performed by the nurse?
a. anesthesia bag
b. flow-inflating ventilation system
c. bag-valve-mask device
d. laryngeal mask airway - CORRECT ANSWER d. laryngeal mask airway. Using this method, the
nurse inserts the rubber connecting tube of an inflatable silicone mask blindly into the airway to
form a seal.
Rationale: Using an anesthesia bag or flow-inflating ventilation system involves a small
collapsible bag that consists of a reservoir bag, an overflow port, and a fresh gas inflow port. A
bag-valve-mask device is a self-inflating oxygen delivery bag that does not need a source of
oxygen for resuscitation and ventilation.
, What are the Forms of Vascular Access? - CORRECT ANSWER Peripheral IV route
Central IV route
Saphenous vein
Intraosseous access
Is the following statement true or false?
The nurse accessing a vein to manage a child while CPR is in progress uses the recommended
route, the saphenous vein. - CORRECT ANSWER False. The femoral route is best for obtaining
central venous access while CPR is in progress.
Rationale: The femoral route is best for obtaining central venous access while CPR is in progress
because the insertion procedure will not interfere with life-saving interventions involving the
airway and cardiac compressions. The saphenous vein (found in the ankle) is an alternative
route for venous access that is obtained using a surgical incision.
What are ABCs of Life Support? - CORRECT ANSWER Evaluate sensorium in an older child.
Evaluate interest in environment in an infant.
Evaluate the child's head.
Assess the eyes.
Evaluate the child's face.
Evaluate spontaneous movement of extremities.
May use Pediatric Glasgow Coma Scale
What is shock? - CORRECT ANSWER Shock is the result of dramatic respiratory or hemodynamic
compromise.
What causes shock? - CORRECT ANSWER Impaired cardiac output, impaired systemic vascular
resistance (SVR), or a combination of both causes shock.
How does shock differ in children and adults? - CORRECT ANSWER Infants and young children
differ from adults in that their cardiac output depends on their heart rate, not their stroke
volume.
What are common shocks? - CORRECT ANSWER The most common types of shock are
hypovolemic, septic, cardiogenic, and distributive.
What are Common Types of Emergencies in Children? - CORRECT ANSWER Respiratory arrest
Shock
Cardiac arrhythmias and arrest
Near drowning
Poisoning
Traumatic injury
What is tackypnea - CORRECT ANSWER Tachypnea
Increased respiratory rate
