CPEN Practice Exam TEST MOD 005 with Actual Questions &
Answers 2023/2024 GRADED A+
An anxious adolescent presents with palpitations, a heart rate of 184 beats/min, and normal skin tone.
Which of the following is the PRIORITY intervention?
A. Obtain urine drug screen.
B. Administer IV adenosine (Adenocard) rapidly.
C. Instruct the patient to bear down.
D. Provide comfort and reassurance. correct answers D. SVT is defined as heart rate >220 in infants and
>180 in children. Thus putting the child in SVT. Search and treat the cause. The PRIORITY intervention to
provide comfort and reassurance could lower heart rate while preparing other interventions and
assessments. Vagal maneuvers would be the next intervention, followed by adenosine.
Continuous monitoring of a child's ETCO2 during cardiac arrest reveals 8 mmHg. This indicates that CPR
is
A. ineffective and adjustments need to be made to compressions.
B. no longer needed; there is a return of spontaneous circulation.
C. no longer needed; further resuscitation is futile.
D. ineffective and adjustments need to be made to ventilation. correct answers A. The 2010 guidelines
recommended that if the partial pressure of ETCO2 is consistently less than 15 mm Hg efforts should
focus on improving CPR quality, particularly improving chest compressions and ensuring the child does
not receive excessive ventilations.
A child presents to emergency department with symptoms of anaphylaxis after eating cookies at a
birthday party. The friend's parent is accompanying the child and is unable to reach the parents. The
nurse recognizes this legal issue as
A. informed consent.
B. implied consent.
C. an EMTALA violation.
D. a HIPPA violation. correct answers B. Implied Consent
9-month-old presents to the Emergency Department with a mid-shaft tibia fracture. Which of the
following statements from the parent might indicate history of non-accidental trauma (NAT).
A. Patient was being changed on top of a table and rolled off.
B. Patient was an unrestrained passenger in a motor vehicle collision.
C. Patient was crawling on a deck and fell off approximately 4 feet.
D. Patient was riding a tricycle and fell off correct answers D. The patient does not have the development
and coordination to ride a tricycle. A 9-month-old can roll over and it is possible to fall and fracture their
arm. Even though the patient was unrestrained, it may not involve NAT. A 9-month-old is often crawling
and, if the patient was not being watched , could have fallen off a deck and again not be considered NAT.
Which developmental task is expected in a toddler?
A. industry
B. trust
C. initiative
,D. autonomy correct answers D. Toddlers learn to exercise will and do things for themselves.
Developmental task of toddlerhood is acquiring a sense of autonomy. Several characteristics, especially
negativism and ritualism, are typical of toddlers.
Following a motor vehicle collision, a patient is diagnosed with a C7 fracture and anterior spinal cord
syndrome. The nurse understands this patient will:
A. will be able to ambulate with assistance
B. be wheelchair dependent
C. will regain most function at some point
D. be ventilator dependent correct answers B. The patient will be a paraplegic and may be able to
complete movement with their arms. He will not be ventilator dependent or be able to ambulate
independently. He will be evaluated independently but will be unable to walk
Which of the following is the BEST method to assess adequacy of ventilation during procedural sedation?
A. breath sounds
B. oxygen saturation
C. respiratory rate
D. capnography value correct answers D. capnography is used to determine adequacy of ventilation.
Oxygen saturation provides the percentage of hemoglobin carrying oxygen. Hypoventilation is detected
more rapidly by capnography than by auscultation of breath sounds, oxygen saturation or respiratory
rate.
A 2-year-old presents to the emergency department with tonic-clonic movements which the caregivers
report occurring for one minute prior to arrival. The priority intervention is
A. preparing for intubation.
B. administering oxygen via a nonrebreathing mask.
C. turning patient to the side.
D. placing an intraosseous needle. correct answers C. Turning the patient to a side is part of the initial
assessment to reduce the risk of aspiration and tongue obstruction. There is no indication for an
intraosseous needle as most antiseizure medications can be given via other routes. Currently, there is no
indication for intubation. Oxygen will not assist if the airway is not patent.
A mother runs into the emergency department screaming that her child is choking on a piece of candy.
The nurse observes a fearful 5-year-old with minimal air movement and dusky in color. The nurse's initial
action should be to
A. perform abdominal thrusts.
B. obtain an oxygen saturation level.
C. facilitate oral tracheal intubation.
D. obtain a chest radiograph. correct answers A. A child brought to the ED with sudden onset of
respiratory distress should be evaluated for foreign body aspiration if no other cause is apparent.
Initially, a foreign body obstruction produces choking, gassing, wheezing, or coughing. If the object
becomes lodged in the larynx, the child cannot speak or breathe, For children 1 year or older, abdominal
thrusts should be used.
A 2-month-old presents with irritability and is inconsolable. Which finding would lead the emergency
nurse to suspect shaken baby syndrome?
A. Unilateral retinal hemorrhage
B. Bruising of the legs.
, C. Decreased movement of the legs
D. Bilateral retinal hemorrhages correct answers D. Shaken baby syndrome is common in children less
than one year of age. Male caregivers have a higher rate of shaken baby syndrome. Bilateral retinal
hemorrhages are more common due to weak neck muscles and large occiput. The infant is usually held
by the arms and shaken. Bruises of the arms would occur. Decreased movement of the legs would
usually be a spinal cord injury. Bruising of the legs are not indicative of shaken baby syndrome.
A 2-year-old child has not used his left arm for the past hour. His mother reported grabbing his hand to
prevent him from falling from a slide. The nurse should suspect
A. a forearm fracture.
B. a supracondylar fracture.
C. shoulder dislocation.
D. subluxation of the radial head. correct answers D. Subluxation of the radial head, or a nursemaid's
elbow, is one of the most common injuries seen in toddlers. Resulting from a sudden pull on the child's
arms, the child refuses to move or use the affected extremity.
A 1-year-old presents unconscious and is being ventilated with a bag-mask device. Ventilation has
become progressively more difficult. Which of the following is the PRIORITY intervention?
A. Insert a nasogastric tube.
B. Obtain a pulse oximeter reading.
C. Place padding under the shoulders. correct answers C. Due to a large occiput, optimal airway position
is achieved by placing padding under the shoulders. The padding provides neutral alignment of the
airway and cervical spine. The other options need to occur, but they are not the priority intervention
If administering epinephrine to a pediatric patient having a severe allergic reaction, the proper dose and
concentration should be epinephrine
A. 0.10 mL/kg and 1mg/10 mL
B. 0.01 mL/kg and 1 mg/mL
C. 0.01 mL/kg and 1 mg/10 mL
D. 0.10 mL/kg and 1 mg/mL correct answers B. The concentration of 1 mg/mL is indicated for allergic
reaction and anaphylaxis to be administered IM. The concentration of 1 mg/10 mL is for cardiac arrest
treatments to be administered IV or IO. The correct dosing of either concentration is 0.01 mL/kg.
An adolescent presents with superficial lacerations to both forearms. She is tearful and avoids eye
contact with staff. Which of the following is the PRIORITY intervention for this patient?
A. Maintain a safe environment.
B. Initiate wound care.
C. Notify the police.
D. Order a social work consultation. correct answers A. During the pediatric triage and assessment
process, the main concern of the nursing is to maintain a safe environment for the patient and to foster
hopefulness.
A child presents with fever, left eye pain, swelling, and impaired extraocular movement. The nurse
anticipates a workup for
A. orbital cellulitis.
B. uveitis/iritis.
C. conjunctivitis.
Answers 2023/2024 GRADED A+
An anxious adolescent presents with palpitations, a heart rate of 184 beats/min, and normal skin tone.
Which of the following is the PRIORITY intervention?
A. Obtain urine drug screen.
B. Administer IV adenosine (Adenocard) rapidly.
C. Instruct the patient to bear down.
D. Provide comfort and reassurance. correct answers D. SVT is defined as heart rate >220 in infants and
>180 in children. Thus putting the child in SVT. Search and treat the cause. The PRIORITY intervention to
provide comfort and reassurance could lower heart rate while preparing other interventions and
assessments. Vagal maneuvers would be the next intervention, followed by adenosine.
Continuous monitoring of a child's ETCO2 during cardiac arrest reveals 8 mmHg. This indicates that CPR
is
A. ineffective and adjustments need to be made to compressions.
B. no longer needed; there is a return of spontaneous circulation.
C. no longer needed; further resuscitation is futile.
D. ineffective and adjustments need to be made to ventilation. correct answers A. The 2010 guidelines
recommended that if the partial pressure of ETCO2 is consistently less than 15 mm Hg efforts should
focus on improving CPR quality, particularly improving chest compressions and ensuring the child does
not receive excessive ventilations.
A child presents to emergency department with symptoms of anaphylaxis after eating cookies at a
birthday party. The friend's parent is accompanying the child and is unable to reach the parents. The
nurse recognizes this legal issue as
A. informed consent.
B. implied consent.
C. an EMTALA violation.
D. a HIPPA violation. correct answers B. Implied Consent
9-month-old presents to the Emergency Department with a mid-shaft tibia fracture. Which of the
following statements from the parent might indicate history of non-accidental trauma (NAT).
A. Patient was being changed on top of a table and rolled off.
B. Patient was an unrestrained passenger in a motor vehicle collision.
C. Patient was crawling on a deck and fell off approximately 4 feet.
D. Patient was riding a tricycle and fell off correct answers D. The patient does not have the development
and coordination to ride a tricycle. A 9-month-old can roll over and it is possible to fall and fracture their
arm. Even though the patient was unrestrained, it may not involve NAT. A 9-month-old is often crawling
and, if the patient was not being watched , could have fallen off a deck and again not be considered NAT.
Which developmental task is expected in a toddler?
A. industry
B. trust
C. initiative
,D. autonomy correct answers D. Toddlers learn to exercise will and do things for themselves.
Developmental task of toddlerhood is acquiring a sense of autonomy. Several characteristics, especially
negativism and ritualism, are typical of toddlers.
Following a motor vehicle collision, a patient is diagnosed with a C7 fracture and anterior spinal cord
syndrome. The nurse understands this patient will:
A. will be able to ambulate with assistance
B. be wheelchair dependent
C. will regain most function at some point
D. be ventilator dependent correct answers B. The patient will be a paraplegic and may be able to
complete movement with their arms. He will not be ventilator dependent or be able to ambulate
independently. He will be evaluated independently but will be unable to walk
Which of the following is the BEST method to assess adequacy of ventilation during procedural sedation?
A. breath sounds
B. oxygen saturation
C. respiratory rate
D. capnography value correct answers D. capnography is used to determine adequacy of ventilation.
Oxygen saturation provides the percentage of hemoglobin carrying oxygen. Hypoventilation is detected
more rapidly by capnography than by auscultation of breath sounds, oxygen saturation or respiratory
rate.
A 2-year-old presents to the emergency department with tonic-clonic movements which the caregivers
report occurring for one minute prior to arrival. The priority intervention is
A. preparing for intubation.
B. administering oxygen via a nonrebreathing mask.
C. turning patient to the side.
D. placing an intraosseous needle. correct answers C. Turning the patient to a side is part of the initial
assessment to reduce the risk of aspiration and tongue obstruction. There is no indication for an
intraosseous needle as most antiseizure medications can be given via other routes. Currently, there is no
indication for intubation. Oxygen will not assist if the airway is not patent.
A mother runs into the emergency department screaming that her child is choking on a piece of candy.
The nurse observes a fearful 5-year-old with minimal air movement and dusky in color. The nurse's initial
action should be to
A. perform abdominal thrusts.
B. obtain an oxygen saturation level.
C. facilitate oral tracheal intubation.
D. obtain a chest radiograph. correct answers A. A child brought to the ED with sudden onset of
respiratory distress should be evaluated for foreign body aspiration if no other cause is apparent.
Initially, a foreign body obstruction produces choking, gassing, wheezing, or coughing. If the object
becomes lodged in the larynx, the child cannot speak or breathe, For children 1 year or older, abdominal
thrusts should be used.
A 2-month-old presents with irritability and is inconsolable. Which finding would lead the emergency
nurse to suspect shaken baby syndrome?
A. Unilateral retinal hemorrhage
B. Bruising of the legs.
, C. Decreased movement of the legs
D. Bilateral retinal hemorrhages correct answers D. Shaken baby syndrome is common in children less
than one year of age. Male caregivers have a higher rate of shaken baby syndrome. Bilateral retinal
hemorrhages are more common due to weak neck muscles and large occiput. The infant is usually held
by the arms and shaken. Bruises of the arms would occur. Decreased movement of the legs would
usually be a spinal cord injury. Bruising of the legs are not indicative of shaken baby syndrome.
A 2-year-old child has not used his left arm for the past hour. His mother reported grabbing his hand to
prevent him from falling from a slide. The nurse should suspect
A. a forearm fracture.
B. a supracondylar fracture.
C. shoulder dislocation.
D. subluxation of the radial head. correct answers D. Subluxation of the radial head, or a nursemaid's
elbow, is one of the most common injuries seen in toddlers. Resulting from a sudden pull on the child's
arms, the child refuses to move or use the affected extremity.
A 1-year-old presents unconscious and is being ventilated with a bag-mask device. Ventilation has
become progressively more difficult. Which of the following is the PRIORITY intervention?
A. Insert a nasogastric tube.
B. Obtain a pulse oximeter reading.
C. Place padding under the shoulders. correct answers C. Due to a large occiput, optimal airway position
is achieved by placing padding under the shoulders. The padding provides neutral alignment of the
airway and cervical spine. The other options need to occur, but they are not the priority intervention
If administering epinephrine to a pediatric patient having a severe allergic reaction, the proper dose and
concentration should be epinephrine
A. 0.10 mL/kg and 1mg/10 mL
B. 0.01 mL/kg and 1 mg/mL
C. 0.01 mL/kg and 1 mg/10 mL
D. 0.10 mL/kg and 1 mg/mL correct answers B. The concentration of 1 mg/mL is indicated for allergic
reaction and anaphylaxis to be administered IM. The concentration of 1 mg/10 mL is for cardiac arrest
treatments to be administered IV or IO. The correct dosing of either concentration is 0.01 mL/kg.
An adolescent presents with superficial lacerations to both forearms. She is tearful and avoids eye
contact with staff. Which of the following is the PRIORITY intervention for this patient?
A. Maintain a safe environment.
B. Initiate wound care.
C. Notify the police.
D. Order a social work consultation. correct answers A. During the pediatric triage and assessment
process, the main concern of the nursing is to maintain a safe environment for the patient and to foster
hopefulness.
A child presents with fever, left eye pain, swelling, and impaired extraocular movement. The nurse
anticipates a workup for
A. orbital cellulitis.
B. uveitis/iritis.
C. conjunctivitis.
