CPEN BCEN Timed #1 Questions With
Complete Solutions.
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?
Place padding under the shoulders.
A patient arrives to the emergency department intubated and ventilated via a bag-mask device. EMS
reports that the patient fell from a climbing apparatus at school. Upon assessment, the patient is
difficult to ventilate and has absent breath sounds on the left side. A needle decompression is
performed. The nurse anticipates the PRIORITY will be to
insert a chest tube.
An infant presents to the emergency department with feeding intolerance after 3 days of cold-like
symptoms. Upon assessment, the infant is found to have an altered mental status, sunken fontanels
and decreased muscle tone. Vital signs are as follows:
BP 66/30 mmHgHR 198 beats/minRR 50 breaths/minT (rectal) 97.3˚ F (36.3˚ C)
The nurse would suspect what type of shock?
distributive
Which of the following requires the MOST emergent evaluation?
3-year-old whose head is on father's shoulder with vomiting, pale skin, and tachypnea
Which of the following is the BEST method to assess adequacy of ventilation during procedural
sedation?
capnography value
An adolescent presents with full- and partial-thickness burns to his hands and face. He is awake and
alert with a hoarse voice. The PRIORITY intervention is to
prepare for intubation.
Which of the following is the highest PRIORITY for a patient with heat stroke?
continuous core temperature monitoring
An adolescent presents after ingesting four tablets of 500-mg acetaminophen and stating that he
"wants to die." The nurse should anticipate
referral to psychiatric services.
An unresponsive 2-year-old presents with gurgling respirations with retractions. The patient's pulse is
present at a rate of 80 beats/min. Which of the following is the PRIORITY intervention?
Suction the airway.
Which federal regulation ensures that a medical screening exam is performed to determine if an
emergent condition exists?
Emergency Medical Treatment and Active Labor Act
, Which of the following age groups are preoperational thinkers and concerned developmentally with
initiative versus guilt?
preschool
Stridor at rest is a normal finding in which of the following situations?
tracheomalacia
EMS arrives with a 6-year-old who was an improperly restrained rear-seat passenger in a head-on
collision. The patient complains of diffuse abdominal pain, nausea, and is tachycardic. Which injury
should the nurse MOST suspect?
small bowel injury
The appropriate method of tick removal within 24 hours is to
pull in a steady slow motion.
A school-aged child with hydrocephalus may present with which of the following physical findings?
papilledema
An obese adolescent male present with right hip pain and inability to bear weight. What should the
PRIORITY plan of care be?
surgical intervention
Fluid administration is required after resuscitating a neonate. The nurse should prepare for
administration of a bolus of
normal saline solution at 10 mL/kg.
An 8-year-old is being treated for hypovolemic shock. The expected minimum systolic blood pressure
for this patient is
86 mm Hg.
A 5-day-old patient presents with feeding intolerance, lethargy, temperature instability, and apnea.
The nurse has a high suspicion for
neonatal sepsis.
An 18-month-old presents to the emergency department with several days of worsening respiratory
distress, persistent cough, thick secretions, and lethargy. The parent states that the patient was
recently diagnosed with respiratory syncytial virus (RSV). The nurse recognizes these symptoms as
consistent with
bronchiolitis.
A child with 30% body surface area burns is awaiting transfer to the burn center. The nurse should
cover the burns with dry towel or sheet
A 14-year-old female reports a sudden onset of severe pelvic pain with guarding. Which of the
following is MOST concerning?
referred shoulder pain
Complete Solutions.
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?
Place padding under the shoulders.
A patient arrives to the emergency department intubated and ventilated via a bag-mask device. EMS
reports that the patient fell from a climbing apparatus at school. Upon assessment, the patient is
difficult to ventilate and has absent breath sounds on the left side. A needle decompression is
performed. The nurse anticipates the PRIORITY will be to
insert a chest tube.
An infant presents to the emergency department with feeding intolerance after 3 days of cold-like
symptoms. Upon assessment, the infant is found to have an altered mental status, sunken fontanels
and decreased muscle tone. Vital signs are as follows:
BP 66/30 mmHgHR 198 beats/minRR 50 breaths/minT (rectal) 97.3˚ F (36.3˚ C)
The nurse would suspect what type of shock?
distributive
Which of the following requires the MOST emergent evaluation?
3-year-old whose head is on father's shoulder with vomiting, pale skin, and tachypnea
Which of the following is the BEST method to assess adequacy of ventilation during procedural
sedation?
capnography value
An adolescent presents with full- and partial-thickness burns to his hands and face. He is awake and
alert with a hoarse voice. The PRIORITY intervention is to
prepare for intubation.
Which of the following is the highest PRIORITY for a patient with heat stroke?
continuous core temperature monitoring
An adolescent presents after ingesting four tablets of 500-mg acetaminophen and stating that he
"wants to die." The nurse should anticipate
referral to psychiatric services.
An unresponsive 2-year-old presents with gurgling respirations with retractions. The patient's pulse is
present at a rate of 80 beats/min. Which of the following is the PRIORITY intervention?
Suction the airway.
Which federal regulation ensures that a medical screening exam is performed to determine if an
emergent condition exists?
Emergency Medical Treatment and Active Labor Act
, Which of the following age groups are preoperational thinkers and concerned developmentally with
initiative versus guilt?
preschool
Stridor at rest is a normal finding in which of the following situations?
tracheomalacia
EMS arrives with a 6-year-old who was an improperly restrained rear-seat passenger in a head-on
collision. The patient complains of diffuse abdominal pain, nausea, and is tachycardic. Which injury
should the nurse MOST suspect?
small bowel injury
The appropriate method of tick removal within 24 hours is to
pull in a steady slow motion.
A school-aged child with hydrocephalus may present with which of the following physical findings?
papilledema
An obese adolescent male present with right hip pain and inability to bear weight. What should the
PRIORITY plan of care be?
surgical intervention
Fluid administration is required after resuscitating a neonate. The nurse should prepare for
administration of a bolus of
normal saline solution at 10 mL/kg.
An 8-year-old is being treated for hypovolemic shock. The expected minimum systolic blood pressure
for this patient is
86 mm Hg.
A 5-day-old patient presents with feeding intolerance, lethargy, temperature instability, and apnea.
The nurse has a high suspicion for
neonatal sepsis.
An 18-month-old presents to the emergency department with several days of worsening respiratory
distress, persistent cough, thick secretions, and lethargy. The parent states that the patient was
recently diagnosed with respiratory syncytial virus (RSV). The nurse recognizes these symptoms as
consistent with
bronchiolitis.
A child with 30% body surface area burns is awaiting transfer to the burn center. The nurse should
cover the burns with dry towel or sheet
A 14-year-old female reports a sudden onset of severe pelvic pain with guarding. Which of the
following is MOST concerning?
referred shoulder pain
