CPEN BCEN test Questions & Answers Updated 2026

CPEN BCEN test Questions &
Answers Updated 2026
AB6-year-
oldBpresentsBwithBaBhomemadeBsplintBonBtheBleftBarmBafterBfallingBoffBofBaBbicycle.BWhichB
ofBtheBfollowingBshouldBbeBtheBnurse'sBPRIORITY?B-BAnswerAssessBtheBneurovascularBstatus



AB12-year-oldBpresentsBwithBlow-
gradeBfeverBandBdiffuseBabdominalBpainBwhichBincreasesBwithBcoughing.BTheseBsymptomsBsu
ggestB-BAnswerappendicitis



WhenBassessingBanBinfantBwithBcoarctationBofBtheBaorta,BaBnurseBshouldBexpectBtoBfindB-
BAnswerabsentBorBdiminishedBfemoralBpulses



ContinuousBmonitoringBofBaBchild'sBETCO2BduringBcardiacBarrestBrevealsB8BmmHg.BThisBindica
tesBthatBCPRBisB-BAnswerineffectiveBandBadjustmentsBneedBtoBbeBmadeBtoBcompressions



AbdominalBpainBcanBbeBaBcharacteristicBofBwhichBrespiratoryBdiagnosis?B-BAnswerpneumonia



WhichBofBtheBfollowingBisBtheBNEXTBstepBforBaBnewbornBwithBaBheartBrateBofB80Bbeats/min
BafterBinitialBdryingBandBsuctioning?B-BAnswerInitiateBventilations



FollowingBaBdiagnosisBofBhyphema,BdischargeBinstructionsBtoBtheBcareBgiverBshouldBincludeB-
BAnswerre-bleedingBmayBoccur



WhichBofBtheBfollowingBisBtheBtreatmentBofBchoiceBforBaBlethargicBneonateBwithBnarrowBco
mplexBtachycardiaBandBaBheartBrateBofB230Bbeats/min?B-BAnswercardioversion



ABchildBpresentsBwithBaBfever,BsoreBthroat,BandBgeneralBmalaiseBapproximatelyB48BhoursBafte
rBaBcampingBtrip.BItBwouldBbeBaBPRIORITYBforBtheBnurseBtoB-
BAnswerexamineBtheBchildBforBopenBwounds.



WhichBofBtheBfollowingBisBaBcommonBsignBofBmeningococcalBmeningitis?B-BAnswerpetechiae



ABpatientBisBreceivingBintravenousBpotassiumBreplacement.BTheBnurseBsuspectsBhyperkalemiaB
basedBonBwhichBtheBfollowing:B-BAnswerpeakedBTBwaves

,TheBnurseBshouldBanticipateBnotifyingBtheBproperBauthoritiesBforBwhichBofBtheBfollowingBpati
ents?B-BAnswer6-year-oldBwithBpositiveBgonorrhea



WhichBofBtheBfollowingBisBMOSTBindicativeBofBcompartmentBsyndrome?B-
BAnswerpainBoutBofBproportionBtoBtheBseverityBofBtheBinjury



AB16-year-
oldBisBbroughtBtoBtheBEmergencyBDepartmentBbyBfriendsBfollowingBaBseizure.BTheyBreportBit
BlastedBaboutBtwoBminutesBandBbrokeBupBtheBparty.BTheBpriorityBdiagnosticBtestBis:B-
BAnsweraBurineBdrugBscreen.



9-month-oldBpresentsBtoBtheBEmergencyBDepartmentBwithBaBmid-
shaftBtibiaBfracture.BWhichBofBtheBfollowingBstatementsBfromBtheBparentBmightBindicateBhisto
ryBofBnon-accidentalBtraumaB(NAT).B-BAnswerPatientBwasBridingBaBtricycleBandBfellBoff



AB12-month-oldBpresentsBwithBaB2-dayBhistoryBofBnauseaBandBvomiting.BVitalBsignsBinclude:

BPB80/60BmmBHgHRB56Bbeats/minRRB12Bbreaths/min

TheBchildBisBlimpBandBashen.BWhichBofBtheBfollowingBisBtheBPRIORITYBintervention?B-
BAnswermanualBventilations



AB6-year-
oldBpresentsBwithBaBsuddenBonsetBofBfever,Bchills,BandBmacularBrashBofBtheBpalms,Bwrist,Ban
kles,BandBsolesBofBtheBfeet.BTheBchildBwasBrecentlyBonBaBcampingBtrip.BTheBnurseBsuspectsB
-BAnswerRockyBMountainBSpottedBFever



AnB18-month-
oldBpatientBpresentsBtoBtheBEmergencyBDepartmentBwithBupperBrespiratoryBsymptomsBandBw
heezing.BChestBx-
rayBrevealsBaBradiopaqueBobjectBinBtheBleftBlowerBlobe.BTheBnurseBpreparesBtheBpatientBforB
a:B-BAnswerRigidBbronchoscopy



AB2-year-
oldBisBcryingBandBclingingBtoBtheBmotherBinBtriage.BWhichBofBtheBfollowingBpainBscalesBisBM
OSTBappropriateBforBtheBnurseBtoBuseBwhenBassessingBtheBchild?B-BAnswerFLACC

, AB2-month-
oldBpresentsBwithBirritabilityBandBisBinconsolable.BWhichBfindingBwouldBleadBtheBemergencyB
nurseBtoBsuspectBshakenBbabyBsyndrome?B-BAnswerBilateralBretinalBhemorrhages



ABchildBarrivesBbyBambulanceBfollowingBaBwitnessedBseizure.BAsBtheBnurseBisBpreparingBtoBst
artBaBperipheralBIV,BtheBchildBbeginsBtoBhaveBgeneralizedBseizureBactivity.BWhichBmedicationB
canBbeBgivenBintranasallyBtoBcontrolBtheBseizure?B-BAnswermidazolamB(Versed)



AnBinfantBpresentsBtoBtheBemergencyBdepartmentBwithBfeedingBintoleranceBafterB3BdaysBofBc
old-
likeBsymptoms.BUponBassessment,BtheBpatientBisBfoundBtoBhaveBanBalteredBmentalBstatus,Bsu
nkenBfontanels,BandBdecreasedBmuscleBtone.BVitalBsignsBareBasBfollows:

BPB66/30BmmHgHRB198Bbeats/minRRB50Bbreaths/minTB(rectal)B97.3B̊FB(36.3B̊C)

TheBPRIORITYBinterventionBisBtoB-BAnsweradministerBantibiotics.



ABnurseBisBcaringBforBaB3-year-
oldBthatBhasBaBdecreaseBinBhearingBandBpainBtoBrightBear.BUponBexam,BtheBnurseBnotesBim
pactedBcerumen.BTheBnurseBshouldBquestionBanBorderBforBirrigationBifBtheBcaregiverBmention
sBaBhistoryBofB-BAnswertympanicBmembraneBrupture.



AB16-year-
oldBpresentsBafterBrunningBaBcrossBcountryBmatch.BTheBpatientBisBextremelyBfatiguedBwithBm
uscleBpainBandBreportsBnauseaBandBdarkBurine.BTheBnurseBshouldBexpectBaBdiagnosisBofB-
BAnswerrhabdomyolysis



WhatBisBtheBPRIORITYBinterventionBforBaB4-year-
oldBchildBwhoBhasBaBfever,BmuffledBvoiceBandBpallor?B-BAnswerKeepBtheBpatientBcalm



ABpreschoolBchildBpresentsBforBpossibleBsexualBabuse.BTheBMOSTBappropriateBguidelineBwhen
BobtainingBaBhistoryBisBtoB-
BAnswerdetermineBwhatBtermsBtheBchildBusesBforBtheBgenitalBandBanalBareas



AB9-year-
oldBpresentsBwithBaBlegBthatBisBredBandBswollenBaroundBwhatBappearBtoBbeBtwoBfangBmark
s.BCapillaryBrefillBinBtheBtoesBisBwithinBnormalBlimitsBandBaBpedalBpulseBcanBbeBpalpated.BT
heBpatient'sBvitalBsignsBinclude:

BPB90/60BmmHgHRB100Bbeats/minRRB24Bbreaths/min