CERTIFIED PEDIATRIC EMERGENCY
NURSE— BOARD OF CERTIFICATION FOR
EMERGENCY NURSING (CPEN) | COMPLETE
EXAM WITH CORRECT 100% VERIFIED
ANSWERS
The most common cause of respiratory distress in infants is:
A. Asthma
B. Bronchiolitis
C. Pneumonia
D. Epiglottitis
Answer: B
Rationale: Viral bronchiolitis is the leading cause in infants.
2. A child with croup typically presents with:
A. Wheezing
B. Barking cough
C. Productive cough
D. Hemoptysis
Answer: B
Rationale: Inspiratory stridor and barking cough are classic.
,3. First priority in pediatric trauma assessment:
A. Vital signs
B. Airway
C. IV access
D. History
Answer: B
Rationale: Airway is always first in ABCs.
4. Normal capillary refill time in children:
A. <1 second
B. ≤2 seconds
C. ≤4 seconds
D. ≤5 seconds
Answer: B
Rationale: ≤2 seconds indicates adequate perfusion.
5. A key sign of respiratory failure in children:
A. Tachypnea
B. Nasal flaring
C. Bradycardia
D. Retractions
Answer: C
Rationale: Bradycardia is a late and dangerous sign.
,6. The most common cause of shock in children:
A. Cardiogenic
B. Hypovolemic
C. Septic
D. Neurogenic
Answer: B
Rationale: Usually due to dehydration or hemorrhage.
7. First-line treatment for pediatric anaphylaxis:
A. Diphenhydramine
B. Epinephrine IM
C. Steroids
D. Oxygen only
Answer: B
Rationale: Epinephrine reverses airway and circulatory
collapse.
8. Pediatric medication dosing is based primarily on:
A. Age
B. Height
C. Weight
D. Gender
, Answer: C
Rationale: Weight-based dosing ensures accuracy.
9. A sunken fontanelle suggests:
A. Increased ICP
B. Dehydration
C. Infection
D. Trauma
Answer: B
Rationale: Indicates volume depletion.
10. The most common cause of pediatric cardiac arrest:
A. Arrhythmia
B. Respiratory failure
C. Myocardial infarction
D. Trauma
Answer: B
Rationale: Arrest is usually secondary to hypoxia.
11. Signs of severe dehydration in a child include:
A. Moist mucous membranes
B. Normal urine output
C. Delayed capillary refill
NURSE— BOARD OF CERTIFICATION FOR
EMERGENCY NURSING (CPEN) | COMPLETE
EXAM WITH CORRECT 100% VERIFIED
ANSWERS
The most common cause of respiratory distress in infants is:
A. Asthma
B. Bronchiolitis
C. Pneumonia
D. Epiglottitis
Answer: B
Rationale: Viral bronchiolitis is the leading cause in infants.
2. A child with croup typically presents with:
A. Wheezing
B. Barking cough
C. Productive cough
D. Hemoptysis
Answer: B
Rationale: Inspiratory stridor and barking cough are classic.
,3. First priority in pediatric trauma assessment:
A. Vital signs
B. Airway
C. IV access
D. History
Answer: B
Rationale: Airway is always first in ABCs.
4. Normal capillary refill time in children:
A. <1 second
B. ≤2 seconds
C. ≤4 seconds
D. ≤5 seconds
Answer: B
Rationale: ≤2 seconds indicates adequate perfusion.
5. A key sign of respiratory failure in children:
A. Tachypnea
B. Nasal flaring
C. Bradycardia
D. Retractions
Answer: C
Rationale: Bradycardia is a late and dangerous sign.
,6. The most common cause of shock in children:
A. Cardiogenic
B. Hypovolemic
C. Septic
D. Neurogenic
Answer: B
Rationale: Usually due to dehydration or hemorrhage.
7. First-line treatment for pediatric anaphylaxis:
A. Diphenhydramine
B. Epinephrine IM
C. Steroids
D. Oxygen only
Answer: B
Rationale: Epinephrine reverses airway and circulatory
collapse.
8. Pediatric medication dosing is based primarily on:
A. Age
B. Height
C. Weight
D. Gender
, Answer: C
Rationale: Weight-based dosing ensures accuracy.
9. A sunken fontanelle suggests:
A. Increased ICP
B. Dehydration
C. Infection
D. Trauma
Answer: B
Rationale: Indicates volume depletion.
10. The most common cause of pediatric cardiac arrest:
A. Arrhythmia
B. Respiratory failure
C. Myocardial infarction
D. Trauma
Answer: B
Rationale: Arrest is usually secondary to hypoxia.
11. Signs of severe dehydration in a child include:
A. Moist mucous membranes
B. Normal urine output
C. Delayed capillary refill
