CPEN Nursing Exam – Certified Exam Questions with
Correct Solutions | Graded A+
Peds Assessment Triangle - Correct Answer- Apperance, WOB, and circulation
No touch
3 S's - Correct Answer- Sick: nothing abmornal
Sicker: acute disruption
Sickest: 2 or more disruptions
Urgent vs. Emergent - Correct Answer- U: need care within 24 hrs
E: threats to life, limb, or eyesight
4 components of Peds Triage - Correct Answer- PAT, initial assessment, triage hx, acuity
Gastric Lavage - Correct Answer- Needs to be done within 1 hr
Helpful if med slow gastric motility
Iron Ingestion
Tricyclic
Activated Charcoal - Correct Answer- Within 1hr
1gm/kg
Will not absorb alcohols, hydrocarbons, caustics, or heavy metals
Whole bowel Irrigation - Correct Answer- Golytely
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, CPEN Nursing Exam – Certified Exam
For iron, lead, sustained release
Acetaminophen Ingestion - Correct Answer- Liver damage
St.1: 12-24 hr- vague, N/V, anorexia, pallor
St.2: 1-4 days, latent
St.3: 72-96 hr hepatic necrosis
St.4: 7-8 days worse or better
4 hr level, Acetodote
Disc Batteries - Correct Answer- Remove immediately, fatal tissue injury
Methanol - Correct Answer- Windshield washer fld, gas additives
GI, CNS, and ocular: acidosis and CNS depression
Formic Acid damages optic nerve
Give Antidote: formepizole or ethanol inhibitors
Isopropyl Alcohol - Correct Answer- Rubbing alcohol, hand sanitizer
Absorbed by the GI tract, excreted by kidney, metabolized by liver
Ethanol - Correct Answer- alcoholic beverages, perfumes, mouthwash
hypoglycemia
Is the antidote for ethylene glycol and methanol
CNS depression
Ethylene glycol - Correct Answer- Antifreeze and deicer
GI, CNS, renal effects, acidosis
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