CPEN Nursing Certification Exam
CPEN Nursing Exam |100% Certified Questions with Solutions |
Graded A+
TEN 4 FACES P - Correct Answer- - mnemonic for suspicious bruising
- Torso, Ear, Neck in < 4 y/o
- Frenulum, Angle of jaw/Auricular, Cheeks, Eyelid, Sclera < 4 mo
- Patterned injuries
Abusive head trauma - Correct Answer- - triad of subdural hemorrhage
- retinal hemorrhage
- rib fractures
How do burns look in abuse? - Correct Answer- - immersion scald
- BL burn pattern
- sharp lines of demarcation
- sock or glove like burn
- skinfold sparing genital burns
What conditions can be mistaken for abuse? - Correct Answer- - Ehlers-Danlos - poor weight
gain
- OI - fx
- Henoch Schoenlein Purpura - symmetrical bruises on buttocks, arms, legs
Burn fluid BSA calc - Correct Answer- - >14 y/o = 500 mL/hr
- 6-13 y/o = 250 mL/hr
- <5 y/o = 125 mL/hr
1
, CPEN Nursing Certification Exam
ABA guidelines for burns (BSA) - Correct Answer- - ACE it
- Adult thermal = 2mL/kg x BSA for 24 hr
- Child thermal = 3 mL/kg x BSA for 24 hr
- Electrical = 4 mL/kg x BSA for 24 hr
What is the UOP goal for burns pt? - Correct Answer- - 0.5-1 mL/kg/hr (30-60 cc/hr) for adults
- 1-2 mL/kg/hr for peds
What fluid can be considered in peds pts? - Correct Answer- D5LR to maintain BG
Electrical burns - Correct Answer- - do not document entrance and exit wounds
- risk of compartment syndrome, rhabdo, AKI
- increase IVF to get UOP of at least 75-100 mL/hr
- risk for heart damage = Vfib or asystole
Organophosphate pesticide toxicity - Correct Answer- - cholinergic toxidrome
- tx: decontamination w/ soap and water, atropine, pralidoxime (2-PAM) until bronchial
secretions dry
Carbon Monoxide - Correct Answer- - pulse ox not accurate, serum
- HFNC tx
Cyanide - Correct Answer- - tx w/ hydroxocobalamin and sodium thiosulfate
What is one thing to know about hydroxocobalamin? - Correct Answer- turns urine red since it
metabolizes into B12
2
CPEN Nursing Exam |100% Certified Questions with Solutions |
Graded A+
TEN 4 FACES P - Correct Answer- - mnemonic for suspicious bruising
- Torso, Ear, Neck in < 4 y/o
- Frenulum, Angle of jaw/Auricular, Cheeks, Eyelid, Sclera < 4 mo
- Patterned injuries
Abusive head trauma - Correct Answer- - triad of subdural hemorrhage
- retinal hemorrhage
- rib fractures
How do burns look in abuse? - Correct Answer- - immersion scald
- BL burn pattern
- sharp lines of demarcation
- sock or glove like burn
- skinfold sparing genital burns
What conditions can be mistaken for abuse? - Correct Answer- - Ehlers-Danlos - poor weight
gain
- OI - fx
- Henoch Schoenlein Purpura - symmetrical bruises on buttocks, arms, legs
Burn fluid BSA calc - Correct Answer- - >14 y/o = 500 mL/hr
- 6-13 y/o = 250 mL/hr
- <5 y/o = 125 mL/hr
1
, CPEN Nursing Certification Exam
ABA guidelines for burns (BSA) - Correct Answer- - ACE it
- Adult thermal = 2mL/kg x BSA for 24 hr
- Child thermal = 3 mL/kg x BSA for 24 hr
- Electrical = 4 mL/kg x BSA for 24 hr
What is the UOP goal for burns pt? - Correct Answer- - 0.5-1 mL/kg/hr (30-60 cc/hr) for adults
- 1-2 mL/kg/hr for peds
What fluid can be considered in peds pts? - Correct Answer- D5LR to maintain BG
Electrical burns - Correct Answer- - do not document entrance and exit wounds
- risk of compartment syndrome, rhabdo, AKI
- increase IVF to get UOP of at least 75-100 mL/hr
- risk for heart damage = Vfib or asystole
Organophosphate pesticide toxicity - Correct Answer- - cholinergic toxidrome
- tx: decontamination w/ soap and water, atropine, pralidoxime (2-PAM) until bronchial
secretions dry
Carbon Monoxide - Correct Answer- - pulse ox not accurate, serum
- HFNC tx
Cyanide - Correct Answer- - tx w/ hydroxocobalamin and sodium thiosulfate
What is one thing to know about hydroxocobalamin? - Correct Answer- turns urine red since it
metabolizes into B12
2
