CPEN EXAM
Practice Questions &
Rationales Flashcards
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,
, An anxious adolescent presents with palpitations, a heart D. SVT is defined as heart rate >220 in infants and >180 in children. Thus putting
rate of 184 beats/min, and normal skin tone. Which of the the child in SVT. Search and treat the cause. The PRIORITY intervention to provide
following is the PRIORITY intervention? comfort and reassurance could lower heart rate while preparing other interventions
A. Obtain urine drug screen. and assessments. Vagal maneuvers would be the next intervention, followed by
B. Administer IV adenosine (Adenocard) rapidly. adenosine.
C. Instruct the patient to bear down.
D. Provide comfort and reassurance.
Continuous monitoring of a child's ETCO2 during cardiac A. The 2010 guidelines recommended that if the partial pressure of ETCO2 is
arrest reveals 8 mmHg. This indicates that CPR is consistently less than 15 mm Hg efforts should focus on improving CPR quality,
A. ineffective and adjustments need to be made to particularly improving chest compressions and ensuring the child does not receive
compressions. excessive ventilations.
B. no longer needed; there is a return of spontaneous
circulation.
C. no longer needed; further resuscitation is futile.
D. ineffective and adjustments need to be made to
ventilation.
A child presents to emergency department with symptoms B. Implied Consent
of anaphylaxis after eating cookies at a birthday party. The
friend's parent is accompanying the child and is unable to
reach the parents. The nurse recognizes this legal issue as
A. informed consent.
B. implied consent.
C. an EMTALA violation.
D. a HIPPA violation.
9-month-old presents to the Emergency Department with a D. The patient does not have the development and coordination to ride a tricycle. A
mid-shaft tibia fracture. Which of the following statements 9-month-old can roll over and it is possible to fall and fracture their arm. Even
from the parent might indicate history of non-accidental though the patient was unrestrained, it may not involve NAT. A 9-month-old is often
trauma (NAT). crawling and, if the patient was not being watched, could have fallen off a deck and
A. Patient was being changed on top of a table and rolled again not be considered NAT.
off.
B. Patient was an unrestrained passenger in a motor
vehicle collision.
C. Patient was crawling on a deck and fell off
approximately 4 feet.
D. Patient was riding a tricycle and fell off
Which developmental task is expected in a toddler? D. Toddlers learn to exercise will and do things for themselves. Developmental task
A. industry of toddlerhood is acquiring a sense of autonomy. Several characteristics, especially
B. trust negativism and ritualism, are typical of toddlers.
C. initiative
D. autonomy
Following a motor vehicle collision, a patient is diagnosed B. The patient will be a paraplegic and may be able to complete movement with
with a C7 fracture and anterior spinal cord syndrome. The their arms. He will not be ventilator dependent or be able to ambulate
nurse understands this patient will: independently. He will be evaluated independently but will be unable to walk
A. will be able to ambulate with assistance
B. be wheelchair dependent
C. will regain most function at some point
D. be ventilator dependent
Which of the following is the BEST method to assess D. capnography is used to determine adequacy of ventilation. Oxygen saturation
adequacy of ventilation during procedural sedation? provides the percentage of hemoglobin carrying oxygen. Hypoventilation is detected
A. breath sounds more rapidly by capnography than by auscultation of breath sounds, oxygen
B. oxygen saturation saturation or respiratory rate.
C. respiratory rate
D. capnography value
A 2-year-old presents to the emergency department with C. Turning the patient to a side is part of the initial assessment to reduce the risk of
tonic-clonic movements which the caregivers report aspiration and tongue obstruction. There is no indication for an intraosseous needle
occurring for one minute prior to arrival. The priority as most antiseizure medications can be given via other routes. Currently, there is no
intervention is indication for intubation. Oxygen will not assist if the airway is not patent.
A. preparing for intubation.
B. administering oxygen via a nonrebreathing mask.
C. turning patient to the side.
D. placing an intraosseous needle.
Practice Questions &
Rationales Flashcards
Latest Already Graded A+
2026_2027 UPDATES
Questions And Answers
Solved 100% Correct
_Certified Study Resources
,
, An anxious adolescent presents with palpitations, a heart D. SVT is defined as heart rate >220 in infants and >180 in children. Thus putting
rate of 184 beats/min, and normal skin tone. Which of the the child in SVT. Search and treat the cause. The PRIORITY intervention to provide
following is the PRIORITY intervention? comfort and reassurance could lower heart rate while preparing other interventions
A. Obtain urine drug screen. and assessments. Vagal maneuvers would be the next intervention, followed by
B. Administer IV adenosine (Adenocard) rapidly. adenosine.
C. Instruct the patient to bear down.
D. Provide comfort and reassurance.
Continuous monitoring of a child's ETCO2 during cardiac A. The 2010 guidelines recommended that if the partial pressure of ETCO2 is
arrest reveals 8 mmHg. This indicates that CPR is consistently less than 15 mm Hg efforts should focus on improving CPR quality,
A. ineffective and adjustments need to be made to particularly improving chest compressions and ensuring the child does not receive
compressions. excessive ventilations.
B. no longer needed; there is a return of spontaneous
circulation.
C. no longer needed; further resuscitation is futile.
D. ineffective and adjustments need to be made to
ventilation.
A child presents to emergency department with symptoms B. Implied Consent
of anaphylaxis after eating cookies at a birthday party. The
friend's parent is accompanying the child and is unable to
reach the parents. The nurse recognizes this legal issue as
A. informed consent.
B. implied consent.
C. an EMTALA violation.
D. a HIPPA violation.
9-month-old presents to the Emergency Department with a D. The patient does not have the development and coordination to ride a tricycle. A
mid-shaft tibia fracture. Which of the following statements 9-month-old can roll over and it is possible to fall and fracture their arm. Even
from the parent might indicate history of non-accidental though the patient was unrestrained, it may not involve NAT. A 9-month-old is often
trauma (NAT). crawling and, if the patient was not being watched, could have fallen off a deck and
A. Patient was being changed on top of a table and rolled again not be considered NAT.
off.
B. Patient was an unrestrained passenger in a motor
vehicle collision.
C. Patient was crawling on a deck and fell off
approximately 4 feet.
D. Patient was riding a tricycle and fell off
Which developmental task is expected in a toddler? D. Toddlers learn to exercise will and do things for themselves. Developmental task
A. industry of toddlerhood is acquiring a sense of autonomy. Several characteristics, especially
B. trust negativism and ritualism, are typical of toddlers.
C. initiative
D. autonomy
Following a motor vehicle collision, a patient is diagnosed B. The patient will be a paraplegic and may be able to complete movement with
with a C7 fracture and anterior spinal cord syndrome. The their arms. He will not be ventilator dependent or be able to ambulate
nurse understands this patient will: independently. He will be evaluated independently but will be unable to walk
A. will be able to ambulate with assistance
B. be wheelchair dependent
C. will regain most function at some point
D. be ventilator dependent
Which of the following is the BEST method to assess D. capnography is used to determine adequacy of ventilation. Oxygen saturation
adequacy of ventilation during procedural sedation? provides the percentage of hemoglobin carrying oxygen. Hypoventilation is detected
A. breath sounds more rapidly by capnography than by auscultation of breath sounds, oxygen
B. oxygen saturation saturation or respiratory rate.
C. respiratory rate
D. capnography value
A 2-year-old presents to the emergency department with C. Turning the patient to a side is part of the initial assessment to reduce the risk of
tonic-clonic movements which the caregivers report aspiration and tongue obstruction. There is no indication for an intraosseous needle
occurring for one minute prior to arrival. The priority as most antiseizure medications can be given via other routes. Currently, there is no
intervention is indication for intubation. Oxygen will not assist if the airway is not patent.
A. preparing for intubation.
B. administering oxygen via a nonrebreathing mask.
C. turning patient to the side.
D. placing an intraosseous needle.
