CPEN Practice Exam TEST MOD 001 with Actual Questions &
Answers 2023/2024
Peds Assessment Triangle correct answers Apperance, WOB, and circulation
No touch
3 S's correct answers Sick: nothing abmornal
Sicker: acute disruption
Sickest: 2 or more disruptions
Urgent vs. Emergent correct answers U: need care within 24 hrs
E: threats to life, limb, or eyesight
4 components of Peds Triage correct answers PAT, initial assessment, triage hx, acuity
Gastric Lavage correct answers Needs to be done within 1 hr
Helpful if med slow gastric motility
Iron Ingestion
Tricyclic
Activated Charcoal correct answers Within 1hr
1gm/kg
Will not absorb alcohols, hydrocarbons, caustics, or heavy metals
Whole bowel Irrigation correct answers Golytely
For iron, lead, sustained release
Acetaminophen Ingestion correct answers 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 answers Remove immediately, fatal tissue injury
Methanol correct answers 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 answers Rubbing alcohol, hand sanitizer
Absorbed by the GI tract, excreted by kidney, metabolized by liver
Ethanol correct answers alcoholic beverages, perfumes, mouthwash
hypoglycemia
, Is the antidote for ethylene glycol and methanol
CNS depression
Ethylene glycol correct answers Antifreeze and deicer
GI, CNS, renal effects, acidosis
Can develop sx after 12 hrs
Renal failure causes by calcium oxalate crystals in urine(occlude kidneys)
Give bicarb, antidote: formepizole, ethanol, pyridoxine
Tricyclic correct answers Any amt toxic to a child
CNS and cardiac problems(wide QRS), hypotension, anticholinergic symptoms
Bicarb for cardiac toxicity, lidocaine to prevent vent. dysrhythmias, benzos for sx
Ca Channel Blockers correct answers small amt lethal
Decontaminate GI
Monitor, Ca Chloride supplement, glucagon to increase HR, insulin
Digitalis correct answers Dysrhythmia, N/V, halos, increased K, brady, dec BP
Antidote: Dig Fab binds to to dig
Lomotil correct answers Mixture opioid and atropine-toxic
Delayed absorption
Lasts 24 hr
1 pill can be toxic
Hydrofluoric acid correct answers Call PC
rust removers, glass etch
causes local and systemic toxicity
Irrigate, watch Ca levels, hard to control pain
Opioids correct answers Clonidine: slows HR, hypotension
Treat with Narcan
Methemoglobinemia correct answers Blue baby, can be congenital or caused by the nitrates in well
water
treated with Methylene blue
Caustic Substances correct answers Ph of <2 or >12 greater injury
Similar to a burn
Ocular lesions:irrigate, pH before and after
Organophosphates correct answers Insecticides
MTWtHF syndrome: mydriasis, muscle twitching, muscle cramps, inc HR, weakness, HTN
SLUDGE: muscarinic- salivation, urination, defecation, gastric cramping, emesis
Bronchial secretions- give atropine
Anticholinergic/Antihistimines correct answers Benadryl: hot,dry, flushed, agitated, sx, tachy, CNS
depression
Answers 2023/2024
Peds Assessment Triangle correct answers Apperance, WOB, and circulation
No touch
3 S's correct answers Sick: nothing abmornal
Sicker: acute disruption
Sickest: 2 or more disruptions
Urgent vs. Emergent correct answers U: need care within 24 hrs
E: threats to life, limb, or eyesight
4 components of Peds Triage correct answers PAT, initial assessment, triage hx, acuity
Gastric Lavage correct answers Needs to be done within 1 hr
Helpful if med slow gastric motility
Iron Ingestion
Tricyclic
Activated Charcoal correct answers Within 1hr
1gm/kg
Will not absorb alcohols, hydrocarbons, caustics, or heavy metals
Whole bowel Irrigation correct answers Golytely
For iron, lead, sustained release
Acetaminophen Ingestion correct answers 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 answers Remove immediately, fatal tissue injury
Methanol correct answers 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 answers Rubbing alcohol, hand sanitizer
Absorbed by the GI tract, excreted by kidney, metabolized by liver
Ethanol correct answers alcoholic beverages, perfumes, mouthwash
hypoglycemia
, Is the antidote for ethylene glycol and methanol
CNS depression
Ethylene glycol correct answers Antifreeze and deicer
GI, CNS, renal effects, acidosis
Can develop sx after 12 hrs
Renal failure causes by calcium oxalate crystals in urine(occlude kidneys)
Give bicarb, antidote: formepizole, ethanol, pyridoxine
Tricyclic correct answers Any amt toxic to a child
CNS and cardiac problems(wide QRS), hypotension, anticholinergic symptoms
Bicarb for cardiac toxicity, lidocaine to prevent vent. dysrhythmias, benzos for sx
Ca Channel Blockers correct answers small amt lethal
Decontaminate GI
Monitor, Ca Chloride supplement, glucagon to increase HR, insulin
Digitalis correct answers Dysrhythmia, N/V, halos, increased K, brady, dec BP
Antidote: Dig Fab binds to to dig
Lomotil correct answers Mixture opioid and atropine-toxic
Delayed absorption
Lasts 24 hr
1 pill can be toxic
Hydrofluoric acid correct answers Call PC
rust removers, glass etch
causes local and systemic toxicity
Irrigate, watch Ca levels, hard to control pain
Opioids correct answers Clonidine: slows HR, hypotension
Treat with Narcan
Methemoglobinemia correct answers Blue baby, can be congenital or caused by the nitrates in well
water
treated with Methylene blue
Caustic Substances correct answers Ph of <2 or >12 greater injury
Similar to a burn
Ocular lesions:irrigate, pH before and after
Organophosphates correct answers Insecticides
MTWtHF syndrome: mydriasis, muscle twitching, muscle cramps, inc HR, weakness, HTN
SLUDGE: muscarinic- salivation, urination, defecation, gastric cramping, emesis
Bronchial secretions- give atropine
Anticholinergic/Antihistimines correct answers Benadryl: hot,dry, flushed, agitated, sx, tachy, CNS
depression
