CPEN BCEN test
9-month-old presents to the Emergency Department with a mid-shaft tibia fracture. Which of the
following statements from the parent might indicate history of non-accidental trauma (NAT). -
ANS-Patient was riding a tricycle and fell off
A 1-year-old presents unconscious and is being ventilated with a bag-mask device. Ventilation
has become progressively more difficult. Which of the following is the PRIORITY intervention? -
ANS-Place padding under the shoulders.
A 10-year-old presents to the emergency department with abdominal pain, vomiting and a
sudden onset of scrotal pain with swelling. The parent states that the symptoms started
approximately one hour ago while the child was playing outside. The nurse should anticipate
which diagnostic test will be ordered? - ANS-ultrasound
A 10-year-old who was playing soccer arrives complaining of right shoulder pain. A diagnosis of
a clavicle fracture is made. The nurse understands the discharge instructions are effective when
the patient states - ANS-"I will wear my sling every day until the doctor says I don't have to."
A 12-month-old presents with a 2-day history of nausea and vomiting. Vital signs include:
BP 80/60 mm HgHR 56 beats/minRR 12 breaths/min
The child is limp and ashen. Which of the following is the PRIORITY intervention? -
ANS-manual ventilations
A 12-year-old male presents after losing a tooth when he crashed his bike. Which of the
following can be done to preserve the tooth until emergency dental care is available? -
ANS-Rinse the tooth and place it back in the socket.
A 12-year-old presents with low-grade fever and diffuse abdominal pain which increases with
coughing. These symptoms suggest - ANS-appendicitis
A 14-year-old male presents with the caregiver. He recently experienced the loss of a
classmate. The caregiver reports recent poor attendance at school accompanied by weight loss,
hypersomnia, limited interaction with the caregiver and a desire to be with the deceased
classmate.
Prior to discharge and away from the patient, what is the PRIORITY question to ask the
caregiver? - ANS-"Are there any guns in the house?"
A 16-year-old boy presents with gradual onset of left scrotal pain, fever, and abdominal pain.
These symptoms are suggestive of - ANS-epididymitis
A 16-year-old is brought to the Emergency Department by friends following a seizure. They
report it lasted about two minutes and broke up the party. The priority diagnostic test is: - ANS-a
urine drug screen.
A 16-year-old presents after running a cross country match. The patient is extremely fatigued
with muscle pain and reports nausea and dark urine. The nurse should expect a diagnosis of -
ANS-rhabdomyolysis
A 2-month-old presents with difficulty breathing associated with tachypnea, mild retractions, and
copious amounts of nasal drainage. The MOST appropriate intervention is to - ANS-suction the
nares
, A 2-month-old presents with irritability and is inconsolable. Which finding would lead the
emergency nurse to suspect shaken baby syndrome? - ANS-Bilateral retinal hemorrhages
A 2-year-old child has not used his left arm for the past hour. His mother reported grabbing his
hand to prevent him from falling from a slide. The nurse should suspect - ANS-subluxation of
the radial head
A 2-year-old is crying and clinging to the mother in triage. Which of the following pain scales is
MOST appropriate for the nurse to use when assessing the child? - ANS-FLACC
A 2-year-old presents to the emergency department with tonic-clonic movements which the
caregivers report occurring for one minute prior to arrival. The priority intervention is -
ANS-turning patient to the side.
A 2-year-old presents with a left thigh deformity after tripping over a toy. Further assessment
and diagnostic studies show a left femur fracture, multiple healed fractures to bilateral legs, and
blue-tinted sclera. The nurse is suspicious for - ANS-osteogenesis imperfecta.
A 2-year-old with known cardiac history is brought in by ambulance for prolonged cyanosis
following a temper tantrum. Treatment for this child would include - ANS-morphine
A 22-month-old presents after drinking windshield wiper fluid. Symptoms of this ingestion
include - ANS-vomiting, diarrhea, ataxia, and visual impairment.
A 3-year-old child presents following 36 hours of vomiting and diarrhea. Vital signs include:
BP 78/45 mm HgHR 150 beats/minRR 38 breaths/minTemp 100.4° F (38° C)O2 sat 94% -
ANS-intravenous volume replacement at 20 mL/kg
A 3-year-old is being admitted following a submersion injury in a swimming pool. The patient is
alert and responds appropriately. The following vital signs are noted:
BP 80/40 mmHgHR 88 beats/minRR 24 breaths/min
A student nurse questions the need for admission. An appropriate response is that the patient: -
ANS-"needs to monitored for cerebral edema."
A 3-year-old presents with nausea, vomiting, and diarrhea for 5 days. The vital signs are:
BP 85/45 mm HgHR 136 beats/minRR 32 breaths/minT (rectal) 100.0o F (37.8o C)O2 sat 96%
on room air
The nurse should anticipate orders for: - ANS-oral rehydration
A 4-month-old presents with excessive crying. Assessment reveals a red swollen penis. The
nurse should be concerned that the child may be suffering from - ANS-a hair tourniquet.
A 4-week-old infant is brought to the emergency department by her father who states the infant
has been vomiting "forcefully" after each feeding but then wants to feed again immediately after.
The nurse suspects - ANS-pyloric stenosis.
A 4-year child presents with abdominal pain and is crying. Which pain scale would be most
appropriate for the nurse to use? - ANS-Faces scale
A 5-day-old neonate is diagnosed with hyperbilirubinemia. If left untreated, the infant may have
long-term issues with - ANS-intellectual deficits.
A 5-day-old patient presents with feeding intolerance, lethargy, temperature instability, and
apnea. The nurse has a high suspicion for - ANS-neonatal sepsis.
A 5-week-old infant is brought in with a 2-day history of profuse vomiting after every feeding,
constant hunger, and decreased wet diaper count. The infant has sunken eyes and dry mucus
membranes. Vital signs include:
BP 61/32 mm HgHR 184 beats/minRR 56 breaths/minCap refill 2 seconds
9-month-old presents to the Emergency Department with a mid-shaft tibia fracture. Which of the
following statements from the parent might indicate history of non-accidental trauma (NAT). -
ANS-Patient was riding a tricycle and fell off
A 1-year-old presents unconscious and is being ventilated with a bag-mask device. Ventilation
has become progressively more difficult. Which of the following is the PRIORITY intervention? -
ANS-Place padding under the shoulders.
A 10-year-old presents to the emergency department with abdominal pain, vomiting and a
sudden onset of scrotal pain with swelling. The parent states that the symptoms started
approximately one hour ago while the child was playing outside. The nurse should anticipate
which diagnostic test will be ordered? - ANS-ultrasound
A 10-year-old who was playing soccer arrives complaining of right shoulder pain. A diagnosis of
a clavicle fracture is made. The nurse understands the discharge instructions are effective when
the patient states - ANS-"I will wear my sling every day until the doctor says I don't have to."
A 12-month-old presents with a 2-day history of nausea and vomiting. Vital signs include:
BP 80/60 mm HgHR 56 beats/minRR 12 breaths/min
The child is limp and ashen. Which of the following is the PRIORITY intervention? -
ANS-manual ventilations
A 12-year-old male presents after losing a tooth when he crashed his bike. Which of the
following can be done to preserve the tooth until emergency dental care is available? -
ANS-Rinse the tooth and place it back in the socket.
A 12-year-old presents with low-grade fever and diffuse abdominal pain which increases with
coughing. These symptoms suggest - ANS-appendicitis
A 14-year-old male presents with the caregiver. He recently experienced the loss of a
classmate. The caregiver reports recent poor attendance at school accompanied by weight loss,
hypersomnia, limited interaction with the caregiver and a desire to be with the deceased
classmate.
Prior to discharge and away from the patient, what is the PRIORITY question to ask the
caregiver? - ANS-"Are there any guns in the house?"
A 16-year-old boy presents with gradual onset of left scrotal pain, fever, and abdominal pain.
These symptoms are suggestive of - ANS-epididymitis
A 16-year-old is brought to the Emergency Department by friends following a seizure. They
report it lasted about two minutes and broke up the party. The priority diagnostic test is: - ANS-a
urine drug screen.
A 16-year-old presents after running a cross country match. The patient is extremely fatigued
with muscle pain and reports nausea and dark urine. The nurse should expect a diagnosis of -
ANS-rhabdomyolysis
A 2-month-old presents with difficulty breathing associated with tachypnea, mild retractions, and
copious amounts of nasal drainage. The MOST appropriate intervention is to - ANS-suction the
nares
, A 2-month-old presents with irritability and is inconsolable. Which finding would lead the
emergency nurse to suspect shaken baby syndrome? - ANS-Bilateral retinal hemorrhages
A 2-year-old child has not used his left arm for the past hour. His mother reported grabbing his
hand to prevent him from falling from a slide. The nurse should suspect - ANS-subluxation of
the radial head
A 2-year-old is crying and clinging to the mother in triage. Which of the following pain scales is
MOST appropriate for the nurse to use when assessing the child? - ANS-FLACC
A 2-year-old presents to the emergency department with tonic-clonic movements which the
caregivers report occurring for one minute prior to arrival. The priority intervention is -
ANS-turning patient to the side.
A 2-year-old presents with a left thigh deformity after tripping over a toy. Further assessment
and diagnostic studies show a left femur fracture, multiple healed fractures to bilateral legs, and
blue-tinted sclera. The nurse is suspicious for - ANS-osteogenesis imperfecta.
A 2-year-old with known cardiac history is brought in by ambulance for prolonged cyanosis
following a temper tantrum. Treatment for this child would include - ANS-morphine
A 22-month-old presents after drinking windshield wiper fluid. Symptoms of this ingestion
include - ANS-vomiting, diarrhea, ataxia, and visual impairment.
A 3-year-old child presents following 36 hours of vomiting and diarrhea. Vital signs include:
BP 78/45 mm HgHR 150 beats/minRR 38 breaths/minTemp 100.4° F (38° C)O2 sat 94% -
ANS-intravenous volume replacement at 20 mL/kg
A 3-year-old is being admitted following a submersion injury in a swimming pool. The patient is
alert and responds appropriately. The following vital signs are noted:
BP 80/40 mmHgHR 88 beats/minRR 24 breaths/min
A student nurse questions the need for admission. An appropriate response is that the patient: -
ANS-"needs to monitored for cerebral edema."
A 3-year-old presents with nausea, vomiting, and diarrhea for 5 days. The vital signs are:
BP 85/45 mm HgHR 136 beats/minRR 32 breaths/minT (rectal) 100.0o F (37.8o C)O2 sat 96%
on room air
The nurse should anticipate orders for: - ANS-oral rehydration
A 4-month-old presents with excessive crying. Assessment reveals a red swollen penis. The
nurse should be concerned that the child may be suffering from - ANS-a hair tourniquet.
A 4-week-old infant is brought to the emergency department by her father who states the infant
has been vomiting "forcefully" after each feeding but then wants to feed again immediately after.
The nurse suspects - ANS-pyloric stenosis.
A 4-year child presents with abdominal pain and is crying. Which pain scale would be most
appropriate for the nurse to use? - ANS-Faces scale
A 5-day-old neonate is diagnosed with hyperbilirubinemia. If left untreated, the infant may have
long-term issues with - ANS-intellectual deficits.
A 5-day-old patient presents with feeding intolerance, lethargy, temperature instability, and
apnea. The nurse has a high suspicion for - ANS-neonatal sepsis.
A 5-week-old infant is brought in with a 2-day history of profuse vomiting after every feeding,
constant hunger, and decreased wet diaper count. The infant has sunken eyes and dry mucus
membranes. Vital signs include:
BP 61/32 mm HgHR 184 beats/minRR 56 breaths/minCap refill 2 seconds
