2025 CPEN BCEN STUDY GUIDE EXAM QUESTIONS
EVALUATION WITH ANSWERS GRADED A+ 2025/2026
BP 78/45 mm HgHR 150 beats/minRR 38 breaths/minTemp 100.4° F (38° C)O2 sat
94% - intravenous volume replacement at 20 mL/kg
When discharging a patient home with maxillomandibular fixation in place, the nurse
recognizes the MOST important item for the caregivers to keep with them at all times is:
- Wire cutters
The Pediatric Assessment Triangle (PAT) reveals that a 6 month old has decreased
muscle tone, head bobbing with respirations, and pale skin color. The PRIORITY
intervention is to - place on a stretcher and reposition the airway.
A diagnosis of intussusception is made on a 2-year-old. The nurse should anticipate an
initial treatment of - an air enema
A child complains of headache, nausea, and dizziness shortly after moving to an older
home. Which of the following interventions is MOST appropriate? - Obtain
carboxyhemoglobin level
A 6-year-old female presents for a possible urinary tract infection. During assessment,
patchy areas of hair loss are noted. The nurse should also consider - physical abuse
A 4-year child presents with abdominal pain and is crying. Which pain scale would be
most appropriate for the nurse to use? - Faces scale
A child presents with a right eye injury after being hit with a bat. Assessment findings
include a misshapen pupil, sunken eye socket and loss of vision in the right eye. The
injury the nurse should be expected is - globe rupture
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 - suction the nares
A child with hemophilia presents with pain and swelling to the elbow. Factor
replacement was administered by the caregivers prior to arrival. Pain is rated as 8 out of
10. The nurse's MOST appropriate intervention is to - obtain an order for a narcotic
analgesic
An afebrile 12-year-old male is complaining of abdominal pain, nausea and vomiting
upon waking. What information is a PRIORITY for the nurse to obtain? - "Have you had
any trauma to your abdomen?"
A child suspected of having mumps requires which type of isolation precautions? -
droplet
, While caring for an intubated patient, the nurse notices a sudden drop in end tidal
carbon dioxide from 38 mmHg to 22 mmHg. The nurse immediately suspects? - tube
obstruction
Which of the following pediatric patients should be referred to a burn center? - A patient
with approximately 3% partial thickness burns to the wrist.
A patient presents with a painful swollen pustule on the eyelid at the eyelash line
without vision changes. The nurse should anticipate the use of - ophthalmic antibiotics.
An infant presents with grunting respirations, faint heart sounds, and decreased
peripheral perfusion. Which of the following is the PRIORITY action? - Reposition the
airway.
A toddler presents with 6 days of fever, irritability, and a rash. The nurse notes an
enlarged reddened tongue and cracked lips. Which of the following orders should the
nurse anticipate? - echocardiogram
A child recently diagnosed with lymphoma presents with fatigue, abdominal fullness,
and decreased urinary output. A diagnosis of tumor lysis syndrome has been made.
Which of the following interventions should the nurse anticipate? - Administer allopurinol
(Zyloprim).
After receiving the medications for an allergic reaction to an unknown substance, what
discharge instructions should the nurse reinforce prior to discharge? - "Keep a record of
everything the child eats."
A 5-day-old neonate is diagnosed with hyperbilirubinemia. If left untreated, the infant
may have long-term issues with - intellectual deficits.
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? - Place padding under the shoulders.
A 6-year-old presents to triage. The caregiver reports the child is pulling at their ears
and is restless. Vital signs are as follows:
BP: 90/50 mmHgHR: 168 beats/minRR: 36 breaths/minTemperature: 99.5˚ F (37.5˚C),
axillary
A priority question during a review of the child's history is: - "When the last time they
had pain medication?"
Which of the following patients presenting with genitourinary complaints should be
treated FIRST? - 8-year-old male with paraphimosis
EVALUATION WITH ANSWERS GRADED A+ 2025/2026
BP 78/45 mm HgHR 150 beats/minRR 38 breaths/minTemp 100.4° F (38° C)O2 sat
94% - intravenous volume replacement at 20 mL/kg
When discharging a patient home with maxillomandibular fixation in place, the nurse
recognizes the MOST important item for the caregivers to keep with them at all times is:
- Wire cutters
The Pediatric Assessment Triangle (PAT) reveals that a 6 month old has decreased
muscle tone, head bobbing with respirations, and pale skin color. The PRIORITY
intervention is to - place on a stretcher and reposition the airway.
A diagnosis of intussusception is made on a 2-year-old. The nurse should anticipate an
initial treatment of - an air enema
A child complains of headache, nausea, and dizziness shortly after moving to an older
home. Which of the following interventions is MOST appropriate? - Obtain
carboxyhemoglobin level
A 6-year-old female presents for a possible urinary tract infection. During assessment,
patchy areas of hair loss are noted. The nurse should also consider - physical abuse
A 4-year child presents with abdominal pain and is crying. Which pain scale would be
most appropriate for the nurse to use? - Faces scale
A child presents with a right eye injury after being hit with a bat. Assessment findings
include a misshapen pupil, sunken eye socket and loss of vision in the right eye. The
injury the nurse should be expected is - globe rupture
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 - suction the nares
A child with hemophilia presents with pain and swelling to the elbow. Factor
replacement was administered by the caregivers prior to arrival. Pain is rated as 8 out of
10. The nurse's MOST appropriate intervention is to - obtain an order for a narcotic
analgesic
An afebrile 12-year-old male is complaining of abdominal pain, nausea and vomiting
upon waking. What information is a PRIORITY for the nurse to obtain? - "Have you had
any trauma to your abdomen?"
A child suspected of having mumps requires which type of isolation precautions? -
droplet
, While caring for an intubated patient, the nurse notices a sudden drop in end tidal
carbon dioxide from 38 mmHg to 22 mmHg. The nurse immediately suspects? - tube
obstruction
Which of the following pediatric patients should be referred to a burn center? - A patient
with approximately 3% partial thickness burns to the wrist.
A patient presents with a painful swollen pustule on the eyelid at the eyelash line
without vision changes. The nurse should anticipate the use of - ophthalmic antibiotics.
An infant presents with grunting respirations, faint heart sounds, and decreased
peripheral perfusion. Which of the following is the PRIORITY action? - Reposition the
airway.
A toddler presents with 6 days of fever, irritability, and a rash. The nurse notes an
enlarged reddened tongue and cracked lips. Which of the following orders should the
nurse anticipate? - echocardiogram
A child recently diagnosed with lymphoma presents with fatigue, abdominal fullness,
and decreased urinary output. A diagnosis of tumor lysis syndrome has been made.
Which of the following interventions should the nurse anticipate? - Administer allopurinol
(Zyloprim).
After receiving the medications for an allergic reaction to an unknown substance, what
discharge instructions should the nurse reinforce prior to discharge? - "Keep a record of
everything the child eats."
A 5-day-old neonate is diagnosed with hyperbilirubinemia. If left untreated, the infant
may have long-term issues with - intellectual deficits.
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? - Place padding under the shoulders.
A 6-year-old presents to triage. The caregiver reports the child is pulling at their ears
and is restless. Vital signs are as follows:
BP: 90/50 mmHgHR: 168 beats/minRR: 36 breaths/minTemperature: 99.5˚ F (37.5˚C),
axillary
A priority question during a review of the child's history is: - "When the last time they
had pain medication?"
Which of the following patients presenting with genitourinary complaints should be
treated FIRST? - 8-year-old male with paraphimosis
