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CPEN BCEN Practice Test 2025/2026 – 100 Pediatric Emergency Nursing Questions & Correct Answers on Trauma, Seizures, Shock, Abuse, Cardiac Arrest & More

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This CPEN (Certified Pediatric Emergency Nurse) exam prep guide for 2025/2026, aligned with the BCEN (Board of Certification for Emergency Nursing) standards, includes 100 thoroughly verified questions and correct answers designed to replicate the content, tone, and difficulty of the official certification exam. The document presents clinical, scenario-based multiple-choice questions covering all major CPEN exam domains, including: Pediatric trauma management: fractures, head injuries, asphyxia, burns, snake bites, and vehicle collisions Medical emergencies: seizures, anaphylaxis, meningitis, asthma, RSV, diabetes complications, and poisoning Shock and resuscitation: types of pediatric shock, fluid resuscitation strategies, CPR quality (e.g., ETCO₂ interpretation), and airway management Toxicology and ingestion: exposure to household chemicals, formula dilution, carbon monoxide poisoning, and botulism Child abuse and non-accidental trauma (NAT): indicators, documentation, and mandated reporting Psychosocial and developmental emergencies: suicide risk, mental health presentations, PAT assessment, and family-centered care Legal and ethical issues: consent, mandated reporting, and federal emergency care regulations (e.g., EMTALA) This document is ideal for: Pediatric emergency nurses (ED nurses) preparing for the CPEN certification Nursing students specializing in pediatric or emergency nursing BSN/MSN candidates in acute care or pediatric-focused programs Healthcare professionals in pediatric trauma units or EDs Nurse educators seeking realistic case-based questions for review courses Each question includes the correct answer clearly marked, providing a rapid, self-paced review format that enhances clinical reasoning and exam readiness. This is a high-yield, exam-aligned tool for first-time test takers and recertifying professionals alike. Keywords: CPEN, BCEN, pediatric emergency nursing, trauma care, pediatric seizures, airway management, pediatric shock, child abuse indicators, anaphylaxis, head injury, non-accidental trauma, toxic ingestion, pediatric CPR, meningitis, PAT triangle, EMS response, pediatric resuscitation, nursing certification, pediatric legal consent, acute pediatric care

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CPEN BCEN Test 2025/2026 Exam
Questions and Answers | A+ Score
Assured



A 6-year-old presents with a homemade splint on the left arm after falling off of a

bicycle. Which of the following should be the nurse's PRIORITY? - 🧠ANSWER

✔✔Assess the neurovascular status


A 12-year-old presents with low-grade fever and diffuse abdominal pain which

increases with coughing. These symptoms suggest - 🧠ANSWER ✔✔appendicitis


When assessing an infant with coarctation of the aorta, a nurse should expect to

find - 🧠ANSWER ✔✔absent or diminished femoral pulses


Continuous monitoring of a child's ETCO2 during cardiac arrest reveals 8 mmHg.

This indicates that CPR is - 🧠ANSWER ✔✔ineffective and adjustments need to be

made to compressions

Abdominal pain can be a characteristic of which respiratory diagnosis? -

🧠ANSWER ✔✔pneumonia

,Which of the following is the NEXT step for a newborn with a heart rate of 80

beats/min after initial drying and suctioning? - 🧠ANSWER ✔✔Initiate ventilations


Following a diagnosis of hyphema, discharge instructions to the care giver should

include - 🧠ANSWER ✔✔re-bleeding may occur


Which of the following is the treatment of choice for a lethargic neonate with

narrow complex tachycardia and a heart rate of 230 beats/min? - 🧠ANSWER

✔✔cardioversion


A child presents with a fever, sore throat, and general malaise approximately 48

hours after a camping trip. It would be a PRIORITY for the nurse to - 🧠ANSWER

✔✔examine the child for open wounds.


Which of the following is a common sign of meningococcal meningitis? -

🧠ANSWER ✔✔petechiae


A patient is receiving intravenous potassium replacement. The nurse suspects

hyperkalemia based on which the following: - 🧠ANSWER ✔✔peaked T waves


The nurse should anticipate notifying the proper authorities for which of the

following patients? - 🧠ANSWER ✔✔6-year-old with positive gonorrhea




COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
2
STATEMENT. ALL RIGHTS RESERVED

, Which of the following is MOST indicative of compartment syndrome? -

🧠ANSWER ✔✔pain out of proportion to the severity of the injury


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: - 🧠ANSWER ✔✔a urine drug screen.


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). - 🧠ANSWER ✔✔Patient was riding a tricycle and fell

off

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? - 🧠ANSWER ✔✔manual ventilations


A 6-year-old presents with a sudden onset of fever, chills, and macular rash of the

palms, wrist, ankles, and soles of the feet. The child was recently on a camping

trip. The nurse suspects - 🧠ANSWER ✔✔Rocky Mountain Spotted Fever




COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED

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