CPEN-Certification Exam | Pediatric Emergency Nursing Exam
CPEN-Triage Certification Exam – 100% Correct Questions and
Answers | Pediatric Emergency Nursing Exam | Graded A+
Pediatric Assessment Triangle - Correct Answer- appearance, work of breathing, circulation to
skin
Characteristics of apperance - Correct Answer- "sick" vs "not sick", age appropriate behavior,
know dev't baseline
define critical, emergent, urgent, non-urgent - Correct Answer- Critical-requires immediate care
or intervention; Emergent-requires care or intervention w/in 10 mins; Urgent-requires care w/in 1
hour Non-urgent-does not require care
Factors that affect triage assessment - Correct Answer- dev't stage, common illness/injury, risk
factors of abuse, compensatory mechanisms, potential for rapid deterioration, parental concerns
& perceptions, child communication, portability of child, alternative treatments, lack of primary
care
Triage Red Flags - Correct Answer- Apnea, choking, drooling; stridor, grunting, inc use of acc
muscles; RR >60; HR <60 or >200; AMS, LOC, or listless, Temp >40; severe pain; cyanosis;
tachycardia & bradycardia, petechiae, purpura; new onset seizure acitvity, injuries not matching
mechanism
Triage history - Correct Answer- C-Chief complaint
I-Immunizations or isolation
A-Allergies to food, meds, latex
M-Medications
P-Past med, surg, behavioral health hx
1
, CPEN-Certification Exam | Pediatric Emergency Nursing Exam
E-Events surrounding illness
D-Diet & diapers
S-Symptoms w/ this illness
Triage interventions - Correct Answer- isolaton, protocols (labs, xrays, meds), pt disposition,
documentation
Describe symptoms of heat cramps - Correct Answer- involves large muscle groups (esp quads &
hamstrings). Sudden, painful muscle spasm, normal to slightly inc body temp, normal mental
status.
Nursing interventions for heat cramps - Correct Answer- move to cool environment, oral fluid
replacement, IV 20ml/kg NSS
Symptoms of heat exhaustion - Correct Answer- Results from exposure to high temps, excessive
sweating, & insufficient fluid &/or salt replacement. Fatigue, HA/N/V, diarrhea & muscle
cramps, hypotension, mild changes in MS, moist skin & profuse sweating
Treatment of heat exhaustion - Correct Answer- cool environment, oral or IV fluids, spray water
over body to inc evaporation, use pan to inc convective heat loss
Describe heat stroke - Correct Answer- can result from s un's direct exposure, high
environmental temp, temp >41 C & body is overwhelmed & unable to sweat, early neuro
symptoms & profound fluid depletion
Signs of heat stroke - Correct Answer- Emergency! N/V/HA, neuro changes like ataxia,
confusion & disorientation to coma
Treatment for heat stroke - Correct Answer- secure airway for intubation, establish PIV, monitor
VS & LOC continuously, foley, rapid cooling, valium for excessive shivering, flushed skin (hot
& dry), tachy, hypotension
2
CPEN-Triage Certification Exam – 100% Correct Questions and
Answers | Pediatric Emergency Nursing Exam | Graded A+
Pediatric Assessment Triangle - Correct Answer- appearance, work of breathing, circulation to
skin
Characteristics of apperance - Correct Answer- "sick" vs "not sick", age appropriate behavior,
know dev't baseline
define critical, emergent, urgent, non-urgent - Correct Answer- Critical-requires immediate care
or intervention; Emergent-requires care or intervention w/in 10 mins; Urgent-requires care w/in 1
hour Non-urgent-does not require care
Factors that affect triage assessment - Correct Answer- dev't stage, common illness/injury, risk
factors of abuse, compensatory mechanisms, potential for rapid deterioration, parental concerns
& perceptions, child communication, portability of child, alternative treatments, lack of primary
care
Triage Red Flags - Correct Answer- Apnea, choking, drooling; stridor, grunting, inc use of acc
muscles; RR >60; HR <60 or >200; AMS, LOC, or listless, Temp >40; severe pain; cyanosis;
tachycardia & bradycardia, petechiae, purpura; new onset seizure acitvity, injuries not matching
mechanism
Triage history - Correct Answer- C-Chief complaint
I-Immunizations or isolation
A-Allergies to food, meds, latex
M-Medications
P-Past med, surg, behavioral health hx
1
, CPEN-Certification Exam | Pediatric Emergency Nursing Exam
E-Events surrounding illness
D-Diet & diapers
S-Symptoms w/ this illness
Triage interventions - Correct Answer- isolaton, protocols (labs, xrays, meds), pt disposition,
documentation
Describe symptoms of heat cramps - Correct Answer- involves large muscle groups (esp quads &
hamstrings). Sudden, painful muscle spasm, normal to slightly inc body temp, normal mental
status.
Nursing interventions for heat cramps - Correct Answer- move to cool environment, oral fluid
replacement, IV 20ml/kg NSS
Symptoms of heat exhaustion - Correct Answer- Results from exposure to high temps, excessive
sweating, & insufficient fluid &/or salt replacement. Fatigue, HA/N/V, diarrhea & muscle
cramps, hypotension, mild changes in MS, moist skin & profuse sweating
Treatment of heat exhaustion - Correct Answer- cool environment, oral or IV fluids, spray water
over body to inc evaporation, use pan to inc convective heat loss
Describe heat stroke - Correct Answer- can result from s un's direct exposure, high
environmental temp, temp >41 C & body is overwhelmed & unable to sweat, early neuro
symptoms & profound fluid depletion
Signs of heat stroke - Correct Answer- Emergency! N/V/HA, neuro changes like ataxia,
confusion & disorientation to coma
Treatment for heat stroke - Correct Answer- secure airway for intubation, establish PIV, monitor
VS & LOC continuously, foley, rapid cooling, valium for excessive shivering, flushed skin (hot
& dry), tachy, hypotension
2
