CPEN FULL STUDY SHEET QUESTIONS AND
CORRECT ANSWERS COLLECTION
●● Sample history
Answer: - Signs and symptoms
- Allergies
- Medications
- Pertinent past medical history
- Last oral intake
- Events leading up to injury or illness
●● TICLS
Answer: Tone (moving or limp)
Interactivity (alert and attentive; reach for toy)
Consolability
Look (following your every move or gazing)
Speech /Cry (muffled, strong, weak, hoarse)
●● The inconsolable infant
Answer: *it cries
I- Infection (UTI, meningitis, sepsis)
T- Trauma (NAT, fractures)
,C- Cardiac (SVT)
R-Reflux, reaction to meds
I-Intussuseption
E- Eye (corneal abrasion, foreign body, glaucoma)
S- Strangulation/surgical processes (Hernia, testicular/ovarian torsion)
●● preferred pronouns
Answer: Identifies outside a gender binary (he/him/his, she/her/hers,.
they/them/theirs)
●● Five level triage system
Answer: Resuscitation (Level I)
Emergent (Level 2)
Urgent (Level 3)
Semi-Urgent (Level 4)
Non-urgent (Level 5)
●● Resuscitation (Level 1)
Answer: Unstable vitals and maximum use of resources
-definite threat to life
,●● Emergent (Level 2)
Answer: Threatened vitals and high use of resources
-potential threat to life or limb
●● Urgent (Level 3)
Answer: Stable vitals and medium use of resources
-not likely to lose life or limb
●● Semi-urgent (Level 4)
Answer: Stable vitals and low use of resources
-really not likely to lose life or limb
●● Non-urgent (Level 5)
Answer: Stable vitals and no use of resources
-not going to lose life or limb
●● Common NAT Indications: Family
Answer: -inappropriate parent-child interactions
-hostile or unconcerned interactions with hospital staff
-unrealistic expectations of the child
-parents deny any knowledge as to how the injury occurred
-siblings blamed for injury
, -parents over or under reacting to child's condition
●● Common NAT Indications: Child
Answer: -extreme behaviors (withdrawn/acting out)
-doesn't oppose painful procedures
-inappropriate sexual behavior
-somatic complaints (chronic headaches, sleep disorders, bedwetting)
-suicidal threats or attempts
-alcohol or drug abuse
●● Common NAT Indications: Historical Findings
Answer: -story inconsistent with physical findings/developmental stage
(doesn't fit or child cant do that)
-delay in seeking medical care
-child verbalizes abuse
-multiple visits to the ED
●● Common NAT Indications: Physical Findings
Answer: -multiple injuries in carious stages of healing
-injury and location doesn't fit developmental stage
-characteristic pattern on skin (bite/belt marks)
-signs of poor overall care
CORRECT ANSWERS COLLECTION
●● Sample history
Answer: - Signs and symptoms
- Allergies
- Medications
- Pertinent past medical history
- Last oral intake
- Events leading up to injury or illness
●● TICLS
Answer: Tone (moving or limp)
Interactivity (alert and attentive; reach for toy)
Consolability
Look (following your every move or gazing)
Speech /Cry (muffled, strong, weak, hoarse)
●● The inconsolable infant
Answer: *it cries
I- Infection (UTI, meningitis, sepsis)
T- Trauma (NAT, fractures)
,C- Cardiac (SVT)
R-Reflux, reaction to meds
I-Intussuseption
E- Eye (corneal abrasion, foreign body, glaucoma)
S- Strangulation/surgical processes (Hernia, testicular/ovarian torsion)
●● preferred pronouns
Answer: Identifies outside a gender binary (he/him/his, she/her/hers,.
they/them/theirs)
●● Five level triage system
Answer: Resuscitation (Level I)
Emergent (Level 2)
Urgent (Level 3)
Semi-Urgent (Level 4)
Non-urgent (Level 5)
●● Resuscitation (Level 1)
Answer: Unstable vitals and maximum use of resources
-definite threat to life
,●● Emergent (Level 2)
Answer: Threatened vitals and high use of resources
-potential threat to life or limb
●● Urgent (Level 3)
Answer: Stable vitals and medium use of resources
-not likely to lose life or limb
●● Semi-urgent (Level 4)
Answer: Stable vitals and low use of resources
-really not likely to lose life or limb
●● Non-urgent (Level 5)
Answer: Stable vitals and no use of resources
-not going to lose life or limb
●● Common NAT Indications: Family
Answer: -inappropriate parent-child interactions
-hostile or unconcerned interactions with hospital staff
-unrealistic expectations of the child
-parents deny any knowledge as to how the injury occurred
-siblings blamed for injury
, -parents over or under reacting to child's condition
●● Common NAT Indications: Child
Answer: -extreme behaviors (withdrawn/acting out)
-doesn't oppose painful procedures
-inappropriate sexual behavior
-somatic complaints (chronic headaches, sleep disorders, bedwetting)
-suicidal threats or attempts
-alcohol or drug abuse
●● Common NAT Indications: Historical Findings
Answer: -story inconsistent with physical findings/developmental stage
(doesn't fit or child cant do that)
-delay in seeking medical care
-child verbalizes abuse
-multiple visits to the ED
●● Common NAT Indications: Physical Findings
Answer: -multiple injuries in carious stages of healing
-injury and location doesn't fit developmental stage
-characteristic pattern on skin (bite/belt marks)
-signs of poor overall care
