CPEN Practice
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
Instant Download Pdf
1. Respiratory Acidosis - Correct Answer: Low pH (<7.35) and high CO2
(>35)- Asthma
2. Respiratory Alkalosis - Correct Answer: High pH (>7.45) and low CO2
(<35) Hyperventilating Teenager
3. Metabolic Acidosis - Correct Answer: Low pH (<7.35) and low bi-carb
(<22) DKA, Shock, excessive diarrhea.
4. Metabolic Alkalosis - Correct Answer: High pH (>7.45) and high bi-carb
(>26) Excessive Vomiting.
5. 5 H's - Correct Answer: Hypothermia, hypovolemia, hypoxia, hydrogen
ion, hyper/hypo electrolytes.
6. 5 T's - Correct Answer: Tension pneumothorax, pericardial tamponade,
toxins, trauma, thromboembolism,
,7. Kawasaki's kills your Koronaries - Correct Answer: Strawberry like
tongue, and skin on hands and feet may begin peeling.
8. What is the normal pediatric urinary output? - Correct Answer: 1-
2ml/kg/hr
9. In what child would a Babinski reflex be abnormal? - Correct Answer: A
walking child
10.What is an infants circulating blood volume? - Correct Answer:
Approximately 90ml/kg
11.In an unresponsive pediatric patient the most common cause of airway
obstruction in what? - Correct Answer: The tongue
12.What is first noticed in the mouth of a pediatric patient and is a late sign of
respiratory compromise? - Correct Answer: Cyanosis
13.Estimating ET Tube size: Uncuffed - Correct Answer: Uncuffed (Age in
years/4)+4
14.Estimating ET Tube Size: Cuffed - Correct Answer: Cuffed (Age in
years/4)+3.5
, 15.Age related pain scale for child less that 3 years of age - Correct Answer:
Cries, Nips, FLACC
16.Age related pain scale for child greater than 3 years of age - Correct
Answer: FACES, Wong-Baker, Standard
17.Pediatric milestones "Head, Shoulders, Knees, and Toes" - Correct
Answer: 2 months: Holds head up
4 months: Rolls
6 months: Sits unsupported
1 year: Walking
18.Which type chemical burns may cause more damage to the eyes? -
Correct Answer: Alkali
19. What is Beck's Triad? - Correct Answer: Cardiac Tamponade Signs
-JVD
-Muffled heart sounds
-Narrowed pulse pressure
20. Differences with Cardiomyopathy. Left vs Right - Correct Answer: -Left
heart failure backs up to the lungs
-Right sided the rest of the body
What is Waddell's Triad? - Correct Answer: Child vs Car (Child Waddell's away
from the car)
, -Femur fracture
-Belly or chest injuries
-Head injuries
What would raccoon eyes, and battle's sign indicate? - Correct Answer: A
basilar skull fracture
Glasgow Coma Scale - Correct Answer: Eye (4) Verbal (5) Motor (6)
Describe decorticate posturing - Correct Answer: Abnormal flexion (bad)
Describe decerebrate posturing - Correct Answer: Abnormal extension (worst)
Kernig's Sign - Correct Answer: Meningitis Sign-Pain with flexion of knees
Brudzinski's Sign - Correct Answer: Meningitis Sign-"B"ends knees after you
"B"end their neck
In the case of suspected bacterial meningitis consider administering antibiotics
when? - Correct Answer: Prior to lumber puncture
In which cases would you hyperventilate a patient with increased ICP. - Correct
Answer: -A single blown pupil
-Unilateral paralysis
-GCS drops by 3 or more points
-Keep them alive long enough for a CT and neurosurgery
Signs of Bacterial Meningitis - Correct Answer: -Flu like symptoms
-Rapidly spreading, purple, non-blanching rash
-Most feared is Meningococcal
Febrile Seizures 5,5,5 - Correct Answer: -Less than 5 minutes
-Most kids under 5 years
-Occur with temps 102F-105F
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
Instant Download Pdf
1. Respiratory Acidosis - Correct Answer: Low pH (<7.35) and high CO2
(>35)- Asthma
2. Respiratory Alkalosis - Correct Answer: High pH (>7.45) and low CO2
(<35) Hyperventilating Teenager
3. Metabolic Acidosis - Correct Answer: Low pH (<7.35) and low bi-carb
(<22) DKA, Shock, excessive diarrhea.
4. Metabolic Alkalosis - Correct Answer: High pH (>7.45) and high bi-carb
(>26) Excessive Vomiting.
5. 5 H's - Correct Answer: Hypothermia, hypovolemia, hypoxia, hydrogen
ion, hyper/hypo electrolytes.
6. 5 T's - Correct Answer: Tension pneumothorax, pericardial tamponade,
toxins, trauma, thromboembolism,
,7. Kawasaki's kills your Koronaries - Correct Answer: Strawberry like
tongue, and skin on hands and feet may begin peeling.
8. What is the normal pediatric urinary output? - Correct Answer: 1-
2ml/kg/hr
9. In what child would a Babinski reflex be abnormal? - Correct Answer: A
walking child
10.What is an infants circulating blood volume? - Correct Answer:
Approximately 90ml/kg
11.In an unresponsive pediatric patient the most common cause of airway
obstruction in what? - Correct Answer: The tongue
12.What is first noticed in the mouth of a pediatric patient and is a late sign of
respiratory compromise? - Correct Answer: Cyanosis
13.Estimating ET Tube size: Uncuffed - Correct Answer: Uncuffed (Age in
years/4)+4
14.Estimating ET Tube Size: Cuffed - Correct Answer: Cuffed (Age in
years/4)+3.5
, 15.Age related pain scale for child less that 3 years of age - Correct Answer:
Cries, Nips, FLACC
16.Age related pain scale for child greater than 3 years of age - Correct
Answer: FACES, Wong-Baker, Standard
17.Pediatric milestones "Head, Shoulders, Knees, and Toes" - Correct
Answer: 2 months: Holds head up
4 months: Rolls
6 months: Sits unsupported
1 year: Walking
18.Which type chemical burns may cause more damage to the eyes? -
Correct Answer: Alkali
19. What is Beck's Triad? - Correct Answer: Cardiac Tamponade Signs
-JVD
-Muffled heart sounds
-Narrowed pulse pressure
20. Differences with Cardiomyopathy. Left vs Right - Correct Answer: -Left
heart failure backs up to the lungs
-Right sided the rest of the body
What is Waddell's Triad? - Correct Answer: Child vs Car (Child Waddell's away
from the car)
, -Femur fracture
-Belly or chest injuries
-Head injuries
What would raccoon eyes, and battle's sign indicate? - Correct Answer: A
basilar skull fracture
Glasgow Coma Scale - Correct Answer: Eye (4) Verbal (5) Motor (6)
Describe decorticate posturing - Correct Answer: Abnormal flexion (bad)
Describe decerebrate posturing - Correct Answer: Abnormal extension (worst)
Kernig's Sign - Correct Answer: Meningitis Sign-Pain with flexion of knees
Brudzinski's Sign - Correct Answer: Meningitis Sign-"B"ends knees after you
"B"end their neck
In the case of suspected bacterial meningitis consider administering antibiotics
when? - Correct Answer: Prior to lumber puncture
In which cases would you hyperventilate a patient with increased ICP. - Correct
Answer: -A single blown pupil
-Unilateral paralysis
-GCS drops by 3 or more points
-Keep them alive long enough for a CT and neurosurgery
Signs of Bacterial Meningitis - Correct Answer: -Flu like symptoms
-Rapidly spreading, purple, non-blanching rash
-Most feared is Meningococcal
Febrile Seizures 5,5,5 - Correct Answer: -Less than 5 minutes
-Most kids under 5 years
-Occur with temps 102F-105F
