CPEN BCEN TEST QUESTIONS AND VERIFIED
ANSWERS |VERIFIED & ALREADY GRADED
A+
QUESTIONS & ANSWERS
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
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
, An 18-month-old patient presents to the Emergency Department with upper respiratory
symptoms and wheezing. Chest x-ray reveals a radiopaque object in the left lower lobe. The
nurse prepares the patient for a: ANSWER - Rigid bronchoscopy
A 2-year-old is crying and clinging to the mother in triage. Which of the following pain
scales is MOST appropriate for the nurse to use when assessing the child? ANSWER -
FLACC
A 2-month-old presents with irritability and is inconsolable. Which finding would lead the
emergency nurse to suspect shaken baby syndrome? ANSWER - Bilateral retinal
hemorrhages
A child arrives by ambulance following a witnessed seizure. As the nurse is preparing to
start a peripheral IV, the child begins to have generalized seizure activity. Which
medication can be given intranasally to control the seizure? ANSWER - midazolam
(Versed)
An infant presents to the emergency department with feeding intolerance after 3 days of
cold-like symptoms. Upon assessment, the patient is found to have an altered mental status,
sunken fontanels, and decreased muscle tone. Vital signs are as follows:
BP 66/30 mmHgHR 198 beats/minRR 50 breaths/minT (rectal) 97.3˚ F (36.3˚ C)
The PRIORITY intervention is to ANSWER - administer antibiotics.
A nurse is caring for a 3-year-old that has a decrease in hearing and pain to right ear. Upon
exam, the nurse notes impacted cerumen. The nurse should question an order for irrigation
if the caregiver mentions a history of ANSWER - tympanic membrane rupture.
A 16-year-old presents after running a cross country match. The patient is extremely
fatigued with muscle pain and reports nausea and dark urine. The nurse should expect a
diagnosis of ANSWER - rhabdomyolysis
What is the PRIORITY intervention for a 4-year-old child who has a fever, muffled voice
and pallor? ANSWER - Keep the patient calm
ANSWERS |VERIFIED & ALREADY GRADED
A+
QUESTIONS & ANSWERS
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
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
, An 18-month-old patient presents to the Emergency Department with upper respiratory
symptoms and wheezing. Chest x-ray reveals a radiopaque object in the left lower lobe. The
nurse prepares the patient for a: ANSWER - Rigid bronchoscopy
A 2-year-old is crying and clinging to the mother in triage. Which of the following pain
scales is MOST appropriate for the nurse to use when assessing the child? ANSWER -
FLACC
A 2-month-old presents with irritability and is inconsolable. Which finding would lead the
emergency nurse to suspect shaken baby syndrome? ANSWER - Bilateral retinal
hemorrhages
A child arrives by ambulance following a witnessed seizure. As the nurse is preparing to
start a peripheral IV, the child begins to have generalized seizure activity. Which
medication can be given intranasally to control the seizure? ANSWER - midazolam
(Versed)
An infant presents to the emergency department with feeding intolerance after 3 days of
cold-like symptoms. Upon assessment, the patient is found to have an altered mental status,
sunken fontanels, and decreased muscle tone. Vital signs are as follows:
BP 66/30 mmHgHR 198 beats/minRR 50 breaths/minT (rectal) 97.3˚ F (36.3˚ C)
The PRIORITY intervention is to ANSWER - administer antibiotics.
A nurse is caring for a 3-year-old that has a decrease in hearing and pain to right ear. Upon
exam, the nurse notes impacted cerumen. The nurse should question an order for irrigation
if the caregiver mentions a history of ANSWER - tympanic membrane rupture.
A 16-year-old presents after running a cross country match. The patient is extremely
fatigued with muscle pain and reports nausea and dark urine. The nurse should expect a
diagnosis of ANSWER - rhabdomyolysis
What is the PRIORITY intervention for a 4-year-old child who has a fever, muffled voice
and pallor? ANSWER - Keep the patient calm
