CPEN BCEN Timed #1 Questions With Complete
Solutions.
A 1-year-old presents unconscious and is being ventilated with a bag-mask
device. Ventilation has become progressively more difficult. Which of the
following is the PRIORITY intervention?
Place padding under the shoulders.
A patient arrives to the emergency department intubated and ventilated via a bag-
mask device. EMS reports that the patient fell from a climbing apparatus at
school. Upon assessment, the patient is difficult to ventilate and has absent
breath sounds on the left side. A needle decompression is performed. The nurse
anticipates the PRIORITY will be to
insert a chest tube.
An infant presents to the emergency department with feeding intolerance after 3
days of cold-like symptoms. Upon assessment, the infant 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 nurse would suspect what type of shock?
distributive
Which of the following requires the MOST emergent evaluation?
3-year-old whose head is on father's shoulder with vomiting, pale skin, and tachypnea
Which of the following is the BEST method to assess adequacy of ventilation
during procedural sedation?
capnography value
An adolescent presents with full- and partial-thickness burns to his hands and
face. He is awake and alert with a hoarse voice. The PRIORITY intervention is to
prepare for intubation.
Which of the following is the highest PRIORITY for a patient with heat stroke?
continuous core temperature monitoring
An adolescent presents after ingesting four tablets of 500-mg acetaminophen and
stating that he "wants to die." The nurse should anticipate
referral to psychiatric services.
An unresponsive 2-year-old presents with gurgling respirations with retractions.
The patient's pulse is present at a rate of 80 beats/min. Which of the following is
the PRIORITY intervention?
Suction the airway.
Which federal regulation ensures that a medical screening exam is performed to
determine if an emergent condition exists?
Emergency Medical Treatment and Active Labor Act
Which of the following age groups are preoperational thinkers and concerned
developmentally with initiative versus guilt?
preschool
Stridor at rest is a normal finding in which of the following situations?
tracheomalacia
, EMS arrives with a 6-year-old who was an improperly restrained rear-seat
passenger in a head-on collision. The patient complains of diffuse abdominal
pain, nausea, and is tachycardic. Which injury should the nurse MOST suspect?
small bowel injury
The appropriate method of tick removal within 24 hours is to
pull in a steady slow motion.
A school-aged child with hydrocephalus may present with which of the following
physical findings?
papilledema
An obese adolescent male present with right hip pain and inability to bear weight.
What should the PRIORITY plan of care be?
surgical intervention
Fluid administration is required after resuscitating a neonate. The nurse should
prepare for administration of a bolus of
normal saline solution at 10 mL/kg.
An 8-year-old is being treated for hypovolemic shock. The expected minimum
systolic blood pressure for this patient is
86 mm Hg.
A 5-day-old patient presents with feeding intolerance, lethargy, temperature
instability, and apnea. The nurse has a high suspicion for
neonatal sepsis.
An 18-month-old presents to the emergency department with several days of
worsening respiratory distress, persistent cough, thick secretions, and lethargy.
The parent states that the patient was recently diagnosed with respiratory
syncytial virus (RSV). The nurse recognizes these symptoms as consistent with
bronchiolitis.
A child with 30% body surface area burns is awaiting transfer to the burn center.
The nurse should
cover the burns with dry towel or sheet
A 14-year-old female reports a sudden onset of severe pelvic pain with guarding.
Which of the following is MOST concerning?
referred shoulder pain
A 14-year-old female accompanied by a caregiver presents to the emergency
department with complaints of abdominal pain. The nurse notes a tattoo on the
abdomen with initials and attempts to discuss the tattoo without success. The
patient tries to hide the tattoo. The nurse should be MOST concerned about
human trafficking.
A patient with a traumatic head injury presents with signs and symptoms of
Cushing's triad. Which of the following would be an expected finding?
irregular, decreased respirations
A 2-month-old presents with difficulty breathing associated with tachypnea, mild
retractions, and copious amounts of nasal drainage. The MOST appropriate
intervention is to
suction the nares.
Which of the following is MOST consistent with a diagnosis of tracheoesophageal
fistula?
Solutions.
A 1-year-old presents unconscious and is being ventilated with a bag-mask
device. Ventilation has become progressively more difficult. Which of the
following is the PRIORITY intervention?
Place padding under the shoulders.
A patient arrives to the emergency department intubated and ventilated via a bag-
mask device. EMS reports that the patient fell from a climbing apparatus at
school. Upon assessment, the patient is difficult to ventilate and has absent
breath sounds on the left side. A needle decompression is performed. The nurse
anticipates the PRIORITY will be to
insert a chest tube.
An infant presents to the emergency department with feeding intolerance after 3
days of cold-like symptoms. Upon assessment, the infant 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 nurse would suspect what type of shock?
distributive
Which of the following requires the MOST emergent evaluation?
3-year-old whose head is on father's shoulder with vomiting, pale skin, and tachypnea
Which of the following is the BEST method to assess adequacy of ventilation
during procedural sedation?
capnography value
An adolescent presents with full- and partial-thickness burns to his hands and
face. He is awake and alert with a hoarse voice. The PRIORITY intervention is to
prepare for intubation.
Which of the following is the highest PRIORITY for a patient with heat stroke?
continuous core temperature monitoring
An adolescent presents after ingesting four tablets of 500-mg acetaminophen and
stating that he "wants to die." The nurse should anticipate
referral to psychiatric services.
An unresponsive 2-year-old presents with gurgling respirations with retractions.
The patient's pulse is present at a rate of 80 beats/min. Which of the following is
the PRIORITY intervention?
Suction the airway.
Which federal regulation ensures that a medical screening exam is performed to
determine if an emergent condition exists?
Emergency Medical Treatment and Active Labor Act
Which of the following age groups are preoperational thinkers and concerned
developmentally with initiative versus guilt?
preschool
Stridor at rest is a normal finding in which of the following situations?
tracheomalacia
, EMS arrives with a 6-year-old who was an improperly restrained rear-seat
passenger in a head-on collision. The patient complains of diffuse abdominal
pain, nausea, and is tachycardic. Which injury should the nurse MOST suspect?
small bowel injury
The appropriate method of tick removal within 24 hours is to
pull in a steady slow motion.
A school-aged child with hydrocephalus may present with which of the following
physical findings?
papilledema
An obese adolescent male present with right hip pain and inability to bear weight.
What should the PRIORITY plan of care be?
surgical intervention
Fluid administration is required after resuscitating a neonate. The nurse should
prepare for administration of a bolus of
normal saline solution at 10 mL/kg.
An 8-year-old is being treated for hypovolemic shock. The expected minimum
systolic blood pressure for this patient is
86 mm Hg.
A 5-day-old patient presents with feeding intolerance, lethargy, temperature
instability, and apnea. The nurse has a high suspicion for
neonatal sepsis.
An 18-month-old presents to the emergency department with several days of
worsening respiratory distress, persistent cough, thick secretions, and lethargy.
The parent states that the patient was recently diagnosed with respiratory
syncytial virus (RSV). The nurse recognizes these symptoms as consistent with
bronchiolitis.
A child with 30% body surface area burns is awaiting transfer to the burn center.
The nurse should
cover the burns with dry towel or sheet
A 14-year-old female reports a sudden onset of severe pelvic pain with guarding.
Which of the following is MOST concerning?
referred shoulder pain
A 14-year-old female accompanied by a caregiver presents to the emergency
department with complaints of abdominal pain. The nurse notes a tattoo on the
abdomen with initials and attempts to discuss the tattoo without success. The
patient tries to hide the tattoo. The nurse should be MOST concerned about
human trafficking.
A patient with a traumatic head injury presents with signs and symptoms of
Cushing's triad. Which of the following would be an expected finding?
irregular, decreased respirations
A 2-month-old presents with difficulty breathing associated with tachypnea, mild
retractions, and copious amounts of nasal drainage. The MOST appropriate
intervention is to
suction the nares.
Which of the following is MOST consistent with a diagnosis of tracheoesophageal
fistula?
