CPEN Practice Exam TEST MOD 009 with Actual Questions &
Answers 2023/2024 GRADED A+
plague (yersinia pestis) correct answers - fever
- *bloody sputum*
- clinical pneumonia <-- *early sign*
- sepsis + DIC <-- *late sign*
anthrax (bacillius anthracis) correct answers - fever
- headache
- dyspnea
- cough
- N/V
- chest/abd pain
botulism (clostridium botulinum) correct answers -*descending* flaccid paralysis
- cranial nerve palsy
- normal mentation
smallpox (variola) correct answers - fever
- vesiculopustular leisons in face + trunk
Dextrose 5% correct answers *not* used to tx *hypoglycemia* in kids
Dextrose 10% correct answers tx hypoglycemia in *neonates*
Dextrose 25% correct answers tx hypoglycemia in *1month to 2years old*
Dextrose 50% correct answers tx hypoglycemia in *2 years old & older*
in *compartment syndrome*, do you elevate extremity above the heart or at the level of the heart
correct answers keep limb *at leave of heart*
b/c if you elevate, you're reducing blood flow and w/ compartment syndrome, you are already worried
about reduced blood flow
*femur factures* are (name *4* things) correct answers 1. can cause significant blood loss
2. cause *hemorrhagic shock*
3. painful
4. presents w/ *external rotation*
*Oxygen supplement* helps a sickle cell anemia pt by correct answers ease WOB
oxygen baseline for sickle cell anemia pts are generally correct answers *lower* d/t *sickling of RBC* so
important to measure their O2
*Jaw thrust maneuver* is used in correct answers traumatic injury / spinal injury is suspected
,protects the spine
*head tilt maneuver* is used in correct answers non-trauma patients (when spine injury is NOT
suspected)
*normal liver* palpable up to how many cms below costal margin correct answers up to *2cm* below
costal margin
*Sickle cell disease* is most susceptible to what 2 things? correct answers 1. *acute chest syndrome*
(ACS)
2.sequestration crisis (firm/enlarged spleen) - *LUQ pain*
sequestration crisis tx correct answers 1. *PRBC*
2. oxygen (tx inadequate tissue oxygenation)
What heart sounds are heard w/ *cardiogenic shock*? correct answers *muffled* heart sounds
what can cause a *blunt carotid artery* injury? correct answers *cervical* seat belt abrasion
s/s of *blunt carotid artery* injury correct answers - *unilateral* weakness
- *unremarkable* CT of head
- carotid *bruit*
- *normal* mental status
s/s of *intrabdominal hemorrhage* correct answers - hypovolemic shock (hypotensive)
- *altered* mental status
- tachycardia
- *pallor*
Henoch-Schonlein Purpura correct answers - generalized *vasculitis*
- presents usually in *lower extremities* (including butt)
- bloody stools
- abd pain, D/V
when can *henoch-schonlein purpura* occur correct answers after a recent *URI*
FLACC highest score is ____ w/ _____ categories correct answers highest score 10
5 categories
face correct answers 0 = no particular expression
1 = occasional grimace, frown, withdrawn, disinterested
2= frequent to constant frown, clenched jaw, quivering chin
legs correct answers 0= normal/relaxed
1= uneasy, restless, tense
2= kicking or legs drawn up
, activity correct answers 0= lying quietly, normal position, moves easily
1= squirming, shifting back & forth, tense
2= arched, rigid, jerking
cry correct answers 0= no crying
1= moans or occasional whimper
2=crying steadily, screams or sobs, frequent complaining
consolibility correct answers 0=content, relaxed
1= reassured by occasional touch, hug, or being talked to, distractable
2=difficult to console/comfort
*do not give* what type of drugs to sickle cell disease patients correct answers *NSAIDS* - they can
impair kidney function and accelerate kidney damage
anticonvulsant meds have shown to increase the risk of what correct answers violence or aggressive
behaviors
s/s of *epiglottitis* correct answers - drooling
- inability to swallow
- retractions
- stridor
*epiglottitis* can be caused by correct answers HIB (take HIB vaccine)
s/s of *croup* correct answers - *inspiratory* stridor (s in inspir for s=tridor)
- *expiratory* wheeze
- barking cough
- retractions
- fever
birth weight *doubles* correct answers *6* months
birth weight *triples* correct answers *12* months
birth weight *quadruples* correct answers *30 to 36* months
preferred IO site correct answers *proximal* tibia
skeletal survey correct answers will help reveal fractures and healing fractures
generally used when *suspected child abuse/suspicious fall/fall*
if babinski reflex is *NOT* observed in children under 2 year old, what do you suspect? so what exam is
required? correct answers lesion on the spine
CT scan of lower spine
Answers 2023/2024 GRADED A+
plague (yersinia pestis) correct answers - fever
- *bloody sputum*
- clinical pneumonia <-- *early sign*
- sepsis + DIC <-- *late sign*
anthrax (bacillius anthracis) correct answers - fever
- headache
- dyspnea
- cough
- N/V
- chest/abd pain
botulism (clostridium botulinum) correct answers -*descending* flaccid paralysis
- cranial nerve palsy
- normal mentation
smallpox (variola) correct answers - fever
- vesiculopustular leisons in face + trunk
Dextrose 5% correct answers *not* used to tx *hypoglycemia* in kids
Dextrose 10% correct answers tx hypoglycemia in *neonates*
Dextrose 25% correct answers tx hypoglycemia in *1month to 2years old*
Dextrose 50% correct answers tx hypoglycemia in *2 years old & older*
in *compartment syndrome*, do you elevate extremity above the heart or at the level of the heart
correct answers keep limb *at leave of heart*
b/c if you elevate, you're reducing blood flow and w/ compartment syndrome, you are already worried
about reduced blood flow
*femur factures* are (name *4* things) correct answers 1. can cause significant blood loss
2. cause *hemorrhagic shock*
3. painful
4. presents w/ *external rotation*
*Oxygen supplement* helps a sickle cell anemia pt by correct answers ease WOB
oxygen baseline for sickle cell anemia pts are generally correct answers *lower* d/t *sickling of RBC* so
important to measure their O2
*Jaw thrust maneuver* is used in correct answers traumatic injury / spinal injury is suspected
,protects the spine
*head tilt maneuver* is used in correct answers non-trauma patients (when spine injury is NOT
suspected)
*normal liver* palpable up to how many cms below costal margin correct answers up to *2cm* below
costal margin
*Sickle cell disease* is most susceptible to what 2 things? correct answers 1. *acute chest syndrome*
(ACS)
2.sequestration crisis (firm/enlarged spleen) - *LUQ pain*
sequestration crisis tx correct answers 1. *PRBC*
2. oxygen (tx inadequate tissue oxygenation)
What heart sounds are heard w/ *cardiogenic shock*? correct answers *muffled* heart sounds
what can cause a *blunt carotid artery* injury? correct answers *cervical* seat belt abrasion
s/s of *blunt carotid artery* injury correct answers - *unilateral* weakness
- *unremarkable* CT of head
- carotid *bruit*
- *normal* mental status
s/s of *intrabdominal hemorrhage* correct answers - hypovolemic shock (hypotensive)
- *altered* mental status
- tachycardia
- *pallor*
Henoch-Schonlein Purpura correct answers - generalized *vasculitis*
- presents usually in *lower extremities* (including butt)
- bloody stools
- abd pain, D/V
when can *henoch-schonlein purpura* occur correct answers after a recent *URI*
FLACC highest score is ____ w/ _____ categories correct answers highest score 10
5 categories
face correct answers 0 = no particular expression
1 = occasional grimace, frown, withdrawn, disinterested
2= frequent to constant frown, clenched jaw, quivering chin
legs correct answers 0= normal/relaxed
1= uneasy, restless, tense
2= kicking or legs drawn up
, activity correct answers 0= lying quietly, normal position, moves easily
1= squirming, shifting back & forth, tense
2= arched, rigid, jerking
cry correct answers 0= no crying
1= moans or occasional whimper
2=crying steadily, screams or sobs, frequent complaining
consolibility correct answers 0=content, relaxed
1= reassured by occasional touch, hug, or being talked to, distractable
2=difficult to console/comfort
*do not give* what type of drugs to sickle cell disease patients correct answers *NSAIDS* - they can
impair kidney function and accelerate kidney damage
anticonvulsant meds have shown to increase the risk of what correct answers violence or aggressive
behaviors
s/s of *epiglottitis* correct answers - drooling
- inability to swallow
- retractions
- stridor
*epiglottitis* can be caused by correct answers HIB (take HIB vaccine)
s/s of *croup* correct answers - *inspiratory* stridor (s in inspir for s=tridor)
- *expiratory* wheeze
- barking cough
- retractions
- fever
birth weight *doubles* correct answers *6* months
birth weight *triples* correct answers *12* months
birth weight *quadruples* correct answers *30 to 36* months
preferred IO site correct answers *proximal* tibia
skeletal survey correct answers will help reveal fractures and healing fractures
generally used when *suspected child abuse/suspicious fall/fall*
if babinski reflex is *NOT* observed in children under 2 year old, what do you suspect? so what exam is
required? correct answers lesion on the spine
CT scan of lower spine
