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CPEN BCEN Timed Exam 2025/2026 – 100 Pediatric Emergency Nursing Questions with Verified Answers on Shock, Airway, Abuse, Trauma, Ingestions, Infectious Disease & Psychosocial Care

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This comprehensive CPEN BCEN Timed Exam 2025/2026 resource features 100 fully solved and verified multiple-choice questions, each closely modeled after the real Certified Pediatric Emergency Nurse (CPEN) exam administered by the Board of Certification for Emergency Nursing (BCEN). Designed as a timed clinical simulation, this document prepares candidates for real-time exam pressure and clinical reasoning under urgency, with case-based scenarios covering all major domains. Topics include: Airway and respiratory emergencies: bronchiolitis, epiglottitis, pertussis, intubation readiness, ETCO₂, oxygenation Types of shock: distributive, hypovolemic, septic, cardiogenic, with accurate clinical indicators and nursing interventions Pediatric trauma care: traumatic brain injuries, splenic rupture, fractures, compartment syndrome, burn treatment Toxicology and ingestion: carbon monoxide, acetaminophen overdose, botulism, windshield fluid, snake bites Child abuse and neglect: emotional maltreatment, circumferential burns, behavioral indicators, mandated reporting Neurologic and seizure management: altered mental status, posturing, subdural hemorrhage, Bell’s palsy Infectious diseases: Kawasaki disease, meningitis, RSV, Rocky Mountain Spotted Fever, measles, scabies Developmental, psychosocial and psychiatric care: autism spectrum approaches, suicide risk, trauma-informed interventions Cardiac emergencies: congenital heart defects, Cushing’s triad, heart rate abnormalities, CPR response, tetralogy of Fallot Legal and ethical considerations: EMTALA, parental consent, forensic evidence handling, safe discharge instructions This resource is particularly valuable for: Registered Nurses (RNs) specializing in emergency or pediatric nursing BSN/MSN students in acute care or emergency pathways Pediatric Emergency Department staff and educators CPEN certification candidates preparing for recertification or first-time testing Academic instructors needing clinical-scenario-based practice materials Each question includes the correct answer clearly marked for efficient, accurate self-assessment and rapid content reinforcement. The scenarios mirror clinical urgency and realistic pediatric complexity, helping you master critical thinking and pass the CPEN exam with confidence. Keywords: CPEN, BCEN, pediatric nursing, emergency nursing, airway emergencies, pediatric trauma, seizure management, shock types, child abuse recognition, ingestion poisoning, pediatric CPR, Kawasaki disease, meningitis, psychosocial care, EMTALA, nursing certification, CPEN 2025 questions, pediatric legal consent, clinical decision-making, timed practice exam

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CPEN BCEN Timed #1 2025 QUESTIONS|
WITH ALREADY SOLVED CORRECTLY
ANSWERS!! | ASSURED SUCCESS

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? - 🧠ANSWER ✔✔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 - 🧠ANSWER ✔✔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? - 🧠ANSWER ✔✔distributive

,Which of the following requires the MOST emergent evaluation? - 🧠ANSWER

✔✔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? - 🧠ANSWER ✔✔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 -

🧠ANSWER ✔✔prepare for intubation.


Which of the following is the highest PRIORITY for a patient with heat stroke? -

🧠ANSWER ✔✔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 - 🧠ANSWER ✔✔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? - 🧠ANSWER ✔✔Suction the airway.




COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
2
STATEMENT. ALL RIGHTS RESERVED

, Which federal regulation ensures that a medical screening exam is performed to

determine if an emergent condition exists? - 🧠ANSWER ✔✔Emergency Medical

Treatment and Active Labor Act

Which of the following age groups are preoperational thinkers and concerned

developmentally with initiative versus guilt? - 🧠ANSWER ✔✔preschool


Stridor at rest is a normal finding in which of the following situations? -

🧠ANSWER ✔✔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? -

🧠ANSWER ✔✔small bowel injury


The appropriate method of tick removal within 24 hours is to - 🧠ANSWER ✔✔pull

in a steady slow motion.

A school-aged child with hydrocephalus may present with which of the following

physical findings? - 🧠ANSWER ✔✔papilledema




COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED

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