CPEN BCEN TEST QUESTIONS
WITH 100% CORRECT
ANSWERS
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
A child presents to emergency department with symptoms of anaphylaxis after eating
cookies at a birthday party. The friend's parent is accompanying the child and is unable
to reach the parents. The nurse recognizes this legal issue as - Answer- implied
consent.
Which of the following congenital conditions might benefit from the use of High-
frequency chest compression (HFCC) to assist with mucus breakdown? - Answer-
Cystic Fibrosis
A mother runs into the emergency department screaming that her child is choking on a
piece of candy. The nurse observes a fearful 5-year-old with minimal air movement and
dusky in color. The nurse's initial action should be to - Answer- perform abdominal
thrusts.
A chest tube has been inserted for an adolescent presenting with a spontaneous
pneumothorax. The nurse notes no fluctuation in the water seal chamber of the chest
drainage system. Which of the following is the priority intervention? - Answer- checking
for kinks in the tubing
A child presents with fever, left eye pain, swelling, and impaired extraocular movement.
The nurse anticipates a workup for - Answer- orbital cellulitis.
A child with a history of sickle cell disease presents with altered level of consciousness,
cool and clammy skin, and hypotension. Which of the following is the MOST likely
cause of these symptoms? - Answer- splenic sequestration crisis
A toddler presents with 6 days of fever, irritability, and a rash. The nurse notes an
enlarged reddened tongue and cracked lips. Which of the following orders should the
nurse anticipate? - Answer- echocardiogram
, A child with cellulitis of the lower leg is being discharged. Which of the following
statements indicates the parents understand the discharge instructions? - Answer- "We
will bring our child back to the emergency department if the leg continues to swell."
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
WITH 100% CORRECT
ANSWERS
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
A child presents to emergency department with symptoms of anaphylaxis after eating
cookies at a birthday party. The friend's parent is accompanying the child and is unable
to reach the parents. The nurse recognizes this legal issue as - Answer- implied
consent.
Which of the following congenital conditions might benefit from the use of High-
frequency chest compression (HFCC) to assist with mucus breakdown? - Answer-
Cystic Fibrosis
A mother runs into the emergency department screaming that her child is choking on a
piece of candy. The nurse observes a fearful 5-year-old with minimal air movement and
dusky in color. The nurse's initial action should be to - Answer- perform abdominal
thrusts.
A chest tube has been inserted for an adolescent presenting with a spontaneous
pneumothorax. The nurse notes no fluctuation in the water seal chamber of the chest
drainage system. Which of the following is the priority intervention? - Answer- checking
for kinks in the tubing
A child presents with fever, left eye pain, swelling, and impaired extraocular movement.
The nurse anticipates a workup for - Answer- orbital cellulitis.
A child with a history of sickle cell disease presents with altered level of consciousness,
cool and clammy skin, and hypotension. Which of the following is the MOST likely
cause of these symptoms? - Answer- splenic sequestration crisis
A toddler presents with 6 days of fever, irritability, and a rash. The nurse notes an
enlarged reddened tongue and cracked lips. Which of the following orders should the
nurse anticipate? - Answer- echocardiogram
, A child with cellulitis of the lower leg is being discharged. Which of the following
statements indicates the parents understand the discharge instructions? - Answer- "We
will bring our child back to the emergency department if the leg continues to swell."
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
