CEPN (RN) TEST BANK FINAL EXAM 2025 -2026
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ACCURATE DETAILED ANSWERS \VERIFIED 100%
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A child with septic shock has This patient likely has adrenal insufficiency. An acute stressor,
received 3 IV fluid boluses such as septic shock, causes the adrenal cortex to release large
amounts of cortisol. Since cortisol also controls the release of
(weight based), IV catecholamines from the adrenal medulla, depletion of
antibiotics, and is currently cortisol inhibits their release, decreasing vasoconstricting ability.
receiving a norepinephrine
infusion. The child remains
hypotensive with signs of
poor perfusion. What should
the
nurse suspect?
A 2-year-old child has The child is showing signs of normotensive shock since the blood
achieved return of pressure is within the normal range for their age but they are
still showing signs of poor perfusion. In
spontaneous circulation
normotensive shock, the recommended vasoactive agents are
following a milrinone or low-dose epinephrine. Norepinephrine would be
cardiopulmonary arrest. considered for hypotensive shock
After 2 IV fluid
boluses, the child still shows
signs of poor perfusion and
the BP is 84/53 mm Hg.
Which intervention should
the nurse anticipate?
An adolescent patient with a Initiate MTP!
known pelvic fracture is hemorrhage is a great risk with pelvic fracture. The nurse should
not remove the pelvic binder. It should not be removed until the
placed in a pelvic binder.
patient is in a controlled
The environment and the team is equipped to manage the fracture
nurse notes the following repair. This patient is exhibiting hypovolemic shock and
interventions to restore hemodynamic stability
vital signs: BP 76/45 mmHg
should be implemented immediately, of which preparing for
HR 134 beats/min transport to CT and the OR will not aid in treating.
RR 26 breaths/min
What is the MOST
,appropriate action?
The triage nurse is obtaining The most likely cause of meningitis is primarily caused by group
a history from the caregiver B streptococcus which is a common bacteria that women can
carry during pregnancy. If antibiotics are not administered prior
who brought in a 2 week old to delivery, the neonate can be exposed. The other questions
with complaints of fever, while related to the birth history are not as relevant to the
fussiness and not eating. concerns for meningitis
The nurse notices the
patient is
mottled, tachypneic and has
a bulging fontanel. Which
question regarding the birth
history should be asked
NEXT?
A patient presents to the ER Calcium gluconate!
with exposure to glass Hydrofluoric acid is commonly found in glass etching
etching chemicals. The chemicals. The first line agent to neutralize the
parent says they don't chemical is calcium gluconate. The other agents will
know how much was not cause the chemical neutralization that is needed
spilled on the child but are to stop the burning process.
concerned for exposure.
What agent will the nurse
anticipate administering to
neutralize the chemical?
1) mineral oil
2) calcium gluconate
3) sodium bicarb
4) potassium chloride
subluxation of the radial nursemaids
head. is referred to as
_______
,The nurse is caring for a Tracheobronchial injury can be the result of a direct
patient who sustained an blow to the neck and results in air leaking from the
isolated kick to the neck. A trachea into the mediastinum. This can cause a
tracheobronchial injury is continuous, massive air leak into the chest drainage
suspected and a chest tube system. Copious amounts of blood are not expected.
has been placed. The nurse Muffled heart tones and jugular vein distension are
anticipates the following expected with cardiac tamponade but not with
during assessment: tracheobronchial injury
A child with a history of sickle splenic sequestration crisis occurs with pooling of red
cell disease presents with blood cells in the spleen, resulting in an enlarged
altered level of spleen, severe anemia, and shock. The most common
consciousness, cool and manifestation of SCD is vaso-occlusive crisis. This is an
clammy skin, and acute painful episode affecting the joints and
hypotension. Which of the extremities.
following is the MOST likely
cause of these symptoms?
paroxysmal cough is a sign of pertusis
The nurse is assisting the some supraglottic devices do not allow for high pressures.
intubation of a nd would therefore not be effective in a patient with
pediatric patient with asthma. restrictive airway disease. The need for gastric
The physician is unsuccessful emptying is not essential in the immediate ventilation and
with attempts to intubate oxygenation of the patient but should be considered later.
and a supraglottic device is Supraglottic devices are not a definitive airway as they do
used. The nurse understands not sit below the vocal cords. Most supraglottic devices for
that: pediatrics are
only weight based and not height based.
, Which of the following is 1!
MOST indicative of Pain is the hallmark sign of compartment syndrome.
compartment syndrome? Pain out of proportion to the extent of the injury or pain
1) pain out of proportion to on passive range of motion of the affected
the severity of the injury compartment can indicate development of or existing
2) compartment pressure of compartment syndrome. Generally
8mmHg
pressures should be >20.
3) decreased pulse pressure
distal to the injury
4) sensory deficit at the injury
site
A patient presents to the 4!
emergency During the primary phase following an explosion, the
department following an blast pressure wave can cause injuries to air volume
explosion. The patient is organs, for example, lung, gastric/bowel rupture, TM
noted to have bilateral ear rupture,
drum rupture and confusion and concussion/traumatic Brain Injury (TBI). This patient
along with presents with several primary blast injuries which
numerous wounds. Initial would lead the nurse to be concerned for risk of
imaging reveals concerns additional
for bowel perforation. Based primary injuries.
on the identified injuries,
the nurse is MOST
concerned for:
1) full thickness burns
2) tibial fracture
3) corneal laceration
4) lung injury
A toddler presents after Windshield wiper fluid contains methanol which is
drinking associated with malaise, headache, dizziness, and
windshield wiper fluid.
visual impairment
Symptoms of this
ingestion include:
The signs and symptoms are indicative of a globe rupture. Facial
s/s of globe fracture after
fracture, retinal
being hit in the eye w a bat
detachment and hyphema usually do not include a
misshapen pupil or loss of vision in the injured eye.
\NEWEST VERSION WITH COMPLETE QUESTIONS AND
ACCURATE DETAILED ANSWERS \VERIFIED 100%
\LATEST UPDATE \BRAND NEW!!!
A child with septic shock has This patient likely has adrenal insufficiency. An acute stressor,
received 3 IV fluid boluses such as septic shock, causes the adrenal cortex to release large
amounts of cortisol. Since cortisol also controls the release of
(weight based), IV catecholamines from the adrenal medulla, depletion of
antibiotics, and is currently cortisol inhibits their release, decreasing vasoconstricting ability.
receiving a norepinephrine
infusion. The child remains
hypotensive with signs of
poor perfusion. What should
the
nurse suspect?
A 2-year-old child has The child is showing signs of normotensive shock since the blood
achieved return of pressure is within the normal range for their age but they are
still showing signs of poor perfusion. In
spontaneous circulation
normotensive shock, the recommended vasoactive agents are
following a milrinone or low-dose epinephrine. Norepinephrine would be
cardiopulmonary arrest. considered for hypotensive shock
After 2 IV fluid
boluses, the child still shows
signs of poor perfusion and
the BP is 84/53 mm Hg.
Which intervention should
the nurse anticipate?
An adolescent patient with a Initiate MTP!
known pelvic fracture is hemorrhage is a great risk with pelvic fracture. The nurse should
not remove the pelvic binder. It should not be removed until the
placed in a pelvic binder.
patient is in a controlled
The environment and the team is equipped to manage the fracture
nurse notes the following repair. This patient is exhibiting hypovolemic shock and
interventions to restore hemodynamic stability
vital signs: BP 76/45 mmHg
should be implemented immediately, of which preparing for
HR 134 beats/min transport to CT and the OR will not aid in treating.
RR 26 breaths/min
What is the MOST
,appropriate action?
The triage nurse is obtaining The most likely cause of meningitis is primarily caused by group
a history from the caregiver B streptococcus which is a common bacteria that women can
carry during pregnancy. If antibiotics are not administered prior
who brought in a 2 week old to delivery, the neonate can be exposed. The other questions
with complaints of fever, while related to the birth history are not as relevant to the
fussiness and not eating. concerns for meningitis
The nurse notices the
patient is
mottled, tachypneic and has
a bulging fontanel. Which
question regarding the birth
history should be asked
NEXT?
A patient presents to the ER Calcium gluconate!
with exposure to glass Hydrofluoric acid is commonly found in glass etching
etching chemicals. The chemicals. The first line agent to neutralize the
parent says they don't chemical is calcium gluconate. The other agents will
know how much was not cause the chemical neutralization that is needed
spilled on the child but are to stop the burning process.
concerned for exposure.
What agent will the nurse
anticipate administering to
neutralize the chemical?
1) mineral oil
2) calcium gluconate
3) sodium bicarb
4) potassium chloride
subluxation of the radial nursemaids
head. is referred to as
_______
,The nurse is caring for a Tracheobronchial injury can be the result of a direct
patient who sustained an blow to the neck and results in air leaking from the
isolated kick to the neck. A trachea into the mediastinum. This can cause a
tracheobronchial injury is continuous, massive air leak into the chest drainage
suspected and a chest tube system. Copious amounts of blood are not expected.
has been placed. The nurse Muffled heart tones and jugular vein distension are
anticipates the following expected with cardiac tamponade but not with
during assessment: tracheobronchial injury
A child with a history of sickle splenic sequestration crisis occurs with pooling of red
cell disease presents with blood cells in the spleen, resulting in an enlarged
altered level of spleen, severe anemia, and shock. The most common
consciousness, cool and manifestation of SCD is vaso-occlusive crisis. This is an
clammy skin, and acute painful episode affecting the joints and
hypotension. Which of the extremities.
following is the MOST likely
cause of these symptoms?
paroxysmal cough is a sign of pertusis
The nurse is assisting the some supraglottic devices do not allow for high pressures.
intubation of a nd would therefore not be effective in a patient with
pediatric patient with asthma. restrictive airway disease. The need for gastric
The physician is unsuccessful emptying is not essential in the immediate ventilation and
with attempts to intubate oxygenation of the patient but should be considered later.
and a supraglottic device is Supraglottic devices are not a definitive airway as they do
used. The nurse understands not sit below the vocal cords. Most supraglottic devices for
that: pediatrics are
only weight based and not height based.
, Which of the following is 1!
MOST indicative of Pain is the hallmark sign of compartment syndrome.
compartment syndrome? Pain out of proportion to the extent of the injury or pain
1) pain out of proportion to on passive range of motion of the affected
the severity of the injury compartment can indicate development of or existing
2) compartment pressure of compartment syndrome. Generally
8mmHg
pressures should be >20.
3) decreased pulse pressure
distal to the injury
4) sensory deficit at the injury
site
A patient presents to the 4!
emergency During the primary phase following an explosion, the
department following an blast pressure wave can cause injuries to air volume
explosion. The patient is organs, for example, lung, gastric/bowel rupture, TM
noted to have bilateral ear rupture,
drum rupture and confusion and concussion/traumatic Brain Injury (TBI). This patient
along with presents with several primary blast injuries which
numerous wounds. Initial would lead the nurse to be concerned for risk of
imaging reveals concerns additional
for bowel perforation. Based primary injuries.
on the identified injuries,
the nurse is MOST
concerned for:
1) full thickness burns
2) tibial fracture
3) corneal laceration
4) lung injury
A toddler presents after Windshield wiper fluid contains methanol which is
drinking associated with malaise, headache, dizziness, and
windshield wiper fluid.
visual impairment
Symptoms of this
ingestion include:
The signs and symptoms are indicative of a globe rupture. Facial
s/s of globe fracture after
fracture, retinal
being hit in the eye w a bat
detachment and hyphema usually do not include a
misshapen pupil or loss of vision in the injured eye.
