CPEN BCEN TEST QUESTIONS AND DETAILED
ANSWERS|ALREADY GRADED A
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? Correct Ans- Assess the neurovascular status
A 12-year-old presents with low-grade fever and diffuse abdominal pain
which increases with coughing. These symptoms suggest Correct Ans-
appendicitis
When assessing an infant with coarctation of the aorta, a nurse should
expect to find Correct Ans- absent or diminished femoral pulses
Continuous monitoring of a child's ETCO2 during cardiac arrest reveals
8 mmHg. This indicates that CPR is Correct Ans- ineffective and
adjustments need to be made to compressions
Abdominal pain can be a characteristic of which respiratory diagnosis?
Correct Ans- 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? Correct Ans- Initiate
ventilations
Following a diagnosis of hyphema, discharge instructions to the care
giver should include Correct Ans- 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?
Correct Ans- 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 Correct Ans- examine the child for open wounds.
Which of the following is a common sign of meningococcal meningitis?
Correct Ans- petechiae
A patient is receiving intravenous potassium replacement. The nurse
suspects hyperkalemia based on which the following: Correct Ans-
peaked T waves
The nurse should anticipate notifying the proper authorities for which of
the following patients? Correct Ans- 6-year-old with positive gonorrhea
Which of the following is MOST indicative of compartment syndrome?
Correct Ans- pain out of proportion to the severity of the injury
A 16-year-old is brought to the Emergency Department by friends
following a seizure. They report it lasted about two minutes and broke
up the party. The priority diagnostic test is: Correct Ans- a urine drug
screen.
, 9-month-old presents to the Emergency Department with a mid-shaft
tibia fracture. Which of the following statements from the parent might
indicate history of non-accidental trauma (NAT). Correct Ans- Patient
was riding a tricycle and fell off
A 12-month-old presents with a 2-day history of nausea and vomiting.
Vital signs include:
BP 80/60 mm HgHR 56 beats/minRR 12 breaths/min
The child is limp and ashen. Which of the following is the PRIORITY
intervention? Correct Ans- manual ventilations
A 6-year-old presents with a sudden onset of fever, chills, and macular
rash of the palms, wrist, ankles, and soles of the feet. The child was
recently on a camping trip. The nurse suspects Correct Ans- Rocky
Mountain Spotted Fever
An 18-month-old patient presents to the Emergency Department with
upper respiratory symptoms and wheezing. Chest x-ray reveals a
radiopaque object in the left lower lobe. The nurse prepares the patient
for a: Correct Ans- Rigid bronchoscopy
A 2-year-old is crying and clinging to the mother in triage. Which of the
following pain scales is MOST appropriate for the nurse to use when
assessing the child? Correct Ans- FLACC
ANSWERS|ALREADY GRADED A
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? Correct Ans- Assess the neurovascular status
A 12-year-old presents with low-grade fever and diffuse abdominal pain
which increases with coughing. These symptoms suggest Correct Ans-
appendicitis
When assessing an infant with coarctation of the aorta, a nurse should
expect to find Correct Ans- absent or diminished femoral pulses
Continuous monitoring of a child's ETCO2 during cardiac arrest reveals
8 mmHg. This indicates that CPR is Correct Ans- ineffective and
adjustments need to be made to compressions
Abdominal pain can be a characteristic of which respiratory diagnosis?
Correct Ans- 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? Correct Ans- Initiate
ventilations
Following a diagnosis of hyphema, discharge instructions to the care
giver should include Correct Ans- 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?
Correct Ans- 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 Correct Ans- examine the child for open wounds.
Which of the following is a common sign of meningococcal meningitis?
Correct Ans- petechiae
A patient is receiving intravenous potassium replacement. The nurse
suspects hyperkalemia based on which the following: Correct Ans-
peaked T waves
The nurse should anticipate notifying the proper authorities for which of
the following patients? Correct Ans- 6-year-old with positive gonorrhea
Which of the following is MOST indicative of compartment syndrome?
Correct Ans- pain out of proportion to the severity of the injury
A 16-year-old is brought to the Emergency Department by friends
following a seizure. They report it lasted about two minutes and broke
up the party. The priority diagnostic test is: Correct Ans- a urine drug
screen.
, 9-month-old presents to the Emergency Department with a mid-shaft
tibia fracture. Which of the following statements from the parent might
indicate history of non-accidental trauma (NAT). Correct Ans- Patient
was riding a tricycle and fell off
A 12-month-old presents with a 2-day history of nausea and vomiting.
Vital signs include:
BP 80/60 mm HgHR 56 beats/minRR 12 breaths/min
The child is limp and ashen. Which of the following is the PRIORITY
intervention? Correct Ans- manual ventilations
A 6-year-old presents with a sudden onset of fever, chills, and macular
rash of the palms, wrist, ankles, and soles of the feet. The child was
recently on a camping trip. The nurse suspects Correct Ans- Rocky
Mountain Spotted Fever
An 18-month-old patient presents to the Emergency Department with
upper respiratory symptoms and wheezing. Chest x-ray reveals a
radiopaque object in the left lower lobe. The nurse prepares the patient
for a: Correct Ans- Rigid bronchoscopy
A 2-year-old is crying and clinging to the mother in triage. Which of the
following pain scales is MOST appropriate for the nurse to use when
assessing the child? Correct Ans- FLACC
