CPEN BCEN test Questions &
Answers Updated 2026
AB6-year-
oldBpresentsBwithBaBhomemadeBsplintBonBtheBleftBarmBafterBfallingBoffBofBaBbicycle.BWhichB
ofBtheBfollowingBshouldBbeBtheBnurse'sBPRIORITY?B-BAnswerAssessBtheBneurovascularBstatus
AB12-year-oldBpresentsBwithBlow-
gradeBfeverBandBdiffuseBabdominalBpainBwhichBincreasesBwithBcoughing.BTheseBsymptomsBsu
ggestB-BAnswerappendicitis
WhenBassessingBanBinfantBwithBcoarctationBofBtheBaorta,BaBnurseBshouldBexpectBtoBfindB-
BAnswerabsentBorBdiminishedBfemoralBpulses
ContinuousBmonitoringBofBaBchild'sBETCO2BduringBcardiacBarrestBrevealsB8BmmHg.BThisBindica
tesBthatBCPRBisB-BAnswerineffectiveBandBadjustmentsBneedBtoBbeBmadeBtoBcompressions
AbdominalBpainBcanBbeBaBcharacteristicBofBwhichBrespiratoryBdiagnosis?B-BAnswerpneumonia
WhichBofBtheBfollowingBisBtheBNEXTBstepBforBaBnewbornBwithBaBheartBrateBofB80Bbeats/min
BafterBinitialBdryingBandBsuctioning?B-BAnswerInitiateBventilations
FollowingBaBdiagnosisBofBhyphema,BdischargeBinstructionsBtoBtheBcareBgiverBshouldBincludeB-
BAnswerre-bleedingBmayBoccur
WhichBofBtheBfollowingBisBtheBtreatmentBofBchoiceBforBaBlethargicBneonateBwithBnarrowBco
mplexBtachycardiaBandBaBheartBrateBofB230Bbeats/min?B-BAnswercardioversion
ABchildBpresentsBwithBaBfever,BsoreBthroat,BandBgeneralBmalaiseBapproximatelyB48BhoursBafte
rBaBcampingBtrip.BItBwouldBbeBaBPRIORITYBforBtheBnurseBtoB-
BAnswerexamineBtheBchildBforBopenBwounds.
WhichBofBtheBfollowingBisBaBcommonBsignBofBmeningococcalBmeningitis?B-BAnswerpetechiae
ABpatientBisBreceivingBintravenousBpotassiumBreplacement.BTheBnurseBsuspectsBhyperkalemiaB
basedBonBwhichBtheBfollowing:B-BAnswerpeakedBTBwaves
,TheBnurseBshouldBanticipateBnotifyingBtheBproperBauthoritiesBforBwhichBofBtheBfollowingBpati
ents?B-BAnswer6-year-oldBwithBpositiveBgonorrhea
WhichBofBtheBfollowingBisBMOSTBindicativeBofBcompartmentBsyndrome?B-
BAnswerpainBoutBofBproportionBtoBtheBseverityBofBtheBinjury
AB16-year-
oldBisBbroughtBtoBtheBEmergencyBDepartmentBbyBfriendsBfollowingBaBseizure.BTheyBreportBit
BlastedBaboutBtwoBminutesBandBbrokeBupBtheBparty.BTheBpriorityBdiagnosticBtestBis:B-
BAnsweraBurineBdrugBscreen.
9-month-oldBpresentsBtoBtheBEmergencyBDepartmentBwithBaBmid-
shaftBtibiaBfracture.BWhichBofBtheBfollowingBstatementsBfromBtheBparentBmightBindicateBhisto
ryBofBnon-accidentalBtraumaB(NAT).B-BAnswerPatientBwasBridingBaBtricycleBandBfellBoff
AB12-month-oldBpresentsBwithBaB2-dayBhistoryBofBnauseaBandBvomiting.BVitalBsignsBinclude:
BPB80/60BmmBHgHRB56Bbeats/minRRB12Bbreaths/min
TheBchildBisBlimpBandBashen.BWhichBofBtheBfollowingBisBtheBPRIORITYBintervention?B-
BAnswermanualBventilations
AB6-year-
oldBpresentsBwithBaBsuddenBonsetBofBfever,Bchills,BandBmacularBrashBofBtheBpalms,Bwrist,Ban
kles,BandBsolesBofBtheBfeet.BTheBchildBwasBrecentlyBonBaBcampingBtrip.BTheBnurseBsuspectsB
-BAnswerRockyBMountainBSpottedBFever
AnB18-month-
oldBpatientBpresentsBtoBtheBEmergencyBDepartmentBwithBupperBrespiratoryBsymptomsBandBw
heezing.BChestBx-
rayBrevealsBaBradiopaqueBobjectBinBtheBleftBlowerBlobe.BTheBnurseBpreparesBtheBpatientBforB
a:B-BAnswerRigidBbronchoscopy
AB2-year-
oldBisBcryingBandBclingingBtoBtheBmotherBinBtriage.BWhichBofBtheBfollowingBpainBscalesBisBM
OSTBappropriateBforBtheBnurseBtoBuseBwhenBassessingBtheBchild?B-BAnswerFLACC
, AB2-month-
oldBpresentsBwithBirritabilityBandBisBinconsolable.BWhichBfindingBwouldBleadBtheBemergencyB
nurseBtoBsuspectBshakenBbabyBsyndrome?B-BAnswerBilateralBretinalBhemorrhages
ABchildBarrivesBbyBambulanceBfollowingBaBwitnessedBseizure.BAsBtheBnurseBisBpreparingBtoBst
artBaBperipheralBIV,BtheBchildBbeginsBtoBhaveBgeneralizedBseizureBactivity.BWhichBmedicationB
canBbeBgivenBintranasallyBtoBcontrolBtheBseizure?B-BAnswermidazolamB(Versed)
AnBinfantBpresentsBtoBtheBemergencyBdepartmentBwithBfeedingBintoleranceBafterB3BdaysBofBc
old-
likeBsymptoms.BUponBassessment,BtheBpatientBisBfoundBtoBhaveBanBalteredBmentalBstatus,Bsu
nkenBfontanels,BandBdecreasedBmuscleBtone.BVitalBsignsBareBasBfollows:
BPB66/30BmmHgHRB198Bbeats/minRRB50Bbreaths/minTB(rectal)B97.3B̊FB(36.3B̊C)
TheBPRIORITYBinterventionBisBtoB-BAnsweradministerBantibiotics.
ABnurseBisBcaringBforBaB3-year-
oldBthatBhasBaBdecreaseBinBhearingBandBpainBtoBrightBear.BUponBexam,BtheBnurseBnotesBim
pactedBcerumen.BTheBnurseBshouldBquestionBanBorderBforBirrigationBifBtheBcaregiverBmention
sBaBhistoryBofB-BAnswertympanicBmembraneBrupture.
AB16-year-
oldBpresentsBafterBrunningBaBcrossBcountryBmatch.BTheBpatientBisBextremelyBfatiguedBwithBm
uscleBpainBandBreportsBnauseaBandBdarkBurine.BTheBnurseBshouldBexpectBaBdiagnosisBofB-
BAnswerrhabdomyolysis
WhatBisBtheBPRIORITYBinterventionBforBaB4-year-
oldBchildBwhoBhasBaBfever,BmuffledBvoiceBandBpallor?B-BAnswerKeepBtheBpatientBcalm
ABpreschoolBchildBpresentsBforBpossibleBsexualBabuse.BTheBMOSTBappropriateBguidelineBwhen
BobtainingBaBhistoryBisBtoB-
BAnswerdetermineBwhatBtermsBtheBchildBusesBforBtheBgenitalBandBanalBareas
AB9-year-
oldBpresentsBwithBaBlegBthatBisBredBandBswollenBaroundBwhatBappearBtoBbeBtwoBfangBmark
s.BCapillaryBrefillBinBtheBtoesBisBwithinBnormalBlimitsBandBaBpedalBpulseBcanBbeBpalpated.BT
heBpatient'sBvitalBsignsBinclude:
BPB90/60BmmHgHRB100Bbeats/minRRB24Bbreaths/min
Answers Updated 2026
AB6-year-
oldBpresentsBwithBaBhomemadeBsplintBonBtheBleftBarmBafterBfallingBoffBofBaBbicycle.BWhichB
ofBtheBfollowingBshouldBbeBtheBnurse'sBPRIORITY?B-BAnswerAssessBtheBneurovascularBstatus
AB12-year-oldBpresentsBwithBlow-
gradeBfeverBandBdiffuseBabdominalBpainBwhichBincreasesBwithBcoughing.BTheseBsymptomsBsu
ggestB-BAnswerappendicitis
WhenBassessingBanBinfantBwithBcoarctationBofBtheBaorta,BaBnurseBshouldBexpectBtoBfindB-
BAnswerabsentBorBdiminishedBfemoralBpulses
ContinuousBmonitoringBofBaBchild'sBETCO2BduringBcardiacBarrestBrevealsB8BmmHg.BThisBindica
tesBthatBCPRBisB-BAnswerineffectiveBandBadjustmentsBneedBtoBbeBmadeBtoBcompressions
AbdominalBpainBcanBbeBaBcharacteristicBofBwhichBrespiratoryBdiagnosis?B-BAnswerpneumonia
WhichBofBtheBfollowingBisBtheBNEXTBstepBforBaBnewbornBwithBaBheartBrateBofB80Bbeats/min
BafterBinitialBdryingBandBsuctioning?B-BAnswerInitiateBventilations
FollowingBaBdiagnosisBofBhyphema,BdischargeBinstructionsBtoBtheBcareBgiverBshouldBincludeB-
BAnswerre-bleedingBmayBoccur
WhichBofBtheBfollowingBisBtheBtreatmentBofBchoiceBforBaBlethargicBneonateBwithBnarrowBco
mplexBtachycardiaBandBaBheartBrateBofB230Bbeats/min?B-BAnswercardioversion
ABchildBpresentsBwithBaBfever,BsoreBthroat,BandBgeneralBmalaiseBapproximatelyB48BhoursBafte
rBaBcampingBtrip.BItBwouldBbeBaBPRIORITYBforBtheBnurseBtoB-
BAnswerexamineBtheBchildBforBopenBwounds.
WhichBofBtheBfollowingBisBaBcommonBsignBofBmeningococcalBmeningitis?B-BAnswerpetechiae
ABpatientBisBreceivingBintravenousBpotassiumBreplacement.BTheBnurseBsuspectsBhyperkalemiaB
basedBonBwhichBtheBfollowing:B-BAnswerpeakedBTBwaves
,TheBnurseBshouldBanticipateBnotifyingBtheBproperBauthoritiesBforBwhichBofBtheBfollowingBpati
ents?B-BAnswer6-year-oldBwithBpositiveBgonorrhea
WhichBofBtheBfollowingBisBMOSTBindicativeBofBcompartmentBsyndrome?B-
BAnswerpainBoutBofBproportionBtoBtheBseverityBofBtheBinjury
AB16-year-
oldBisBbroughtBtoBtheBEmergencyBDepartmentBbyBfriendsBfollowingBaBseizure.BTheyBreportBit
BlastedBaboutBtwoBminutesBandBbrokeBupBtheBparty.BTheBpriorityBdiagnosticBtestBis:B-
BAnsweraBurineBdrugBscreen.
9-month-oldBpresentsBtoBtheBEmergencyBDepartmentBwithBaBmid-
shaftBtibiaBfracture.BWhichBofBtheBfollowingBstatementsBfromBtheBparentBmightBindicateBhisto
ryBofBnon-accidentalBtraumaB(NAT).B-BAnswerPatientBwasBridingBaBtricycleBandBfellBoff
AB12-month-oldBpresentsBwithBaB2-dayBhistoryBofBnauseaBandBvomiting.BVitalBsignsBinclude:
BPB80/60BmmBHgHRB56Bbeats/minRRB12Bbreaths/min
TheBchildBisBlimpBandBashen.BWhichBofBtheBfollowingBisBtheBPRIORITYBintervention?B-
BAnswermanualBventilations
AB6-year-
oldBpresentsBwithBaBsuddenBonsetBofBfever,Bchills,BandBmacularBrashBofBtheBpalms,Bwrist,Ban
kles,BandBsolesBofBtheBfeet.BTheBchildBwasBrecentlyBonBaBcampingBtrip.BTheBnurseBsuspectsB
-BAnswerRockyBMountainBSpottedBFever
AnB18-month-
oldBpatientBpresentsBtoBtheBEmergencyBDepartmentBwithBupperBrespiratoryBsymptomsBandBw
heezing.BChestBx-
rayBrevealsBaBradiopaqueBobjectBinBtheBleftBlowerBlobe.BTheBnurseBpreparesBtheBpatientBforB
a:B-BAnswerRigidBbronchoscopy
AB2-year-
oldBisBcryingBandBclingingBtoBtheBmotherBinBtriage.BWhichBofBtheBfollowingBpainBscalesBisBM
OSTBappropriateBforBtheBnurseBtoBuseBwhenBassessingBtheBchild?B-BAnswerFLACC
, AB2-month-
oldBpresentsBwithBirritabilityBandBisBinconsolable.BWhichBfindingBwouldBleadBtheBemergencyB
nurseBtoBsuspectBshakenBbabyBsyndrome?B-BAnswerBilateralBretinalBhemorrhages
ABchildBarrivesBbyBambulanceBfollowingBaBwitnessedBseizure.BAsBtheBnurseBisBpreparingBtoBst
artBaBperipheralBIV,BtheBchildBbeginsBtoBhaveBgeneralizedBseizureBactivity.BWhichBmedicationB
canBbeBgivenBintranasallyBtoBcontrolBtheBseizure?B-BAnswermidazolamB(Versed)
AnBinfantBpresentsBtoBtheBemergencyBdepartmentBwithBfeedingBintoleranceBafterB3BdaysBofBc
old-
likeBsymptoms.BUponBassessment,BtheBpatientBisBfoundBtoBhaveBanBalteredBmentalBstatus,Bsu
nkenBfontanels,BandBdecreasedBmuscleBtone.BVitalBsignsBareBasBfollows:
BPB66/30BmmHgHRB198Bbeats/minRRB50Bbreaths/minTB(rectal)B97.3B̊FB(36.3B̊C)
TheBPRIORITYBinterventionBisBtoB-BAnsweradministerBantibiotics.
ABnurseBisBcaringBforBaB3-year-
oldBthatBhasBaBdecreaseBinBhearingBandBpainBtoBrightBear.BUponBexam,BtheBnurseBnotesBim
pactedBcerumen.BTheBnurseBshouldBquestionBanBorderBforBirrigationBifBtheBcaregiverBmention
sBaBhistoryBofB-BAnswertympanicBmembraneBrupture.
AB16-year-
oldBpresentsBafterBrunningBaBcrossBcountryBmatch.BTheBpatientBisBextremelyBfatiguedBwithBm
uscleBpainBandBreportsBnauseaBandBdarkBurine.BTheBnurseBshouldBexpectBaBdiagnosisBofB-
BAnswerrhabdomyolysis
WhatBisBtheBPRIORITYBinterventionBforBaB4-year-
oldBchildBwhoBhasBaBfever,BmuffledBvoiceBandBpallor?B-BAnswerKeepBtheBpatientBcalm
ABpreschoolBchildBpresentsBforBpossibleBsexualBabuse.BTheBMOSTBappropriateBguidelineBwhen
BobtainingBaBhistoryBisBtoB-
BAnswerdetermineBwhatBtermsBtheBchildBusesBforBtheBgenitalBandBanalBareas
AB9-year-
oldBpresentsBwithBaBlegBthatBisBredBandBswollenBaroundBwhatBappearBtoBbeBtwoBfangBmark
s.BCapillaryBrefillBinBtheBtoesBisBwithinBnormalBlimitsBandBaBpedalBpulseBcanBbeBpalpated.BT
heBpatient'sBvitalBsignsBinclude:
BPB90/60BmmHgHRB100Bbeats/minRRB24Bbreaths/min
