CPEN Practice Exam TEST MOD 012 with Actual Questions &
Answers 2023/2024 GRADED A+
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? correct
answers 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 correct answers 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? correct answers distributive
Which of the following requires the MOST emergent evaluation? correct answers 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?
correct answers 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 correct answers prepare for intubation.
Which of the following is the highest PRIORITY for a patient with heat stroke? correct answers
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 correct answers 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? correct answers
Suction the airway.
Which federal regulation ensures that a medical screening exam is performed to determine if an
emergent condition exists? correct answers Emergency Medical Treatment and Active Labor Act
Which of the following age groups are preoperational thinkers and concerned developmentally with
initiative versus guilt? correct answers preschool
Stridor at rest is a normal finding in which of the following situations? correct answers 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? correct answers small bowel injury
The appropriate method of tick removal within 24 hours is to correct answers pull in a steady slow
motion.
A school-aged child with hydrocephalus may present with which of the following physical findings?
correct answers papilledema
An obese adolescent male present with right hip pain and inability to bear weight. What should the
PRIORITY plan of care be? correct answers surgical intervention
Fluid administration is required after resuscitating a neonate. The nurse should prepare for
administration of a bolus of correct answers normal saline solution at 10 mL/kg.
An 8-year-old is being treated for hypovolemic shock. The expected minimum systolic blood pressure for
this patient is correct answers 86 mm Hg.
A 5-day-old patient presents with feeding intolerance, lethargy, temperature instability, and apnea. The
nurse has a high suspicion for correct answers neonatal sepsis.
An 18-month-old presents to the emergency department with several days of worsening respiratory
distress, persistent cough, thick secretions, and lethargy. The parent states that the patient was recently
diagnosed with respiratory syncytial virus (RSV). The nurse recognizes these symptoms as consistent with
correct answers bronchiolitis.
A child with 30% body surface area burns is awaiting transfer to the burn center. The nurse should
correct answers cover the burns with dry towel or sheet
A 14-year-old female reports a sudden onset of severe pelvic pain with guarding. Which of the following
is MOST concerning? correct answers referred shoulder pain
A 14-year-old female accompanied by a caregiver presents to the emergency department with
complaints of abdominal pain. The nurse notes a tattoo on the abdomen with initials and attempts to
discuss the tattoo without success. The patient tries to hide the tattoo. The nurse should be MOST
concerned about correct answers human trafficking.
A patient with a traumatic head injury presents with signs and symptoms of Cushing's triad. Which of the
following would be an expected finding? correct answers irregular, decreased respirations
A 2-month-old presents with difficulty breathing associated with tachypnea, mild retractions, and
copious amounts of nasal drainage. The MOST appropriate intervention is to correct answers suction the
nares.
Which of the following is MOST consistent with a diagnosis of tracheoesophageal fistula? correct
answers cyanosis with feeding
Answers 2023/2024 GRADED A+
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? correct
answers 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 correct answers 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? correct answers distributive
Which of the following requires the MOST emergent evaluation? correct answers 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?
correct answers 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 correct answers prepare for intubation.
Which of the following is the highest PRIORITY for a patient with heat stroke? correct answers
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 correct answers 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? correct answers
Suction the airway.
Which federal regulation ensures that a medical screening exam is performed to determine if an
emergent condition exists? correct answers Emergency Medical Treatment and Active Labor Act
Which of the following age groups are preoperational thinkers and concerned developmentally with
initiative versus guilt? correct answers preschool
Stridor at rest is a normal finding in which of the following situations? correct answers 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? correct answers small bowel injury
The appropriate method of tick removal within 24 hours is to correct answers pull in a steady slow
motion.
A school-aged child with hydrocephalus may present with which of the following physical findings?
correct answers papilledema
An obese adolescent male present with right hip pain and inability to bear weight. What should the
PRIORITY plan of care be? correct answers surgical intervention
Fluid administration is required after resuscitating a neonate. The nurse should prepare for
administration of a bolus of correct answers normal saline solution at 10 mL/kg.
An 8-year-old is being treated for hypovolemic shock. The expected minimum systolic blood pressure for
this patient is correct answers 86 mm Hg.
A 5-day-old patient presents with feeding intolerance, lethargy, temperature instability, and apnea. The
nurse has a high suspicion for correct answers neonatal sepsis.
An 18-month-old presents to the emergency department with several days of worsening respiratory
distress, persistent cough, thick secretions, and lethargy. The parent states that the patient was recently
diagnosed with respiratory syncytial virus (RSV). The nurse recognizes these symptoms as consistent with
correct answers bronchiolitis.
A child with 30% body surface area burns is awaiting transfer to the burn center. The nurse should
correct answers cover the burns with dry towel or sheet
A 14-year-old female reports a sudden onset of severe pelvic pain with guarding. Which of the following
is MOST concerning? correct answers referred shoulder pain
A 14-year-old female accompanied by a caregiver presents to the emergency department with
complaints of abdominal pain. The nurse notes a tattoo on the abdomen with initials and attempts to
discuss the tattoo without success. The patient tries to hide the tattoo. The nurse should be MOST
concerned about correct answers human trafficking.
A patient with a traumatic head injury presents with signs and symptoms of Cushing's triad. Which of the
following would be an expected finding? correct answers irregular, decreased respirations
A 2-month-old presents with difficulty breathing associated with tachypnea, mild retractions, and
copious amounts of nasal drainage. The MOST appropriate intervention is to correct answers suction the
nares.
Which of the following is MOST consistent with a diagnosis of tracheoesophageal fistula? correct
answers cyanosis with feeding
