CPEN BCEN Test Bank Exam 2025-2026 \NEWEST
VERSION \LATEST QUESTIONS AND ACCURATE
DETAILED ANSWERS \VERIFIED 100%
An infant presents to the administer antibiotics.
emergency
department with feeding
intolerance after 3 days of
cold-like symptoms.
Upon
assessment, the patient 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 PRIORITY
intervention is to
A nurse is caring for a 3- tympanic membrane rupture.
year-old that has a
decrease in hearing and
pain to right ear. Upon
exam, the nurse notes
impacted cerumen. The
nurse should question an
order for irrigation if the
caregiver mentions a
history of
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A 16-year-old presents rhabdomyolysis
after running a cross
country match. The
patient is
extremely fatigued with
muscle pain and reports
nausea and dark urine. The
nurse should expect a
diagnosis of
What is the PRIORITY Keep the patient calm
intervention for a 4- year-
old child who has a fever,
muffled voice and pallor?
A preschool child presents determine what terms the child uses for the genital and anal
for possible sexual abuse. areas
The MOST appropriate
guideline when obtaining a
history is to
A 9-year-old presents with a Monitor for hypotension or shock
leg that is red and swollen
around what appear to be
two fang marks. Capillary
refill in the toes is within
normal limits and a pedal
pulse can be palpated. The
patient's vital signs
include:
BP 90/60 mmHgHR 100
beats/minRR 24
breaths/min
Which of the following is the
PRIORITY intervention?
A 5-week-old presenting meningitis
with vomiting is noted to
have a slightly bulging
fontanel, hypothermia,
and petechiae. The nurse
should anticipate a workup for
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An adolescent presents preparing emergency airway equipment
with a 3-day history of
fever, sore throat, and
muffled
voice. The PRIORITY
intervention should be
In addition to airway, Glasgow Coma Scale score
breathing, and
circulation, which of
the following
assessments is MOST
critical when
assessing a 2-year-old with
a temperature of 101.3° F
(38.5° C)?
A nurse caring for a child the drainage tests positive for glucose
with a traumatic brain
injury observes drainage
from the
child's nose. The nurse
should suspect the
drainage is cerebral
spinal fluid if
A child presents with leg weakness
lethargy and bilateral ptosis
after eating home canned
vegetables. Which of
the following additional
findings would the
nurse expect?
A child presents after being Prednisone, weight based
bitten
approximately 4 days ago
while on a
camping trip. The wound is
purple, without drainage,
and the physician suspects
a
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brown recluse bite. What
treatment does the nurse
anticipate?
Which of the following an obtunded child who is vomiting
patients requires the MOST
emergent intervention?
Which of the following circumferential burns to both feet
injuries is MOST suggestive
of child maltreatment?
Which of the following is the capnography value
BEST method to assess
adequacy of ventilation
during
procedural sedation?
A physician diagnoses a Some patients may be candidates for a radiofrequency ablation
teenager with Wolff-
Parkinson-White
syndrome. When the
caregiver asks how this
condition is treated, the
nurse should explain
that:
A 3-year-old child presents intravenous volume replacement at 20 mL/kg
following 36 hours of
vomiting and diarrhea. Vital
signs include:
BP 78/45 mm HgHR 150
beats/minRR 38
breaths/minTemp 100.4° F
(38° C)O2 sat
94%
When discharging a patient Wire cutters
home with
maxillomandibular fixation in
place, the
nurse recognizes the MOST
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