CPEN BCEN test questions and correct well defined answers solution guaranteed

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 Answers 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 Answers appendicitis When assessing an infant with coarctation of the aorta, a nurse should expect to find - Correct Answers absent or diminished femoral pulses Continuous monitoring of a child's ETCO2 during cardiac arrest reveals 8 mmHg. This indicates that CPR is - Correct Answers ineffective and adjustments need to be made to compressions Abdominal pain can be a characteristic of which respiratory diagnosis? - Correct Answers 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 Answers Initiate ventilations Following a diagnosis of hyphema, discharge instructions to the care giver should include - Correct Answersre-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 Answers 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 Answers examine the child for open wounds. Which of the following is a common sign of meningococcal meningitis? - Correct Answers petechiae A patient is receiving intravenous potassium replacement. The nurse suspects hyperkalemia based on which the following: - Correct Answers peaked T waves The nurse should anticipate notifying the proper authorities for which of the following patients? - Correct Answers6-year-old with positive gonorrhea Which of the following is MOST indicative of compartment syndrome? - Correct Answerspain 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 Answersa 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 AnswersPatient 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 Answersmanual 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 AnswersRocky 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 AnswersRigid 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 AnswersFLACC A 2-month-old presents with irritability and is inconsolable. Which finding would lead the emergency nurse to suspect shaken baby syndrome? - Correct AnswersBilateral retinal hemorrhages A child arrives by ambulance following a witnessed seizure. As the nurse is preparing to start a peripheral IV, the child begins to have generalized seizure activity. Which medication can be given intranasally to control the seizure? - Correct Answersmidazolam (Versed) An infant presents to the 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 - Correct Answersadminister antibiotics. A nurse is caring for a 3-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 - Correct Answerstympanic membrane rupture. A 16-year-old presents 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 - Correct Answersrhabdomyolysis What is the PRIORITY intervention for a 4-year-old child who has a fever, muffled voice and pallor? - Correct AnswersKeep the patient calm A preschool child presents for possible sexual abuse. The MOST appropriate guideline when obtaining a history is to - Correct Answersdetermine what terms the child uses for the genital and anal areas A 9-year-old presents with a 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? - Correct AnswersMonitor for hypotension or shock A 5-week-old presenting with vomiting is noted to have a slightly bulging fontanel, hypothermia, and petechiae. The nurse should anticipate a workup for - Correct Answersmeningitis An adolescent presents with a 3-day history of fever, sore throat, and muffled voice. The PRIORITY intervention should be - Correct Answerspreparing emergency airway equipment In addition to airway, 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)? - Correct AnswersGlasgow Coma Scale score A nurse caring for a child with a traumatic brain injury observes drainage from the child's nose. The nurse should suspect the drainage is cerebral spinal fluid if - Correct Answersthe drainage tests positive for glucose A child presents with lethargy and bilateral ptosis after eating home canned vegetables. Which of the following additional findings would the nurse expect? - Correct Answersleg weakness A child presents after being bitten approximately 4 days ago while on a camping trip. The wound is purple, without drainage, and the physician suspects a brown recluse bite. What treatment does the nurse anticipate? - Correct AnswersPrednisone, weight based Which of the following patients requires the MOST emergent intervention? - Correct Answersan obtunded child who is vomiting Which of the following injuries is MOST suggestive of child maltreatment? - Correct Answerscircumferential burns to both feet Which of the following is the BEST method to assess adequacy of ventilation during procedural sedation? - Correct Answerscapnography value A physician diagnoses a teenager with Wolff-Parkinson-White syndrome. When the caregiver asks how this condition is treated, the nurse should explain that: - Correct AnswersSome patients may be candidates for a radiofrequency ablation A 3-year-old child presents 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% - Correct Answersintravenous volume replacement at 20 mL/kg When discharging a patient home with maxillomandibular fixation in place, the nurse recognizes the MOST important item for the caregivers to keep with them at all times is: - Correct AnswersWire cutters The Pediatric Assessment Triangle (PAT) reveals that a 6 month old has decreased muscle tone, head bobbing with respirations, and pale skin color. The PRIORITY intervention is to - Correct Answersplace on a stretcher and reposition the airway. A diagnosis of intussusception is made on a 2-year-old. The nurse should anticipate an initial treatment of - Correct Answersan air enema A child complains of headache, nausea, and dizziness shortly after moving to an older home. Which of the following interventions is MOST appropriate? - Correct AnswersObtain carboxyhemoglobin level A 6-year-old female presents for a possible urinary tract infection. During assessment, patchy areas of hair loss are noted. The nurse should also consider - Correct Answersphysical abuse A 4-year child presents with abdominal pain and is crying. Which pain scale would be most appropriate for the nurse to use? - Correct AnswersFaces scale A child presents with a right eye injury after being hit with a bat. Assessment findings include a misshapen pupil, sunken eye socket and loss of vision in the right eye. The injury the nurse should be expected is - Correct Answersglobe rupture 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 Answerssuction the nares A child with hemophilia presents with pain and swelling to the elbow. Factor replacement was administered by the caregivers prior to arrival. Pain is rated as 8 out of 10. The nurse's MOST appropriate intervention is to - Correct Answersobtain an order for a narcotic analgesic An afebrile 12-year-old male is complaining of abdominal pain, nausea and vomiting upon waking. What information is a PRIORITY for the nurse to obtain? - Correct Answers"Have you had any trauma to your abdomen?" A child suspected of having mumps requires which type of isolation precautions? - Correct Answersdroplet While caring for an intubated patient, the nurse notices a sudden drop in end tidal carbon dioxide from 38 mmHg to 22 mmHg. The nurse immediately suspects? - Correct Answerstube obstruction Which of the following pediatric patients should be referred to a burn center? - Correct AnswersA patient with approximately 3% partial thickness burns to the wrist.