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CPEN BCEN Timed exam 2024 with 100% correct answers
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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 answersPlace padding under the shoulders. A patient arrives to the emergency department intubated an...

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  • August 28, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
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  • cpen bcen timed

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CPEN BCEN Timed

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
answersPlace 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 answersinsert 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 answersdistributive



Which of the following requires the MOST emergent evaluation? correct answers3-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 answerscapnography 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 answersprepare for intubation.



Which of the following is the highest PRIORITY for a patient with heat stroke? correct answerscontinuous
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 answersreferral 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
answersSuction the airway.



Which federal regulation ensures that a medical screening exam is performed to determine if an
emergent condition exists? correct answersEmergency Medical Treatment and Active Labor Act



Which of the following age groups are preoperational thinkers and concerned developmentally with
initiative versus guilt? correct answerspreschool



Stridor at rest is a normal finding in which of the following situations? correct answerstracheomalacia



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 answerssmall bowel injury



The appropriate method of tick removal within 24 hours is to correct answerspull in a steady slow
motion.



A school-aged child with hydrocephalus may present with which of the following physical findings?
correct answerspapilledema



An obese adolescent male present with right hip pain and inability to bear weight. What should the
PRIORITY plan of care be? correct answerssurgical intervention



Fluid administration is required after resuscitating a neonate. The nurse should prepare for
administration of a bolus of correct answersnormal 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 answers86 mm Hg.



A 5-day-old patient presents with feeding intolerance, lethargy, temperature instability, and apnea. The
nurse has a high suspicion for correct answersneonatal 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 answersbronchiolitis.



A child with 30% body surface area burns is awaiting transfer to the burn center. The nurse should
correct answerscover 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 answersreferred 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 answershuman 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 answersirregular, 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 answerssuction the
nares.



Which of the following is MOST consistent with a diagnosis of tracheoesophageal fistula? correct
answerscyanosis with feeding



A 5-day-old neonate is diagnosed with hyperbilirubinemia. If left untreated, the infant may have long-
term issues with correct answersintellectual deficits.



Abdominal pain can be a characteristic of which respiratory diagnosis? correct answerspneumonia



Which developmental task is expected in a toddler? correct answersautonomy

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