CPEN BCEN Timed #1 Questions with Complete Solutions

CPEN BCEN Timed #1 Questions with Complete Solutions 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? -Answer-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 -Answer-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? -Answer-distributive Which of the following requires the MOST emergent evaluation? -Answer-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? -Answer-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 -Answer-prepare for intubation. Which of the following is the highest PRIORITY for a patient with heat stroke? -Answer- 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 -Answer-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? -Answer-Suction the airway. Which federal regulation ensures that a medical screening exam is performed to determine if an emergent condition exists? -Answer-Emergency Medical Treatment and Active Labor Act Which of the following age groups are preoperational thinkers and concerned developmentally with initiative versus guilt? -Answer-preschool Stridor at rest is a normal finding in which of the following situations? -Answer-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? -Answer-small bowel injury The appropriate method of tick removal within 24 hours is to -Answer-pull in a steady slow motion. A school-aged child with hydrocephalus may present with which of the following physical findings? -Answer-papilledema An obese adolescent male present with right hip pain and inability to bear weight. What should the PRIORITY plan of care be? -Answer-surgical intervention Fluid administration is required after resuscitating a neonate. The nurse should prepare for administration of a bolus of -Answer-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 -Answer-86 mm Hg. A 5-day-old patient presents with feeding intolerance, lethargy, temperature instability, and apnea. The nurse has a high suspicion for -Answer-neonatal se