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An anxious adolescent presents with palpitations, a heart rate of 184 beats/min, and normal skin tone. Which of the following is the PRIORITY intervention? A. Obtain urine drug screen. B. Administer IV adenosine (Adenocard) rapidly. C. Instruct the patient to bear down. D. Provide comfort and reassurance. Ans: D. SVT is defined as heart rate >220 in infants and >180 in children. Thus putting the child in SVT. Search and treat the cause. The PRIORITY intervention to prov...

©THEBRIGHT 2025 ALL RIGHTS RESERVED 4:52 PM A+ 1 | P a g e CPEN Practice Exam Questions And Answers |Latest 2025 | Guaranteed Pass An anxious adolescent presents with palpitations, a heart rate of 184 beats/min, and normal skin tone. Which of the following is the PRIORITY intervention? A. Obtain urine drug screen. B. Administer IV adenosine (Adenocard) rapidly. C. Instruct the patient to bear down. D. Provide comfort and reassurance. - AnswerD. SVT is defined as heart rate >220 in i...

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An anxious adolescent presents with palpitations, a heart rate of 184 beats/min, and normal skin tone. Which of the following is the PRIORITY intervention? A. Obtain urine drug screen. B. Administer IV adenosine (Adenocard) rapidly. C. Instruct the patient to bear down. D. Provide comfort and reassurance. - Correct Ans-D. SVT is defined as heart rate >220 in infants and >180 in children. Thus putting the child in SVT. Search and treat the cause. The PRIORITY intervention to provide co...

Labs/tests to work up fever if no focal source and fever lasts > 5+ days - - Consider Kawasaki Dz -CBC, Bldcx, U/A, Ucx, Resp viral PCR panel, ESR, CRP -Peds ID consult Mgmt of fever - -ABCs -Anti-pyretics: Acetaminophen: 15mg/kg q4hrs or Ibuprofen: 10mg/kg q6hrs -Fluids: PO or IV depending on patient condition -Abx if indicated: Empiric if neonate or by source (OM, pneumonia, UTI, strep) Abx for neonates ≤8wk - -Ampicillin 50mg/kg IV q6hrs AND -Cefotaxime 50mg/kg IV q8hrs (≤6wks...

Ventilation has become progressively more difficult. Which of the following is the PRIORITY intervention? A. Insert a nasogastric tube. B. Obtain a pulse oximeter reading. C. Place padding under the shoulders. - C. Due to a large occiput, optimal airway position is achieved by placing padding under the shoulders. The padding provides neutral alignment of the airway and cervical spine. The other options need to occur, but they are not the priority intervention If administering epinephrine...

Age related pain scale for child less that 3 years of age - Cries, Nips, FLACC Age related pain scale for child greater than 3 years of age - FACES, WongBaker, Standard Pediatric milestones "Head, Shoulders, Knees, and Toes" - 2 months: Holds head up 4 months: Rolls 6 months: Sits unsupported 1 year: Walking Which type chemical burns may cause more damage to the eyes? - Alkali What is Beck's Triad? - Cardiac Tamponade Signs -JVD -Muffled heart sounds -Narrowed pulse pressure ...

Lower Airway - Begins at the opening of the trachea and ends at the alveoli. Common disorders affect the large and small bronchiole tubes and the alveoli themselves. Common disorders include asthma, pneumonia, and other respiratory infections. Typically cause difficulty breathing/wheezing lung sounds. Meningitis - Potentially life-threatening infection of the lining of the brain and spinal cord (the meninges) Commonly seen in children 1 month to 5 years old. Neglect - The failure of a care...

Wolff-Parkinson-White Syndrome - Most common type of ventricular preexcitation syndrome. Abnormal fast accessory conduction pathway from atria to ventricle bypasses the rate-slowing AV node causing a delta wave and widening QRS with shortened PR interval. Could lead to a reentrant circuit and supraventicular tachy. (treat with amioderone) Ductal-dependent congenital heart defects typically present with __________ - different predutal and post ductal SpO2 readings, different UE and LE BP, ce...