Practice Test GeeksCPEN - Certified Pediatric Emergency Nurse Practice Test
← All CPEN Flashcard Decks

Basic Exam Flashcards

7 cards from real CPEN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Basic Exam flashcards as text

  1. Which blood glucose level is considered hypoglycemia in a term neonate during the first 24 hours of life?

    Answer: < 45 mg/dL

    In neonates during the first 24 hours, blood glucose below 45 mg/dL is considered hypoglycemia requiring intervention.

  2. A 6-year-old is stung by multiple bees and develops urticaria, angioedema, and wheezing. His blood pressure is 70/40 mmHg. Which route of epinephrine administration is PREFERRED?

    Answer: Intramuscular injection into the anterolateral thigh

    IM epinephrine into the anterolateral thigh is the preferred route for anaphylaxis as it provides the fastest absorption compared to subcutaneous injection.

  3. Which finding differentiates bronchiolitis from asthma in an 8-month-old presenting with wheezing and respiratory distress?

    Answer: First episode of wheezing during RSV season with upper respiratory prodrome

    Bronchiolitis typically occurs in infants under 2 years during RSV season, presents as a first wheezing episode with viral URI symptoms, and is distinct from recurrent asthmatic episodes.

  4. During a pediatric code, the cardiac monitor shows ventricular fibrillation in a 5-year-old (20 kg). What is the correct initial defibrillation dose?

    Answer: 2 J/kg

    The initial defibrillation dose for pediatric VF/pulseless VT is 2 J/kg; subsequent doses are 4 J/kg.

  5. A 14-year-old female presents with right lower quadrant pain, nausea, and missed menstrual period. Which diagnostic test is MOST critical to obtain FIRST?

    Answer: Urine or serum pregnancy test

    A pregnancy test must be performed first in any adolescent female with lower abdominal pain to rule out ectopic pregnancy before other imaging.

  6. A toddler presents with burns covering the entire right arm (front and back). Using the Rule of Nines modified for pediatrics, what percentage of TBSA is burned?

    Answer: 9%

    In children, each arm represents approximately 9% TBSA (4.5% anterior + 4.5% posterior), so the entire right arm equals 9%.

  7. A nurse caring for a 4-year-old with suspected child abuse is MOST appropriately guided by which principle?

    Answer: Document objective findings only and follow mandatory reporting obligations

    Nurses are mandatory reporters; they must objectively document all findings and report suspicions to child protective services, regardless of certainty.