CPEN Pediatric Assessment 2

Question 1

When assessing a 2-year-old using the Pediatric Assessment Triangle (PAT), which component evaluates the child's skin color and circulation?

Accepted Answer

Circulation to skin

Answer

The PAT's Circulation to Skin component evaluates skin color, mottling, pallor, and cyanosis to indicate perfusion status.

Question 2

A 6-year-old presents with a heart rate of 140 bpm, respiratory rate of 28, capillary refill of 3 seconds, and altered mental status. This constellation BEST describes which pediatric emergency state?

Accepted Answer

Decompensated shock

Answer

Decompensated shock is present when altered mental status accompanies tachycardia, tachypnea, and prolonged capillary refill, indicating failing compensatory mechanisms.

Question 3

Which pain assessment tool is MOST appropriate for a 4-year-old child who can understand simple instructions but cannot verbalize a numeric score?

Accepted Answer

Wong-Baker FACES scale

Answer

The Wong-Baker FACES scale is validated for children ages 3 and older who can point to a face representing their pain but cannot use numeric scales.

Question 4

In a 9-month-old infant, the anterior fontanelle is bulging and tense at rest. This finding is MOST consistent with which condition?

Accepted Answer

Increased intracranial pressure

Answer

A bulging, tense anterior fontanelle at rest in an infant suggests elevated intracranial pressure requiring urgent evaluation.

Question 5

When measuring blood pressure in a pediatric patient, which cuff size principle is MOST important for accuracy?

Accepted Answer

Cuff bladder width should be 40% of mid-arm circumference

Answer

The cuff bladder width should be approximately 40% of mid-arm circumference to ensure accurate blood pressure readings in children.

CPEN - Certified Pediatric Emergency Nurse Practice Test

CPEN - Certified Pediatric Emergency Nurse Practice Test

CPEN Pediatric Assessment 2