CPEN Pediatric Assessment 3

Question 1

The AVPU scale is used to rapidly assess a child's level of consciousness. What does the 'P' stand for?

Accepted Answer

Pain response

Answer

In the AVPU scale, 'P' stands for responding to Pain, indicating the child responds only to painful stimuli.

Question 2

A 10-year-old child weighing 30 kg presents in cardiac arrest. Using the Broselow tape, the nurse should anticipate an epinephrine dose of:

Accepted Answer

0.3 mg IV

Answer

Epinephrine for cardiac arrest is dosed at 0.01 mg/kg IV/IO; for a 30 kg child this equals 0.3 mg.

Question 3

Which sign differentiates obstructive shock from distributive shock in a pediatric patient?

Accepted Answer

Distended neck veins and muffled heart sounds

Answer

Jugular venous distension and muffled heart sounds (Beck's triad) suggest obstructive shock from cardiac tamponade, distinguishing it from distributive shock.

Question 4

When assessing respiratory distress in a toddler, nasal flaring PRIMARILY indicates:

Accepted Answer

Increased respiratory effort to maximize airflow

Answer

Nasal flaring is a compensatory mechanism in young children that dilates the nares to decrease airway resistance and increase airflow during respiratory distress.

Question 5

A 7-year-old has a Glasgow Coma Scale (GCS) score of 8. Which airway intervention is MOST indicated?

Accepted Answer

Definitive airway management (intubation)

Answer

A GCS of 8 or below is a widely accepted threshold indicating inability to protect the airway and the need for definitive airway management.

CPEN - Certified Pediatric Emergency Nurse Practice Test

CPEN - Certified Pediatric Emergency Nurse Practice Test

CPEN Pediatric Assessment 3