CPEN Pediatric Assessment 4

Question 1

Which assessment finding would MOST suggest hypovolemic shock in a 3-year-old rather than cardiogenic shock?

Accepted Answer

History of vomiting and diarrhea with flat neck veins

Answer

A history of fluid loss with flat (not distended) neck veins points toward hypovolemic shock rather than the fluid-overloaded state seen in cardiogenic shock.

Question 2

When calculating the estimated weight of a child aged 1–10 years using the Broselow formula, which formula is commonly used?

Accepted Answer

Weight (kg) = age × 2 + 8

Answer

A commonly used formula for estimating weight in children 1–10 years is Weight (kg) = (age × 2) + 8.

Question 3

In a pediatric patient with suspected increased intracranial pressure, which pupillary finding indicates uncal herniation?

Accepted Answer

Unilateral fixed and dilated pupil

Answer

A unilateral fixed and dilated pupil (blown pupil) indicates compression of cranial nerve III from uncal herniation, a neurosurgical emergency.

Question 4

A 12-year-old with known asthma presents with absent breath sounds on auscultation and SpO2 of 84%. This finding MOST likely indicates:

Accepted Answer

Silent chest indicating severe obstruction

Answer

Absent breath sounds in asthma (silent chest) indicate severe airflow obstruction preventing audible air movement and is a sign of impending respiratory failure.

Question 5

When using the Pediatric Early Warning Score (PEWS), which three domains are typically assessed?

Accepted Answer

Behavior, cardiovascular status, and respiratory status

Answer

PEWS assesses Behavior, Cardiovascular status, and Respiratory status to identify early clinical deterioration in hospitalized children.

CPEN - Certified Pediatric Emergency Nurse Practice Test

CPEN - Certified Pediatric Emergency Nurse Practice Test

CPEN Pediatric Assessment 4