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BCEN Certified Pediatric Emergency Nurse - Reviews


   Excellent
Based on 100 reviews

Domonic


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"The questions on this application aren't really what the CPEN covers. A lot of obscure stuff. Also, the questions are too easy (like I said, not CPEN-quality.) Skip this app."



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See why our users from 154 countries love us for their exam prep! Including 100 reviews for the BCEN Certified Pediatric Emergency Nurse exam.

Exam Edge is an industry leader in online test prep. We work with institutional partners to offer a wide array of practice tests that will help you prepare for your big exam. No matter how niche your field of interest might be, we're here to help you prepare for test day.

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BCEN Certified Pediatric Emergency Nurse - Test Reviews Sample Questions

Hydrocarbons which account for approximately 5% of the pediatric poisoning under the age of 5, are
found in which of the following common compounds?
 

Correct Answer:
both a and b


hydrocarbons, which are organic compounds composed solely of hydrogen and carbon atoms, are prevalent in various everyday products and industrial agents. these compounds are primary components in both household cleaners and industrial solvents, two categories that are particularly relevant when discussing unintentional pediatric poisonings.

household cleaners often contain hydrocarbons due to their effective solvent properties, which help in breaking down dirt, grease, and other organic materials. these can be found in products such as furniture polishes, degreasers, and certain types of laundry detergents. the hydrocarbons in these cleaners make them highly effective but also pose a risk of poisoning, especially when such products are not stored properly or are left within reach of children.

similarly, industrial solvents, which are used to dissolve or disperse other substances, frequently contain hydrocarbons. these solvents are utilized in various applications, including in automotive products, paint thinners, and even in some personal care products. the use of hydrocarbons in these solvents is primarily due to their ability to efficiently dissolve oils, resins, and plastics.

the danger of hydrocarbons, particularly for children under the age of 5, lies in their chemical properties. hydrocarbons are typically classified based on their volatility and viscosity. volatile hydrocarbons can emit fumes that may be inhaled, leading to respiratory issues or central nervous system depression. on the other hand, less volatile, more viscous hydrocarbons can pose a risk when ingested, potentially causing aspiration pneumonia—a serious condition that develops when liquids are breathed into the lungs instead of being swallowed into the stomach.

given their presence in both household cleaners and industrial solvents, it is clear why the correct answer to the question is "both a and b." these products, commonly found around the home and in various workplaces, need to be handled with care, especially around young children, to prevent accidental ingestion or inhalation that can lead to severe health problems or even fatal outcomes. proper storage and supervision are key in mitigating these risks.

Of the following, which could be included as goals of care for a child
with congestive heart failure (CHF)?

Correct Answer:
all of the above


congestive heart failure (chf) in children is a complex medical condition that necessitates a comprehensive and multifaceted approach to care. the overall objectives in managing pediatric chf are aimed at reducing the workload on the heart while simultaneously ensuring adequate oxygenation and cardiac function. these goals are critical in improving the child’s quality of life, stabilizing their condition, and promoting recovery or management of the disease. each of the goals listed plays a distinct and vital role in the comprehensive management of chf.

firstly, minimizing the patient’s oxygen demands is crucial. in chf, the heart's ability to pump effectively is compromised, which can lead to inadequate oxygen supply to the tissues. by reducing the body's oxygen requirements, we can lessen the workload on the heart. this can be achieved through various means such as ensuring adequate rest, managing stress, and controlling fever or other metabolic states that increase oxygen consumption.

improving the patient's cardiac function is another primary goal. this can involve the use of medications such as ace inhibitors, beta-blockers, or diuretics that help to improve heart function and relieve symptoms. in some cases, surgical interventions may be necessary to repair structural abnormalities of the heart. optimization of cardiac function helps in enhancing the efficiency of the heart’s pumping ability, thereby improving circulation and oxygen delivery to the body.

another significant aspect of care is to eliminate treatable causes of chf. this includes addressing any underlying conditions or factors that may be contributing to heart failure, such as congenital heart defects, arrhythmias, or infections such as myocarditis. by treating these underlying causes, we can reduce the burden on the heart and potentially reverse some of the effects of chf.

managing fluid balance is also essential. chf often leads to fluid overload, which can exacerbate symptoms and further stress the heart. the goal is to eliminate excess intravascular fluid to prevent or reduce symptoms such as swelling, weight gain, and respiratory distress. this is typically managed with diuretics that help the body to expel excess fluid through urine.

lastly, supporting and maximizing the patient’s oxygen delivery involves ensuring that the blood is well-oxygenated and that this oxygen-rich blood is efficiently delivered to all parts of the body. this may involve supplemental oxygen in more severe cases, along with treatments aimed at enhancing the hemoglobin levels and overall blood quality, which is crucial for effective oxygen transport.

each of these goals complements the others, and together they form a robust framework for managing pediatric chf. therefore, when presented with options for care goals, "all of the above" is the correct and comprehensive choice, encompassing all critical aspects necessary for the effective management of a child with chf.