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BCEN Certified Pediatric Emergency Nurse (CPEN) Practice Tests & Test Prep by Exam Edge

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The more you know about the BCEN Certified Pediatric Emergency Nurse exam the better prepared you will be! Our practice tests are designed to help you master both the subject matter and the art of test-taking to be sure you are fully prepared for your exam.

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BCEN Certified Pediatric Emergency Nurse Sample Test

1 of 5

When triaging the pediatric patient’s ABCD’s, the patient’s neurologic
status can be assessed by which of the following?

Correct Answer:

all of the above

in pediatric emergency care, the abcd protocol stands for airway, breathing, circulation, and disability. this systematic approach helps healthcare providers quickly assess and manage critically ill or injured children. assessing the 'd' component, which refers to disability, involves evaluating the neurological status of the child. this can be done through several key observations:

1. **level of consciousness:** one of the primary methods to assess neurological status is by observing the level of consciousness. this can be done using the avpu scale, where you check if the child is alert, responds to voice, responds to pain, or is unresponsive. another commonly used tool is the glasgow coma scale, which is more detailed and assesses the child based on verbal response, motor response, and eye opening.

2. **pupillary reaction:** checking the pupils' reaction to light provides valuable information about the neurological function. normally, pupils should constrict (get smaller) in response to light. asymmetry in pupillary size or reaction can indicate serious issues such as increased intracranial pressure or brain injury.

3. **assessing appearance:** general appearance can also provide clues about neurological status. this includes observing the child's posture, muscle tone, facial expressions, and spontaneous movements. signs such as abnormal posturing, decreased muscle tone, or lack of facial expression can indicate neurological impairment.

given these assessment methods, the correct answer to the question of how to assess a pediatric patient's neurologic status during the abcd assessment is "all of the above." each component—level of consciousness, pupillary reaction, and general appearance—plays a crucial role in determining the child's neurological condition. by integrating these observations, healthcare providers can make more informed decisions about immediate care and potential need for further neurological evaluation.