Certified Pediatric Emergency Nurse (CPEN) Practice Exam 2025 – All-in-One Guide to Master Your Certification!

Question: 1 / 400

Which is a common medication used for pediatric pain management in emergency settings?

Aspirin.

Ibuprofen.

Codeine.

Acetaminophen.

Acetaminophen is frequently used for pediatric pain management in emergency settings due to its effectiveness and safety profile in children. This medication works by inhibiting the synthesis of prostaglandins in the brain, providing relief from pain and reducing fever. Acetaminophen is often favored because it has a wide therapeutic range, is well-tolerated, and carries a relatively low risk of adverse effects when used appropriately.

In pediatric populations, it is vital to select medications that are both effective and have a favorable safety margin. Acetaminophen, when dosed correctly based on a child's weight, can be administered relatively safely for various types of mild to moderate pain, including headaches, muscle aches, and post-operative pain.

While other medications, such as ibuprofen, are also commonly used for pain management in children, acetaminophen remains a first-line agent in many cases due to its versatility and the absence of gastrointestinal effects that are more pronounced with NSAIDs like ibuprofen. In contrast, aspirin is generally avoided in children due to the risk of Reye's syndrome, and codeine poses risks of respiratory depression and is not recommended for pediatric use in many cases.

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