ENPC Exam 6th Edition Questions and
Answers | Verified | A+
• What is a late sign of circulatory compromise in children? -✓✓Hypotension
• Children can remain normotensive until about _____ percent of blood volume is
lost -✓✓25%
• What are two intervention you should always be doing? -✓✓Applying oxygen
Checking bedside blood glucose
• How long should the car seat be rear facing? -✓✓Until at least one year of age
• _____ model parents behavior with toys -✓✓Toddlers
• Age 3 to 5: -✓✓Preschoolers
Magical and it logical thinkers
Take things literally
• What are common fears of the preschooler? -✓✓Pain
Darkness
Body mutilation
Being alone
• Ages 5 to 11: -✓✓School age kids
Beers include separation from parents, loss of control, and physical disability
• 11 to 18 years old: -✓✓Body a parent is the most important thing
,• What is one of the critical public health issues in today society? -✓✓Childhood
obesity
• At how many years old can a child start using the faces pain scale? -✓✓Three
years old
• What is there an emphasis on during the prioritization of the patient? -✓✓Safety
• I focused assessment is what type of information? -✓✓Objective
• I focused history is what type of information? -✓✓Subjective
• The pediatric assessment triangle a.k.a. the across the room assessment of a
patient looks at what three things? -✓✓General appearance
Work of breathing
Circulation to the skin
• How long should the pediatric assessment triangle take? -✓✓About 3 to 5
seconds
• What does the general appearance section include: -✓✓Interaction
Muscle tone
Consolabilty
Look or gaze
Speech or cry
• Work of breathing— a good indicator of oxygenation and ventilation. What
should you look for in this assessment? -✓✓Abnormal airway sounds
Coughing
Abnormal positioning
,Retractions/nasal flaring
Rate and depth of respirations
• Circulation to the skin: -✓✓Skin reflects perfusion status
Inspect the color of central areas such as lips and mucous membranes
Assessed for pallor, molting, or cyanosis
Is the patient flushed or diaphoretic
• What are the three patient categories for the pediatric assessment triangle? -
✓✓Sick
Sicker
Sickest
• If all three components of the PAT are stable know what will the patient be
ranked as? -✓✓Sick
• If there is disruption in one of the areas of the PAT what will the patient be
ranked? -✓✓Sicker
• If there is Disruption in two or more components of the PAT what ranking will
the patient receive? -✓✓Sickest
• If a patient is identified as sickest what is indicated? -✓✓Rapid resuscitation
• And a child what event typically leads to a code? -✓✓Typically a respiratory
event leads to a cardiac event
• What is the priority with any trauma or suspected drama? -✓✓Stabilize the C-
spine and stop any bleeding
, • What maneuver is used to open the jaw in a trauma patient? -✓✓Jaw thrust
maneuver
• When is the nasal pharyngeal airway indicated? -✓✓In a semi conscious or
conscious patient
• Where is the nasopharyngeal airway contra indicated? -✓✓In trauma patients
• What type of airway should be used for a trauma patient? -✓✓Oral pharyngeal
airways and be prepared for intubation with RSI if oral pharyngeal airway is
unsuccessful
• After you have bagged the patient, the patients oxygen saturations and respiratory
effort including respiratory rate have not improved, what is your next step? -
✓✓Prepare to Intubate
Less than eight intubate
• When will you start CPR? -✓✓When the heart rate is less than 60 bpm and the
patient is symptomatic you should start CPR
• How do you calculate the normal systolic blood pressure for a child? -✓✓90 + 2x
the age in years
• How to calculate minimum acceptable SBP: -✓✓70 + 2x age in years
• What are you going to use for your history during the assessment? -
✓✓CIAMPEDS
• What should the urinary output be for an infant? -✓✓2 ml/ kg / hour
• What should the normal urinary output be for an adolescent -✓✓1-1.5 ml/kg /
hour
• What is the most common cause of arrest in pediatric patients? -✓✓Respiratory
arrest
Answers | Verified | A+
• What is a late sign of circulatory compromise in children? -✓✓Hypotension
• Children can remain normotensive until about _____ percent of blood volume is
lost -✓✓25%
• What are two intervention you should always be doing? -✓✓Applying oxygen
Checking bedside blood glucose
• How long should the car seat be rear facing? -✓✓Until at least one year of age
• _____ model parents behavior with toys -✓✓Toddlers
• Age 3 to 5: -✓✓Preschoolers
Magical and it logical thinkers
Take things literally
• What are common fears of the preschooler? -✓✓Pain
Darkness
Body mutilation
Being alone
• Ages 5 to 11: -✓✓School age kids
Beers include separation from parents, loss of control, and physical disability
• 11 to 18 years old: -✓✓Body a parent is the most important thing
,• What is one of the critical public health issues in today society? -✓✓Childhood
obesity
• At how many years old can a child start using the faces pain scale? -✓✓Three
years old
• What is there an emphasis on during the prioritization of the patient? -✓✓Safety
• I focused assessment is what type of information? -✓✓Objective
• I focused history is what type of information? -✓✓Subjective
• The pediatric assessment triangle a.k.a. the across the room assessment of a
patient looks at what three things? -✓✓General appearance
Work of breathing
Circulation to the skin
• How long should the pediatric assessment triangle take? -✓✓About 3 to 5
seconds
• What does the general appearance section include: -✓✓Interaction
Muscle tone
Consolabilty
Look or gaze
Speech or cry
• Work of breathing— a good indicator of oxygenation and ventilation. What
should you look for in this assessment? -✓✓Abnormal airway sounds
Coughing
Abnormal positioning
,Retractions/nasal flaring
Rate and depth of respirations
• Circulation to the skin: -✓✓Skin reflects perfusion status
Inspect the color of central areas such as lips and mucous membranes
Assessed for pallor, molting, or cyanosis
Is the patient flushed or diaphoretic
• What are the three patient categories for the pediatric assessment triangle? -
✓✓Sick
Sicker
Sickest
• If all three components of the PAT are stable know what will the patient be
ranked as? -✓✓Sick
• If there is disruption in one of the areas of the PAT what will the patient be
ranked? -✓✓Sicker
• If there is Disruption in two or more components of the PAT what ranking will
the patient receive? -✓✓Sickest
• If a patient is identified as sickest what is indicated? -✓✓Rapid resuscitation
• And a child what event typically leads to a code? -✓✓Typically a respiratory
event leads to a cardiac event
• What is the priority with any trauma or suspected drama? -✓✓Stabilize the C-
spine and stop any bleeding
, • What maneuver is used to open the jaw in a trauma patient? -✓✓Jaw thrust
maneuver
• When is the nasal pharyngeal airway indicated? -✓✓In a semi conscious or
conscious patient
• Where is the nasopharyngeal airway contra indicated? -✓✓In trauma patients
• What type of airway should be used for a trauma patient? -✓✓Oral pharyngeal
airways and be prepared for intubation with RSI if oral pharyngeal airway is
unsuccessful
• After you have bagged the patient, the patients oxygen saturations and respiratory
effort including respiratory rate have not improved, what is your next step? -
✓✓Prepare to Intubate
Less than eight intubate
• When will you start CPR? -✓✓When the heart rate is less than 60 bpm and the
patient is symptomatic you should start CPR
• How do you calculate the normal systolic blood pressure for a child? -✓✓90 + 2x
the age in years
• How to calculate minimum acceptable SBP: -✓✓70 + 2x age in years
• What are you going to use for your history during the assessment? -
✓✓CIAMPEDS
• What should the urinary output be for an infant? -✓✓2 ml/ kg / hour
• What should the normal urinary output be for an adolescent -✓✓1-1.5 ml/kg /
hour
• What is the most common cause of arrest in pediatric patients? -✓✓Respiratory
arrest
