ENPC CERTIFICATION EVALUATION EXAMS
SOLVED QUESTIONS STUDY GUIDE
GUARANTEED TO PASS
◉Pediatric triangle. Answer: appearance
work of breathing
circulation to skin
◉ General appearance considerations. Answer: Tone
Interactiveness: drawn to sounds or people. Wants to play
Consolability
Look/Gaze
Speech/cry
◉ Work of breathing:. Answer: Increased work of breathing
evidenced by tachypnea, stridor, grunting, retractions, accessory
musles, nasal flaring, head bobbing, abnormal positioning
◉ Circulation to Skin. Answer: Observe palor
mottling
cyanosis
,◉ Sick, Sicker, Sickest. Answer: Sick: no disruption of any
component of PAT but caregivers are concerned
Sicker: one component of PAT is a concern
Sickest 2+ concerns of PAT
◉ 2 leading causes of altered mental status in kids. Answer: hypoxia
hypoglycemia
◉ Blood pressure norms. Answer: Hypotension: Less than 70 + (2 x
age in years)
Widening pulse pressure = increased ICP
Narrowing pulse pressure = hypovolemic shock
◉ Crying child. Answer: Vigorous = good
weak = sick
high-pitched = increased ICP
"Fussiness" = red flag
◉ Respiratory distress indicated by:. Answer: increased heart rate
skin color changes
, incrased work of breathing
wheezing
diaphoresis
abnormal airwa sounds
◉ Respiratory failure signs. Answer: fatigue and become lethargic
hypoxia
hypercarbia
◉ General airway interventions. Answer: Allow child to stay in most
comfortable position
Give O2 to maintain it above 92%
O2 does NOT measure ventilation
◉ Croup. Answer: 1-3 days of nasal congestion and fever with sudden
onset of barky cough
Treatment: dexamethasone and nebulized epi
Discharge Teaching: oral hydration, get child to cool air or steamy
bathroom
◉ Asthma interventions. Answer: albuterol, duo neb and oral steroid
SOLVED QUESTIONS STUDY GUIDE
GUARANTEED TO PASS
◉Pediatric triangle. Answer: appearance
work of breathing
circulation to skin
◉ General appearance considerations. Answer: Tone
Interactiveness: drawn to sounds or people. Wants to play
Consolability
Look/Gaze
Speech/cry
◉ Work of breathing:. Answer: Increased work of breathing
evidenced by tachypnea, stridor, grunting, retractions, accessory
musles, nasal flaring, head bobbing, abnormal positioning
◉ Circulation to Skin. Answer: Observe palor
mottling
cyanosis
,◉ Sick, Sicker, Sickest. Answer: Sick: no disruption of any
component of PAT but caregivers are concerned
Sicker: one component of PAT is a concern
Sickest 2+ concerns of PAT
◉ 2 leading causes of altered mental status in kids. Answer: hypoxia
hypoglycemia
◉ Blood pressure norms. Answer: Hypotension: Less than 70 + (2 x
age in years)
Widening pulse pressure = increased ICP
Narrowing pulse pressure = hypovolemic shock
◉ Crying child. Answer: Vigorous = good
weak = sick
high-pitched = increased ICP
"Fussiness" = red flag
◉ Respiratory distress indicated by:. Answer: increased heart rate
skin color changes
, incrased work of breathing
wheezing
diaphoresis
abnormal airwa sounds
◉ Respiratory failure signs. Answer: fatigue and become lethargic
hypoxia
hypercarbia
◉ General airway interventions. Answer: Allow child to stay in most
comfortable position
Give O2 to maintain it above 92%
O2 does NOT measure ventilation
◉ Croup. Answer: 1-3 days of nasal congestion and fever with sudden
onset of barky cough
Treatment: dexamethasone and nebulized epi
Discharge Teaching: oral hydration, get child to cool air or steamy
bathroom
◉ Asthma interventions. Answer: albuterol, duo neb and oral steroid
