Practice test ENPC
Questions
and Answers 100% Correct
A preschooler has a small laceration that required 2 stitches. The nurse covers the wound with a
bandage knowing that it will comfort the child to have it covered. What is the developmental
reason for this intervention.✔✔Preschoolers are magical thinkers and imagine bandages keep
their insides from coming out.
A 7-month old presents to the ED with a complaint of fever. Assessment reveals a patent airway
and a slight cyanosis around his lips and nail beds. He is alert and interactive. His vital signs are
38.5 (101.3), HR 134, RR 32, BP 78/54 mm Hg, and SPO2 of 84%. The nurse notes a healed
surgical scar on his chest.Based on this assessment, what is the nurse's priority?✔✔As if the
SPO2 is normal for him.
An 11-year-old presents to the ED with a complaint of hitting his head while playing soccer. The
nurse enters the room and performs an across the room assessment. He is starting at the wall. He
has no increased work of breathing and his color is pink. Using the PAT what classification will
the nurse assign?✔✔Sicker
The pediatric prioritization process components include the focused assessment, focused history,
acuity rating decision and:✔✔The pediatric assessment triangle (PAT)
A 2-year-old is brought to the ED by her father when he found her face down in the pool. She
remains unresponsive and is breathing shallowly and slowly. Her color is pale. What is the
priority?✔✔Immobilize the cervical spine
A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral spinal alignment,
padding should be placed under which area?✔✔The shoulders.
Questions
and Answers 100% Correct
A preschooler has a small laceration that required 2 stitches. The nurse covers the wound with a
bandage knowing that it will comfort the child to have it covered. What is the developmental
reason for this intervention.✔✔Preschoolers are magical thinkers and imagine bandages keep
their insides from coming out.
A 7-month old presents to the ED with a complaint of fever. Assessment reveals a patent airway
and a slight cyanosis around his lips and nail beds. He is alert and interactive. His vital signs are
38.5 (101.3), HR 134, RR 32, BP 78/54 mm Hg, and SPO2 of 84%. The nurse notes a healed
surgical scar on his chest.Based on this assessment, what is the nurse's priority?✔✔As if the
SPO2 is normal for him.
An 11-year-old presents to the ED with a complaint of hitting his head while playing soccer. The
nurse enters the room and performs an across the room assessment. He is starting at the wall. He
has no increased work of breathing and his color is pink. Using the PAT what classification will
the nurse assign?✔✔Sicker
The pediatric prioritization process components include the focused assessment, focused history,
acuity rating decision and:✔✔The pediatric assessment triangle (PAT)
A 2-year-old is brought to the ED by her father when he found her face down in the pool. She
remains unresponsive and is breathing shallowly and slowly. Her color is pale. What is the
priority?✔✔Immobilize the cervical spine
A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral spinal alignment,
padding should be placed under which area?✔✔The shoulders.
