ENPC Questions and Correct Answers/
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A 3 year-old patient presents following frequent emesis and diarrhea
over the past 12 hours. Which of the following assessment findings
indicate that the patient' body is compensating for the fluid loss?
Ans: Increased diastolic blood pressure
A 5-year-old arrives in the ED with a 4 day history of vomiting. Vital
signs: HR 136 beats/minute, RR 36 breaths/minute, BP 92/56 mm Hg, T
38oC (100.4oF), and pulse oximetry 93% on room air. The child is pale
with warm, dry skin and a capillary refill of 3 seconds. A fluid bolus is
completed. Which of the following reassessment findings indicate
that a second fluid bolus is necessary?
Ans: Blood pressure of 92/78
A 14-year-old patient presents to the emergency department with
her aunt after being assaulted. The patient has multiple bruises
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inconsistent with the assault history and seems guarded with her
answers. A urine test is positive for pregnancy, although the patient
denies being sexually active. The aunt repeatedly asks when they will
be discharged. The ED nurse recognizes these finding as red flags for
which of the following?
Ans: Sex trafficking
A 2-year-old arrives at the ED in hypovolemic shock and needs fluids
immediately. After several attempts, your team has been
unsuccessful at establishing vascular access. Of the following, which
is the next best option for establishing access quickly?
Ans: Intraosseous in the patient's medial tibia
A neonate presents to the emergency department with irritability,
weak cry, and hypotonia. Which of the following is a priority
intervention?
Ans: Serum blood glucose
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A term infant is delivered in the emergency department. Which
assessment finding is most concerning?
Ans: Central cyanosis
A caregiver presents to the emergency department with an 18-
month-old and reports the child is not using their left arm after
playing a game with an older sibling. The child is alert and curious,
with regular, even respirations, and skin color is appropriate.Using the
Pediatric Assessment Triangle (PAT), how would you categorize this
patient?
Ans: Sick
A six-week-old infant presents to the emergency department with
seizures. The infant is afebrile with a normal glucose level ,and
caregivers report no signs of illness other than formula intolerance,
which they treated by adding extra water to the formula. The nurse
would expect to find which of the following laboratory
abnormalities?