ENPC FINAL EXAM PREP TEST.
1. A 4-day-old who is brought to the emergency de- B
partment with the parental complaint of "not act-
ing right" is found to be hypoglycemic. What is the Dextrose 10% is
the preferred
appropriate glucose concentration to concentration for neonates
administer to this neonate? with hypoglycemia to
A. Dextrose 5% protect their fragile
B. Dextrose 10% vasculature while provid- ing
C. Dextrose 25% needed glucose. Dextrose
D. Dextrose 50% 5% is not used to treat
hypo- glycemia in children.
Dextrose 25% is used for
children above the age of 5
years. Dextrose 50% is not
recommended for use in
2. Assessment of the fontanelle provides pediatrics unless it is di-
the most useful information for which luted.
two components of the primary survey?
A.Circulation and disability A
B.Breathing and circulation
A sunken fontanelle is a
C.Disability and exposure
red flag for circulation
D.Circulation and exposure
assessment in pediatric
triage and may in- dicate
dehydration . A bulging
fontanel is a red flag for
3. Which of the following indicates the need disabili- ty assessment in
for ad- ditional caregiver education pediatric triage and can
regarding a urinary tract infection? indicate increased in-
A.I should encourage my child to drink extra tracranial pressure.
flu- ids.
B.I need to make a follow-up appointment C
with
, ENPC FINAL EXAM PREP TEST.
child's physician.
C.My child will grow out of their frequent
urinary tract infections.
D.My child should complete all of their
antibiotic medication.
4. A nurse providing trauma informed care D
to the family of a seriously ill child should
be doing which of the following? Caregivers experiencing the
A. Placing the family in a quiet, secluded cri- sis of a critically ill child
room have low attentiveness and
B. Referring to their child as "the patient" increased
C. Making sure the family does not stay at the bed- stress so
would benefit from
side. having a member of the health-
D. Appointing one staff member to stay care team to stay with them
with the family as much as possible and
commu- nicate updates on
the plan of care. Caregivers
should be al- lowed to stay
with their child
much as possible and not
placed in a secluded room
5. The caregiver of a 7-year old reports away for them.
witnessing a seizure at home, but no
seizure history. The pa-
tient is post-ictal with a heart rate of 142 beats per Burn injuries
result in fluid
minute, respiratory rate of 36 breaths per minute, and electrolyte
shifts leading
and blood pressure of 86/72 mm Hg. patient's back
Significant burns are noted to the and lower
, ENPC FINAL EXAM PREP TEST.
extremities. The caregiver states the burns to hypovolemia and
acci- dentally occurred three days ago, but electrolyte imbalances. Early
was afraid identification and treatment
of electrolyte im- balances
can help prevent fur-
to bring the patient in due to an ongoing child wel- ther seizures.
Contacting child
fare investigation.Which of the following groups of protective
services and other
, ENPC FINAL EXAM PREP TEST.
interventions are the priority for this patient? authorities can wait. The
pa-
A. Call police and child welfare authorities and have tient is post-ictal
so does not re-
security detain the caregiver quire lorazepam medication at
B.Administer intravenous analgesics and this time. Pain medication
obtain a point of care glucose can and should be
C. Draw a metabolic panel, point of care considered with significant
glucose, and administer a fluid bolus burns, but is not a
D. Administer lorazepam and a fluid priority.
bolus and place on seizure
precautions
6. What is the priority intervention for
symptomatic bradycardia in a four-year-
old child? A.Administer intravenous
Identifying and treating oth- er
atropine
causes, chest
B.Administer intravenous epinephrine
compressions, and
C.Initiate bag-mask ventilation
epinephrine are interven-
D.Initiate transcutaneous pacing
tions for pediatric
bradycardia with signs of
poor perfusion that are
not improved by ade-
quate oxygenation and
ventila- tion. Atropine and
pacing may be considered
if there is no re- sponse to
7. A 5-year-old child presents to the the other interven- tions.
emergency de- partment after being hit by
a car. The patient com-
plains of left upper quadrant pain, and the focused Early signs of
hypovolemic
assessment with sonography for trauma (FAST)
1. A 4-day-old who is brought to the emergency de- B
partment with the parental complaint of "not act-
ing right" is found to be hypoglycemic. What is the Dextrose 10% is
the preferred
appropriate glucose concentration to concentration for neonates
administer to this neonate? with hypoglycemia to
A. Dextrose 5% protect their fragile
B. Dextrose 10% vasculature while provid- ing
C. Dextrose 25% needed glucose. Dextrose
D. Dextrose 50% 5% is not used to treat
hypo- glycemia in children.
Dextrose 25% is used for
children above the age of 5
years. Dextrose 50% is not
recommended for use in
2. Assessment of the fontanelle provides pediatrics unless it is di-
the most useful information for which luted.
two components of the primary survey?
A.Circulation and disability A
B.Breathing and circulation
A sunken fontanelle is a
C.Disability and exposure
red flag for circulation
D.Circulation and exposure
assessment in pediatric
triage and may in- dicate
dehydration . A bulging
fontanel is a red flag for
3. Which of the following indicates the need disabili- ty assessment in
for ad- ditional caregiver education pediatric triage and can
regarding a urinary tract infection? indicate increased in-
A.I should encourage my child to drink extra tracranial pressure.
flu- ids.
B.I need to make a follow-up appointment C
with
, ENPC FINAL EXAM PREP TEST.
child's physician.
C.My child will grow out of their frequent
urinary tract infections.
D.My child should complete all of their
antibiotic medication.
4. A nurse providing trauma informed care D
to the family of a seriously ill child should
be doing which of the following? Caregivers experiencing the
A. Placing the family in a quiet, secluded cri- sis of a critically ill child
room have low attentiveness and
B. Referring to their child as "the patient" increased
C. Making sure the family does not stay at the bed- stress so
would benefit from
side. having a member of the health-
D. Appointing one staff member to stay care team to stay with them
with the family as much as possible and
commu- nicate updates on
the plan of care. Caregivers
should be al- lowed to stay
with their child
much as possible and not
placed in a secluded room
5. The caregiver of a 7-year old reports away for them.
witnessing a seizure at home, but no
seizure history. The pa-
tient is post-ictal with a heart rate of 142 beats per Burn injuries
result in fluid
minute, respiratory rate of 36 breaths per minute, and electrolyte
shifts leading
and blood pressure of 86/72 mm Hg. patient's back
Significant burns are noted to the and lower
, ENPC FINAL EXAM PREP TEST.
extremities. The caregiver states the burns to hypovolemia and
acci- dentally occurred three days ago, but electrolyte imbalances. Early
was afraid identification and treatment
of electrolyte im- balances
can help prevent fur-
to bring the patient in due to an ongoing child wel- ther seizures.
Contacting child
fare investigation.Which of the following groups of protective
services and other
, ENPC FINAL EXAM PREP TEST.
interventions are the priority for this patient? authorities can wait. The
pa-
A. Call police and child welfare authorities and have tient is post-ictal
so does not re-
security detain the caregiver quire lorazepam medication at
B.Administer intravenous analgesics and this time. Pain medication
obtain a point of care glucose can and should be
C. Draw a metabolic panel, point of care considered with significant
glucose, and administer a fluid bolus burns, but is not a
D. Administer lorazepam and a fluid priority.
bolus and place on seizure
precautions
6. What is the priority intervention for
symptomatic bradycardia in a four-year-
old child? A.Administer intravenous
Identifying and treating oth- er
atropine
causes, chest
B.Administer intravenous epinephrine
compressions, and
C.Initiate bag-mask ventilation
epinephrine are interven-
D.Initiate transcutaneous pacing
tions for pediatric
bradycardia with signs of
poor perfusion that are
not improved by ade-
quate oxygenation and
ventila- tion. Atropine and
pacing may be considered
if there is no re- sponse to
7. A 5-year-old child presents to the the other interven- tions.
emergency de- partment after being hit by
a car. The patient com-
plains of left upper quadrant pain, and the focused Early signs of
hypovolemic
assessment with sonography for trauma (FAST)
