ENPC LATEST EDITION Actual Exam
ENPC LATEST EDITION Actual Exam
Newest /ENPC NEW EDITION Exam
Prep/ENPC 7TH EDITION Practice Exam
With Complete 250 Questions And Correct
Answers with Detailed Rationales| Brand New
Version!
1. A preschooler has a small laceration that requires 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?
A.) Preschoolers are magical thinkers and imagine bandages keep their insides from coming out.
B.) Preschoolers fear physical disability and believe a bandage will prevent disability.
C.) Preschoolers explore orally and will likely chew or suck on the stitches if left uncovered.
D.) Preschoolers are concerned with body image and don't want to appear different than peers.
–
Correct Answer :A.) Preschoolers are magical thinkers and imagine bandages keep their insides
from coming out.
Rationale: Preschoolers are magical and illogical thinkers and have difficulty distinguishing
fantasy from reality. They have misconceptions about illness, injury, and bodily functions. For
example, they perceive that if their skin is cut, they fear their insides will leak out. Covering a
wound with a bandage helps them with this fear.
A+ TEST BANK 1
, ENPC LATEST EDITION Actual Exam
2. 7-month-old presents to the emergency department with a complaint of fever. Assessment
reveals a patent airway and slight cyanosis around his lips and nail beds. He is alert and
interactive. His vital signs are 38.5 C (101.3F), HR 134, RR 32, BP 78/54 mm Hg, and Spo2 84%.
The nurse notes a healed surgical scar on his chest. Based on this assessment, what is the nurse's
priority?
A.) Administer ibuprofen to treat the fever.
B.) Begin oxygen via a nonrebreather mask.
C.) Obtain a surgical history.
D.) Ask if the Spo2 is normal for him. –
Correct Answer :D.) Ask if the Spo2 is normal for him.
Rationale: Children with special healthcare needs may present differently than other children,
but these differences may be normal. The surgical scar on the chest is likely from a congenital
heart defect repair. The mother's chief complaint is the fever, not the color, pulse oximetry, or
the respiratory distress. This may be because these aspects of his assessment are normal. The
intact mental status is also a sign that he has adapted to lowers oxygen saturation's. The child's
baseline must come from the caregiver before any intervention.
3. An 11-year-old presents to the emergency department with a complaint of hitting his head
while playing soccer. The nurse enters the room and performs an across-the-room assessment.
He is staring at the wall. He has no increased work of breathing, and his color is pink. Using the
pediatric assessment triangle (PAT), what classification will the nurse assign?
A.) Well
Rationale: In using the PAT, there is not a Well category. A child may appear well and without
disruption in any of the three components of the PAT but is still designated sick. All pediatric
patients presenting to the emergency department are considered sick simply based on the fact
that the caregiver was concerned enough to bring the child to the emergency department (p.
54).
B.) Sick
Rationale: If there is no disruption in any of the three components of the PAT, a pediatric patient
is considered sick. This child has an abnormality in one of the thre –
A+ TEST BANK 2
, ENPC LATEST EDITION Actual Exam
Correct Answer :C.) Sicker
Rationale: This child has a disruption in one of the three components of the PAT. He is staring at
the wall, which is a disruption in the general appearance component. It may be that he is anxious
and fearful about the experience, but it could be a result of the head injury. More assessment is
required (p. 54).
4. The pediatric prioritization process components include the focused assessment, focused
history, acuity rating decision and:
A.) the pediatric assessment triangle (PAT).
Rationale: The four components of the pediatric prioritization process include the pediatric
assessment triangle (PAT), the focused assessment (objective data), the focused history
(subjective data), and the assignment of the triage acuity rating. These components ensure
enough information is rapidly gathered and used to provide appropriate care and timely
interventions for pediatric patients (p. 52).
B.) developmental characteristics.
Rationale: Developmental characteristics are incorporated into each component of the pediatric
prioritization
process but do not constitute a separate element (p. 52).
C.) head-to-toe assessment.
Rationale: The head-to-toe assessment is part of the focused assessment but not a separate
element (p. 52).
D.) life-savi –
Correct Answer :A.) The pediatric assessment triangle (PAT).
Rationale: The four components of the pediatric prioritization process include the pediatric
assessment triangle (PAT), the focused assessment (objective data), the focused history
(subjective data), and the assignment of the triage acuity rating. These components ensure
A+ TEST BANK 3
, ENPC LATEST EDITION Actual Exam
enough information is rapidly gathered and used to provide appropriate care and timely
interventions for pediatric patients (p. 52).
5. A 2-year-old is brought to the emergency department 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?
A.) Administer 100% oxygen
Rationale: The primary assessment in a trauma patient begins with immobilization of the cervical
spine while opening the airway. The remainder of the primary assessment interventions
including oxygenation is performed after cervical spinal immobilization (p. 64).
B.) Immobilize the cervical spine
Rationale: Any unresponsive child found in a pool must be assumed to be a trauma patient and
with a cervical spinal injury until proven otherwise. The primary assessment in a trauma patient
begins with immobilization of the cervical spine while opening the airway. The remainder of the
primary assessment interventions, including inserting an airway, oxygenation, and ventilation, is
perfor –
Correct Answer :B.) Immobilize the cervical spine.
Rationale: Any unresponsive child found in a pool must be assumed to be a trauma patient and
with a cervical spinal injury until proven otherwise. The primary assessment in a trauma patient
begins with immobilization of the cervical spine while opening the airway. The remainder of the
primary assessment interventions, including inserting an airway, oxygenation, and ventilation, is
performed after cervical spinal immobilization (p. 64).
6. A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral spinal alignment,
padding should be placed under which area?
a. Shoulders
Rationale: The younger child has a larger head proportionally to the body and when lying supine
is naturally in a position of cervical flexion. Padding under the shoulders or upper torso will bring
the cervical spine into neutral alignment. The shoulder should be horizontally aligned with the
external auditory meatus (p. 64).
A+ TEST BANK 4
ENPC LATEST EDITION Actual Exam
Newest /ENPC NEW EDITION Exam
Prep/ENPC 7TH EDITION Practice Exam
With Complete 250 Questions And Correct
Answers with Detailed Rationales| Brand New
Version!
1. A preschooler has a small laceration that requires 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?
A.) Preschoolers are magical thinkers and imagine bandages keep their insides from coming out.
B.) Preschoolers fear physical disability and believe a bandage will prevent disability.
C.) Preschoolers explore orally and will likely chew or suck on the stitches if left uncovered.
D.) Preschoolers are concerned with body image and don't want to appear different than peers.
–
Correct Answer :A.) Preschoolers are magical thinkers and imagine bandages keep their insides
from coming out.
Rationale: Preschoolers are magical and illogical thinkers and have difficulty distinguishing
fantasy from reality. They have misconceptions about illness, injury, and bodily functions. For
example, they perceive that if their skin is cut, they fear their insides will leak out. Covering a
wound with a bandage helps them with this fear.
A+ TEST BANK 1
, ENPC LATEST EDITION Actual Exam
2. 7-month-old presents to the emergency department with a complaint of fever. Assessment
reveals a patent airway and slight cyanosis around his lips and nail beds. He is alert and
interactive. His vital signs are 38.5 C (101.3F), HR 134, RR 32, BP 78/54 mm Hg, and Spo2 84%.
The nurse notes a healed surgical scar on his chest. Based on this assessment, what is the nurse's
priority?
A.) Administer ibuprofen to treat the fever.
B.) Begin oxygen via a nonrebreather mask.
C.) Obtain a surgical history.
D.) Ask if the Spo2 is normal for him. –
Correct Answer :D.) Ask if the Spo2 is normal for him.
Rationale: Children with special healthcare needs may present differently than other children,
but these differences may be normal. The surgical scar on the chest is likely from a congenital
heart defect repair. The mother's chief complaint is the fever, not the color, pulse oximetry, or
the respiratory distress. This may be because these aspects of his assessment are normal. The
intact mental status is also a sign that he has adapted to lowers oxygen saturation's. The child's
baseline must come from the caregiver before any intervention.
3. An 11-year-old presents to the emergency department with a complaint of hitting his head
while playing soccer. The nurse enters the room and performs an across-the-room assessment.
He is staring at the wall. He has no increased work of breathing, and his color is pink. Using the
pediatric assessment triangle (PAT), what classification will the nurse assign?
A.) Well
Rationale: In using the PAT, there is not a Well category. A child may appear well and without
disruption in any of the three components of the PAT but is still designated sick. All pediatric
patients presenting to the emergency department are considered sick simply based on the fact
that the caregiver was concerned enough to bring the child to the emergency department (p.
54).
B.) Sick
Rationale: If there is no disruption in any of the three components of the PAT, a pediatric patient
is considered sick. This child has an abnormality in one of the thre –
A+ TEST BANK 2
, ENPC LATEST EDITION Actual Exam
Correct Answer :C.) Sicker
Rationale: This child has a disruption in one of the three components of the PAT. He is staring at
the wall, which is a disruption in the general appearance component. It may be that he is anxious
and fearful about the experience, but it could be a result of the head injury. More assessment is
required (p. 54).
4. The pediatric prioritization process components include the focused assessment, focused
history, acuity rating decision and:
A.) the pediatric assessment triangle (PAT).
Rationale: The four components of the pediatric prioritization process include the pediatric
assessment triangle (PAT), the focused assessment (objective data), the focused history
(subjective data), and the assignment of the triage acuity rating. These components ensure
enough information is rapidly gathered and used to provide appropriate care and timely
interventions for pediatric patients (p. 52).
B.) developmental characteristics.
Rationale: Developmental characteristics are incorporated into each component of the pediatric
prioritization
process but do not constitute a separate element (p. 52).
C.) head-to-toe assessment.
Rationale: The head-to-toe assessment is part of the focused assessment but not a separate
element (p. 52).
D.) life-savi –
Correct Answer :A.) The pediatric assessment triangle (PAT).
Rationale: The four components of the pediatric prioritization process include the pediatric
assessment triangle (PAT), the focused assessment (objective data), the focused history
(subjective data), and the assignment of the triage acuity rating. These components ensure
A+ TEST BANK 3
, ENPC LATEST EDITION Actual Exam
enough information is rapidly gathered and used to provide appropriate care and timely
interventions for pediatric patients (p. 52).
5. A 2-year-old is brought to the emergency department 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?
A.) Administer 100% oxygen
Rationale: The primary assessment in a trauma patient begins with immobilization of the cervical
spine while opening the airway. The remainder of the primary assessment interventions
including oxygenation is performed after cervical spinal immobilization (p. 64).
B.) Immobilize the cervical spine
Rationale: Any unresponsive child found in a pool must be assumed to be a trauma patient and
with a cervical spinal injury until proven otherwise. The primary assessment in a trauma patient
begins with immobilization of the cervical spine while opening the airway. The remainder of the
primary assessment interventions, including inserting an airway, oxygenation, and ventilation, is
perfor –
Correct Answer :B.) Immobilize the cervical spine.
Rationale: Any unresponsive child found in a pool must be assumed to be a trauma patient and
with a cervical spinal injury until proven otherwise. The primary assessment in a trauma patient
begins with immobilization of the cervical spine while opening the airway. The remainder of the
primary assessment interventions, including inserting an airway, oxygenation, and ventilation, is
performed after cervical spinal immobilization (p. 64).
6. A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral spinal alignment,
padding should be placed under which area?
a. Shoulders
Rationale: The younger child has a larger head proportionally to the body and when lying supine
is naturally in a position of cervical flexion. Padding under the shoulders or upper torso will bring
the cervical spine into neutral alignment. The shoulder should be horizontally aligned with the
external auditory meatus (p. 64).
A+ TEST BANK 4
