Practice test ENPC
1. 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.
2. 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.
3. 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
4. The pediatric prioritization process components include the focused assessment,
focused history, acuity rating decision and:
The pediatric assessment triangle (PAT)
5. 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
, 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?
The shoulders.
7. The nurse is preparing to administer a feeding through an NG tube. The tube
position was verified by radiograph after insertion 2 hours ago. What is the best way
to verify placement before feeding?
Test the Ph. of the gastric contents.
8. What is the best method to rapidly administer a 20 ml/kg bolus of 0.9% normal saline
to a pediatric patient weighing 8 kg.
A 20-ml syringe with a stopcock
9. Immediately after intraosseous insertion the nurse assesses the infusion and notes
that the fluid is not dripping. How should the nurse respond?
Use an infusion pump to deliver fluids
10. A 13-month old presents to the ED with a 2-day history of a low-grade fever,
increased work of breathing, and tonight developed a barky cough and inspiratory
stridor. What condition does the nurse suspect?
Croup
11. The nurse is planning to begin oral rehydration therapy for a 9-month old with mild
dehydration. She provides the caregivers within glucose and solution and instructs
them to administer small amounts.
Every 2 to 5 minutes
12. Caregivers being in their 3-week-old neonate and describe nonbilous vomiting after
each feeding that is becoming more forceful over the past 24 hours. The last time he
vomited the vomitus hit a chair 2 feet away. They say he cries, and sucks
vigourrously on his pacifier right after vomiting as through still hungry. He is not
experiencing any diarrhea. What condition is the most liekly cause of these signs
and symptoms?
Pyloric stenosis
1. 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.
2. 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.
3. 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
4. The pediatric prioritization process components include the focused assessment,
focused history, acuity rating decision and:
The pediatric assessment triangle (PAT)
5. 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
, 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?
The shoulders.
7. The nurse is preparing to administer a feeding through an NG tube. The tube
position was verified by radiograph after insertion 2 hours ago. What is the best way
to verify placement before feeding?
Test the Ph. of the gastric contents.
8. What is the best method to rapidly administer a 20 ml/kg bolus of 0.9% normal saline
to a pediatric patient weighing 8 kg.
A 20-ml syringe with a stopcock
9. Immediately after intraosseous insertion the nurse assesses the infusion and notes
that the fluid is not dripping. How should the nurse respond?
Use an infusion pump to deliver fluids
10. A 13-month old presents to the ED with a 2-day history of a low-grade fever,
increased work of breathing, and tonight developed a barky cough and inspiratory
stridor. What condition does the nurse suspect?
Croup
11. The nurse is planning to begin oral rehydration therapy for a 9-month old with mild
dehydration. She provides the caregivers within glucose and solution and instructs
them to administer small amounts.
Every 2 to 5 minutes
12. Caregivers being in their 3-week-old neonate and describe nonbilous vomiting after
each feeding that is becoming more forceful over the past 24 hours. The last time he
vomited the vomitus hit a chair 2 feet away. They say he cries, and sucks
vigourrously on his pacifier right after vomiting as through still hungry. He is not
experiencing any diarrhea. What condition is the most liekly cause of these signs
and symptoms?
Pyloric stenosis
