ENPC COMPREHENSIVE EXAM SCRIPT COMPLETE QUESTIONS VERIFIED SOLUTIONS
Question:
Pediatric Assessment Triangle: (3) components.
Answer:
Appearance. Work of Breathing. Circulation to the skin. This forms the "general impression". If
there is an acute disruption in 1 component, child is "sicker". If there is an acute disruption in 2+
components the child is "sickest"
Question:
Pediatric Assessment Triangle: Appearance.
Answer:
Most important. Reflects adequacy of ventilation, oxygenation, brain perfusion, and central nervous
system function. Assess for: tone, interactiveness, consolability, look/gaze, and speech/cry.
Question:
Pediatric Assessment Triangle: Work of Breathing.
Answer:
Breathing easy, even, and unlabored or tripod position, nasal flaring, retractions, supraclavicular
retractions
Question:
Pediatric Assessment Triangle: Circulation to the skin.
Answer:
Mottling or PWD
,Question:
PQRST for Pain.
Answer:
(pg86) Precipitating and palliating factors Quality Radiation Severity, symptoms, and site Time or
triggering factors
Question:
Verbal Report for pain.
Answer:
(pg86) Self-report is the most reliable indicatior of pain; however not all pediatric pt are capable or
wiling to verbalize their discomfort.
Question:
What age is the respiratory system considered fully developed?
Answer:
8 years old
Question:
Most ______ age __to____, are concrete thinkers and interpret words literally. Where as, most
_____ age ___ to ___, are magical and illogical thinkers. They often confuse coincidence with
causation, and have difficulty distinguising fantasy from reality.
Answer:
(pg36) Most Toddlers age 1yo to 3yo, are concrete thinkers and interpret words literally. Where as,
most Preschoolers age 3yo to 5yo, are magical and illogical thinkers. They often confuse
coincidence with causation, and have difficulty distinguising fantasy from reality.
Question:
Hypotension related to hypovolemia in pediatric trauma patients is a _____ sign and may indicate a
loss of ___% to ___% of their circulating blood volume.
, Answer:
(pg262) Late sign. 20% to 25% of circulating blood volume
Question:
6P's Assessment for Musculoskeletal Trauma.
Answer:
(pg 283) Pallor: color different from uninjured Pain Pulselessness Parasthesia Paralysis
Poikilothermia
Question:
Burn Transfer Criteria.
Answer:
1. Partial thickness >10% of BSA 2. Face, hands, feet, genetalia, perineum or major joints 3. Third
degree burns in any age group. 4. Electrical burns, including lightning injury, and chemical burns. 5.
Inhalation injury. 6. Burn injury in pt with preexisting medical disorders that could complicate tx. 7.
Concomitant trauma (such as fx) in which the burn injury poses the greatest risk of morbidity or
mortality. 8. Burned children in hospital wo qualified equipment or personnel to care for them 9. Pt
who will require special social, emotional, or rehabilitative intervention.
Question:
If live interpreter not available for 15mins use ________.
Answer:
Language line interpreter
Question:
Infants are obligate nose breathers. If nose is obstructed ___________.
Answer:
suction nose
Question:
Pediatric Assessment Triangle: (3) components.
Answer:
Appearance. Work of Breathing. Circulation to the skin. This forms the "general impression". If
there is an acute disruption in 1 component, child is "sicker". If there is an acute disruption in 2+
components the child is "sickest"
Question:
Pediatric Assessment Triangle: Appearance.
Answer:
Most important. Reflects adequacy of ventilation, oxygenation, brain perfusion, and central nervous
system function. Assess for: tone, interactiveness, consolability, look/gaze, and speech/cry.
Question:
Pediatric Assessment Triangle: Work of Breathing.
Answer:
Breathing easy, even, and unlabored or tripod position, nasal flaring, retractions, supraclavicular
retractions
Question:
Pediatric Assessment Triangle: Circulation to the skin.
Answer:
Mottling or PWD
,Question:
PQRST for Pain.
Answer:
(pg86) Precipitating and palliating factors Quality Radiation Severity, symptoms, and site Time or
triggering factors
Question:
Verbal Report for pain.
Answer:
(pg86) Self-report is the most reliable indicatior of pain; however not all pediatric pt are capable or
wiling to verbalize their discomfort.
Question:
What age is the respiratory system considered fully developed?
Answer:
8 years old
Question:
Most ______ age __to____, are concrete thinkers and interpret words literally. Where as, most
_____ age ___ to ___, are magical and illogical thinkers. They often confuse coincidence with
causation, and have difficulty distinguising fantasy from reality.
Answer:
(pg36) Most Toddlers age 1yo to 3yo, are concrete thinkers and interpret words literally. Where as,
most Preschoolers age 3yo to 5yo, are magical and illogical thinkers. They often confuse
coincidence with causation, and have difficulty distinguising fantasy from reality.
Question:
Hypotension related to hypovolemia in pediatric trauma patients is a _____ sign and may indicate a
loss of ___% to ___% of their circulating blood volume.
, Answer:
(pg262) Late sign. 20% to 25% of circulating blood volume
Question:
6P's Assessment for Musculoskeletal Trauma.
Answer:
(pg 283) Pallor: color different from uninjured Pain Pulselessness Parasthesia Paralysis
Poikilothermia
Question:
Burn Transfer Criteria.
Answer:
1. Partial thickness >10% of BSA 2. Face, hands, feet, genetalia, perineum or major joints 3. Third
degree burns in any age group. 4. Electrical burns, including lightning injury, and chemical burns. 5.
Inhalation injury. 6. Burn injury in pt with preexisting medical disorders that could complicate tx. 7.
Concomitant trauma (such as fx) in which the burn injury poses the greatest risk of morbidity or
mortality. 8. Burned children in hospital wo qualified equipment or personnel to care for them 9. Pt
who will require special social, emotional, or rehabilitative intervention.
Question:
If live interpreter not available for 15mins use ________.
Answer:
Language line interpreter
Question:
Infants are obligate nose breathers. If nose is obstructed ___________.
Answer:
suction nose
