ENPC Exam Questions and Answers
Inconsolable neonate - Answer- hypoxia
Preschooler 3-5yrs likes - Answer- Nightlights + Bandaids
4 Components of the Pediatric Prioritization Process - Answer- 1. PAT
2. Focused Hx
3. Focused Assessment
4. Assignment of an acuity rating
Pain scale - nonverbal - Answer- Flacc
Pain Scale - 4-7 yrs - Answer- Faces
Pain Scale 8 yrs+ - Answer- Numerical 0-10 scale
PAT Components - Answer- General appearance
Work of breathing
Circulation
0 = Sick
1 = Sicker
2+ = Sickest
Airway Assessments - Answer- Tongue Obstruction
Loose Teeth
Vomit
Secretions
Blood
Edema
Airway Interventions - Answer- Re-position the head to a neural position
Open airway - chin lift, jaw thrust
Suction secretions - avoiding vagal stimulation
Not conscious - consider inserting orophargyngeal airway
Breathing Assessment - Answer- Do I have spontaneous respirations?
What is the rate and depth of respiratons?
Do I have symmetric chest rise and fall?
Breath sounds present, what is their quality?
, What is the work of breathing - do I have nasal flaring, retractions, accessory muscle
use?
Interventions breathing - Answer- Maintain a position of comfort
Provide supplemental O2
Not breathing adequately - provide bag mask ventilation AND reassess for the
effectiveness of breathing
Prepare for endotracheal intubation/RSI
Assessment of tube placement, insert gastric tube to reduce abd distention
Breathing assessment - Answer- Do I have spontaneous respiration?
Do I have equal chest rise and fall?
What is the rate and depth of respiration?
What is the work of breathing - is there any nasal flaring, retractions, head bobbing?
Circulation assessment - Answer- Central and peripheral pulse rate and quality
Skin color and temperature
Capillary refill
JVD and tracheal position - trauma
Circulation interventions - Answer- CPR/ALS
Control obvious bleeding
Obtain IV access
Adminster 20ml/kg fluid bolus and reassessment of circulatory assessment
Administer blood or blood productions
Disability assessment - Answer- AVPU - awake/alert, verbal, responds to pain, does not
respond/unconscious
Pupils equal round reactive to light
E - Answer- Exposure and Environmental Control
Exposure and Environmental Control Assessment and Interventions - Answer- Look for
obvious skin abnormalities
Sources of heat loss
Apply warm blankets
Provide overhead warming light
warm IV fluids/warmed humidified O2
F - Answer- Full set of vital signs
Inconsolable neonate - Answer- hypoxia
Preschooler 3-5yrs likes - Answer- Nightlights + Bandaids
4 Components of the Pediatric Prioritization Process - Answer- 1. PAT
2. Focused Hx
3. Focused Assessment
4. Assignment of an acuity rating
Pain scale - nonverbal - Answer- Flacc
Pain Scale - 4-7 yrs - Answer- Faces
Pain Scale 8 yrs+ - Answer- Numerical 0-10 scale
PAT Components - Answer- General appearance
Work of breathing
Circulation
0 = Sick
1 = Sicker
2+ = Sickest
Airway Assessments - Answer- Tongue Obstruction
Loose Teeth
Vomit
Secretions
Blood
Edema
Airway Interventions - Answer- Re-position the head to a neural position
Open airway - chin lift, jaw thrust
Suction secretions - avoiding vagal stimulation
Not conscious - consider inserting orophargyngeal airway
Breathing Assessment - Answer- Do I have spontaneous respirations?
What is the rate and depth of respiratons?
Do I have symmetric chest rise and fall?
Breath sounds present, what is their quality?
, What is the work of breathing - do I have nasal flaring, retractions, accessory muscle
use?
Interventions breathing - Answer- Maintain a position of comfort
Provide supplemental O2
Not breathing adequately - provide bag mask ventilation AND reassess for the
effectiveness of breathing
Prepare for endotracheal intubation/RSI
Assessment of tube placement, insert gastric tube to reduce abd distention
Breathing assessment - Answer- Do I have spontaneous respiration?
Do I have equal chest rise and fall?
What is the rate and depth of respiration?
What is the work of breathing - is there any nasal flaring, retractions, head bobbing?
Circulation assessment - Answer- Central and peripheral pulse rate and quality
Skin color and temperature
Capillary refill
JVD and tracheal position - trauma
Circulation interventions - Answer- CPR/ALS
Control obvious bleeding
Obtain IV access
Adminster 20ml/kg fluid bolus and reassessment of circulatory assessment
Administer blood or blood productions
Disability assessment - Answer- AVPU - awake/alert, verbal, responds to pain, does not
respond/unconscious
Pupils equal round reactive to light
E - Answer- Exposure and Environmental Control
Exposure and Environmental Control Assessment and Interventions - Answer- Look for
obvious skin abnormalities
Sources of heat loss
Apply warm blankets
Provide overhead warming light
warm IV fluids/warmed humidified O2
F - Answer- Full set of vital signs
