ENPC PEDIATRIC EMERGENCY CARE EXAM 2025, 200
QUESTIONS WITH ACCURATE SOLUTIONS
What are some common manifestations that may indicate intra-abdominal
trauma in a pediatric patient following a traumatic event?
Shoulder pain, abdominal pain, and flank ecchymosis
Headache, dizziness, and nausea
Chest pain, shortness of breath, and fever
Leg swelling, joint pain, and rash
1. Explain why it is important to use correctly sized equipment
when measuring blood pressure in pediatric patients.
To ensure the child feels comfortable during the procedure.
To obtain an accurate blood pressure reading.
To reduce the time taken for the
assessment. To prevent the child from
becoming anxious.
2. What specific substance is excreted in the urine following muscle damage
from an electrical injury, which can indicate potential complications?
Creatinine
Myoglobin
Hemoglobin
Bilirubin
3. A child was found unresponsive under the monkey bars during recess
and arrives with the following assessment: eyes open only with
supraorbital
pressure stimulus, no verbal response is elicited, and withdraws arms and
legs when a swab is inserted in the nose. Which of the following is the
,priority intervention for this child?
Infuse a bolus of crystalloid solution
, Expose the child's body for full exam
Log roll to assess posterior aspect
Prepare for immediate intubation
4. What is the primary intervention indicated for an 8-month-old child
presenting with purpura, irritability, and a high fever?
Encouraging the caregiver to hold and comfort the child.
Monitoring for signs and symptoms of increased intracranial
pressure (ICP).
Collecting urine for toxicology screen.
Encouraging oral fluids and food.
5. In the context of pediatric emergency care, what is the primary focus
when a child is in cardiopulmonary arrest?
Establishing a secure airway
Administering intravenous medications
Performing defibrillation
Monitoring vital signs
6. Why is the statement 'He also had a seizure about 2 in the morning'
particularly concerning in the context of the toddler's current condition?
It indicates a possible ongoing seizure disorder.
It suggests the child may have taken too much medication.
It shows that the parents are not monitoring the child properly.
It implies that the child is recovering well.
7. Which of the following pathologic processes would most likely be
attributed to a primary diagnosis of cystic fibrosis?
Hypernatremia
, Constipation
Obesity
Epiglottitis
8. If the same 4-year-old patient were to present with a blood glucose level
of 450 mg/dL in addition to the symptoms listed, what would be the most
appropriate initial intervention?
Administer oral rehydration solutions.
Initiate intravenous fluid therapy and insulin administration.
Perform a lumbar puncture to rule out meningitis.
Schedule an immediate CT scan of the abdomen.
9. Why is bilateral chest wall rise an important indicator of
effective intervention in a child with tension pneumothorax?
It suggests that the airway is obstructed.
It indicates that the lungs are expanding properly.
It shows that the child is experiencing pain.
It confirms that the child is stable and does not require further
assessment.
10. Explain why it is crucial to have a confirmed acceptance from
the receiving hospital when transferring a pediatric patient.
It ensures that the patient will receive appropriate care without
delays.
It allows for better communication with the family about the
transfer.
It guarantees that the patient's medical records are complete.
It helps in assessing the patient's insurance coverage.
QUESTIONS WITH ACCURATE SOLUTIONS
What are some common manifestations that may indicate intra-abdominal
trauma in a pediatric patient following a traumatic event?
Shoulder pain, abdominal pain, and flank ecchymosis
Headache, dizziness, and nausea
Chest pain, shortness of breath, and fever
Leg swelling, joint pain, and rash
1. Explain why it is important to use correctly sized equipment
when measuring blood pressure in pediatric patients.
To ensure the child feels comfortable during the procedure.
To obtain an accurate blood pressure reading.
To reduce the time taken for the
assessment. To prevent the child from
becoming anxious.
2. What specific substance is excreted in the urine following muscle damage
from an electrical injury, which can indicate potential complications?
Creatinine
Myoglobin
Hemoglobin
Bilirubin
3. A child was found unresponsive under the monkey bars during recess
and arrives with the following assessment: eyes open only with
supraorbital
pressure stimulus, no verbal response is elicited, and withdraws arms and
legs when a swab is inserted in the nose. Which of the following is the
,priority intervention for this child?
Infuse a bolus of crystalloid solution
, Expose the child's body for full exam
Log roll to assess posterior aspect
Prepare for immediate intubation
4. What is the primary intervention indicated for an 8-month-old child
presenting with purpura, irritability, and a high fever?
Encouraging the caregiver to hold and comfort the child.
Monitoring for signs and symptoms of increased intracranial
pressure (ICP).
Collecting urine for toxicology screen.
Encouraging oral fluids and food.
5. In the context of pediatric emergency care, what is the primary focus
when a child is in cardiopulmonary arrest?
Establishing a secure airway
Administering intravenous medications
Performing defibrillation
Monitoring vital signs
6. Why is the statement 'He also had a seizure about 2 in the morning'
particularly concerning in the context of the toddler's current condition?
It indicates a possible ongoing seizure disorder.
It suggests the child may have taken too much medication.
It shows that the parents are not monitoring the child properly.
It implies that the child is recovering well.
7. Which of the following pathologic processes would most likely be
attributed to a primary diagnosis of cystic fibrosis?
Hypernatremia
, Constipation
Obesity
Epiglottitis
8. If the same 4-year-old patient were to present with a blood glucose level
of 450 mg/dL in addition to the symptoms listed, what would be the most
appropriate initial intervention?
Administer oral rehydration solutions.
Initiate intravenous fluid therapy and insulin administration.
Perform a lumbar puncture to rule out meningitis.
Schedule an immediate CT scan of the abdomen.
9. Why is bilateral chest wall rise an important indicator of
effective intervention in a child with tension pneumothorax?
It suggests that the airway is obstructed.
It indicates that the lungs are expanding properly.
It shows that the child is experiencing pain.
It confirms that the child is stable and does not require further
assessment.
10. Explain why it is crucial to have a confirmed acceptance from
the receiving hospital when transferring a pediatric patient.
It ensures that the patient will receive appropriate care without
delays.
It allows for better communication with the family about the
transfer.
It guarantees that the patient's medical records are complete.
It helps in assessing the patient's insurance coverage.
