ENPC 5TH EDITION ASSESSMENT UPDATED 2025 WITH
QUESTIONS AND CORRECT ANSWERS GRADED A+
Components in the prioritization of pediatric emergency care (4)
VERIFIED ANSWERPAT, Focused Assessment (objective information),
Focused pediatric Hx(subjective information), assignment of an acuity
rating decision
Pediatric Assessment Triangle : (3) components VERIFIED
ANSWERAppearance. 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"
Pediatric Assessment Triangle : Appearance VERIFIED ANSWERMost
important. Reflects adequacy of ventilation, oxygenation, brain
perfusion, and central nervous system function.
Assess for : tone, interactiveness, consolability, look/gaze, and
speech/cry.
Pediatric Assessment Triangle : Work of Breathing VERIFIED
ANSWERBreathing easy, even, and unlabored or tripod position, nasal
flaring, retractions, supraclavicular retractions
Pediatric Assessment Triangle : Circulation to the skin VERIFIED
ANSWERMottling or PWD
,PQRST for Pain VERIFIED ANSWER(pg86)
Precipitating and palliating factors
Quality
Radiation
Severity, symptoms, and site
Time or triggering factors
Verbal Report for pain VERIFIED ANSWER(pg86)
Self-report is the most reliable indicatior of pain; however not all
pediatric pt are capable or wiling to verbalize their discomfort.
What age is the respiratory system considered fully developed?
VERIFIED ANSWER8 years old
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. VERIFIED 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.
,Hypotension related to hypovolemia in pediatric trauma patients is a
_____ sign and may indicate a loss of ___% to ___% of their circulating
blood volume. VERIFIED ANSWER(pg262)
Late sign.
20% to 25% of circulating blood volume
6P's Assessment for Musculoskeletal Trauma VERIFIED ANSWER(pg
283)
Pallor : color different from uninjured
Pain
Pulselessness
Parasthesia
Paralysis
Poikilothermia
Burn Transfer Criteria VERIFIED ANSWER1. 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.
If live interpreter not available for 15mins use ________ VERIFIED
ANSWERLanguage line interpreter
Infants are obligate nose breathers. If nose is obstructed ___________
VERIFIED ANSWERsuction nose
Opiod antidote VERIFIED ANSWERNarcan
Benzo antidote VERIFIED ANSWERRomazicon
Neutropenic pt with a temperature VERIFIED ANSWERDon't take
rectal temp.
No invasive procedures if not necessary.
Nonblanchable Rashes of concern VERIFIED
ANSWERMeningocoxcemia
Petiachia/Purpura
Bicycle accident concerns VERIFIED ANSWERDid pt strike handle
bars?
QUESTIONS AND CORRECT ANSWERS GRADED A+
Components in the prioritization of pediatric emergency care (4)
VERIFIED ANSWERPAT, Focused Assessment (objective information),
Focused pediatric Hx(subjective information), assignment of an acuity
rating decision
Pediatric Assessment Triangle : (3) components VERIFIED
ANSWERAppearance. 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"
Pediatric Assessment Triangle : Appearance VERIFIED ANSWERMost
important. Reflects adequacy of ventilation, oxygenation, brain
perfusion, and central nervous system function.
Assess for : tone, interactiveness, consolability, look/gaze, and
speech/cry.
Pediatric Assessment Triangle : Work of Breathing VERIFIED
ANSWERBreathing easy, even, and unlabored or tripod position, nasal
flaring, retractions, supraclavicular retractions
Pediatric Assessment Triangle : Circulation to the skin VERIFIED
ANSWERMottling or PWD
,PQRST for Pain VERIFIED ANSWER(pg86)
Precipitating and palliating factors
Quality
Radiation
Severity, symptoms, and site
Time or triggering factors
Verbal Report for pain VERIFIED ANSWER(pg86)
Self-report is the most reliable indicatior of pain; however not all
pediatric pt are capable or wiling to verbalize their discomfort.
What age is the respiratory system considered fully developed?
VERIFIED ANSWER8 years old
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. VERIFIED 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.
,Hypotension related to hypovolemia in pediatric trauma patients is a
_____ sign and may indicate a loss of ___% to ___% of their circulating
blood volume. VERIFIED ANSWER(pg262)
Late sign.
20% to 25% of circulating blood volume
6P's Assessment for Musculoskeletal Trauma VERIFIED ANSWER(pg
283)
Pallor : color different from uninjured
Pain
Pulselessness
Parasthesia
Paralysis
Poikilothermia
Burn Transfer Criteria VERIFIED ANSWER1. 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.
If live interpreter not available for 15mins use ________ VERIFIED
ANSWERLanguage line interpreter
Infants are obligate nose breathers. If nose is obstructed ___________
VERIFIED ANSWERsuction nose
Opiod antidote VERIFIED ANSWERNarcan
Benzo antidote VERIFIED ANSWERRomazicon
Neutropenic pt with a temperature VERIFIED ANSWERDon't take
rectal temp.
No invasive procedures if not necessary.
Nonblanchable Rashes of concern VERIFIED
ANSWERMeningocoxcemia
Petiachia/Purpura
Bicycle accident concerns VERIFIED ANSWERDid pt strike handle
bars?
