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Exam (elaborations)

Practice test ENPC Questions and Correct Answers/ Latest Update / Already Graded

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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. Ans: Preschoolers are magical thinkers and imagine bandages keep their insides from coming out. 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? Ans: As if the SPO2 is normal for him. 2 | Page 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

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Practice ENPC
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Uploaded on
February 28, 2025
Number of pages
10
Written in
2024/2025
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Practice test ENPC Questions and
Correct Answers/ Latest Update /
Already Graded
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.


Ans: Preschoolers are magical thinkers and imagine bandages keep their

insides from coming out.




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?


Ans: As if the SPO2 is normal for him.

, 2 | Page

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?


Ans: Sicker




The pediatric prioritization process components include the focused

assessment, focused history, acuity rating decision and:


Ans: The pediatric assessment triangle (PAT)




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?


Ans: Immobilize the cervical spine

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