Practice test ENPC Questions and
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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.
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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