ENPC Home Exam, ENPC 6th Edition,
ENPC Exam 6th ed, ENPC Test
Questions 2 Latest Update
Parents report their 3-year-old child has developed noisy breathing. On assessment,
high-pitched wheezes are audible and auscultated on inspiration and expiration.
What medication would be appropriate to administer first?
A. Humidified oxygen
B. Inhaled beta-agonist
C. Oral steroids
D. Nebulized magnesium sulfate - ANSWER-B. Inhaled beta-agonist
A 3-year-old child who was found in a pool unresponsive has return of spontaneous
circulation (ROSC) after prolonged resuscitation. Intubation was performed in the
field. Upon arrival to the ED, which intervention is of highest priority?
A. Administer sedation as ordered.
B. Utilize a length-based resuscitation tape to determine the approximate weight.
C. Auscultate breath sounds over the epigastrium and lung fields.
D. Obtain a bedside blood glucose reading. - ANSWER-C. Auscultate breath sounds
over the epigastrium and lung fields.
A 3-year-old is assessed for the presence of increasing amounts of serosanguineous
drainage from his left nares over the past 6 hours. Which of the following foreign
bodies is the most likely etiology?
A. Magnet
B. Button battery
C. Dried bean
D. Fishing weight - ANSWER-B. Button battery
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?
A. Preschoolers are magical thinkers and imagine bandages keep their insides from
coming out
B. Preschoolers fear physical disability and believe a bandage will prevent disability
C. Preschoolers explore orally and will likely chew or suck on the stitches if left
uncovered
D. Preschoolers are concerned with body image and don't want to appear different
than peers - ANSWER-
A 7-month-old presents to the emergency department with a complaint of fever.
Assessment reveals a patent airway and slight cyanosis around his lips and nail
beds. He is alert and interactive. His vital signs are 38.5 °C (101.3 °F), HR 134, RR
32, BP 78/54 mm Hg, and SpO2 84%. The nurse notes a healed surgical scar on his
chest. Based on this assessment, what is the nurse's priority?
A. Administer ibuprofen to treat the fever
,B. Begin oxygen via a nonrebreather mask
C. Obtain a surgical history
D. Ask if the SpO2 is normal for him - ANSWER-
An 11-year-old presents to the emergency department with a complaint of hitting his
head while playing soccer. The nurse enters the room and performs an across-the-
room assessment. He is staring at the wall. He has no increased work of breathing,
and his color is pink. Using the pediatric assessment triangle (PAT), what
classification will the nurse assign?
A. Well
B. Sick
C. Sicker
D. Sickest - ANSWER-
Tachycardia = an _______ sign of shock - ANSWER-Early
What is a late sign of circulatory compromise in children? - ANSWER-Hypotension
Children can remain normotensive until about _____ percent of blood volume is lost -
ANSWER-25%
What are two intervention you should always be doing? - ANSWER-Applying oxygen
Checking bedside blood glucose
How long should the car seat be rear facing? - ANSWER-Until at least one year of
age
_____ model parents behavior with toys - ANSWER-Toddlers
Age 3 to 5: - ANSWER-Preschoolers
Magical and it logical thinkers
Take things literally
What are common fears of the preschooler? - ANSWER-Pain
Darkness
Body mutilation
Being alone
Ages 5 to 11: - ANSWER-School age kids
Beers include separation from parents, loss of control, and physical disability
11 to 18 years old: - ANSWER-Body a parent is the most important thing
, What is one of the critical public health issues in today society? - ANSWER-
Childhood obesity
At how many years old can a child start using the faces pain scale? - ANSWER-
Three years old
What is there an emphasis on during the prioritization of the patient? - ANSWER-
Safety
I focused assessment is what type of information? - ANSWER-Objective
I focused history is what type of information? - ANSWER-Subjective
The pediatric assessment triangle a.k.a. the across the room assessment of a
patient looks at what three things? - ANSWER-General appearance
Work of breathing
Circulation to the skin
How long should the pediatric assessment triangle take? - ANSWER-About 3 to 5
seconds
What does the general appearance section include: - ANSWER-Interaction
Muscle tone
Consolabilty
Look or gaze
Speech or cry
Work of breathing— a good indicator of oxygenation and ventilation. What should
you look for in this assessment? - ANSWER-Abnormal airway sounds
Coughing
Abnormal positioning
Retractions/nasal flaring
Rate and depth of respirations
Circulation to the skin: - ANSWER-Skin reflects perfusion status
Inspect the color of central areas such as lips and mucous membranes
Assessed for pallor, molting, or cyanosis
ENPC Exam 6th ed, ENPC Test
Questions 2 Latest Update
Parents report their 3-year-old child has developed noisy breathing. On assessment,
high-pitched wheezes are audible and auscultated on inspiration and expiration.
What medication would be appropriate to administer first?
A. Humidified oxygen
B. Inhaled beta-agonist
C. Oral steroids
D. Nebulized magnesium sulfate - ANSWER-B. Inhaled beta-agonist
A 3-year-old child who was found in a pool unresponsive has return of spontaneous
circulation (ROSC) after prolonged resuscitation. Intubation was performed in the
field. Upon arrival to the ED, which intervention is of highest priority?
A. Administer sedation as ordered.
B. Utilize a length-based resuscitation tape to determine the approximate weight.
C. Auscultate breath sounds over the epigastrium and lung fields.
D. Obtain a bedside blood glucose reading. - ANSWER-C. Auscultate breath sounds
over the epigastrium and lung fields.
A 3-year-old is assessed for the presence of increasing amounts of serosanguineous
drainage from his left nares over the past 6 hours. Which of the following foreign
bodies is the most likely etiology?
A. Magnet
B. Button battery
C. Dried bean
D. Fishing weight - ANSWER-B. Button battery
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?
A. Preschoolers are magical thinkers and imagine bandages keep their insides from
coming out
B. Preschoolers fear physical disability and believe a bandage will prevent disability
C. Preschoolers explore orally and will likely chew or suck on the stitches if left
uncovered
D. Preschoolers are concerned with body image and don't want to appear different
than peers - ANSWER-
A 7-month-old presents to the emergency department with a complaint of fever.
Assessment reveals a patent airway and slight cyanosis around his lips and nail
beds. He is alert and interactive. His vital signs are 38.5 °C (101.3 °F), HR 134, RR
32, BP 78/54 mm Hg, and SpO2 84%. The nurse notes a healed surgical scar on his
chest. Based on this assessment, what is the nurse's priority?
A. Administer ibuprofen to treat the fever
,B. Begin oxygen via a nonrebreather mask
C. Obtain a surgical history
D. Ask if the SpO2 is normal for him - ANSWER-
An 11-year-old presents to the emergency department with a complaint of hitting his
head while playing soccer. The nurse enters the room and performs an across-the-
room assessment. He is staring at the wall. He has no increased work of breathing,
and his color is pink. Using the pediatric assessment triangle (PAT), what
classification will the nurse assign?
A. Well
B. Sick
C. Sicker
D. Sickest - ANSWER-
Tachycardia = an _______ sign of shock - ANSWER-Early
What is a late sign of circulatory compromise in children? - ANSWER-Hypotension
Children can remain normotensive until about _____ percent of blood volume is lost -
ANSWER-25%
What are two intervention you should always be doing? - ANSWER-Applying oxygen
Checking bedside blood glucose
How long should the car seat be rear facing? - ANSWER-Until at least one year of
age
_____ model parents behavior with toys - ANSWER-Toddlers
Age 3 to 5: - ANSWER-Preschoolers
Magical and it logical thinkers
Take things literally
What are common fears of the preschooler? - ANSWER-Pain
Darkness
Body mutilation
Being alone
Ages 5 to 11: - ANSWER-School age kids
Beers include separation from parents, loss of control, and physical disability
11 to 18 years old: - ANSWER-Body a parent is the most important thing
, What is one of the critical public health issues in today society? - ANSWER-
Childhood obesity
At how many years old can a child start using the faces pain scale? - ANSWER-
Three years old
What is there an emphasis on during the prioritization of the patient? - ANSWER-
Safety
I focused assessment is what type of information? - ANSWER-Objective
I focused history is what type of information? - ANSWER-Subjective
The pediatric assessment triangle a.k.a. the across the room assessment of a
patient looks at what three things? - ANSWER-General appearance
Work of breathing
Circulation to the skin
How long should the pediatric assessment triangle take? - ANSWER-About 3 to 5
seconds
What does the general appearance section include: - ANSWER-Interaction
Muscle tone
Consolabilty
Look or gaze
Speech or cry
Work of breathing— a good indicator of oxygenation and ventilation. What should
you look for in this assessment? - ANSWER-Abnormal airway sounds
Coughing
Abnormal positioning
Retractions/nasal flaring
Rate and depth of respirations
Circulation to the skin: - ANSWER-Skin reflects perfusion status
Inspect the color of central areas such as lips and mucous membranes
Assessed for pallor, molting, or cyanosis
