Emergency Nursing Pediatric Course Prep
1. A 3 year-old patient presents A. Increased diastolic blood pressure
following frequent emesis B.Bounding peripheral pulses
and diarrhea over the past 12 C.Prolonged capillary refill
hours. Which of the following D.Increased urine output
assessment findings indicate
that the patient' body is com-
pensating for the fluid loss?
2. You are discharging a patient A.Discussing the importance of stopping all current psychiatric
home who has a history of medications.
depression. Discharge teach- B.Providing the family a list of behavioral health facilities to call
ing should include which of for follow-up.
the following? C.Explaining that the family should not call authorities for esca-
lations in the patient's behavior.
D.Ensuring all firearms in the home are locked up with no access
available by the patient.
3. A child with an electrical in- A.Serum
jury is seen 1 hour post event. B.Urine
Which of the following spec- C.Stool
imen samples would provide D.Sputum
visual information regarding
a potential complication of
this injury?
4. A 4-year-old patient is be- A.Check the size of the blood pressure cutt
ing assessed for a foreign B.Recheck the temperature rectally
body in the nose. The child is C.Recheck the blood pressure on the other arm
awake and alert and watch- D.Place the patient on cardiac and respiratory monitors
ing a video on the caregivers
phone. Vitals include HR of
110 beats/minute, RR of 26
, ENPC 6th Edition Provider Exam Study Guide & Practice Questions |
Emergency Nursing Pediatric Course Prep
breaths per minute, BP of
138/90 mm Hg, and T of
37.3oC (99.3oF) orally. Which
of the following interventions
should the nurse perform
next?
5. A 10-year-old playing base- A. Utilize AED/defibrillator
ball is hit in the chest with a B. Prepare for needle decompression
ball. He immediately demon- C.Administer intravenous epinephrine
strates loss of consciousness D.Intubate with endotracheal tube
with no pulses. Which of the
following is the priority inter-
vention?
6. The triage nurse is assess- A.Obtaining a sterile urine sample
ing a 14 year old male who B.Initiating intravenous access
was brought in by ambu- C.Preparing the patient for ultrasound
lance. The patient reports he D.Scanning the patient's bladder
was playing his video games
at home when he had a sud-
den onset of groin pain that
was so severe he became
nauseated and vomited. Fur-
ther assessment reveals a
swollen scrotum. What is the
priority intervention for this
patient?
7. A caregiver reports their A. Integumentary
one-month-old has had a yel- B.Renal
lowish color to their eyes and
, ENPC 6th Edition Provider Exam Study Guide & Practice Questions |
Emergency Nursing Pediatric Course Prep
skin over the last two weeks. C.Gastrointestinal
If left untreated, which body D.Neurological
system can this affect?
8. An infant presents to the A.Bilateral posterior back
emergency department with B.Over the epigastrium
difficulty breathing. The pa- C.Bilateral midaxillary
tient is pale and respirations D.Bilateral anterior chest
appear rapid and shallow.
Which location on the tor-
so is the most effective site
for assessing bilateral breath
sounds?
9. A 5-year-old presents with A.Intramuscular epinephrine
sudden onset nausea, vom- B.Inhaled albuterol
iting, abdominal cramping, C.Oral diphenhydramine
hives, and hypotension after D.Intravenous ondansetron
eating lunch. Which of the fol-
lowing is the priority inter-
vention?
10. A 3-year-old is assessed for A.Magnet
the presence of increasing B.Button battery
amounts of serosanguineous C.Dried bean
drainage from his left nares D.Fishing weight
over the past 6 hours. Which
of the following foreign bod-
ies is the most likely etiology?
11. Caregivers state an A.Asthma
18-month-old child had B.Croup
a harsh, barky cough,