ENPC Pre-Course Study Guide (
Latest ) Actual
Questions and Answers 100%
Correct
1. What is the most common cause of traumatic death in children?
A. Drowning
B. Burns
C. Motor vehicle collisions
D. Poisoning
Motor vehicle collisions are the leading cause of traumatic death in children
due to lack of restraint use and high-speed impacts.
2. What is the primary goal of the pediatric assessment triangle (PAT)?
A. Determine vital signs
B. Rapidly identify life-threatening conditions
C. Diagnose specific conditions
D. Assess hydration status
, The PAT helps clinicians quickly identify critically ill or injured children using
appearance, work of breathing, and circulation to skin.
3. A child with increased work of breathing, nasal flaring, and retractions is
likely experiencing:
A. Hypovolemia
B. Respiratory distress
C. Shock
D. Cardiac tamponade
These signs indicate respiratory distress; early recognition and support are
crucial.
4. Which is an example of an abnormal appearance in the PAT?
A. Crying
B. Smiling
C. Unresponsive
D. Awake and alert
Unresponsiveness indicates a critical issue with appearance and possible
altered mental status.
5. What is the best indicator of adequate ventilation?
A. Oxygen saturation
B. Color
C. Chest rise and fall
D. Respiratory rate
Visible chest rise confirms effective ventilation more reliably than pulse
oximetry alone.
,6. Which fluid is appropriate for initial resuscitation of a pediatric patient in
hypovolemic shock?
A. 5% dextrose
B. Normal saline with potassium
C. 0.9% normal saline
D. Lactated Ringer’s with dextrose
Isotonic crystalloids like normal saline are first-line for fluid resuscitation.
7. What is the most common cardiac arrest rhythm in children?
A. Ventricular fibrillation
B. Asystole
C. Bradycardia leading to asystole
D. Ventricular tachycardia
Children typically progress from hypoxia to bradycardia to asystole.
8. What is the recommended initial shock dose for synchronized cardioversion
in an unstable child with SVT?
A. 0.1 J/kg
B. 0.5–1 J/kg
C. 2 J/kg
D. 4 J/kg
Initial dose for synchronized cardioversion is 0.5–1 J/kg; may increase if
ineffective.
9. When is intraosseous access indicated in pediatric emergencies?
A. Only when venous access is impossible
B. Only in infants
, C. When IV access cannot be obtained rapidly
D. It is not recommended in children
IO access is safe and effective for rapid fluid and medication administration.
10.What is the normal capillary refill time in children?
A. Less than 1 second
B. 3–5 seconds
C. Less than 2 seconds
D. Less than 4 seconds
Normal capillary refill should be under 2 seconds; delayed refill suggests
poor perfusion.
11.Which airway maneuver is preferred in a child with suspected cervical spine
injury?
A. Head tilt–chin lift
B. Jaw-thrust maneuver
C. Triple airway maneuver
D. Heimlich maneuver
Jaw-thrust opens the airway while maintaining cervical spine alignment.
12.What is the most common cause of cardiac arrest in children?
A. Primary cardiac dysrhythmia
B. Hypoxia and respiratory failure
C. Drug overdose
D. Hypoglycemia
Respiratory failure leading to hypoxia is the primary cause of pediatric
cardiac arrest.
Latest ) Actual
Questions and Answers 100%
Correct
1. What is the most common cause of traumatic death in children?
A. Drowning
B. Burns
C. Motor vehicle collisions
D. Poisoning
Motor vehicle collisions are the leading cause of traumatic death in children
due to lack of restraint use and high-speed impacts.
2. What is the primary goal of the pediatric assessment triangle (PAT)?
A. Determine vital signs
B. Rapidly identify life-threatening conditions
C. Diagnose specific conditions
D. Assess hydration status
, The PAT helps clinicians quickly identify critically ill or injured children using
appearance, work of breathing, and circulation to skin.
3. A child with increased work of breathing, nasal flaring, and retractions is
likely experiencing:
A. Hypovolemia
B. Respiratory distress
C. Shock
D. Cardiac tamponade
These signs indicate respiratory distress; early recognition and support are
crucial.
4. Which is an example of an abnormal appearance in the PAT?
A. Crying
B. Smiling
C. Unresponsive
D. Awake and alert
Unresponsiveness indicates a critical issue with appearance and possible
altered mental status.
5. What is the best indicator of adequate ventilation?
A. Oxygen saturation
B. Color
C. Chest rise and fall
D. Respiratory rate
Visible chest rise confirms effective ventilation more reliably than pulse
oximetry alone.
,6. Which fluid is appropriate for initial resuscitation of a pediatric patient in
hypovolemic shock?
A. 5% dextrose
B. Normal saline with potassium
C. 0.9% normal saline
D. Lactated Ringer’s with dextrose
Isotonic crystalloids like normal saline are first-line for fluid resuscitation.
7. What is the most common cardiac arrest rhythm in children?
A. Ventricular fibrillation
B. Asystole
C. Bradycardia leading to asystole
D. Ventricular tachycardia
Children typically progress from hypoxia to bradycardia to asystole.
8. What is the recommended initial shock dose for synchronized cardioversion
in an unstable child with SVT?
A. 0.1 J/kg
B. 0.5–1 J/kg
C. 2 J/kg
D. 4 J/kg
Initial dose for synchronized cardioversion is 0.5–1 J/kg; may increase if
ineffective.
9. When is intraosseous access indicated in pediatric emergencies?
A. Only when venous access is impossible
B. Only in infants
, C. When IV access cannot be obtained rapidly
D. It is not recommended in children
IO access is safe and effective for rapid fluid and medication administration.
10.What is the normal capillary refill time in children?
A. Less than 1 second
B. 3–5 seconds
C. Less than 2 seconds
D. Less than 4 seconds
Normal capillary refill should be under 2 seconds; delayed refill suggests
poor perfusion.
11.Which airway maneuver is preferred in a child with suspected cervical spine
injury?
A. Head tilt–chin lift
B. Jaw-thrust maneuver
C. Triple airway maneuver
D. Heimlich maneuver
Jaw-thrust opens the airway while maintaining cervical spine alignment.
12.What is the most common cause of cardiac arrest in children?
A. Primary cardiac dysrhythmia
B. Hypoxia and respiratory failure
C. Drug overdose
D. Hypoglycemia
Respiratory failure leading to hypoxia is the primary cause of pediatric
cardiac arrest.
