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ENPC Questions 87 Questions and Answers study guide 2025.pdf

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ENPC Questions 87 Questions and Answers study guide

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Yellow (delayed care)
Which sign distinguishes compensated shock from decompensated shock in the
pediatric patient?
Which piece of information is most important to know prior to transferring a patient to
another facility?
Which of the following screening statements/questions is most appropriate in
assessing an adolescent for dating violence?
Which of the following burn injury patterns and history indicates suspected child
maltreatment?
Which ocular finding is associated with child maltreatment?
Which intervention should be performed next if tactile stimulation, positioning, drying,
and blow-by oxygen administration do not increase a newborn's heart rate?
Which combination of medications is best to have prepared for a pediatric
resuscitation?
Where as, most Preschoolers age 3yo to 5yo, are magical and illogical thinkers.
They often confuse coincidence with causation, and have difficulty distinguising
fantasy from reality.
Where as, most _____ age ___ to ___, are magical and illogical thinkers. They often
confuse coincidence with causation, and have difficulty distinguising fantasy from
reality. -
What is the preferred sit for intraosseous access in the infant?
What is the best method to rapidly administer a 20 mL/kg bolus of 0.9% normal
saline to a pediatric patient weighing 16 kg?
What age is the respiratory system considered fully developed? -
Verbal Report for pain -
Two ambulances collide in front of the hospital. The victims include three pediatric
victims. Using the JumpSTART triage system, which category assignment will the
nurse give to a 2-year-old who is lying on the ground, alert and crying with
spontaneous respirations of 36 breaths/minute and present peripheral pulses?
Time or triggering factors
The pediatric prioritization process components include the focused assessment,
focused history, acuity rating decision and:
The Pediatric Assessment Triangle is used to:
The nurse is preparing to administer a feeding through a nasogastric feeding tube.
The tube position was verified by radiograph after insertion 2 hours ago. How will the
nurse verify placement before feeding?
The nurse is planning to begin oral rehydration therapy for a 9-month-old with mild
dehydration. She provides the caregivers with a glucose and sodium solution and
instructs them to administer small amounts:
The caregivers of a 6-year-old boy who is brought to the emergency department for
abdominal pain should first be asked:
The best method to open the airway in an injured child is:
Tension Pneumothorax Tx -
TBI considerations -
Should be a "gradual return to play"
Severity, symptoms, and site
Self-report is the most reliable indicatior of pain; however not all pediatric pt are
capable or wiling to verbalize their discomfort.
Scalp if less than 9months.
Ribs are more horizontal and provide less protection.

, Respiratory Distress
Red (immediate care)
Radiation
Quality
Pulselessness
Precipitating and palliating factors
PQRST for Pain -
Possible shaken baby syndrome
Possible abdominal injury
Poikilothermia
Petiachia/Purpura
Pediatric Assessment Triangle : Work of Breathing -
Pediatric Assessment Triangle : Circulation to the skin -
Pediatric Assessment Triangle : Appearance -
Pediatric Assessment Triangle : (3) components -
Parasthesia
Paralysis
Pallor : color different from uninjured
Pain
P(inappropriate), posturing or unresponsive = immediate(red)
Oral Rehydration for 9month old with mild dehydration. -
Opiod antidote -
Not in feet if they walk.
Normal Urine Output for child -
Nonblanchable Rashes of concern -
No pulse = immediate (red)
No invasive procedures if not necessary.
Neutropenic pt with a temperature -
Most Toddlers age 1yo to 3yo , are concrete thinkers and interpret words literally.
Most ______ age __to____, are concrete thinkers and interpret words literally.
Minimal Acceptable BP's -
Late sign.
Jump START triage : Respiratory rate -
Jump START triage : Pulse -
Jump START triage : colors and designation -
Jump START triage : breathing -
Jump START triage : AVPU -
Infants are obligate nose breathers. If nose is obstructed ___________ -
Infant = 70
In providing education to a family regarding obtaining baseline peak airway flow for a
child with asthma, the nurse will recommend what time of day?
In discussing the legal care of the adolescent patient, what is a mature minor?
Immediately after intraosseous insertion the nurse assesses the infusion and notes
that the fluid is not dripping. How should the nurse respond?
If there is an acute disruption in 2+ components the child is "sickest"
If there is an acute disruption in 1 component, child is "sicker".
If live interpreter not available for 15mins use ________ -
Hypotension related to hypovolemia in pediatric trauma patients is a _____ sign and
may indicate a loss of ___% to ___% of their circulating blood volume. -
Green (minor or ambulatory)

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