ENPC (Emergency Nursing Pediatric
Course) accurate and verified questions
covering pediatric emergency assessment,
trauma care, medical emergencies, triage,
and family-centered care based on current
ENA
An unresponsive 2-year-old child was found by his mother with a bottle
labeled "Elavil 50 mg" by his side. Which piece of information is important
to obtain from his mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribe. - ANSWER>>C. The
number of pills left in the bottle.
A nurse providing crisis intervention to the family of a seriously ill child can
best keep the family informed of the child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them. -
ANSWER>>D. Appointing one staff member to communicate with them.
A 16-month-old child was an unrestrained front seat passenger in a motor
vehicle crash. The chest x-ray reveals multiple rib fractures. These findings
suggest what type of injury?
A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury. - ANSWER>>B. Significant underlying injury.
,Which piece of information is most important to know prior to transferring
a patient to another facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis. - ANSWER>>C. Confirmation of
acceptance from the receiving hospital.
A 10-year-old child who was struck by a car has a distended, tense
abdomen. The child's heart rate is 144 beats/minute, respirations 24
breaths/minute, and blood pressure 120/80 mm Hg. Capillary refill is more
than 3 seconds, and skin is pale and cool. The patient's signs and symptoms
suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock. - ANSWER>>C. Hypovolemic shock.
A school-aged child is about to receive stitches. To evaluate his
understanding of the procedure, you tell him:
A. "Young people your age have questions about getting stitches. What are
your questions?"
B. "Don't cry while you are getting the stitches. Be brave like a man."
C. "You will probably receive 10 stitches. Do you have any questions before
we restrain you?"
D. "Does your cut hurt? Would you like your mommy to hold you?" -
ANSWER>>A. "Young people your age have questions about getting
stitches. What are your questions?"
What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia - ANSWER>>D. Anteromedial tibia
, An important consideration in the assessment of pain for an adolescent
patient is that they:
A. May deny or minimize their pain when friends visit for fear of losing
control.
B. Have difficulty localizing or describing the pain.
C. Are unable to use the 1 to 10 scale to report their pain.
D. Feel that the pain is a punishment for something they did wrong. -
ANSWER>>A. May deny or minimize their pain when friends visit for fear of
losing control.
An 8-month-old infant with pneumonia has severe intercostal and
substernal retractions, weak muscle tone, lethargy, and gray skin color. The
infant's condition does not improve after bag-mask ventilation. The next
step in treatment is most likely to be:
A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol. - ANSWER>>C. Rapid sequence intubation.
Which combination of medications is best to have prepared for a pediatric
resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium. - ANSWER>>B. Epinephrine and glucose.
A 20-day-old infant has a 1-week history of not eating well. The infant has a
weak cry and is jittery. Which laboratory test is indicated?
A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
D. Toxicology screen. - ANSWER>>B. Finger-stick glucose.
Which intervention should be performed next if tactile stimulation,
positioning, drying, and blow-by oxygen administration do not increase a
newborn's heart rate?
Course) accurate and verified questions
covering pediatric emergency assessment,
trauma care, medical emergencies, triage,
and family-centered care based on current
ENA
An unresponsive 2-year-old child was found by his mother with a bottle
labeled "Elavil 50 mg" by his side. Which piece of information is important
to obtain from his mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribe. - ANSWER>>C. The
number of pills left in the bottle.
A nurse providing crisis intervention to the family of a seriously ill child can
best keep the family informed of the child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them. -
ANSWER>>D. Appointing one staff member to communicate with them.
A 16-month-old child was an unrestrained front seat passenger in a motor
vehicle crash. The chest x-ray reveals multiple rib fractures. These findings
suggest what type of injury?
A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury. - ANSWER>>B. Significant underlying injury.
,Which piece of information is most important to know prior to transferring
a patient to another facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis. - ANSWER>>C. Confirmation of
acceptance from the receiving hospital.
A 10-year-old child who was struck by a car has a distended, tense
abdomen. The child's heart rate is 144 beats/minute, respirations 24
breaths/minute, and blood pressure 120/80 mm Hg. Capillary refill is more
than 3 seconds, and skin is pale and cool. The patient's signs and symptoms
suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock. - ANSWER>>C. Hypovolemic shock.
A school-aged child is about to receive stitches. To evaluate his
understanding of the procedure, you tell him:
A. "Young people your age have questions about getting stitches. What are
your questions?"
B. "Don't cry while you are getting the stitches. Be brave like a man."
C. "You will probably receive 10 stitches. Do you have any questions before
we restrain you?"
D. "Does your cut hurt? Would you like your mommy to hold you?" -
ANSWER>>A. "Young people your age have questions about getting
stitches. What are your questions?"
What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia - ANSWER>>D. Anteromedial tibia
, An important consideration in the assessment of pain for an adolescent
patient is that they:
A. May deny or minimize their pain when friends visit for fear of losing
control.
B. Have difficulty localizing or describing the pain.
C. Are unable to use the 1 to 10 scale to report their pain.
D. Feel that the pain is a punishment for something they did wrong. -
ANSWER>>A. May deny or minimize their pain when friends visit for fear of
losing control.
An 8-month-old infant with pneumonia has severe intercostal and
substernal retractions, weak muscle tone, lethargy, and gray skin color. The
infant's condition does not improve after bag-mask ventilation. The next
step in treatment is most likely to be:
A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol. - ANSWER>>C. Rapid sequence intubation.
Which combination of medications is best to have prepared for a pediatric
resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium. - ANSWER>>B. Epinephrine and glucose.
A 20-day-old infant has a 1-week history of not eating well. The infant has a
weak cry and is jittery. Which laboratory test is indicated?
A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
D. Toxicology screen. - ANSWER>>B. Finger-stick glucose.
Which intervention should be performed next if tactile stimulation,
positioning, drying, and blow-by oxygen administration do not increase a
newborn's heart rate?
