ENPC QUESTIONS TEST A
QUESTIONS & ANSWERS(RATED A+)
Components in the prioritization of pediatric emergency care (4) - ANSWERPAT,
Focused Assessment (objective information), Focused pediatric Hx(subjective
information), assignment of an acuity rating decision
Pediatric Assessment Triangle : (3) components - ANSWERAppearance. Work of
Breathing. Circulation to the skin. This forms the "general impression".
If there is an acute disruption in 1 component, child is "sicker".
If there is an acute disruption in 2+ components the child is "sickest"
PQRST for Pain - ANSWER(pg86)
Precipitating and palliating factors
Quality
Radiation
Severity, symptoms, and site
Time or triggering factors
What age is the respiratory system considered fully developed? - ANSWER8 years old
6P's Assessment for Musculoskeletal Trauma - ANSWER(pg 283)
Pallor : color different from uninjured
Pain
Pulselessness
Parasthesia
Paralysis
Poikilothermia
Burn Transfer Criteria - ANSWER1. Partial thickness >10% of BSA
2. Face, hands, feet, genetalia, perineum or major joints
3. Third degree burns in any age group.
4. Electrical burns, including lightning injury, and chemical burns.
5. Inhalation injury.
6. Burn injury in pt with preexisting medical disorders that could complicate tx.
7. Concomitant trauma (such as fx) in which the burn injury poses the greatest risk of
morbidity or mortality.
8. Burned children in hospital wo qualified equipment or personnel to care for them
9. Pt who will require special social, emotional, or rehabilitative intervention.
Infants are obligate nose breathers. If nose is obstructed ___________ -
ANSWERmouth then suction nose
Neutropenic pt with a temperature - ANSWERDon't take rectal temp.
, No invasive procedures if not necessary.
Nonblanchable Rashes of concern - ANSWERMeningocoxcemia
Petiachia/Purpura
Normal Urine Output for child - ANSWER1 to 2ml / Kg / Hr
Oral Rehydration for 9month old with mild dehydration. - ANSWERGlucose and sodium
solution, every 2 to 5min with 5 to 10ml
6week old infant, no medical hx. eating poorly, vomiting, "hard to wake up", responsive
to pain. Anterior fontanel bulging, tachypnic. Diagnostic evaluation expected? -
ANSWERSkeletal survey
Possible shaken baby syndrome
Minimal Acceptable BP's - ANSWERNewborn = 60
Infant = 70
Child = 70 + (2 x age in yrs)
Decompensated shock in children #1 sign - ANSWERHypotension
TBI considerations - ANSWERMD has to say when they can return, not the pt or
caregiver.
Should be a "gradual return to play"
Bradycardia pharm treatment - ANSWEREpinephrine (1:10,000), 0.01mg/kg every 3-
5min
Which of the following screening statements/questions is most appropriate in assessing
an adolescent for dating violence?
A. "What triggers violence you've experienced from your partner?"
B. "Does your partner feel entitled to sex even if you say 'no'?"
C. "Tell me about a time when you've felt unsafe in your relationship."
D. "Do you feel if you tried harder to please, your partner will not become violent?" -
ANSWERC. Tell me
Which sign distinguishes compensated shock from decompensated shock in the
pediatric patient?
A. Peripheral pulses
B. Blood pressure
C. Capillary refill
D. Level of consciousness - ANSWERB BP
QUESTIONS & ANSWERS(RATED A+)
Components in the prioritization of pediatric emergency care (4) - ANSWERPAT,
Focused Assessment (objective information), Focused pediatric Hx(subjective
information), assignment of an acuity rating decision
Pediatric Assessment Triangle : (3) components - ANSWERAppearance. Work of
Breathing. Circulation to the skin. This forms the "general impression".
If there is an acute disruption in 1 component, child is "sicker".
If there is an acute disruption in 2+ components the child is "sickest"
PQRST for Pain - ANSWER(pg86)
Precipitating and palliating factors
Quality
Radiation
Severity, symptoms, and site
Time or triggering factors
What age is the respiratory system considered fully developed? - ANSWER8 years old
6P's Assessment for Musculoskeletal Trauma - ANSWER(pg 283)
Pallor : color different from uninjured
Pain
Pulselessness
Parasthesia
Paralysis
Poikilothermia
Burn Transfer Criteria - ANSWER1. Partial thickness >10% of BSA
2. Face, hands, feet, genetalia, perineum or major joints
3. Third degree burns in any age group.
4. Electrical burns, including lightning injury, and chemical burns.
5. Inhalation injury.
6. Burn injury in pt with preexisting medical disorders that could complicate tx.
7. Concomitant trauma (such as fx) in which the burn injury poses the greatest risk of
morbidity or mortality.
8. Burned children in hospital wo qualified equipment or personnel to care for them
9. Pt who will require special social, emotional, or rehabilitative intervention.
Infants are obligate nose breathers. If nose is obstructed ___________ -
ANSWERmouth then suction nose
Neutropenic pt with a temperature - ANSWERDon't take rectal temp.
, No invasive procedures if not necessary.
Nonblanchable Rashes of concern - ANSWERMeningocoxcemia
Petiachia/Purpura
Normal Urine Output for child - ANSWER1 to 2ml / Kg / Hr
Oral Rehydration for 9month old with mild dehydration. - ANSWERGlucose and sodium
solution, every 2 to 5min with 5 to 10ml
6week old infant, no medical hx. eating poorly, vomiting, "hard to wake up", responsive
to pain. Anterior fontanel bulging, tachypnic. Diagnostic evaluation expected? -
ANSWERSkeletal survey
Possible shaken baby syndrome
Minimal Acceptable BP's - ANSWERNewborn = 60
Infant = 70
Child = 70 + (2 x age in yrs)
Decompensated shock in children #1 sign - ANSWERHypotension
TBI considerations - ANSWERMD has to say when they can return, not the pt or
caregiver.
Should be a "gradual return to play"
Bradycardia pharm treatment - ANSWEREpinephrine (1:10,000), 0.01mg/kg every 3-
5min
Which of the following screening statements/questions is most appropriate in assessing
an adolescent for dating violence?
A. "What triggers violence you've experienced from your partner?"
B. "Does your partner feel entitled to sex even if you say 'no'?"
C. "Tell me about a time when you've felt unsafe in your relationship."
D. "Do you feel if you tried harder to please, your partner will not become violent?" -
ANSWERC. Tell me
Which sign distinguishes compensated shock from decompensated shock in the
pediatric patient?
A. Peripheral pulses
B. Blood pressure
C. Capillary refill
D. Level of consciousness - ANSWERB BP
