ENPC – Assessment Questions With Complete Solution

ENPC – Assessment Questions With Complete Solution Inconsolable neonate - CORRECT ANSWERS hypoxia Preschooler 3-5yrs likes - CORRECT ANSWERS Nightlights + Bandaids 4 Components of the Pediatric Prioritization Process - CORRECT ANSWERS 1. PAT 2. Focused Hx 3. Focused Assessment 4. Assignment of an acuity rating Pain scale - nonverbal - CORRECT ANSWERS Flacc Pain Scale - 4-7 yrs - CORRECT ANSWERS Faces Pain Scale 8 yrs+ - CORRECT ANSWERS Numerical 0-10 scale PAT Components - CORRECT ANSWERS General appearance Work of breathing Circulation 0 = Sick 1 = Sicker 2+ = Sickest Airway Assessments - CORRECT ANSWERS Tongue Obstruction Loose Teeth Vomit Secretions Blood Edema Airway Interventions - CORRECT ANSWERS Re-position the head to a neural position Open airway - chin lift, jaw thrust Suction secretions - avoiding vagal stimulation Not conscious - consider inserting orophargyngeal airway Breathing Assessment - CORRECT ANSWERS Do I have spontaneous respirations? What is the rate and depth of respiratons? Do I have symmetric chest rise and fall? Breath sounds present, what is their quality? What is the work of breathing - do I have nasal flaring, retractions, accessory muscle use? Interventions breathing - CORRECT ANSWERS Maintain a position of comfort Provide supplemental O2 Not breathing adequately - provide bag mask ventilation AND reassess for the effectiveness of breathing Prepare for endotracheal intubation/RSI Assessment of tube placement, insert gastric tube to reduce abd distention Breathing assessment - CORRECT ANSWERS Do I have spontaneous respiration? Do I have equal chest rise and fall? What is the rate and depth of respiration? What is the work of breathing - is there any nasal flaring, retractions, head bobbing? Circulation assessment - CORRECT ANSWERS Central and peripheral pulse rate and quality Skin color and temperature Capillary refill JVD and tracheal position - trauma Circulation interventions - CORRECT ANSWERS CPR/ALS Control obvious bleeding Obtain IV access Adminster 20ml/kg fluid bolus and reassessment of circulatory assessment Administer blood or blood productions Disability assessment - CORRECT ANSWERS AVPU - awake/alert, verbal, responds to pain, does not respond/unconscious Pupils equal round reactive to light E - CORRECT ANSWERS Exposure and Environmental Control Exposure and Environmental Control Assessment and Interventions - CORRECT ANSWERS Look for obvious skin abnormalities Sources of heat loss Apply warm blankets Provide overhead warming light warm IV fluids/warmed humidified O2 F - CORRECT ANSWERS Full set of vital signs Family presence Focused adjuncts Full set of vital signs - CORRECT ANSWERS HR, RR, BP, SpO2, Temp, Weight (kg)