ENPC Questions Test A
Questions
and Answers 100% Correct
Components in the prioritization of pediatric emergency care (4)✔✔PAT, Focused Assessment
(objective information), Focused pediatric Hx(subjective information), assignment of an acuity
rating decision
Pediatric Assessment Triangle : (3) components✔✔Appearance. 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✔✔(pg86)
Precipitating and palliating factors
Quality
Radiation
Severity, symptoms, and site
Time or triggering factors
What age is the respiratory system considered fully developed?✔✔8 years old
6P's Assessment for Musculoskeletal Trauma✔✔(pg 283)
Pallor : color different from uninjured
Pain
Pulselessness
Parasthesia
Paralysis
, Poikilothermia
Burn Transfer Criteria✔✔1. 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 ___________✔✔mouth then suction
nose
Neutropenic pt with a temperature✔✔Don't take rectal temp.
No invasive procedures if not necessary.
Nonblanchable Rashes of concern✔✔Meningocoxcemia
Petiachia/Purpura
Normal Urine Output for child✔✔1 to 2ml / Kg / Hr
Oral Rehydration for 9month old with mild dehydration.✔✔Glucose 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?✔✔Skeletal survey
Questions
and Answers 100% Correct
Components in the prioritization of pediatric emergency care (4)✔✔PAT, Focused Assessment
(objective information), Focused pediatric Hx(subjective information), assignment of an acuity
rating decision
Pediatric Assessment Triangle : (3) components✔✔Appearance. 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✔✔(pg86)
Precipitating and palliating factors
Quality
Radiation
Severity, symptoms, and site
Time or triggering factors
What age is the respiratory system considered fully developed?✔✔8 years old
6P's Assessment for Musculoskeletal Trauma✔✔(pg 283)
Pallor : color different from uninjured
Pain
Pulselessness
Parasthesia
Paralysis
, Poikilothermia
Burn Transfer Criteria✔✔1. 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 ___________✔✔mouth then suction
nose
Neutropenic pt with a temperature✔✔Don't take rectal temp.
No invasive procedures if not necessary.
Nonblanchable Rashes of concern✔✔Meningocoxcemia
Petiachia/Purpura
Normal Urine Output for child✔✔1 to 2ml / Kg / Hr
Oral Rehydration for 9month old with mild dehydration.✔✔Glucose 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?✔✔Skeletal survey
