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ENPC Test A – Questions With Answers 2022 Graded A
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ENPC Test A – Questions With Answers 2022Graded A
Components in the prioritization of pediatric emergency care (4) Ans -
PAT, Focused Assessment (objective information), Focused pediatric
Hx(subjective information), assignment of an acuity rating decision
Pediatric Assessment Triangle : (3) components Ans - 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 Ans - (pg86)
Precipitating and palliating factors
Quality
Radiation
Severity, symptoms, and site
Time or triggering factors
What age is the respiratory system considered fully developed? Ans - 8
years old
6P's Assessment for Musculoskeletal Trauma Ans - (pg 283)
Pallor : color different from uninjured
Pain
Pulselessness
Parasthesia
Paralysis
Poikilothermia
Burn Transfer Criteria Ans - 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 ___________ Ans -
mouth then suction nose
, Neutropenic pt with a temperature Ans - Don't take rectal temp.
No invasive procedures if not necessary.
Nonblanchable Rashes of concern Ans - Meningocoxcemia
Petiachia/Purpura
Normal Urine Output for child Ans - 1 to 2ml / Kg / Hr
Oral Rehydration for 9month old with mild dehydration. Ans - 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? Ans - Skeletal survey
Possible shaken baby syndrome
Minimal Acceptable BP's Ans - Newborn = 60
Infant = 70
Child = 70 + (2 x age in yrs)
Decompensated shock in children #1 sign Ans - Hypotension
TBI considerations Ans - MD has to say when they can return, not the pt
or caregiver.
Should be a "gradual return to play"
Bradycardia pharm treatment Ans - Epinephrine (1:10,000), 0.01mg/kg
every 3-5min
A preschooler has a small laceration that required 2 stitches. The nurse
covers the wound with a bandage knowing that it will comfort the child to
have it covered. What is the developmental reason for this intervention?
A. Preschoolers are magical thinkers and imagine bandages keep their
insides from coming out
B. Preschoolers fear physical disability and believe a bandage will prevent
disability
C. Preschoolers explore orally and will likely chew or suck on the stitches if
left uncovered
D. Preschoolers are concerned with body image and don't want to appear
different than peers Ans - A. Magical thinkers
An 11-year-old presents to the emergency department with a complaint of
hitting his head while playing soccer. The nurse enters the room and
performs an across-the-room assessment. He is staring at the wall. He has
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