a preschooler has a small laceration that required 2 stitches
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ENPC Test 2023 Questions and Answers
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 - Answer
A 7-month-old presents to the emergency department with a complaint of fever.
Assessment reveals a patent airway and slight cyanosis around his lips and nail
beds. He is alert and interactive. His vital signs are 38.5 °C (101.3 °F), HR 134,
RR 32, BP 78/54 mm Hg, and SpO2 84%. The nurse notes a healed surgical scar
on his chest. Based on this assessment, what is the nurse's priority?
A. Administer ibuprofen to treat the fever
B. Begin oxygen via a nonrebreather mask
C. Obtain a surgical history
D. Ask if the SpO2 is normal for him - Answer
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 no increased work
of breathing, and his color is pink. Using the pediatric assessment triangle
(PAT), what classification will the nurse assign?
A. Well
B. Sick
C. Sicker
D. Sickest - Answer
, The pediatric prioritization process components include the focused
assessment, focused history, acuity rating decision and:
A. the pediatric assessment triangle (PAT).
B. developmental characteristics.
C. head-to-toe assessment.
D. life-saving interventions. - Answer
A 2-year-old is brought to the emergency department by her father when he
found her face down in the pool. She remains unresponsive and is breathing
shallowly and slowly. Her color is pale. What is the priority?
A. Administer 100% oxygen
B. Immobilize the cervical spine
C. Begin bag-mask ventilation
D. Insert an oral airway - Answer
A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral
spinal alignment, padding should be placed under which area?
A. Shoulders
B. Head
C. Neck
D. Waist - Answer
The nurse is preparing to administer a feeding through a nasogastric feeding
tube. The tube position was verified by radiograph after insertion 2 hours ago.
How will the nurse verify placement before feeding?
A. Instill air and listen over the epigastrium
B. Test the pH of the gastric contents
C. Observe color of a gastric aspirate sample.
D. Repeat the radiograph - Answer
What is the best method to rapidly administer a 20 mL/kg bolus of 0.9% normal
saline to a pediatric patient weighing 16 kg?
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