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 f...
ENPC Test
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 - correct
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 - correct 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 - correct 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. - correct 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 - correct 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 - correct 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 - correct 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?
A. A 20-mL syringe with a stopcock
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