a preschooler has a small laceration that required
a 7 month old presents to the ed with a complaint
an 11 year old presents to the ed with a complaint
the pediatric prioritization process compon
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Practice test ENPC
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. - ANS Preschoolers are magical thinkers and imagine bandages keep
their insides from coming out.
A 7-month old presents to the ED with a complaint of fever. Assessment reveals a patent airway
and a slight cyanosis around his lips and nail beds. He is alert and interactive. His vital signs are
38.5 (101.3), HR 134, RR 32, BP 78/54 mm Hg, and SPO2 of 84%. The nurse notes a healed surgical
scar on his chest.Based on this assessment, what is the nurse's priority? - ANS As if the SPO2 is
normal for him.
An 11-year-old presents to the ED with a complaint of hitting his head while playing soccer. The
nurse enters the room and performs an across the room assessment. He is starting at the wall. He
has no increased work of breathing and his color is pink. Using the PAT what classification will
the nurse assign? - ANS Sicker
The pediatric prioritization process components include the focused assessment, focused history,
acuity rating decision and: - ANS The pediatric assessment triangle (PAT)
A 2-year-old is brought to the ED 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? - ANS Immobilize the cervical spine
A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral spinal alignment,
padding should be placed under which area? - ANS The shoulders.
Test the Ph of the gastric contents. - ANS The nurse is preparing to administer a feeding through
an NG tube. The tube position was verified by radiograph after insertion 2 hours ago. What is the
best way to verify placement before feeding?
A 20-ml syringe with a stopcock - ANS What is the best method to rapidly administer a 20 ml/kg
bolus of 0.9% normal saline to a pediatric patient weighing 8 kg.
Use an infusion pump to deliver fluids - ANS Immediately after intraosseous insertion the nurse
assesses the infusion and notes that the fluid is not dripping. How should the nurse respond?
Croup - ANS A 13-month old presents to the ED with a 2-day history of a low-grade fever,
increased work of breathing, and tonight developed a barky cough and inspiratory stridor. What
condition does the nurse suspect.
in the morning - ANS In providing education to a family regarding obtaining baseline peak airway
flow for a child with asthma, the nurse will recommend what time of the day
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