ENPC Chapter 4 Test Exam Review Questions with all Answers verified for accuracy Updated 2024/2025
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ENPC Chapter 4 Test Exam Review Questions with all Answers verified for accuracy Updated 2024/2025
Neutropenic pt with a temperature - correct answer Don't take rectal temp.
No invasive procedures if not necessary
Axillary temperatures - correct answer May be considered for neo-nate well-...
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ENPC Chapter 4 Test Exam Review
Questions with all Answers verified
for accuracy Updated 2024/2025
Components in the prioritization of pediatric emergency care (4)
- correct answer PAT, Focused Assessment (objective
information), Focused pediatric Hx(subjective information),
assignment of an acuity rating decision
Pediatric Assessment Triangle : (3) components - correct
answer Forms the "general impression".
Appearance. Work of Breathing. Circulation to the skin.
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" Pg 54
Pediatric Assessment Triangle : Appearance - correct answer
Most important. Reflects adequacy of ventilation, oxygenation,
brain perfusion, & central nervous system function.
Assess for : tone, interactiveness, consolability, look/gaze, &
speech/cry.
Pediatric Assessment Triangle : Breathing - correct answer
More accurate indicator of oxygenation & ventilation than RR or
auscultation of chest sounds.
Look and listen for abnormal airway sounds, abnormal
positioning, retractions, and nasal flaring.
, Pediatric Assessment Triangle : Circulation to skin - correct
answer Allows assessment of adequacy of CO & core perfusion
or perfusion of vital organs.
Inspect skin color in central areas, lips, & mucous membranes.
Look for pallor, mottling, & cyanosis
Mottling skin - correct answer Patchy skin color. Areas where
the skin color is irregular. Refers to blood vessel changes that
cause a patchy appearance in skin.
Sick pt - correct answer Consider lower-acuity rating, observe
for change in PAT, provide comfort measures and reassurance to
child and caregiver
Sicker pt - correct answer Consider higher-acuity rating,
provide focused clinical intervention ( i.e. O2 in distress).
Sickest pt - correct answer Immediate transport to treatment
area, resuscitation efforts to support oxygenation, ventilation, &
circulation, ped team activated.
Avoid rectal temp in ped pts _____ - correct answer Potential or
actual immunocompromised, rectal surgery, chronic illness-no
bacterial through abrased wall
Neutropenic pt with a temperature - correct answer Don't take
rectal temp.
No invasive procedures if not necessary
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