ENPC Focused on Pediatric nursing Pre-Assessment Exam Review Questions with Approved Answers 2024/2025
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Course
ENPC
Institution
ENPC
ENPC Focused on Pediatric nursing Pre-Assessment Exam Review Questions with Approved Answers 2024/2025
AVPU - correct answer Alert, Verbal, Pain, Unresponsive
Airway and Alertness - if trauma is suspected - correct answer states the need for a second person to provide manual cervical spinal s...
Airway and Alertness - if trauma is suspected - correct answer
states the need for a second person to provide manual cervical
spinal stabilization AND demonstrates manual opening of the
airway using the jaw-thrust maneuver
Airway and Alertness - if NO trauma is suspected - correct
answer opens airway with a head tilt/chin lift or jaw thrust or
asks patient to open mouth
Airway and Alertness - demonstrates and describes techniques
for determining the patency of the airway, using inspection,
auscultation, and palpation - correct answer - is there
vocalization
-is there tongue obstructing?
-Are there any missing teeth?
-Are there any foreign objects?
-Is there any blood, vomit, or secretions?
-Is there any edema?
-Is there any snoring, gurgling, or stridor?
-Is there any bone deformity?
, Perform appropriate airway interventions if necessary and
reassess for effectiveness. - correct answer Suction airway
Place folded towel under shoulders/torso
Allow to maintain preferred position
Insert an oral or nasopharyngeal airway
Indicate need for intubation
Demonstrate and describe techniques for determining breathing
effectiveness using inspection, auscultation, and palpation. -
correct answer Inspect for the following:
-Spontaneous respirations
-Rate, depth, and pattern of respirations
-Symmetrical chest rise and fall
-Skin color: Pallor, mottling, cyanosis
-Signs of increased work of breathing
Adventitious sounds
Abnormal position
Retractions
Head bobbing
Nasal Flaring
-Auscultate breath sounds in lung fields.
-SQ emphysema
-Tracheal deviation or jugular venous distention
Common interventions if breathing is present and effective -
correct answer Position patient in position of comfort to
facilitate respiratory effectiveness.
Facilitate family presence to relieve anxiety and provide comfort
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