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ENPC Questions and Correct Answers | Latest Update

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A 4-day-old who is brought to the emergency department with the parental complaint of "not acting right" is found to be hypoglycemic. What is the appropriate glucose concentration to administer to this neonate? A.Dextrose 5% B.Dextrose 10% C.Dextrose 25% D.Dextrose 50% → ::- B Dextrose ...

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  • September 24, 2024
  • 33
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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1 | P a g e | © copyright 2024/2025 | Grade A+




ENPC Questions and Correct
Answers | Latest Update
Components in the prioritization of pediatric emergency care (4)


→ ::- PAT, Focused Assessment (objective information), Focused pediatric

Hx(subjective information), assignment of an acuity rating decision




Pediatric Assessment Triangle : (3) components


→ ::- Appearance. Work of Breathing. Circulation to the skin. This forms

the "general impression".


→ 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"




Pediatric Assessment Triangle : Appearance


→ ::- Most important. Reflects adequacy of ventilation, oxygenation,

brain perfusion, and central nervous system function.

Assess for : tone, interactiveness, consolability, look/gaze, and speech/cry.




Pediatric Assessment Triangle : Work of Breathing




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


→ ::- Breathing easy, even, and unlabored or tripod position, nasal flaring,

retractions, supraclavicular retractions




Pediatric Assessment Triangle : Circulation to the skin


→ ::- Mottling or PWD




PQRST for Pain


→ ::- (pg86)

Precipitating and palliating factors

Quality

Radiation

Severity, symptoms, and site

Time or triggering factors




Verbal Report for pain


→ ::- (pg86)

Self-report is the most reliable indicatior of pain; however not all pediatric pt

are capable or wiling to verbalize their discomfort.




What age is the respiratory system considered fully developed?




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


→ ::- 8 years old




Most ______ age __to____, are concrete thinkers and interpret words literally.

Where as, most _____ age ___ to ___, are magical and illogical thinkers. They

often confuse coincidence with causation, and have difficulty distinguising

fantasy from reality.


→ ::- (pg36)

Most Toddlers age 1yo to 3yo , are concrete thinkers and interpret words

literally.

Where as, most Preschoolers age 3yo to 5yo, are magical and illogical

thinkers. They often confuse coincidence with causation, and have difficulty

distinguising fantasy from reality.




Hypotension related to hypovolemia in pediatric trauma patients is a _____

sign and may indicate a loss of ___% to ___% of their circulating blood

volume.


→ ::- (pg262)

Late sign.

20% to 25% of circulating blood volume




6P's Assessment for Musculoskeletal Trauma




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


→ ::- (pg 283)

Pallor : color different from uninjured

Pain

Pulselessness

Parasthesia

Paralysis

Poikilothermia




Burn Transfer Criteria


→ ::- 1. Partial thickness >10% of BSA

2. Face, hands, feet, genetalia, perineum or major joints

3. Third degree burns in any age group.

4. Electrical burns, including lightning injury, and chemical burns.

5. Inhalation injury.

6. Burn injury in pt with preexisting medical disorders that could complicate tx.

7. Concomitant trauma (such as fx) in which the burn injury poses the

greatest risk of morbidity or mortality.

8. Burned children in hospital wo qualified equipment or personnel to care for

them

9. Pt who will require special social, emotional, or rehabilitative intervention.




Master01 | September, 2024/2025 | Latest update

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