A 6- week-old infant is pale, has marked substernal retractions, expiratory
grunting, and poor muscle tone. The emergency nurse should first:
A. Obtain intravenous access.
B. Apply a pulse oximeter.
C. Prepare a chest x-ray.
D. Administer 100% oxygen. - ANSWERS-D. Administer 100% oxygen.
QUESTION 2
The best method to open the airway in an injured child is:
A. Placing the head and neck in hyperextension.
B. Using the jaw thrust maneuver.
C. Placing the head and neck in flexion.
D. Using the head tilt maneuver. - ANSWERS-B. Using the jaw thrust maneuver.
END OF
PAGE 1
, ENPC TEST 2024
QUESTION 3
A 4-year-old child with a history of the flu has a heart rate of 80 beats/minute,
respirations of 16 breaths/minute, and capillary refill of more than 3 seconds. The
proper sequence for nursing interventions would be:
A. Position the airway, administer 100% oxygen, obtain venous access, and
administer 20 ml/kg of an isotonic solution.
B. Administer 100% oxygen, obtain venous access, administer 0.
1 mg/kg of epinephrine 1:10,000, and prepare for endotracheal intubation.
C. Position the airway, provide bag-mask ventilation, provide synchronized
cardioversion, and provide supplemental warmth.
D. Administer 100% oxygen, prepare for a venous cutdown, administer 20 ml/kg
of an isotonic solution, and obtain a chest x-ray. - ANSWERS-A. Position the
airway, administer 100% oxygen, obtain venous access, and administer 20 ml/kg
of an isotonic solution.
QUESTION 4
A 3-year-old is transported by prehospital personnel after being struck by a car.
The parents are en route. The child is screaming and uncooperative. Which is the
best approach while conducting the secondary survey?
A. Hold the child to comfort him.
B. Wait for the parent's arrival.
C. Observe for behavioral pain cues.
END OF
PAGE 2
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