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ENPC EXAM 2023/2024 PRACTICE QUESTIONS AND ANSWERS
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ENPC EXAM 2023/2024 Pediatric triangle - Answer appearance work of breathing circulation to skin General appearance considerations - Answer Tone Interactiveness: drawn to sounds or people. Wants to play Consolability Look/Gaze Speech/cry Work of breathing: - Answer Increased work o...

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  • May 3, 2023
  • 25
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

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  • enpc exam 2023
  • enpc exam 2023 2024 practice questions and answers
  • enpc exam 20232024
  • enpc exam 20232024 pediatric triangle answer appearance work of breathing circulation to skin general appea

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ENPC EXAM
2023/2024
PRACTICE
QUESTIONS
AND
ANSWERS

, ENPC EXAM 2023/2024


Pediatric triangle - Answer

appearance work of breathing

circulation to skin

General appearance considerations - Answer Tone

Interactiveness: drawn to sounds or people. Wants to play

Consolability

Look/Gaze

Speech/cry

Work of breathing: - Answer Increased work of breathing evidenced
by tachypnea, stridor, grunting, retractions, accessory musles, nasal
flaring, head bobbing, abnormal positioning

Circulation to Skin - Answer

Observe palor mottling cyanosis

Sick, Sicker, Sickest - Answer Sick: no disruption of any component
of PAT but caregivers are concerned

Sicker: one component of PAT is a concern

Sickest 2+ concerns of PAT

2 leading causes of altered mental status in kids - Answer hypoxia

hypoglycemia



Blood pressure norms - Answer Hypotension: Less than 70 + (2 x age
in years)

Widening pulse pressure = increased ICP

, Narrowing pulse pressure = hypovolemic shock

Crying child - Answer Vigorous =

good weak = sick

high-pitched = increased ICP

"Fussiness" = red flag

Respiratory distress indicated by: - Answer increased

heart rate skin color changes incrased work of

breathing wheezing diaphoresis abnormal airwa

sounds



Respiratory failure signs - Answer fatigue and become

lethargic hypoxia hypercarbia



General airway interventions - Answer Allow child to stay in most
comfortable position

Give O2 to maintain it above 92%

O2 does NOT measure ventilation



Croup - Answer 1-3 days of nasal congestion and fever with sudden
onset of barky cough

Treatment: dexamethasone and nebulized epi

Discharge Teaching: oral hydration, get child to cool air or steamy
bathroom

Asthma interventions - Answer albuterol, duo neb and oral steroid

Bronchiolitis/RSV - Answer Assessment: 1-3 days nasal congestion
fever, cough, respiratory distress with wheezing and crackles.
Dehydration and tachypnea interventions: nasla suctioning, fluids
sever: heated, high flow nasal cannula O2

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