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