ENPC 4TH EDITION PRACTICE TEST QUESTIONS WITH 100% CORRECT ANSWERS
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Course
ENPC
Institution
ENPC
1. A preschooler has a small laceration that requires 2 stitches. The nurse covers the wound with a bandage knowing that it will comfort the child to have it covered. What is the developmental reason for this intervention?
A.) Preschoolers are magical thinkers and imagine bandages keep their insid...
ENPC 4TH EDITION: PRACTICE TEST
QUESTIONS WITH 100% CORRECT
ANSWERS
, 1. A preschooler has a small laceration that requires 2 stitches. The nurse covers the wound
with a bandage knowing that it will comfort the child to have it covered. What is the
developmental reason for this intervention?
A.) Preschoolers are magical thinkers and imagine bandages keep their insides from coming out.
B.) Preschoolers fear physical disability and believe a bandage will prevent disability.
C.) Preschoolers explore orally and will likely chew or suck on the stitches if left uncov - answer
A.) Preschoolers are magical thinkers and imagine bandages keep their insides from coming out.
Rationale: Preschoolers are magical and illogical thinkers and have difficulty distinguishing
fantasy from reality. They have misconceptions about illness, injury, and bodily functions. For
example, they perceive that if their skin is cut, they fear their insides will leak out. Covering a
wound with a bandage helps them with this fear.
2. 7-month-old presents to the emergency department with a complaint of fever. Assessment
reveals a patent airway and slight cyanosis around his lips and nail beds. He is alert and
interactive. His vital signs are 38.5 C (101.3F), HR 134, RR 32, BP 78/54 mm Hg, and Spo2 84%.
The nurse notes a healed surgical scar on his chest. Based on this assessment, what is the
nurse's priority?
A.) Administer ibuprofen to treat the fever.
B.) Begin oxygen via a nonrebreather mask.
C.) Obtain a surgical his - answer D.) Ask if the Spo2 is normal for him.
Rationale: Children with special healthcare needs may present differently than other children,
but these differences may be normal. The surgical scar on the chest is likely from a congenital
heart defect repair. The mother's chief complaint is the fever, not the color, pulse oximetry, or
the respiratory distress. This may be because these aspects of his assessment are normal. The
intact mental status is also a sign that he has adapted to lowers oxygen saturation's. The child's
baseline must come from the caregiver before any intervention.
3. An 11-year-old presents to the emergency department with a complaint of hitting his head
while playing soccer. The nurse enters the room and performs an across-the-room assessment.
He is staring at the wall. He has no increased work of breathing, and his color is pink. Using the
pediatric assessment triangle (PAT), what classification will the nurse assign?
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