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2024 ENPC QUESTIONS TEST A EXAM WITH CORRECT ANSWERS
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2024 ENPC QUESTIONS TEST AEXAM WITH CORRECT ANSWERS
Components in the prioritization of pediatric emergency care (4) - CORRECT-
ANSWERSPAT, Focused Assessment (objective information), Focused
pediatric Hx(subjective information), assignment of an acuity rating decision
Pediatric Assessment Triangle : (3) components - CORRECT-
ANSWERSAppearance. 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"
PQRST for Pain - CORRECT-ANSWERS(pg86)
Precipitating and palliating factors
Quality
Radiation
Severity, symptoms, and site
Time or triggering factors
A 16-month-old child was an unrestrained front seat passenger in a motor
vehicle crash. The chest x-ray reveals multiple rib fractures. These findings
suggest what type of injury?
A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury. - CORRECT-ANSWERSB. Significant underlying
injury.
Which piece of information is most important to know prior to transferring a
patient to another facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis. - CORRECT-ANSWERSC. Confirmation
of acceptance from the receiving hospital.
A 10-year-old child who was struck by a car has a distended, tense abdomen.
The child's heart rate is 144 beats/minute, respirations 24 breaths/minute,
, and blood pressure 120/80 mm Hg. Capillary refill is more than 3 seconds,
and skin is pale and cool. The patient's signs and symptoms suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock. - CORRECT-ANSWERSC. Hypovolemic shock.
What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Proximal tibia - CORRECT-ANSWERSD. Proximal tibia
An 8-month-old infant with pneumonia has severe intercostal and substernal
retractions, weak muscle tone, lethargy, and gray skin color. The infant's
condition does not improve after bag-mask ventilation. The next step in
treatment is most likely to be:
A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol. - CORRECT-ANSWERSC. Rapid sequence
intubation.
Which combination of medications is best to have prepared for a pediatric
resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium. - CORRECT-ANSWERSB. Epinephrine and
glucose.
Which intervention should be performed next if tactile stimulation,
positioning, drying, and blow-by oxygen administration do not increase a
newborn's heart rate?
A. Chest compressions.
B. Umbilical vein cannulation.
C. Endotracheal intubation.
D. Bag-mask ventilation. - CORRECT-ANSWERSD. Bag-mask ventilation.
A 10-kg child has deep partial-thickness burns over 35% of the total body
surface area. Which evaluation parameter indicates that fluid resuscitation is
adequate?
A. Heart rate of 160 beats/minute.
B. Respiratory rate of 34 breaths/minute.
C. Blood pressure of 80/60 mm Hg.
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