ENPC Exam Questions With Correct Answers
Pediatric triangle - CORRECT ANSWERS appearance
work of breathing
circulation to skin
General appearance considerations - CORRECT ANSWERS Tone
Interactiveness: drawn to ...
ENPC 2023-2024 Exam Questions
With Correct Answers
Pediatric triangle - CORRECT ANSWERS
appearance
work of breathing
circulation to skin
General appearance considerations - CORRECT ANSWERS Tone
Interactiveness: drawn to sounds or people. Wants to play
Consolability
Look/Gaze
Speech/cry
Work of breathing: - CORRECT ANSWERS Increased work of breathing
evidenced by tachypnea, stridor, grunting, retractions, accessory musles, nasal flaring,
head bobbing, abnormal positioning
Circulation to Skin - CORRECT ANSWERS Observe palor
mottling
cyanosis
Sick, Sicker, Sickest - CORRECT ANSWERS 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 - CORRECT ANSWERS
hypoxia
hypoglycemia
Blood pressure norms - CORRECT ANSWERS Hypotension: Less than
70 + (2 x age in years)
,high-pitched = increased ICP
"Fussiness" = red flag
Respiratory distress indicated by: - CORRECT ANSWERS increased
heart rate
skin color changes
incrased work of breathing
wheezing
diaphoresis
abnormal airwa sounds
Respiratory failure signs - CORRECT ANSWERS fatigue and become
lethargic
hypoxia
hypercarbia
General airway interventions - CORRECT ANSWERS Allow child to stay
in most comfortable position
Give O2 to maintain it above 92%
O2 does NOT measure ventilation
Croup - CORRECT ANSWERS 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 - CORRECT ANSWERS albuterol, duo neb and
oral steroid
Bronchiolitis/RSV - CORRECT ANSWERS Assessment: 1-3 days nasal
congestion fever, cough, respiratory distress with wheezing and crackles. Dehydration
and tachypnea
treating hypoglycemia - CORRECT ANSWERS obtain glucose for
anyone who is not awake and alert
treat kids with 2-4ml/kg of D25W
, When to perform blood glucose test? - CORRECT ANSWERS When the
child is not awake and alert or AMS is suspected
Preventing Secondary brain injury in TBI - CORRECT ANSWERS
prevent hypotension and hypoxia
cuffed vs uncuffed tube - CORRECT ANSWERS uncuffed= (age in
years/4) + 4
cuffed= (age in years/4) + 3.5
fluid bolus formula - CORRECT ANSWERS infant: 10ml/kg
kid: 20ml/kg
normal vitals - CORRECT ANSWERS pg 52
blood glucose normal ages 5-11 - CORRECT ANSWERS 72-140
Cardiac Assessment - CORRECT ANSWERS Trend pulse and pulse
pressure
palapate upper and lower extremity pulses
symptoms of CHF - CORRECT ANSWERS poor feeding, irritability,
fatigue easily with rapid resp rate, increased work of breathing
Ass and Interventions similar to adults
Myocarditis Assessment and treatment - CORRECT ANSWERS Assess:
consider in anyone with recent viral infection; SOB and crackles; dysrhthmias; heart
failure; syncope; elevated liver enzymes
Intervention: Stop bleed; give fluids and RBC; balanced therapy; offer pedialyte if not
NPO
Cardiogenic shock - CORRECT ANSWERS Intervention: expert consult;
supportive care to decrease O2 and metabolism demands; slow fluids; treat hpotension
while decreasing afterload; vagal maneuver; vasopressors
Obstructive Shock - CORRECT ANSWERS Assessment: Cardiac
tamponade- muffled heart sounds and pulsluss paradoxus; tension pneumo-
asymmetrical chest rise and fall
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