Components in the prioritization of pediatric emergency care (4) correct answers PAT, Focused Assessment (objective information), Focused pediatric Hx(subjective information), assignment of an acuity rating decision
Pediatric Assessment Triangle : (3) components correct answers Appearance. Work ...
ENPC Questions Test A (All Correctly Answered)
Components in the prioritization of pediatric emergency care (4) correct answers PAT, Focused
Assessment (objective information), Focused pediatric Hx(subjective information), assignment
of an acuity rating decision
Pediatric Assessment Triangle : (3) components correct answers Appearance. 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
What age is the respiratory system considered fully developed? correct answers 8 years old
6P's Assessment for Musculoskeletal Trauma correct answers (pg 283)
Pallor : color different from uninjured
Pain
Pulselessness
Parasthesia
Paralysis
Poikilothermia
Burn Transfer Criteria correct answers 1. Partial thickness >10% of BSA
2. Face, hands, feet, genetalia, perineum or major joints
3. Third degree burns in any age group.
4. Electrical burns, including lightning injury, and chemical burns.
5. Inhalation injury.
6. Burn injury in pt with preexisting medical disorders that could complicate tx.
7. Concomitant trauma (such as fx) in which the burn injury poses the greatest risk of morbidity
or mortality.
8. Burned children in hospital wo qualified equipment or personnel to care for them
9. Pt who will require special social, emotional, or rehabilitative intervention.
Infants are obligate nose breathers. If nose is obstructed ___________ correct answers mouth
then suction nose
Neutropenic pt with a temperature correct answers Don't take rectal temp.
No invasive procedures if not necessary.
Nonblanchable Rashes of concern correct answers Meningocoxcemia
, Petiachia/Purpura
Normal Urine Output for child correct answers 1 to 2ml / Kg / Hr
Oral Rehydration for 9month old with mild dehydration. correct answers Glucose and sodium
solution, every 2 to 5min with 5 to 10ml
6week old infant, no medical hx. eating poorly, vomiting, "hard to wake up", responsive to pain.
Anterior fontanel bulging, tachypnic. Diagnostic evaluation expected? correct answers Skeletal
survey
Possible shaken baby syndrome
Minimal Acceptable BP's correct answers Newborn = 60
Infant = 70
Child = 70 + (2 x age in yrs)
Decompensated shock in children #1 sign correct answers Hypotension
TBI considerations correct answers MD has to say when they can return, not the pt or caregiver.
Should be a "gradual return to play"
Bradycardia pharm treatment correct answers Epinephrine (1:10,000), 0.01mg/kg every 3-5min
A preschooler has a small laceration that required 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 uncovered
D. Preschoolers are concerned with body image and don't want to appear different than peers
correct answers A. Magical thinkers
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?
A. Well
B. Sick
C. Sicker
D. Sickest correct answers B. Sicker
A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral spinal alignment,
padding should be placed under which area?
A. Shoulders
B. Head
C. Neck
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