ENPC Practice test
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. - ANS Preschoolers are magical thinkers and ...
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. - ANS Preschoolers are magical thinkers and imagine bandages
keep their insides from coming out.
A 7-month old presents to the ED with a complaint of fever. Assessment reveals a patent airway
and a slight cyanosis around his lips and nail beds. He is alert and interactive. His vital signs are
38.5 (101.3), HR 134, RR 32, BP 78/54 mm Hg, and SPO2 of 84%. The nurse notes a healed
surgical scar on his chest.Based on this assessment, what is the nurse's priority? - ANS As if
the SPO2 is normal for him.
An 11-year-old presents to the ED with a complaint of hitting his head while playing soccer. The
nurse enters the room and performs an across the room assessment. He is starting at the wall.
He has no increased work of breathing and his color is pink. Using the PAT what classification
will the nurse assign? - ANS Sicker
The pediatric prioritization process components include the focused assessment, focused
history, acuity rating decision and: - ANS The pediatric assessment triangle (PAT)
A 2-year-old is brought to the ED by her father when he found her face down in the pool. She
remains unresponsive and is breathing shallowly and slowly. Her color is pale. What is the
priority? - ANS Immobilize the cervical spine
A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral spinal alignment,
padding should be placed under which area? - ANS The shoulders.
Test the Ph of the gastric contents. - ANS The nurse is preparing to administer a feeding
through an NG tube. The tube position was verified by radiograph after insertion 2 hours ago.
What is the best way to verify placement before feeding?
A 20-ml syringe with a stopcock - ANS What is the best method to rapidly administer a 20
ml/kg bolus of 0.9% normal saline to a pediatric patient weighing 8 kg.
Use an infusion pump to deliver fluids - ANS Immediately after intraosseous insertion the nurse
assesses the infusion and notes that the fluid is not dripping. How should the nurse respond?
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