ENPC Home Exam, ENPC 6th Edition,
ENPC Test Questions & Answers
Tachycardia = an _______ sign of shock - CORRECT ANSWER-Early
What is a late sign of circulatory compromise in children? - CORRECT ANSWERHypotension
Children can remain normotensive until about _____ percent of blood volume is lo...
ENPC Home Exam, ENPC 6th Edition,
ENPC Test Questions & Answers
Tachycardia = an _______ sign of shock - CORRECT ANSWER-Early
What is a late sign of circulatory compromise in children? - CORRECT ANSWER-
Hypotension
Children can remain normotensive until about _____ percent of blood volume is lost -
CORRECT ANSWER-25%
What are two intervention you should always be doing? - CORRECT ANSWER-
Applying oxygen
Checking bedside blood glucose
How long should the car seat be rear facing? - CORRECT ANSWER-Until at least one
year of age
_____ model parents behavior with toys - CORRECT ANSWER-Toddlers
Age 3 to 5: - CORRECT ANSWER-Preschoolers
Magical and it logical thinkers
Take things literally
What are common fears of the preschooler? - CORRECT ANSWER-Pain
Darkness
Body mutilation
Being alone
Ages 5 to 11: - CORRECT ANSWER-School age kids
Beers include separation from parents, loss of control, and physical disability
11 to 18 years old: - CORRECT ANSWER-Body a parent is the most important thing
What is one of the critical public health issues in today society? - CORRECT ANSWER-
Childhood obesity
,At how many years old can a child start using the faces pain scale? - CORRECT
ANSWER-Three years old
What is there an emphasis on during the prioritization of the patient? - CORRECT
ANSWER-Safety
I focused assessment is what type of information? - CORRECT ANSWER-Objective
I focused history is what type of information? - CORRECT ANSWER-Subjective
The pediatric assessment triangle a.k.a. the across the room assessment of a patient
looks at what three things? - CORRECT ANSWER-General appearance
Work of breathing
Circulation to the skin
How long should the pediatric assessment triangle take? - CORRECT ANSWER-About
3 to 5 seconds
What does the general appearance section include: - CORRECT ANSWER-Interaction
Muscle tone
Consolabilty
Look or gaze
Speech or cry
Work of breathing— a good indicator of oxygenation and ventilation. What should you
look for in this assessment? - CORRECT ANSWER-Abnormal airway sounds
Coughing
Abnormal positioning
Retractions/nasal flaring
Rate and depth of respirations
Circulation to the skin: - CORRECT ANSWER-Skin reflects perfusion status
Inspect the color of central areas such as lips and mucous membranes
,Assessed for pallor, molting, or cyanosis
Is the patient flushed or diaphoretic
What are the three patient categories for the pediatric assessment triangle? -
CORRECT ANSWER-Sick
Sicker
Sickest
If all three components of the PAT are stable know what will the patient be ranked as? -
CORRECT ANSWER-Sick
If there is disruption in one of the areas of the PAT what will the patient be ranked? -
CORRECT ANSWER-Sicker
If there is Disruption in two or more components of the PAT what ranking will the patient
receive? - CORRECT ANSWER-Sickest
If a patient is identified as sickest what is indicated? - CORRECT ANSWER-Rapid
resuscitation
And a child what event typically leads to a code? - CORRECT ANSWER-Typically a
respiratory event leads to a cardiac event
What is the priority with any trauma or suspected drama? - CORRECT ANSWER-
Stabilize the C-spine and stop any bleeding
What maneuver is used to open the jaw in a trauma patient? - CORRECT ANSWER-
Jaw thrust maneuver
When is the nasal pharyngeal airway indicated? - CORRECT ANSWER-In a semi
conscious or conscious patient
Where is the nasopharyngeal airway contra indicated? - CORRECT ANSWER-In
trauma patients
What type of airway should be used for a trauma patient? - CORRECT ANSWER-Oral
pharyngeal airways and be prepared for intubation with RSI if oral pharyngeal airway is
unsuccessful
After you have bagged the patient, the patients oxygen saturations and respiratory effort
including respiratory rate have not improved, what is your next step? - CORRECT
ANSWER-Prepare to Intubate
, Less than eight intubate
When will you start CPR? - CORRECT ANSWER-When the heart rate is less than 60
bpm and the patient is symptomatic you should start CPR
How do you calculate the normal systolic blood pressure for a child? - CORRECT
ANSWER-90 + 2x the age in years
How to calculate minimum acceptable SBP: - CORRECT ANSWER-70 + 2x age in
years
What are you going to use for your history during the assessment? - CORRECT
ANSWER-CIAMPEDS
What should the urinary output be for an infant? - CORRECT ANSWER-2 ml/ kg / hour
What should the normal urinary output be for an adolescent - CORRECT ANSWER-1-
1.5 ml/kg / hour
What is the most common cause of arrest in pediatric patients? - CORRECT ANSWER-
Respiratory arrest
What is the second most common cause of arrest in a pediatric patient? - CORRECT
ANSWER-Shock
_____ is the inadequate delivery of oxygen and nutrients necessary for normal tissue
and cellular function. It is the in balance between supply and demand at the cellular
level. - CORRECT ANSWER-Shock
Anytime a patient presents with Shock what is the first intervention that we should do? -
CORRECT ANSWER-Place them on oxygen
What happens in the body during shock? - CORRECT ANSWER-Plasma leakage/fluid
shifts. This results in puffy kids. DIC, inflammatory responses, intracellular acidosis,
ards, and MODS are also seen in shock
What type of fluid should you give a patient with hypovolemic shock due to Burns? -
CORRECT ANSWER-Lactated ringer fluid replacement using the Parkland formula.
What is seen in early Shock? - CORRECT ANSWER-In early Shock or warm Shock
there is flash cab refill. Look for bounding pulses fever and flushed skin
What medication is used to correct SVT? - CORRECT ANSWER-Adenosine
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