A 20-day-old infant has a 1-week history of not eating well. The infant has a weak cry and is
jittery. Which laboratory test is indicated?
A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
D. Toxicology screen.
B. Finger-stick glucose.
Which intervent...
ENPC Test Questions 6th Edition with 100% Correct
Answers
A 20-day-old infant has a 1-week history of not eating well. The infant has a weak cry and is
jittery. Which laboratory test is indicated?
A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
D. Toxicology screen.
B. Finger-stick 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.
D. 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.
D. Urine output of 11 ml/hour.
D. Urine output of 11 ml/hour.
A 7-year-old female sustains a minor head injury and did not lose consciousness. She does not
respond to commands and groans in response to questions. Which action will quickly
determine if her behavior indicates a serious head injury?
A. Review her medical record for pre-existing developmental problems.
B. Obtain a head computerized tomography scan.
C. Conduct a developmental screening test.
D. Ask the parents if her behavior is unusual.
D. Ask the parents if her behavior is unusual.
An 8-month-old child presents with purpura, irritability, and a rectal temperature of 39.4�C
(102.9�F). An intervention of high priority is:
A. Encouraging the caregiver to hold and comfort the child.
,B. Monitoring for signs and symptoms of increased intracranial pressure (ICP).
C. Collecting urine for toxicology screen.
D. Encouraging oral fluids and food.
B. Monitoring for signs and symptoms of increased intracranial pressure (ICP).
The Pediatric Assessment Triangle is used to:
A. Identify all life-threatening conditions that the child presents with.
B. Perform a complete head-to-toe assessment on the child.
C. Assess the status of the child's airway only upon arrive in the ED.
D. Determine the severity of the child's illness or injury using the "across-the-room"
assessment.
D. Determine the severity of the child's illness or injury using the "across-the-room"
assessment.
The caregivers of a 6-year-old boy who is brought to the emergency department for
abdominal pain should first be asked:
A. "Are his immunizations current?"
B. "Has anything happened to him at school recently?"
C. "What is the reason for the child's visit and how long has he been ill?"
D. "Has he been complaining of a sore throat or earache?"
C. "What is the reason for the child's visit and how long has he been ill?"
A 9-month-old infant is crying loudly through the nursing assessment, and the caregiver is
becoming distraught. The nurse should ask the caregiver to:
A. Read a story to the infant.
B. Offer the infant a pacifier.
C. Return when the infant is consoled.
D. Ignore the infant's behavior.
B. Offer the infant a pacifier.
During an intubation attempt, the child�s heart rate drops to 40 beats/minute. Which
intervention is indicated?
A. Ask the physician to stop the intubation attempt and perform bag-mask ventilation.
B. Apply cricoid pressure and establish intravenous access.
C. Inform the physician of the heart rate and ask the physician to intubate faster.
D. Administer blow-by oxygen and begin chest compressions.
A. Ask the physician to stop the intubation attempt and perform bag-mask ventilation.
A 6- week-old infant is pale, has marked substernal retractions, expiratory grunting, and poor
muscle tone. The emergency nurse should first:
, A. Obtain intravenous access.
B. Apply a pulse oximeter.
C. Prepare a chest x-ray.
D. Administer 100% oxygen.
D. Administer 100% oxygen.
The best method to open the airway in an injured child is:
A. Placing the head and neck in hyperextension.
B. Using the jaw thrust maneuver.
C. Placing the head and neck in flexion.
D. Using the head tilt maneuver.
B. Using the jaw thrust maneuver.
A 4-year-old child with a history of the flu has a heart rate of 80 beats/minute, respirations of
16 breaths/minute, and capillary refill of more than 3 seconds. The proper sequence for
nursing interventions would be:
A. Position the airway, administer 100% oxygen, obtain venous access, and administer 20
ml/kg of an isotonic solution.
B. Administer 100% oxygen, obtain venous access, administer 0.
1 mg/kg of epinephrine 1:10,000, and prepare for endotracheal intubation.
C. Position the airway, provide bag-mask ventilation, provide synchronized cardioversion, and
provide supplemental warmth.
D. Administer 100% oxygen, prepare for a venous cutdown, administer 20 ml/kg of an
isotonic solution, and obtain a chest x-ray.
A. Position the airway, administer 100% oxygen, obtain venous access, and administer 20 ml/kg
of an isotonic solution.
A 3-year-old is transported by prehospital personnel after being struck by a car. The parents
are en route. The child is screaming and uncooperative. Which is the best approach while
conducting the secondary survey?
A. Hold the child to comfort him.
B. Wait for the parent's arrival.
C. Observe for behavioral pain cues.
D. Use a doll to demonstrate the examination.
C. Observe for behavioral pain cues.
Which ocular finding is associated with child maltreatment?
A. Glaucoma.
B. Conjunctivitis.
C. Iritis.
D. Retinal hemorrhage.
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