1. An
unresponsive 2-year-old child was found by his mother with a bottle labeled
"Elavil 50 mg" by his side. Which piece of information is important to obtain
from his mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribe.: C. The number of pills
left in the bottle.
2. A nurse providing crisis intervention to the family of a seriously ill child
can best keep the family informed of the child's condition by: A. Placing
them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them.: D. Appointing
one staff member to communicate with them.
3. A 16-month-old child was an unrestrained front seat passenger in a
motor vehicle crash. The chest x-ray reveals multiple rib fractures. These
findings suggest what type of injury? A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury.: B. Significant underlying injury.
4. Which piece of information is most important to know prior to transferring
a patient to another facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis.: C. Confirmation of acceptance from
the receiving hospital.
5. A 10-year-old child who was struck by a car has a distended, tense
abdomen. The child's heart rate is 144 beats/minute, respirations 24
breaths/minute, and blood pressure 120/80 mm Hg. Capillary refill is more
than 3 seconds, and skin is pale and cool. The patient's signs and
symptoms suggest: A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock.: C. Hypovolemic shock.
,6. A school-aged child is about to receive stitches. To evaluate his
understanding of the procedure, you tell him:
A. "Young people your age have questions about getting stitches. What are
your questions?"
B. "Don't cry while you are getting the stitches. Be brave like a man."
C. "You will probably receive 10 stitches. Do you have any questions before
we restrain you?"
D. "Does your cut hurt? Would you like your mommy to hold you?": A.
"Young people your age have questions about getting stitches. What are your
questions?" 7. What is the preferred sit for intraosseous access in the
infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia: D. Anteromedial tibia
8. An important consideration in the assessment of pain for an adolescent
patient is that they:
A. May deny or minimize their pain when friends visit for fear of losing
control.
B. Have difficulty localizing or describing the pain.
C. Are unable to use the 1 to 10 scale to report their pain.
D. Feel that the pain is a punishment for something they did wrong.: A. May
deny or minimize their pain when friends visit for fear of losing control.
9. An 8-month-old infant with pneumonia has severe intercostal and
substernal retractions, weak muscle tone, lethargy, and gray skin color. The
infant's condition does not improve after bag-mask ventilation. The next
step in treatment is most likely to be:
A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol.: C. Rapid sequence intubation.
10. Which combination of medications is best to have prepared for a
pediatric resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
, ENPC Test Questions 6th Edition
D.
Pentothal and vecuronium.: B. Epinephrine and glucose.
11. 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.
12. 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.
13. 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.
14. 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.
15. An 8-month-old child presents with purpura, irritability, and a rectal
temperature of 39.4ýC (102.9ýF). 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).
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