NURSING VIEW

ENPC Questions Answered 100% correct Preparation and traige 1.State need for activation of trauma team 2. Prepare for trauma : ped equpment, length-based resuscitation tape and dosing guidelines 3. State the need to don PPE Across-the-room Observation Assess for uncontrolled hemorrhage (C), if non go to ABC State the three components of pediatric assessment triangle (Appeance/Airway, WOB, and Circulation AND categorizes them as sick, sicker or sickest Airway and Alertness *...

ENPC 5th edition Questions with complete solutions Neonate characteristics: Birth to 4 weeks If preterm neonate until original due date plus 28 days Loses 5-10% weight by 3-4th day of life Flexion normal posture Limited glycogen store Nose breathers Infant characteristics: Nose breather until 6months And muscle to breathe Metabolic rate 2x adult (increased need for oxygen and glucose) Toddler characteristics: Babinski réflex normal until walking Plantar réflex at 2 ye...

ENPC Questions with complete solutions Components in the prioritization of pediatric emergency care (4) PAT, Focused Assessment (objective information), Focused pediatric Hx(subjective information), assignment of an acuity rating decision Pediatric Assessment Triangle : (3) components 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+ ...

ENPC Questions with complete solutions CIAMPEDS C - Cheif Complaint I - Immunizations I - Isolation A - Allergies M - Medications P - Past Medical History P - Caregivers impression of the pediatric pts condition E - Events surrounding the illness/injury D - Diet D - Diapers S - Symptoms associated with the illness or injury MIVT M - Mechanism of injury, including the use of protective devices I - Injuries suspected V - Vital signs in prehospital T - Treatment by prehospita...

ENPC 4th Edition: Practice Test Questions with complete solutions 1. A preschooler has a small laceration that requires 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 explor...

ENPC Questions with complete solutions Inconsolable neonate hypoxia Preschooler 3-5yrs likes Nightlights + Bandaids 4 Components of the Pediatric Prioritization Process 1. PAT 2. Focused Hx 3. Focused Assessment 4. Assignment of an acuity rating Pain scale - nonverbal Flacc Pain Scale - 4-7 yrs Faces Pain Scale 8 yrs+ Numerical 0-10 scale PAT Components General appearance Work of breathing Circulation 0 = Sick 1 = Sicker 2+ = Sickest ...

ENPC Questions with complete solutions Pediatric triangle appearance work of breathing circulation to skin General appearance considerations Tone Interactiveness: drawn to sounds or people. Wants to play Consolability Look/Gaze Speech/cry Work of breathing: Increased work of breathing evidenced by tachypnea, stridor, grunting, retractions, accessory musles, nasal flaring, head bobbing, abnormal positioning Circulation to Skin Observe palor mottling cyanosis ...

Practice test ENPC Questions with complete solutions 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. 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 hi...

ENPC Home Exam Questions with complete solutions Tachycardia = an _______ sign of shock Early What is a late sign of circulatory compromise in children? Hypotension Children can remain normotensive until about _____ percent of blood volume is lost 25% What are two intervention you should always be doing? Applying oxygen Checking bedside blood glucose How long should the car seat be rear facing? Until at least one year of age _____ model parents behavio...

ENPC Questions Test A Question with complete solutions Components in the prioritization of pediatric emergency care (4) PAT, Focused Assessment (objective information), Focused pediatric Hx(subjective information), assignment of an acuity rating decision Pediatric Assessment Triangle : (3) components 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 d...