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ENA Emergency Nurses
Association
ENPC Emergency Nursing Pediatric Course
ENPC Certification Written Exam &
Pediatric Trauma Scenarios Assessment
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ENPC 6
th
Edition Certification Exam
Comprehensive Review ENPC Emergency
Nursing Pediatric Course Questions and
Answers | 100% Pass Guaranteed | Graded
A+ |
ENPC Certification Written Exam & Pediatric
Trauma Scenarios Assessment
ENPC Emergency Nursing Pediatric Course
Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP of 70/44 mm Hg, and HR of 144 beats per minute. Which of the following laboratory values would be most expected in this child? - =Answer>> Low pH Level A caregiver reports their one-month-old has had a yellowish color to their eyes and skin over the last two weeks. If left untreated, which body system can this affect? - =Answer>> Neurologial The neurosurgeon has decided to perform an invasive procedure in the emergency department to monitor the Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱 Click Here To <> Follow Link
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📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com D. Flash capillary refill - =Answer>> A. SpO2 of 94 % on room air A 3-year-old has a two-day history of runny nose, low- grade fever, and a "barky" cough at night. The child is awake and alert with noted stridor. Pulse oximetry is 96% on room air. Which of the following interventions would be the most appropriated for this child? A. Delivery of humidified oxygen by nasal cannula B. Administration of nebulized epinephrine C. Suctioning secretions from the oropharynx D. Administration of albuterol with a spacer - =Answer>> B. Administration of nebulized epinephrine A 14-year-old patient had a reduction of a temporomandibular joint dislocation in the ED. Which of the following should be included in the discharge instructions? A. Practice yawning three to four times a day B. Resume eating a regular diet later today C. Apply hot packs to the joint area for pain control D. Use a nonsteroidal anti-inflammatory for pain control
- =Answer>> D. Use a nonsteroidal anti-inflammatory for pain control Which of the following parameters would indicate that appropriate post resuscitation interventions were successfully carried out in the pediatric patient? A. Pulse oximetry reading of 96% B. Temperature of 99.8°F (37.6°C) C. Capillary refill of < 1 second D. Capnography reading of 60 mm Hg - =Answer>> A. Pulse oximetry reading of 96% An anxious 12-year-old child presents to the emergency department with a sudden onset of nausea, diarrhea, Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com abdominal cramping, flushing, and hypotension. Symptoms started about 60 minutes after lunch. Which of the following conditions is the most likely cause of these symptoms? A. Anaphylaxis B. Renal colic C. Crohn's Disease D. Menarche - =Answer>> A. Anaphylaxis An 8-year-old trauma patient suddenly develops increased respiratory distress with a rise in heart rate from 112 beats/minute to 142 beats/minute associated with an abrupt hypotensive event. Distention of the jugular veins is noted. Which of the following emergent interventions should be anticipated first? A. High flow oxygen B. Drug assisted intubation C. Chest tube insertion D. Needle decompression - =Answer>> D. Needle decompression A 4-week-old infant born prematurely is brought to the emergency department due to the rapid onset of abdominal distention, vomiting, bloody stools, and exhibiting signs of shock. Based on these findings, what condition should the nurse suspect? A. Necrotizing enterocolitis B. Pyloric stenosis C. Megacolon D. Congenital diaphragmatic hernia - =Answer>> A. Necrotizing enterocolitis A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP of 70/44 mm Hg, and HR of 144 beats per Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com A 14-year-old patient with Down syndrome presents with an abnormal gait, head tilted to the left, decreased sensation to the extremities, and urinary incontinence. The patient has no history of trauma. Which of the following diagnostics is the priority for this patient? A. Lumbar spine magnetic resonance imaging B. Complete neurologic exam C. Urinalysis by straight catheterization D. Cervical spine radiographs - =Answer>> D. Cervical spine radiographs A 7-year-old is being seen for new onset of headaches. Which of the following manifestations would most likely rule out the potential of a primary etiology? A. Presence of ataxia B. Pulsating, unilateral pain C. Occurrence of photophobia D. Nausea, vomiting - =Answer>> A. Presence of ataxia A 3-week old is brought to the emergency department with a history of fussiness, spitting up, crying, and watery stools. Assessment reveals an alert child with moist mucous membranes. Which of the following should be the priority? A. Medicate with ondansetron for emesis B. Identify the type of formula the caregiver uses C. Obtain a stool specimen for culture D. Initiate intravenous access with 0.9% sodium chloride - =Answer>> B. Identify the type of formula the caregiver uses A laceration on a toddler's arm is prepared for suturing. Which of the following preparations for topical anesthesia would be the best choice for this procedure? A. EMLA (lidocaine 2.5% and prilocaine 2.5%) B. LET (lidocaine/epinephrine/tetracaine) Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com C. LMX (lidocaine 4%) D. Tetracaine 4% - =Answer>> B. LET (lidocaine/epinephrine/tetracaine) A 6-month-old arrives with swelling to the left thigh. Caregivers deny any traumatic event. Assessment findings include a patient who is active and alert, in the 10th percentile for length, and has blue-grey sclera. Radiographs reveal a midshaft fracture of the left femur. Which of the following is the most likely cause? A. Osteomyelitis B. Physical maltreatment C. Ehlers-Danlos syndrome D. Osteogenesis imperfecta - =Answer>> D. Osteogenesis imperfecta A 3 year-old patient presents following frequent emesis and diarrhea over the past 12 hours. Which of the following assessment findings indicate that the patient' body is compensating for the fluid loss? A. Increased diastolic blood pressure B. Bounding peripheral pulses C. Prolonged capillary refill D. Increased urine output - =Answer>> A. Increased diastolic blood pressure A 6-year-old involved in a boating crash is awaiting admission for surgical repair of a fractured ankle. Which of the following manifestations during reassessments would cause the greatest concern for possible intra- abdominal trauma? A. Chest pain with deep inspiration B. Thoracic spine pain with palpation C. Intermittent shortness of breath D. Constant left shoulder pain - =Answer>> D. Constant left shoulder pain Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com D. Serum blood glucose - =Answer>> D. Serum blood glucose An 8-year-old arrives post bicycle crash with swelling and bleeding from the right side of his face, deformities to the jawline, nasal swelling, and epistaxis. He is unresponsive with snoring respirations and an absent gag reflex. Which of the following airway adjuncts would be most appropriate for this patient? A. Nasopharyngeal airway (NPA) B. Head tilt - chin lift maneuver C. Elevate the head of the bed D. Oropharyngeal airway (OPA) - =Answer>> D. Oropharyngeal airway (OPA) A 3-year-old is assessed for the presence of increasing amounts of serosanguineous drainage from his left nares over the past 6 hours. Which of the following foreign bodies is the most likely etiology? A. Magnet B. Button battery C. Dried bean D. Fishing weight - =Answer>> A. Magnet A caregiver presents to the emergency department with an 18-month-old and reports the child is not using their left arm after playing a game with an older sibling. The child is alert and curious, with regular, even respirations, and skin color is appropriate. Using the Pediatric Assessment Triangle (PAT), how would you categorize this patient? A. Sicker B. Sickest C. Stable D. Sick - =Answer>> D. Sick Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com An 8-year-old male presents to the emergency department with incoherent speech, hallucinations, and violent behavior. What is the priority in caring for this patient? A. Administer antipsychotic medications B. Evaluate laboratory values C. Allow family and friend visitation D. Ensure safety of the patient and staff - =Answer>> D. Ensure safety of the patient and staff A 2-year-old child is seen with acute respiratory distress after playing alone. Caregiver statements indicate the child was found playing with irregular, ½ - ¾ inch sized pieces of a game. Which of the following assessment findings would most likely be expected for this situation? A. Audible wheezing and retractions B. Inspiratory stridor and coughing C. Grunting respirations and tachypnea D. Quiet tachypnea and coarse crackles - =Answer>> B. Inspiratory stridor and coughing A 15-year-old presents alone requesting care. Which of the following chief complaints would most likely be considered legal or appropriate to treat without parental consent? A. Lower back pain B. Itching rash to arms C. Possible pregnancy D. Dental pain - =Answer>> C. Possible pregnancy An 11-year-old child presents with right arm pain after falling off a bicycle. The child is tearful and holding his right arm. What pain scale would be the most appropriate to use when assessing this child's pain? A. Faces scale B. FLACC scale Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com pulses are absent, with delayed capillary refill. Which of the following is the priority intervention? A. Application of compression dressings B. Elevation of left lower extremity C. Assist with escharotomy D. Preparation for thrombectomy - =Answer>> C. Assist with escharotomy A 2-year-old arrives with parents stating the child may have ingested a button battery. The patient initially choked and coughed and is now drooling with bloody sputum. Which of the following is the priority intervention? A. Prepare the patient for hospitalization B. Administer 5 -10 ml of honey orally C. Discharge with specific return instructions D. Offer the child sips of water intermittently - =Answer>> A. Prepare the patient for hospitalization When caring for a potential crime victim, what evidence collection principle is imperative? A. Evidence collection is prioritized over nursing assessment. B. Suspicious clothing should be placed in separate, clean, clearly marked plastic bags. C. Clothing should always be cut along seam lines to preserve evidence. D. Clothing should not be placed on the floor in order to prevent contamination. - =Answer>> D. Clothing should not be placed on the floor in order to prevent contamination. A child with an electrical injury is seen 1 hour post event. Which of the following types of specimen samples would provide visual information regarding a potential complication of this injury? A. Serum Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com B. Urine C. Stool D. Sputum - =Answer>> B. Urine A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately. After several attempts, your team has been unsuccessful at establishing vascular access. Of the following, which is the next best option for establishing access quickly? A. Intraosseous in the patient's medial tibia. B. Peripherally inserted central catheter C. Assisting with central line placement. D. Intraosseous in the patient's scapula. - =Answer>> A. Intraosseous in the patient's medial tibia. A child has a nondisplaced fracture of the radius that has been splinted, with a sling in place and NSAIDs given for pain. Prior to discharge home with follow-up at a pediatric facility, what actions must be completed? A. Discharge instructions including follow-up contact information. B. Ensure the receiving facility has space and qualified personnel. C. Certify that medical benefits of discharge outweigh risks. D. Complete doctor-to-doctor communication with receiving facility. - =Answer>> A. Discharge instructions including follow-up contact information. The nurse is triaging an infant brought to the emergency department by their caregiver. Which finding by the nurse leads the infant to be placed in isolation? A. Barking cough B. Purpuric rash C. High-pitched cry D. Mottled skin - =Answer>> B. Purpuric rash Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com What are two intervention you should always be doing?
- =Answer>> Applying oxygen Checking bedside blood glucose How long should the car seat be rear facing? - =Answer>> Until at least one year of age _____ model parents behavior with toys - =Answer>> Toddlers Age 3 to 5: - =Answer>> Preschoolers Magical and it logical thinkers Take things literally What are common fears of the preschooler? - =Answer>> Pain Darkness Body mutilation Being alone Ages 5 to 11: - =Answer>> School age kids Beers include separation from parents, loss of control, and physical disability 11 to 18 years old: - =Answer>> Body a parent is the most important thing What is one of the critical public health issues in today society? - =Answer>> Childhood obesity Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com At how many years old can a child start using the faces pain scale? - =Answer>> Three years old What is there an emphasis on during the prioritization of the patient? - =Answer>> Safety I focused assessment is what type of information? - =Answer>> Objective I focused history is what type of information? - =Answer>> Subjective The pediatric assessment triangle a.k.a. the across the room assessment of a patient looks at what three things? - =Answer>> General appearance Work of breathing Circulation to the skin How long should the pediatric assessment triangle take? - =Answer>> About 3 to 5 seconds What does the general appearance section include: - =Answer>> Interaction Muscle tone Consolabilty Look or gaze Speech or cry Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com If there is Disruption in two or more components of the PAT what ranking will the patient receive? - =Answer>> Sickest If a patient is identified as sickest what is indicated? - =Answer>> Rapid resuscitation And a child what event typically leads to a code? - =Answer>> Typically a respiratory event leads to a cardiac event What is the priority with any trauma or suspected drama? - =Answer>> Stabilize the C-spine and stop any bleeding What maneuver is used to open the jaw in a trauma patient? - =Answer>> Jaw thrust maneuver When is the nasal pharyngeal airway indicated? - =Answer>> In a semi conscious or conscious patient Where is the nasopharyngeal airway contra indicated? - =Answer>> In trauma patients What type of airway should be used for a trauma patient? - =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? - =Answer>> Prepare to Intubate Less than eight intubate Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com When will you start CPR? - =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? - =Answer>> 90 + 2x the age in years How to calculate minimum acceptable SBP: - =Answer>> 70 + 2x age in years What are you going to use for your history during the assessment? - =Answer>> CIAMPEDS What should the urinary output be for an infant? - =Answer>> 2 ml/ kg / hour What should the normal urinary output be for an adolescent - =Answer>> 1-1.5 ml/kg / hour What is the most common cause of arrest in pediatric patients? - =Answer>> Respiratory arrest What is the second most common cause of arrest in a pediatric patient? - =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. - =Answer>> Shock Anytime a patient presents with Shock what is the first intervention that we should do? - =Answer>> Place them on oxygen What happens in the body during shock? - =Answer>> Plasma leakage/fluid shifts. This results in puffy kids. Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
