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ENA Emergency Nurses
Association
ENPC Emergency Nursing Pediatric Course
ENPC Certification Written Exam &
Pediatric Trauma Scenarios Assessment
Course Title and Number: ATLS Written Examination & Practical Skills Assessment Exam Title: ATLS Exam Exam Date: Exam 2025- 2026 Instructor: ____ [Insert Instructor’s Name] _______ Student Name: ___ [Insert Student’s Name] _____ Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
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ENPC Certification Exam ENPC Pre-Test
Emergency Nursing Pediatric Course Review
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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: - 1.A 13-month-old presents to the emergency department with a 2-day history of a low-grade fever, increased work of breathing, and tonight developed a barking cough and inspiratory stridor. What condition does the nurse sus- pect?
- Epiglottitis
- Foreign body aspiration
- Tracheomalacia
- Croup: 2.In providing education to a family regarding obtaining baseline peak airway flow for a child with asthma, the nurse will recommend what time of day? 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 7.Does your facility have a pediatric emergency care coordinator?: Yes
9.The nurse is planning to begin oral rehydration therapy for a 9-month-old with mild dehydration. She provides the caregivers with a glucose and sodium solution and instructs them to administer small amounts:
- Every 2 to 5 minutes
- Every 10 to 12 minutes
- Every 15 minutes
- Every 30 minutes:
- Caregivers bring in their 3-week-old neonate and describe nonbilious vomiting after every feeding that is becoming more forceful over the past 24 hours. The last time he vomited the vomitus hit a chair 2 feet away. They say he cries, roots, and sucks vigorously on his pacifier right after vomiting as though still hungry. He is not experiencing any diarrhea. What condition is the most likely cause of these signs and symptoms?
- Intussusception
- Volvulus
- Gastroenteritis
- Pyloric stenosis:
- A neonate is delivered in the emergency department and placed on a radiant warmer. 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 There is no staining of the amniotic fluid. What is the first step in neonatal resuscitation?
- Dry and warm the neonate
- Suction the mouth and nose
- Assess for effective breathing
- Palpate a central pulse rate:
- In discussing the legal care of the adolescent patient, what is a mature minor? A. A minor who lives independently and is legally able to make health deci- sions B. A minor who is able to make decisions regarding his or her own sexual or mental health C. A minor who is able to make decisions regarding health care as a parent of his or her own child D. A minor who lives with a parent or guardian but legally is able to make health decisions:
- Which of the following screening statements/questions is most appropri- ate in assessing an adolescent for dating violence?
- "What triggers violence you've experienced from your partner?"
- "Does your partner feel entitled to sex even if you say 'no'?" Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
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- An ambulance arrives with a 13-year-old pedestrian hit by a car. Identified injuries reported by paramedics include multiple abrasions to the head and face, a large, actively bleeding laceration to the forehead, hip pain with the leg externally rotated, and bruising across the chest and abdomen. The patient is in full spinal immobilization and has two intravenous catheters and a nonrebreather oxygen mask in place. Vital signs are BP 110/ mm Hg, HR 118 beats/minute, RR 24 breaths/minute, and SpO2 96%. The Glasgow coma scale score is 15. What is the priority?
- Computed tomography
- Immobilize the femur
- A pressure dressing to the forehead
- Focused assessment with sonography for trauma (FAST):
- A 15-year-old with a history of schizophrenia is taking risperidone (Risperdal) and lithium (Eskalith). She presents with dystonia, 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 akinesia, a shuffling gait, muscle rigidity, and tremors. What does the nurse suspect is the cause of these signs and symptoms?
- Extrapyramidal symptoms
- Tardive dyskinesia
- Neuroleptic malignant syndrome
- Serotonin syndrome:
- Which of the following burn injury patterns and history indicates suspect- ed child maltreatment? A. A 5-cm (2 inch) linear, superficial partial- thickness burn with irregular edges on the leg of a preschooler, reportedly from touching a curling iron left on a low table B. A deep partial-thickness, sharply demarcated burn on the buttocks of a toddler, reportedly from the child turning on the hot water while in the bath C. A 2-cm (0.75 inch) linear partial-thickness burn on the arm of toddler, reportedly from walking and bumping into a lighted cigarette D. A partial-thickness burn with irregular edges and splash pattern on the chest and right hand of a 7-year-old reportedly spilling a bowl of soup from the microwave:
- A mother presents to the emergency department with a 6-week-old infant with no medical issues after a normal delivery, until yesterday. Mom states he has been eating poorly, vomiting, and that "he's hard to wake 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 Marital status Minor has a child Military service Pregnant Prenatal care Sexual health Substance abuse
- How can understanding stages of development help you when caring for peds patients of various ages?: Piagets Cognitive Development Eriksons Psychosocial Development
- What are some signs of pain that can be observed in children who are nonverbal?: FLACC NIPS Wong Baker FACES
- Why is it important to incorporate caregivers in the assessment and care for pediatric patients?: Familiarity, family diversity, consent,
- Where does your facility keep ped sized equipment?: Supply rooms in ED
- What options are available at your facility to manage procedural pain?: - Nonpharmacologic and pharmacologic interventions
- How comfortable are you caring for peds patients today?:
- What do you hope to learn in this course?:
- What findings in the pediatric patient in the following areas would indicate need for higher priority ?: Appearance- Breathing- Circulation- VS- Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
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- What are three situations where a child with NO abnormalities in the PAT might be given a higher triage acuity?:
- What triage system is used at your facility? Does it include pediatric considerations?: ESI
- Why is it important to follow standardized process for patient assess- ment?:
- Why do you think the PNP systemic approach does not call for a full set of vital signs to be obtained right away?: Vital signs in an unstable patient could delay treatment
- In most situations there are multiple clinicians caring for a critically ill patient and multiple things are happening at the same time. Why do you think this course puts so much emphasis on PNP systemic approach?: Add structure and organization to treatment plans
- What is the procedure at your facility for rapid administration of warmed fluids to a pediatric patient? What equipment and or supplies are used?:
- What is the most important and effective intervention for neonatal resus- citation? What are some troubleshooting steps ensuring this intervention is as effective as possible?: VENTILATING THE NEONATE, effective PPV 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 Decompensated: weak peripheral pulses, altered mental status Irreversible: mottled skin, bradycardia, unresponsiveness
- List three pediatric differences relevant to shock. Describe the clinical significance of each difference:
- How can a lactate level be used to identify and manage shock?:
- What are the four types of shock, name one cause for each type: Hypov- olemic: fluid volume depletion Obstructive: pump/pipe obstruction Cardiogenic: heart failure Distributive: systemic vasodilation
- Name one goal directed therapy for each shock.: Hypovolemic: prevent fluid loss Cardiogenic: Cardiology consult Obstructive: prostaglandin E infusion Distributive: IM epi, spinal motion restriction, 20 mL/kg bolus
- What are the most likely causes for pediatric cardiac arrest?: Think H's and T's
- You find a child who is unresponsive with no signs of normal breathing and no palpable pulse. What are your initial actions?: Begin CPR, chest com- pressions Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
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- Do you have a pediatric resuscitation teams? Who responds?:
- What are three ways to differentiate respiratory distress and respiratory failure in the pediatric patient?:
- What assessment findings can be used to differentiate between between the following common pediatric respiratory illnesses?:
- What are the three important discharge teaching topics for children with asthma?:
- Chest radiographs are not obtained as often in pediatric patients as adults. Why do you think that is the case?:
- What standardized scoring systems are used at your facility to assess severity of respiratory illness in pediatric patients?:
- What protocols are available at your facility for care of pediatric patients with respiratory illness ?:
- What age specific developmental characteristics put children at increased risk for injury?:
- What additional information would he helpful for predicting the types and severity of injuries for the following complaints? Fall, MVA, Bicycle crash:
- What are the dangers of logrolling a patient with an unstable spine or pelvic injury?:
- What discharge education is provided for a child with a mild traumatic brain injury?: Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
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- When is it advisable to give a child oral food or fluids? When is it best to keep them NPO?:
- How do you obtain a urine specimen from a child who is not toilet trained ? Is toilet trained?:
- What questions can you ask about sexual health history?:
- At your facility, will pregnancy test results be shared with parents/gaur- dian?:
- How do you screen for the possibility of an infectious disease?:
- What prompts initiation of isolation precautions at your facility? How do you isolate potentially contagious children?:
- What findings could indicate more serious cause of a rash?:
- What assessment findings can be used to differentiate between the follow- ing causes of rashes? Roseola infantum, molluscum contagiosum, varicella, rubeola:
- What infectious diseases are reportable?:
- What are the two most common causes of altered mental status in a child ?:
- What questions can you ask to help determine the cause of pediatric altered mental status?:
- What toxidromes are you most familiar with?: Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
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- How do you treat pediatric hypoglycemia? What concentrations of IV dex- trose do you have readily available?:
- What unique seizure activity in children is easily missed if you do not know what to look for?:
- Does your facility have a PDKA set? At one point do you add dextrose to maintenance IV fluids for a child treated for DKA?:
- What pediatric behavioral health resources are available in your area?:
- How does your facility provide a safe and therapeutic environment for peds behavioral patients?:
- How do you screen for suicidal ideation?:
- What strategies should be considered when caring for a child who may have experienced maltreatment?:
- Does your facility have any processes in place for identification and report- ing of suspected human trafficking?:
- What is your process for reporting child maltreatment?:
- Describe an interaction with a patient or family member that resulted in escalation/agitation/violence:
- Describe a de-escalation situation: 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 2.A 7-month-old presents to the emergency department with a complaint of fever. Assessment reveals a patent airway and slight cyanosis around his lips and nail beds. He is alert and interactive. His vital signs are 38.5 °C (101.3 °F), HR 134, RR 32, BP 78/54 mm Hg, and SpO2 84%. The nurse notes a healed surgical scar on his chest. Based on this assessment, what is the nurse's priority? A. Administer ibuprofen to treat the fever B. Begin oxygen via a nonrebreather mask C. Obtain a surgical history D. Ask if the SpO2 is normal for him: 3.An 11-year-old presents to the emergency department with a complaint of hitting his head while playing soccer. The nurse enters the room and performs an across-the-room assessment. He is staring at the wall. He has no increased work of breathing, and his color is pink. Using the pediatric assessment triangle (PAT), what classification will the nurse assign? A. Well B. Sick C. Sicker D. Sickest: 4.The pediatric prioritization process components include the focused as- sessment, focused history, acuity rating decision and: A. the pediatric assessment triangle (PAT). 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. developmental characteristics. C. head-to-toe assessment. D. life-saving interventions.: 5.A 2-year-old is brought to the emergency department by her father when he found her face down in the pool. She remains unresponsive and is breathing shallowly and slowly. Her color is pale. What is the priority? A. Administer 100% oxygen B. Immobilize the cervical spine C. Begin bag-mask ventilation D. Insert an oral airway: 6.A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral spinal alignment, padding should be placed under which area? A. Shoulders B. Head C. Neck D. Waist: 7.The nurse is preparing to administer a feeding through a nasogastric feed- ing tube. The tube position was verified by radiograph after insertion 2 hours ago. How will the nurse verify placement before feeding? Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
