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A comprehensive set of questions and answers for the enpc emergency nursing pediatric course certification exam. It covers key concepts in pediatric emergency care, including assessment, prioritization, and treatment. A valuable resource for students preparing for the enpc exam, offering insights into common exam topics and providing a framework for understanding essential pediatric emergency care principles.
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ENPC Final Assessment ENPC Certification Exam Emergency Nursing Pediatric Course Questions and Answers | 100% Pass Guaranteed | Graded A+ | 2025- 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: - Components in the prioritization of pediatric emergency care
information), Focused pediatric Hx(subjective information), assignment of an acuity rating decision Pediatric Assessment Triangle : (3) components -
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+ components the child is "sickest"
Precipitating and palliating factors Quality Radiation Severity, symptoms, and site Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
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Meningocoxcemia Petiachia/Purpura
Hr
increase in diaper weight = 1 mL of urine
= (3 x age in years) + 7
(2 x Age in years) Lower Limit Normal Systolic BP (2 years or older) -
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60 (or strong central pulse)
V - Responsive to verbal stimuli P - Responsive only to painful stimuli U - Completely unresponsive
spine immobilization B - Breathing C - Circulation D - Disability (Brief neurological assessment) E - Exposure and Environmental Control
Crystalloid
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plotted on specific growth charts (boys, girls, age)
in abilities and skills on a predetermined path (Developmental Milestones)
Startle, Babinski, Grasp, Step
in burn trauma %TBSA burn x child's wt (kg) x 4 mL = mL to be infused in 1st 24 hours Administer 1/2 total amount in first 8 hours (time starts at injury time) Administer second 1/2 over next 16 hours Maintenance fluids with glucose for kiddos under 5 years
Head 18% Front 18% Back 18% Leg 14% Arm 9% Oral Rehydration for 9month old with mild dehydration. -
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6week old infant, no medical hx. eating poorly, vomiting, "hard to wake up", responsive to pain. Anterior fontanel bulging,
Skeletal survey Possible shaken baby syndrome
Infant = 70 Child = 70 + (2 x age in yrs)
Hypotension
can return, not the pt or caregiver. Should be a "gradual return to play"
(1:10,000), 0.01mg/kg every 3-5min 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? 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 explore orally and will likely chew or suck on the stitches if left uncovered D. Preschoolers are concerned with body image and don't want
thinkers An 11-year-old presents to the emergency department with a complaint of hitting his head while playing soccer. The nurse Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
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Which of the following screening statements/questions is most appropriate in assessing an adolescent for dating violence? A. "What triggers violence you've experienced from your partner?" B. "Does your partner feel entitled to sex even if you say 'no'?" C. "Tell me about a time when you've felt unsafe in your relationship." D. "Do you feel if you tried harder to please, your partner will
Which sign distinguishes compensated shock from decompensated shock in the pediatric patient? A. Peripheral pulses B. Blood pressure C. Capillary refill
A 15-year-old with a history of schizophrenia is taking risperidone (Risperdal) and lithium (Eskalith). She presents with dystonia, akinesia, a shuffling gait, muscle rigidity, and tremors. What does the nurse suspect is the cause of these signs and symptoms? A. Extrapyramidal symptoms B. Tardive dyskinesia C. Neuroleptic malignant syndrome
Two ambulances collide in front of the hospital. The victims include three pediatric victims. Using the JumpSTART triage system, which category assignment will the nurse give to a 2- year-old who is lying on the ground, alert and crying with spontaneous respirations of 36 breaths/minute and present peripheral pulses? A. Green Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
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B. Yellow C. Red
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. -
communicate with them. 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.
underlying injury. 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.
Confirmation of acceptance from the receiving hospital. 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: Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
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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.
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. 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.
Monitoring for signs and symptoms of increased intracranial pressure (ICP). The Pediatric Assessment Triangle is used to: Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
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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
Determine the severity of the child's illness or injury using the "across-the-room" assessment. A 6- week-old infant is pale, has marked substernal retractions, expiratory grunting, and poor muscle tone. The emergency nurse should first: A. Obtain IV. B. Apply a pulse ox. C. Prepare a chest x-ray.
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.
jaw thrust maneuver. 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.
C. Observe for behavioral pain cues. Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
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