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ENPC Emergency Nursing Pediatric Course Certification Exam Questions and Answers, Exams of Pediatrics

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.

Typology: Exams

2024/2025

Available from 02/16/2025

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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
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you
have completed the Exam.
6. This test has a time limit, The test will save and submit
automatically when the time expires
7. This is Exam which will assess your knowledge on the course
Learning Resources.
Good Luck……...!
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Download ENPC Emergency Nursing Pediatric Course Certification Exam Questions and Answers and more Exams Pediatrics in PDF only on Docsity!

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

Instructions:

**1. Read each question carefully.

  1. Answer all questions.
  2. Use the provided answer sheet to mark your responses.
  3. Ensure all answers are final before submitting the exam.
  4. Please answer each question below and click Submit when you** **have completed the Exam.
  5. This test has a time limit, The test will save and submit** **automatically when the time expires
  6. This is Exam which will assess your knowledge on the course** Learning Resources.

Good Luck……...!

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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

(4) - =Answer>> PAT, Focused Assessment (objective

information), Focused pediatric Hx(subjective information), assignment of an acuity rating decision Pediatric Assessment Triangle : (3) components -

=Answer>> 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+ components the child is "sickest"

PQRST for Pain - =Answer>> (pg86)

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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Nonblanchable Rashes of concern - =Answer>>

Meningocoxcemia Petiachia/Purpura

Normal Urine Output for child - =Answer>> 1 to 2ml / Kg /

Hr

Urine Output: Infant - =Answer>> 2 mL/kg per hour

Urine Output: Child - =Answer>> 1-2 mL/kg per hour

Urine Output: Adolescent - =Answer>> 0.5-1 mL/kg per hour

Measuring Urine Output via Diapers - =Answer>> 1 gram

increase in diaper weight = 1 mL of urine

Weight Estimation Formula (1-Puberty) - =Answer>> Wt (kg)

= (3 x age in years) + 7

Normal Systolic BP (2 years or older) - =Answer>> = 90 +

(2 x Age in years) Lower Limit Normal Systolic BP (2 years or older) -

=Answer>> = 70 + (2 x Age in years)

Normal RR: Infant (1-12 months) - =Answer>> 30-

Normal RR: Toddler (1-3 years) - =Answer>> 24-

Normal RR: Preschooler (3-5 years) - =Answer>> 22-

Normal RR: School-aged (5-11 years) - =Answer>> 18-

Normal RR: Adolescent (11-18) - =Answer>> 12-

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Normal HR: Infant (1-12 months) - =Answer>> 100-

Normal HR: Toddler (1-3 years) - =Answer>> 90-

Normal HR: Preschooler (3-5 years) - =Answer>> 80-

Normal HR: School-aged (5-11 years) - =Answer>> 70-

Normal HR: Adolescent (11-18 years) - =Answer>> 60-

Systolic BP: Neonate (Term, birth to 28 days) - =Answer>>

60 (or strong central pulse)

Systolic BP: Child (>10) - =Answer>> > 90

AVPU scale - =Answer>> A - Awake and alert

V - Responsive to verbal stimuli P - Responsive only to painful stimuli U - Completely unresponsive

Primary Assessment - =Answer>> A - Airway w/ Cervical

spine immobilization B - Breathing C - Circulation D - Disability (Brief neurological assessment) E - Exposure and Environmental Control

Fluid Bolus - =Answer>> 20 mL/kg of Crystalloid

Fluid Bolus for Cardiogenic Shock - =Answer>> 10 mL/kg of

Crystalloid

Blood Administration - =Answer>> 10 mL/kg

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Circulating Blood Volume: Adult - =Answer>> 70 mL/kg

Growth - =Answer>> Increase in weight and BMI that can be

plotted on specific growth charts (boys, girls, age)

Development - =Answer>> Gradual and successive increase

in abilities and skills on a predetermined path (Developmental Milestones)

Normal Infant Reflexes - =Answer>> Moro, Suck, Root,

Startle, Babinski, Grasp, Step

Pediatric Parkland Formula - =Answer>> Fluid resuscitation

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

Rule of 9's in Pediatric Burns - =Answer>> Hand 1%

Head 18% Front 18% Back 18% Leg 14% Arm 9% Oral Rehydration for 9month old with mild dehydration. -

=Answer>> Glucose and sodium solution, every 2 to 5min

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6week old infant, no medical hx. eating poorly, vomiting, "hard to wake up", responsive to pain. Anterior fontanel bulging,

tachypnic. Diagnostic evaluation expected? - =Answer>>

Skeletal survey Possible shaken baby syndrome

Minimal Acceptable BP's - =Answer>> Newborn = 60

Infant = 70 Child = 70 + (2 x age in yrs)

Decompensated shock in children #1 sign - =Answer>>

Hypotension

TBI considerations - =Answer>> MD has to say when they

can return, not the pt or caregiver. Should be a "gradual return to play"

Bradycardia pharm treatment - =Answer>> Epinephrine

(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

to appear different than peers - =Answer>> A. Magical

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D. Pyloric stenosis - =Answer>> D. Pyloric Stenosis

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

not become violent?" - =Answer>> C. Tell me

Which sign distinguishes compensated shock from decompensated shock in the pediatric patient? A. Peripheral pulses B. Blood pressure C. Capillary refill

D. Level of consciousness - =Answer>> B BP

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

D. Serotonin syndrome - =Answer>> A. EPS

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

D. Black - =Answer>> Yellow

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. -

=Answer>> D. Appointing one staff member to

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.

D. Minor underlying injury. - =Answer>> B. Significant

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.

D. Confirmation of a medical diagnosis. - =Answer>> C.

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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D. Bag-mask ventilation. - =Answer>> D. Bag-mask

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.

D. Urine output of 11 ml/hour. - =Answer>> D. Urine output

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. - =Answer>>

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.

D. Encouraging oral fluids and food. - =Answer>> B.

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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

the "across-the-room" assessment. - =Answer>> D.

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.

D. Administer 100% oxygen. - =Answer>> D. Administer

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.

D. Using the head tilt maneuver. - =Answer>> B. Using the

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.

D. Use a doll to demonstrate the examination. - =Answer>>

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