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ENPC Home Exam Questions &
Answers 100% Correct
1. Tachycardia = an sign of shock
ANS Early
2. What is a late sign of circulatory compromise in children?
ANS Hypotension
3. Children can remain normotensive until about percent of blood
volume is lost ANS 25%
4. What are two intervention you should always be doing?
ANS Applying oxygen Checking bedside blood glucose
5. How long should the car seat be rear facing?
ANS Until at least one year of age
6. model parents behavior with toys
ANS Toddlers
7. Age 3 to 5
ANS Preschoolers Magical and
it logical thinkers Take things literally
8. What are common fears of the preschooler?
ANS Pain Darkness Body mutilation Being alone
9. Ages 5 to 11
ANS School age kids Beers include separation from parents, loss of control, and physical disability
10. 11 to 18 years old
ANS Body a parent is the most important thing
11. What is one of the critical public health issues in today society?
ANS Child- hood obesity
12. At how many years old can a child start using the faces pain scale?
ANS Three years old
13. What is there an emphasis on during the prioritization of the patient?
ANS -
Safety
14. I focused assessment is what type of information?
ANS Objective
15. I focused history is what type of information?
ANS Subjective
Inspect the color of central areas such as lips and mucous membranes Assessed for pallor, molting, or cyanosis Is the patient flushed or diaphoretic
21. What are the three patient categories for the pediatric assessment trian-
gle? ANS Sick Sicker
Sickest
22. If all three components of the PAT are stable know what will the patient
be ranked as? ANS Sick
23. If there is disruption in one of the areas of the PAT what will the patient
be ranked? ANS Sicker
24. If there is Disruption in two or more components of the PAT what ranking
will the patient receive? ANS Sickest
25. If a patient is identified as sickest what is indicated?
ANS Rapid resuscitation
26. And a child what event typically leads to a code?
ANS Typically a respiratory event leads to a cardiac event
27. What is the priority with any trauma or suspected drama?
ANS Stabilize the C-spine and stop any bleeding
28. What maneuver is used to open the jaw in a trauma patient?
ANS Jaw thrust maneuver
29. When is the nasal pharyngeal airway indicated?
ANS In a semi conscious or conscious patient
30. Where is the nasopharyngeal airway contra indicated?
38. What should the normal urinary output be for an adolescent
ANS 1-1.5 ml/kg / hour
39. What is the most common cause of arrest in pediatric patients?
ANS Respira- tory arrest
40. What is the second most common cause of arrest in a pediatric patient?-
ANS Shock
41. 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. ANS Shock
42. Anytime a patient presents with Shock what is the first intervention that
we should do? ANS Place them on oxygen
43. What happens in the body during shock?
ANS Plasma leakage/fluid shifts. This results in puffy kids. DIC, inflammatory responses, intracellular acidosis, ards, and MODS are also seen in shock
44. What type of fluid should you give a patient with hypovolemic shock due to
Burns? ANS Lactated ringer fluid replacement using the Parkland formula.
45. What is seen in early Shock?
ANS In early Shock or warm Shock there is flash cab refill. Look for bounding pulses
fever and flushed skin
46. What medication is used to correct SVT?
ANS Adenosine
47. What are some different types of obstructive shock?
ANS Pneumothorax - you will want to do needle aspiration that the second intercostal space in the midclavicular line and you want to always place a chest tube after PDA - start this patient on prostaglandins. Do not give this patient any Motrin as it can help the PDA to close. Tampa nod - you need to pull the fluid off surrounding the heart PE Congenital heart disease
48. What is the urine output that we I would like to maintain when a patient
is in shock? ANS 1 mL per kilo
49. Monitoring should be done for a patient in shock?
ANS Cardiac monitoring
57. How can you tell that an I/O is infiltrated?
ANS I feeling underneath of the leg when flushing
58. How long can an I/O same place for?
ANS For 24 hours or until you get another form of access
59. What are the things that you want to consider pre-intubation?
ANS Preoxy- genation Atropine, this drug maybe used for patients less than eight years old
Prepare for any alternative things that may have to happen such as cric Consider lido
60. What are the complications of intubation?
ANS Pneumothorax Gastric dissension
61. How will you confirm placement of the ET tube?
ANS Auscultation CO2 detector Chest x-ray Capnography
62. If an ET tube fails what are alternative airway solutions?
ANS LMA mask Needle cricothyrotomy
63. A barky seal like cough, worse at night. Low-grade fever. Steeple
sign is seen via x-ray. You will want to inform parents to do coolness, take the child outside or open the freezer. Steam from the shower can also help. Administer steroids for inflammation. Give her Seemic Kathy for relief up to two hours, observation is key. ANS Croup
64. We should observe a patient that received racemic epi-for at least
67. Pertussis
ANS Whooping cough Bacterial - contagious Thank you Bashan is 7 to 10 days Usually worse at night Droplet cautions Erythromycin is the anabiotic of choice
68. The most common cause of pediatric dysrhythmias is an unrecognized
or ANS Respiratory or metabolic compromise
69. A child's cardiac output is how much of that of an adults
ANS Two times that of an adults
70. What concentration of EPI do you use for CPR?
ANS 1:10,
71. is One of the most common in infants see that can lead to cardiac
compromise. Greater than 220 bpm in infants and greater than 180 bpm in children. Absent or hard to see P waves. Rapid onset ANS SVT
72. What is indicated for stable SVT dosing is .1 mg per kilogram of
adenosine and you want to flush it fast with a 10 mL Saline flush and using the stopcock method. ANS Adenosine
73. If SVT becomes unstable what is the method that will be used for treat-
ment
ANS Synchronize cardioversion. Consider sedation. 0.5 J/Kg. Make sure that machine is in synchronized mood. Refer patient to cardiology.
74. What should always be the first choice for stable SVT?
ANS Vagal maneuver Aka using ice to the face blowing through an obstructed straw
75. V tach
ANS HR >
Rapid HR with wide QRS complex Tombstone like appearance No p waves Sometimes pulseless
Signs of shock Initiate CPR Administer at the every 3 to 5 minutes
80. Asystole occurs secondary to prolonged or
ANS Acidosis or hypox- ia
81. If the rash is non-blanchable what do you want to do
ANS Initiate droplet precautions and start anabiotic's that the patient is going to be admitted
