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ENPC Study Guide With Complete And Rated 100% Correct Solutions
Question 1: An unresponsive 2-year-old child was found by his
mother with a bottle labeled "Elavil 50 mg" by his side. Which piece of information is important to obtain from his mother?
CORRECT ANSWER : C. The number of pills left in the bottle.
Question 2: 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:
CORRECT ANSWER : D. Appointing one staff member to
communicate with them.
Question 3: 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?
CORRECT ANSWER : B. Significant underlying injury.
Question 4: Which piece of information is most important to
know prior to transferring a patient to another facility?
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CORRECT ANSWER : C. Confirmation of acceptance from the
receiving hospital.
Question 5: 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:
CORRECT ANSWER: C. Hypovolemic shock.
Question 6: A school-aged child is about to receive stitches. To
evaluate his understanding of the procedure, you tell him:
CORRECT ANSWER : A. "Young people your age have
questions about getting stitches. What are your questions?"
Question 7: What is the preferred site for intraosseous access in
the infant?
CORRECT ANSWER : D. Anteromedial tibia
Question 8: An important consideration in the assessment of
pain for an adolescent patient is that they:
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CORRECT ANSWER : A. May deny or minimize their pain
when friends visit for fear of losing control.
Question 9: An 8-month-old infant with pneumonia has severe
intercostal and substernal retractions, weak muscle tone, lethargy, and gray skin color. The infant's condition does not improve after bag-mask ventilation. The next step in treatment is
most likely to be:
CORRECT ANSWER : C. Rapid sequence intubation.
Question 10: Which combination of medications is best to have
prepared for a pediatric resuscitation?
CORRECT ANSWER : B. Epinephrine and glucose.
Question 11: A 20-day-old infant has a 1-week history of not
eating well. The infant has a weak cry and is jittery. Which laboratory test is indicated?
CORRECT ANSWER : B. Finger-stick glucose.
Question 12: Which intervention should be performed next if
tactile stimulation, positioning, drying, and blow-by oxygen administration do not increase a newborn's heart rate?
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CORRECT ANSWER : D. Bag-mask ventilation.
Question 13: 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?
CORRECT ANSWER : D. Urine output of 11 ml/hour.
Question 14: 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?
CORRECT ANSWER : D. Ask the parents if her behavior is
unusual.
Question 15: 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:
CORRECT ANSWER : B. Monitoring for signs and symptoms
of increased intracranial pressure (ICP).
Question 16: The Pediatric Assessment Triangle is used to: