Practice test ENPC 6th edition Q&A
Graded A+
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. - CORRECT ANSWER-Preschoolers are
magical thinkers and imagine bandages keep their insides from coming out.
A 7-month old presents to the ED with a complaint of fever. Assessment reveals a
patent airway and a slight cyanosis around his lips and nail beds. He is alert and
interactive. His vital signs are 38.5 (101.3), HR 134, RR 32, BP 78/54 mm Hg, and
SPO2 of 84%. The nurse notes a healed surgical scar on his chest.Based on this
assessment, what is the nurse's priority? - CORRECT ANSWER-As if the SPO2 is
normal for him.
An 11-year-old presents to the ED with a complaint of hitting his head while playing
soccer. The nurse enters the room and performs an across the room assessment. He is
starting at the wall. He has no increased work of breathing and his color is pink. Using
the PAT what classification will the nurse assign? - CORRECT ANSWER-Sicker
The pediatric prioritization process components include the focused assessment,
focused history, acuity rating decision and: - CORRECT ANSWER-The pediatric
assessment triangle (PAT)
A 2-year-old is brought to the ED 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? - CORRECT ANSWER-Immobilize the cervical spine
A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral spinal
alignment, padding should be placed under which area? - CORRECT ANSWER-The
shoulders.
Test the Ph of the gastric contents. - CORRECT ANSWER-The nurse is preparing to
administer a feeding through an NG tube. The tube position was verified by radiograph
after insertion 2 hours ago. What is the best way to verify placement before feeding?
A 20-ml syringe with a stopcock - CORRECT ANSWER-What is the best method to
rapidly administer a 20 ml/kg bolus of 0.9% normal saline to a pediatric patient weighing
8 kg.
Use an infusion pump to deliver fluids - CORRECT ANSWER-Immediately after
intraosseous insertion the nurse assesses the infusion and notes that the fluid is not
dripping. How should the nurse respond?
Graded A+
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. - CORRECT ANSWER-Preschoolers are
magical thinkers and imagine bandages keep their insides from coming out.
A 7-month old presents to the ED with a complaint of fever. Assessment reveals a
patent airway and a slight cyanosis around his lips and nail beds. He is alert and
interactive. His vital signs are 38.5 (101.3), HR 134, RR 32, BP 78/54 mm Hg, and
SPO2 of 84%. The nurse notes a healed surgical scar on his chest.Based on this
assessment, what is the nurse's priority? - CORRECT ANSWER-As if the SPO2 is
normal for him.
An 11-year-old presents to the ED with a complaint of hitting his head while playing
soccer. The nurse enters the room and performs an across the room assessment. He is
starting at the wall. He has no increased work of breathing and his color is pink. Using
the PAT what classification will the nurse assign? - CORRECT ANSWER-Sicker
The pediatric prioritization process components include the focused assessment,
focused history, acuity rating decision and: - CORRECT ANSWER-The pediatric
assessment triangle (PAT)
A 2-year-old is brought to the ED 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? - CORRECT ANSWER-Immobilize the cervical spine
A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral spinal
alignment, padding should be placed under which area? - CORRECT ANSWER-The
shoulders.
Test the Ph of the gastric contents. - CORRECT ANSWER-The nurse is preparing to
administer a feeding through an NG tube. The tube position was verified by radiograph
after insertion 2 hours ago. What is the best way to verify placement before feeding?
A 20-ml syringe with a stopcock - CORRECT ANSWER-What is the best method to
rapidly administer a 20 ml/kg bolus of 0.9% normal saline to a pediatric patient weighing
8 kg.
Use an infusion pump to deliver fluids - CORRECT ANSWER-Immediately after
intraosseous insertion the nurse assesses the infusion and notes that the fluid is not
dripping. How should the nurse respond?
