ENPC 6th Edition Exam Questions and
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Assessment and Triage
1. **Q:** What is the primary goal of the initial assessment in pediatric emergency nursing?
- **A:** The primary goal is to identify life-threatening conditions quickly and initiate immediate
treatment.
2. **Q:** What does the “ABCDE” approach stand for in pediatric trauma assessment?
- **A:** Airway, Breathing, Circulation, Disability, Exposure/Environment.
3. **Q:** In pediatric triage, what is the most important factor in determining the urgency of
care?
- **A:** The severity of the child’s condition and potential for deterioration.
4. **Q:** How is the pediatric assessment triangle (PAT) used in initial patient evaluation?
- **A:** It assesses appearance, work of breathing, and circulation to skin to determine the
child's physiological status.
5. **Q:** What are the key components of the PAT?
- **A:** Appearance, work of breathing, and circulation to the skin.
### Airway and Breathing
6. **Q:** What is the preferred method for opening the airway in an unresponsive child without
suspected spinal injury?
- **A:** Head-tilt, chin-lift maneuver.
7. **Q:** What is the most common cause of upper airway obstruction in children?
- **A:** Foreign body aspiration.
8. **Q:** How should an oxygen mask be chosen for a pediatric patient?
- **A:** It should be appropriate for the child's size to ensure proper fit and oxygen delivery.
, 9. **Q:** What is the recommended rate of ventilation for a child receiving bag-valve-mask
ventilation?
- **A:** Approximately 12 to 20 breaths per minute.
10. **Q:** What is the first-line treatment for severe croup in a pediatric patient?
- **A:** Nebulized epinephrine and corticosteroids.
### Circulation
11. **Q:** What is the initial fluid bolus for a child in hypovolemic shock?
- **A:** 20 mL/kg of isotonic crystalloid solution.
12. **Q:** What signs indicate compensated shock in children?
- **A:** Tachycardia, delayed capillary refill, cool extremities, and normal blood pressure.
13. **Q:** How do you assess circulation in a pediatric patient?
- **A:** Check heart rate, capillary refill time, skin color, and temperature.
14. **Q:** What is the most common cause of cardiopulmonary arrest in children?
- **A:** Respiratory failure leading to hypoxia.
15. **Q:** What is the definition of bradycardia in a child?
- **A:** A heart rate below the normal range for the child’s age, typically under 60 beats per
minute in infants.
### Disability and Exposure
16. **Q:** What does the “AVPU” scale stand for in assessing a child’s level of consciousness?
- **A:** Alert, Verbal response, Painful response, Unresponsive.
17. **Q:** What is the primary purpose of exposing a pediatric patient during the initial
assessment?
- **A:** To identify hidden injuries or conditions, while maintaining body temperature.
18. **Q:** Which scale is commonly used to assess the level of consciousness in pediatric
patients?
- **A:** The Glasgow Coma Scale (GCS) adapted for children.
19. **Q:** What is a common cause of altered mental status in children?
- **A:** Hypoglycemia, infections, or head trauma.
20. **Q:** How is hypoglycemia treated in a pediatric patient?
- **A:** Administering oral glucose or intravenous dextrose, depending on the patient’s
condition.
Answers: Latest Update for Guaranteed
Success 100%
Assessment and Triage
1. **Q:** What is the primary goal of the initial assessment in pediatric emergency nursing?
- **A:** The primary goal is to identify life-threatening conditions quickly and initiate immediate
treatment.
2. **Q:** What does the “ABCDE” approach stand for in pediatric trauma assessment?
- **A:** Airway, Breathing, Circulation, Disability, Exposure/Environment.
3. **Q:** In pediatric triage, what is the most important factor in determining the urgency of
care?
- **A:** The severity of the child’s condition and potential for deterioration.
4. **Q:** How is the pediatric assessment triangle (PAT) used in initial patient evaluation?
- **A:** It assesses appearance, work of breathing, and circulation to skin to determine the
child's physiological status.
5. **Q:** What are the key components of the PAT?
- **A:** Appearance, work of breathing, and circulation to the skin.
### Airway and Breathing
6. **Q:** What is the preferred method for opening the airway in an unresponsive child without
suspected spinal injury?
- **A:** Head-tilt, chin-lift maneuver.
7. **Q:** What is the most common cause of upper airway obstruction in children?
- **A:** Foreign body aspiration.
8. **Q:** How should an oxygen mask be chosen for a pediatric patient?
- **A:** It should be appropriate for the child's size to ensure proper fit and oxygen delivery.
, 9. **Q:** What is the recommended rate of ventilation for a child receiving bag-valve-mask
ventilation?
- **A:** Approximately 12 to 20 breaths per minute.
10. **Q:** What is the first-line treatment for severe croup in a pediatric patient?
- **A:** Nebulized epinephrine and corticosteroids.
### Circulation
11. **Q:** What is the initial fluid bolus for a child in hypovolemic shock?
- **A:** 20 mL/kg of isotonic crystalloid solution.
12. **Q:** What signs indicate compensated shock in children?
- **A:** Tachycardia, delayed capillary refill, cool extremities, and normal blood pressure.
13. **Q:** How do you assess circulation in a pediatric patient?
- **A:** Check heart rate, capillary refill time, skin color, and temperature.
14. **Q:** What is the most common cause of cardiopulmonary arrest in children?
- **A:** Respiratory failure leading to hypoxia.
15. **Q:** What is the definition of bradycardia in a child?
- **A:** A heart rate below the normal range for the child’s age, typically under 60 beats per
minute in infants.
### Disability and Exposure
16. **Q:** What does the “AVPU” scale stand for in assessing a child’s level of consciousness?
- **A:** Alert, Verbal response, Painful response, Unresponsive.
17. **Q:** What is the primary purpose of exposing a pediatric patient during the initial
assessment?
- **A:** To identify hidden injuries or conditions, while maintaining body temperature.
18. **Q:** Which scale is commonly used to assess the level of consciousness in pediatric
patients?
- **A:** The Glasgow Coma Scale (GCS) adapted for children.
19. **Q:** What is a common cause of altered mental status in children?
- **A:** Hypoglycemia, infections, or head trauma.
20. **Q:** How is hypoglycemia treated in a pediatric patient?
- **A:** Administering oral glucose or intravenous dextrose, depending on the patient’s
condition.
