ENPC EXAM 2 LATEST VERSIONS (VERSION A & B) ALL
300 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
Pediatric triangle - ANSWER: appearance
work of breathing
circulation to skin
General appearance considerations - ANSWER: Tone
Interactiveness: drawn to sounds or people. Wants to play
Consolability
Look/Gaze
Speech/cry
Work of breathing: - ANSWER: Increased work of breathing evidenced by tachypnea,
stridor, grunting, retractions, accessory musles, nasal flaring, head bobbing,
abnormal positioning
Circulation to Skin - ANSWER: Observe palor
mottling
cyanosis
Sick, Sicker, Sickest - ANSWER: Sick: no disruption of any component of PAT but
caregivers are concerned
Sicker: one component of PAT is a concern
Sickest 2+ concerns of PAT
2 leading causes of altered mental status in kids - ANSWER: hypoxia
hypoglycemia
Blood pressure norms - ANSWER: Hypotension: Less than 70 + (2 x age in years)
Widening pulse pressure = increased ICP
Narrowing pulse pressure = hypovolemic shock
Crying child - ANSWER: Vigorous = good
weak = sick
high-pitched = increased ICP
"Fussiness" = red flag
Respiratory distress indicated by: - ANSWER: increased heart rate
, skin color changes
incrased work of breathing
wheezing
diaphoresis
abnormal airwa sounds
Respiratory failure signs - ANSWER: fatigue and become lethargic
hypoxia
hypercarbia
General airway interventions - ANSWER: Allow child to stay in most comfortable
position
Give O2 to maintain it above 92%
O2 does NOT measure ventilation
Croup - ANSWER: 1-3 days of nasal congestion and fever with sudden onset of barky
cough
Treatment: dexamethasone and nebulized epi
Discharge Teaching: oral hydration, get child to cool air or steamy bathroom
Asthma interventions - ANSWER: albuterol, duo neb and oral steroid
Bronchiolitis/RSV - ANSWER: Assessment: 1-3 days nasal congestion fever, cough,
respiratory distress with wheezing and crackles. Dehydration and tachypnea
interventions: nasla suctioning, fluids
sever: heated, high flow nasal cannula O2
Discharge: lasts 2-3 weeks; nasal suctioning; monitor hydration
treating hypoglycemia - ANSWER: obtain glucose for anyone who is not awake and
alert
treat kids with 2-4ml/kg of D25W
When to perform blood glucose test? - ANSWER: When the child is not awake and
alert or AMS is suspected
Preventing Secondary brain injury in TBI - ANSWER: prevent hypotension and
hypoxia
cuffed vs uncuffed tube - ANSWER: uncuffed= (age in years/4) + 4
cuffed= (age in years/4) + 3.5
fluid bolus formula - ANSWER: infant: 10ml/kg
300 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
Pediatric triangle - ANSWER: appearance
work of breathing
circulation to skin
General appearance considerations - ANSWER: Tone
Interactiveness: drawn to sounds or people. Wants to play
Consolability
Look/Gaze
Speech/cry
Work of breathing: - ANSWER: Increased work of breathing evidenced by tachypnea,
stridor, grunting, retractions, accessory musles, nasal flaring, head bobbing,
abnormal positioning
Circulation to Skin - ANSWER: Observe palor
mottling
cyanosis
Sick, Sicker, Sickest - ANSWER: Sick: no disruption of any component of PAT but
caregivers are concerned
Sicker: one component of PAT is a concern
Sickest 2+ concerns of PAT
2 leading causes of altered mental status in kids - ANSWER: hypoxia
hypoglycemia
Blood pressure norms - ANSWER: Hypotension: Less than 70 + (2 x age in years)
Widening pulse pressure = increased ICP
Narrowing pulse pressure = hypovolemic shock
Crying child - ANSWER: Vigorous = good
weak = sick
high-pitched = increased ICP
"Fussiness" = red flag
Respiratory distress indicated by: - ANSWER: increased heart rate
, skin color changes
incrased work of breathing
wheezing
diaphoresis
abnormal airwa sounds
Respiratory failure signs - ANSWER: fatigue and become lethargic
hypoxia
hypercarbia
General airway interventions - ANSWER: Allow child to stay in most comfortable
position
Give O2 to maintain it above 92%
O2 does NOT measure ventilation
Croup - ANSWER: 1-3 days of nasal congestion and fever with sudden onset of barky
cough
Treatment: dexamethasone and nebulized epi
Discharge Teaching: oral hydration, get child to cool air or steamy bathroom
Asthma interventions - ANSWER: albuterol, duo neb and oral steroid
Bronchiolitis/RSV - ANSWER: Assessment: 1-3 days nasal congestion fever, cough,
respiratory distress with wheezing and crackles. Dehydration and tachypnea
interventions: nasla suctioning, fluids
sever: heated, high flow nasal cannula O2
Discharge: lasts 2-3 weeks; nasal suctioning; monitor hydration
treating hypoglycemia - ANSWER: obtain glucose for anyone who is not awake and
alert
treat kids with 2-4ml/kg of D25W
When to perform blood glucose test? - ANSWER: When the child is not awake and
alert or AMS is suspected
Preventing Secondary brain injury in TBI - ANSWER: prevent hypotension and
hypoxia
cuffed vs uncuffed tube - ANSWER: uncuffed= (age in years/4) + 4
cuffed= (age in years/4) + 3.5
fluid bolus formula - ANSWER: infant: 10ml/kg
