Emergency Nursing Pediatric Course (ENPC)
6th Edition Provider Course Exam review
questions and answers well illustrated.
1. A caregiver presents to the emergency department with an 18-month-old and
reports the child is not using their left arm after playing a game with an older sibling.
The child is alert and curious, with regular, even respirations, and skin color is
appropriate. - correct answer. Sick
2. A 12-year-old restrained, back -seat passenger involved in a motor vehicle crash
is noted to have hypotension, tachycardia, and contusions and discoloration
across the lap area. On exam a splenic rupture is suspected. Which of the
following diagnoses should be suspected as a companion injury with these
findings and associated mechanism of injury? - correct answer.
Pneumothorax
3. 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry
mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute,
BP of 70/44 mm Hg, and HR of 144 beats per minute. Which of the following
laboratory values would be most expected in this child? - correct answer. Low pH
level
4. You are discharging a patient home who has a history of depression. Discharge
teaching should include which of the following? - correct answer. Ensuring all
firearms in the home are locked in a safe place with no access by the patient
5. The triage nurse is assessing a 14 year old male who was brought in by
ambulance. The patient reports he was playing his video games at home when
he had a sudden onset of groin pain that was so severe he became nauseated
and vomited. Further
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, 6. assessment reveals a swollen scrotum. What is the priority intervention for this patient?
7. - correct answer. Preparing the patient for ultrasound
8. Which of the following is a first-line treatment for atopic dermatitis? - correct answer.
9. Skin Hydration therapy
page 202
10. A 2-year-old child is seen with acute respiratory distress after playing alone.
Caregiver statements indicate the child was found playing with irregular, ½ - ¾
inch sized pieces of a game. Which of the following assessment findings would
most likely be expected for this situation? - correct answer. Audible wheeing and
retractions
11. page 118
12. The nurse is triaging an infant brought to the emergency department by their
caregiver. Which finding by the nurse leads the infant to be placed in isolation? -
correct answer. Purpuric rash
13. A child was found unresponsive under the monkey bars during recess and arrives
with the following assessment: eyes open only with supraorbital pressure stimulus,
no verbal response is elicited, and withdraws arms and legs when a swab is inserted
in the nose. Which of the following is the priority intervention for this child? - correct
answer.
14. Prepare for immediate intubation
15. A 6-week-old is brought to the emergency department by the caregivers for poor
feeding, listlessness, and fever. Assessment reveals a crying infant, HR 160
beats/minute, RR 52 breaths/minute, rectal temperature of 96.0 F (35.5 C), and a
bulging anterior fontanel. Capillary refill is 4 seconds. Based on these findings
what is the most likely diagnostic test the nurse should anticipate? - correct
answer. Lumbar
puncture
16. The neurosurgeon has decided to perform an invasive procedure in the emergency
department to monitor the intracranial pressure on a 5-year-old patient. The family
does not speak the local language. Which of the following interventions is most
supportive of the family during the procedure? - correct answer. Dedicating a
healthcare team member witha qualified interpreter to be with the family
17. The caregivers of a 6-year-old report the child developed a cough with nasal
congestion and "pink-eye" that started two days ago. Today they noticed a raised,
red rash on the face, and grey papules in the mouth. Which of the following is the
priority intervention for this patient? - correct answer. Place in airborne percautions
18. A 4-week-old infant born prematurely is brought to the emergency department due
to the rapid onset of abdominal distention, vomiting, bloody stools, and exhibiting
signs of
This study source was downloaded by 100000894708375 from CourseHero.com on 12-24-2024 23:28:43 GMT -06:00
https://www.coursehero.com/file/239692605/ENPC-6th-Edition-Provider-Course-Exam-review-questions-and-answers-well-illustratedpdf/
6th Edition Provider Course Exam review
questions and answers well illustrated.
1. A caregiver presents to the emergency department with an 18-month-old and
reports the child is not using their left arm after playing a game with an older sibling.
The child is alert and curious, with regular, even respirations, and skin color is
appropriate. - correct answer. Sick
2. A 12-year-old restrained, back -seat passenger involved in a motor vehicle crash
is noted to have hypotension, tachycardia, and contusions and discoloration
across the lap area. On exam a splenic rupture is suspected. Which of the
following diagnoses should be suspected as a companion injury with these
findings and associated mechanism of injury? - correct answer.
Pneumothorax
3. 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry
mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute,
BP of 70/44 mm Hg, and HR of 144 beats per minute. Which of the following
laboratory values would be most expected in this child? - correct answer. Low pH
level
4. You are discharging a patient home who has a history of depression. Discharge
teaching should include which of the following? - correct answer. Ensuring all
firearms in the home are locked in a safe place with no access by the patient
5. The triage nurse is assessing a 14 year old male who was brought in by
ambulance. The patient reports he was playing his video games at home when
he had a sudden onset of groin pain that was so severe he became nauseated
and vomited. Further
This study source was downloaded by 100000894708375 from CourseHero.com on 12-24-2024 23:28:43 GMT -06:00
https://www.coursehero.com/file/239692605/ENPC-6th-Edition-Provider-Course-Exam-review-questions-and-answers-well-illustratedpdf/
, 6. assessment reveals a swollen scrotum. What is the priority intervention for this patient?
7. - correct answer. Preparing the patient for ultrasound
8. Which of the following is a first-line treatment for atopic dermatitis? - correct answer.
9. Skin Hydration therapy
page 202
10. A 2-year-old child is seen with acute respiratory distress after playing alone.
Caregiver statements indicate the child was found playing with irregular, ½ - ¾
inch sized pieces of a game. Which of the following assessment findings would
most likely be expected for this situation? - correct answer. Audible wheeing and
retractions
11. page 118
12. The nurse is triaging an infant brought to the emergency department by their
caregiver. Which finding by the nurse leads the infant to be placed in isolation? -
correct answer. Purpuric rash
13. A child was found unresponsive under the monkey bars during recess and arrives
with the following assessment: eyes open only with supraorbital pressure stimulus,
no verbal response is elicited, and withdraws arms and legs when a swab is inserted
in the nose. Which of the following is the priority intervention for this child? - correct
answer.
14. Prepare for immediate intubation
15. A 6-week-old is brought to the emergency department by the caregivers for poor
feeding, listlessness, and fever. Assessment reveals a crying infant, HR 160
beats/minute, RR 52 breaths/minute, rectal temperature of 96.0 F (35.5 C), and a
bulging anterior fontanel. Capillary refill is 4 seconds. Based on these findings
what is the most likely diagnostic test the nurse should anticipate? - correct
answer. Lumbar
puncture
16. The neurosurgeon has decided to perform an invasive procedure in the emergency
department to monitor the intracranial pressure on a 5-year-old patient. The family
does not speak the local language. Which of the following interventions is most
supportive of the family during the procedure? - correct answer. Dedicating a
healthcare team member witha qualified interpreter to be with the family
17. The caregivers of a 6-year-old report the child developed a cough with nasal
congestion and "pink-eye" that started two days ago. Today they noticed a raised,
red rash on the face, and grey papules in the mouth. Which of the following is the
priority intervention for this patient? - correct answer. Place in airborne percautions
18. A 4-week-old infant born prematurely is brought to the emergency department due
to the rapid onset of abdominal distention, vomiting, bloody stools, and exhibiting
signs of
This study source was downloaded by 100000894708375 from CourseHero.com on 12-24-2024 23:28:43 GMT -06:00
https://www.coursehero.com/file/239692605/ENPC-6th-Edition-Provider-Course-Exam-review-questions-and-answers-well-illustratedpdf/
