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Practice test ENPC Questions and Answers
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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. Ans: Preschoolers are magical thinkers and imagine
bandages keep their insides from coming out.
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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
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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?
Ans: 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? Ans: Sicker
The pediatric prioritization process components include the focused
assessment, focused history, acuity rating decision and: Ans: 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? Ans: Immobilize the
cervical spine
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A 2-year-old has a suspected cervical spinal injury. In order to ensure
neutral spinal alignment, padding should be placed under which area?
Ans: The shoulders.
Test the Ph of the gastric contents. Ans: 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 Ans: What is the best method to rapidly
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administer a 20 ml/kg bolus of 0.9% normal saline to a pediatric patient
weighing 8 kg.
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Use an infusion pump to deliver fluids Ans: Immediately after
intraosseous insertion the nurse assesses the infusion and notes that the
fluid is not dripping. How should the nurse respond?
Croup Ans: A 13-month old presents to the ED with a 2-day history of a
low-grade fever, increased work of breathing, and tonight developed a
barky cough and inspiratory stridor. What condition does the nurse
suspect.
in the morning Ans: In providing education to a family regarding
obtaining baseline peak airway flow for a child with asthma, the nurse
will recommend what time of the day
Every 2 to 5 minutes Ans: The nurse is planning to begin oral rehydration
therapy for a 9-month old with mild dehydration. She provides the
caregivers witha glucose and solution and instructs them to administer
small amounts.