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ENA Emergency Nurses
Association
ENPC Emergency Nursing Pediatric Course
ENPC Certification Written Exam &
Pediatric Trauma Scenarios Assessment
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ENPC 6
th
Edition Final ENA Exam Review
Emergency Nursing Pediatric Course ENPC
Certification Questions and Answers | 100%
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ENPC Certification Written Exam & Pediatric
Trauma Scenarios Assessment
ENPC Emergency Nursing Pediatric Course
Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - A 5-year-old presents with sudden onset nausea, vomiting, abdominal cramping, hives, and hypotension after eating lunch. Which of the following is the priority intervention? - =Answer>> intramuscular epinephrine A teenager presents to the ED for evaluation of pain with deep inspiration. The pain was a sudden onset after running track at school. While obtaining the history, the patient states that they have Marfan Syndrome. What would be a priority triage question based on this information? - =Answer>> Have you ever had a pneumothorax? An 8-year-old pedestrian is thrown onto the hood of a moving vehicle striking the windshield. On arrival to the ED. the patient is minimally responsive with active bleeding from the nose and mouth. The patient is Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱 Click Here To <> Follow Link
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📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com distressed and pale. He complains of spasming pain in his right scrotum which has now become constant and more severe. Which of the following assessment findings would the nurse expect with this patient? - =Answer>> Elevated right resticle A parent brings in a 4-month-old infant reporting seizure-like activity at home. The parent denies a fever and reports that the infant is otherwise healthy. Which of the following is most important for the nurse to inquire about? - =Answer>> The ratio of formula to water used when mixing a bottle An 8-year-old male presents to the emergency department with incoherent speech, hallucinations, and violent behavior. What is the priority in caring for this patient? - =Answer>> Ensure safety of the patient and staff A 3-week old is brought to the emergency department with a history of fussiness, spitting up, crying, and watery stools.Assessment reveals an alert child with moist mucous membranes. Which of the following should be the priority? - =Answer>> Identify the type of formula the caregiver uses The nurse is reevaluating the effectiveness of interventions for a 4-year-old child with a suspected tension pneumothorax. Which assessment finding indicates the interventions were effective? - =Answer>> Bilateral chest wall rise with assisted ventilations An 8-year-old trauma patient suddenly develops increased respiratory distress with a rise in heart rate from 112 beats/minute to 142 beats/minute associated with an abrupt hypotensive event. Distention of the Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com jugular veins is noted. Which of the following emergent interventions should be anticipated first? - =Answer>> high flow oxygen A 14-year-old patient presents to the emergency department with her aunt after being assaulted. The patient has multiple bruises inconsistent with the assault history and seems guarded with her answers. A urine test is positive for pregnancy, although the patient denies being sexually active. The aunt repeatedly asks when they will be discharged. The ED nurse recognizes these finding as red flags for which of the following? - =Answer>> A.Labor trafficking B.Sex trafficking C.Psychological abuse D.Physical abuse 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? - =Answer>> A.Lumbar fracture B.Pneumothorax C.Subdural hematoma D.Cardiac tamponade Which patient reflects an EMTALA compliant transfer? - =Answer>> A.An actively seizing toddler being transferred to a pediatric-specific facility. That facility is checking on inpatient bed availability. B.A post-ictal patient with status epilepticus being transferred to a higher level of care with an accepting physician. All records are copied. Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com D.Administering maintenance IV fluids A child with bipolar disorder is brought to the emergency department for increasing irritability, agitation, pressured speech, and a decreased need for sleep. What should be included in the plan of care for this child? - =Answer>> A.Limiting caregiver presence in the room B.Providing distraction using loud video games C.Performing a suicide risk assessment D.Allowing unrestricted movement throughout the department. A 5-year-old patient presents with severe dehydration and signs of shock due to viral gastroenteritis. Which of the following physiologic responses by this patient will have the greatest impact on improving their cardiac output? - =Answer>> A.Increased heart rate B.Decreased preload C.Increased afterload D.Decreased contractility An 8-month-old arrives with a 12-hour history of intermittent abdominal pain, non-bilious vomiting, and a low grade fever. On assessment the child is intermittently inconsolable followed by periods of normal activity. A sausage-shaped mass is noted during palpation of the abdomen. The nurse should prepare for which of the following? - =Answer>> A.Gastric tube insertion B.Enema with air C.Surgical intervention D.Computerized tomography What is the first step in the care of the newly born infant? - =Answer>> A.Suction the nose and mouth B.Measure pulse oximetry Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com C.Calculate an APGAR score D.Warm, dry, and stimulate A 2-year-old arrives with a 2-day history of vomiting and diarrhea. The patient has a fever of 38.4oC (101.2°F), resting HR of 152 beats/minute, RR of 34 breaths/minute, and blood pressure of 94/ 56 mm Hg. Assessment reveals a capillary refill time of > 5 seconds. Which of the following would be most indicative of the need for intravenous rehydration therapy for this patient? - =Answer>> A.Capillary refill B.Blood pressure C.Pulse rate D.Respiratory rate Which of the following is a family-centered care concept? - =Answer>> A.Information is shared with family only when medical decisions are made by the provider. B.Procedures are completed and then caregivers are brought to room to console the patient. C.Cultural backgrounds are assessed and incorporated into the plan of care. D.Lounges and waiting rooms are the designated areas for caregivers until emergency care is completed. A school-aged child arrives in the emergency department with a 2-day history of vomiting. The child is cool and pale, with weak pulses, elevated heart rate, and capillary refill of 4 to 5 seconds. Which of the following is the priority intervention for the child? - =Answer>> A.Provide warming measures B.Initiate a fluid bolus C.Obtain a bedside glucose D.Administer an antiemetic Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com Which of the following physiological changes in an infant increase the chances of drowning? - =Answer>> A.Presence of large tongue B.Smaller tracheal diameter C.Cranial sutures not fused D.Weak neck muscles A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately. After several attempts, your team has been unsuccessful at establishing vascular access. Of the following, which is the next best option for establishing access quickly? - =Answer>> A.Intraosseous in the patient's medial tibia. B.Peripherally inserted central catheter C.Assisting with central line placement. D.Intraosseous in the patient's scapula. An 8-year-old trauma patient suddenly develops increased respiratory distress with a rise in heart rate from 112 beats/minute to 142 beats/minute associated with an abrupt hypotensive event. Distention of the jugular veins is noted. Which of the following emergent interventions should be anticipated first? - =Answer>> A.High-flow oxygen B.Drug-assisted intubation C.Surgical thoracotomy D.Needle decompression 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? - =Answer>> A.Infuse a bolus of crystalloid solution B.Expose the child's body for full exam Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com C.Log roll to assess posterior aspect D.Prepare for immediate intubation A parent brings in a 4-month-old infant reporting seizure-like activity at home. The parent denies a fever and reports that the infant is otherwise healthy. Which of the following is most important for the nurse to inquire about? - =Answer>> A.The likelihood of the infant ingesting a harmful substance B.The temperature of the bath water when bathing the infant C.The method by which the parent is measuring the temperature D.The ratio of formula to water used when mixing a bottle During a diaper change on a 4-month-old infant, the nurse measures the infant's urinary output. After subtracting the weight of a dry diaper, the wet diaper weighs 22 grams. What is the infant's estimated urinary output? - =Answer>> A.33 mL B.11 mL C.44 mL D.22 mL An 8-year-old arrives following a bicycle crash with swelling and bleeding from the right side of his face, deformities to the jawline, nasal swelling, and epistaxis. He is unresponsive with snoring respirations and an absent gag reflex. Which of the following airway adjuncts would be most appropriate for this patient? - =Answer>> A.Nasopharyngeal airway (NPA) B.Head tilt - chin lift maneuver C.Elevate the head of the bed D.Oropharyngeal airway (OPA) Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com B.Auscultate bilateral breath sounds C.Insert an intravenous catheter D.Administer inhaled albuterol An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of the following findings would be most indicative that respiratory failure is developing? - =Answer>> A.SpO2 of 94 % on room air B.Widened pulse pressure C.Extreme lethargy D.Flash capillary refill An 8-year-old male presents to the emergency department with incoherent speech, hallucinations, and violent behavior. What is the priority in caring for this patient? - =Answer>> A.Administer antipsychotic medications B.Evaluate laboratory values C.Allow family and friend visitation D.Ensure safety of the patient and staff A 14-year-old patient had a reduction of a temporomandibular joint dislocation in the ED. Which of the following should be included in the discharge instructions? - =Answer>> A.Practice yawning three to four times a day B.Resume eating a regular diet later today C.Apply hot packs to the joint area for pain control D.Use a nonsteroidal anti-inflammatory for pain control A 3-year-old has a two-day history of runny nose, low- grade fever, and a "barky" cough at night. The child is awake and alert with noted stridor. Assessment reveals moderate retractions. Pulse oximetry is 96% on room air. Which of the following interventions would be the most appropriate for this child? - =Answer>> A.Delivery of humidified oxygen by nasal cannula Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com B.Administration of nebulized epinephrine C.Suctioning secretions from the oropharynx D.Administration of albuterol with a spacer A 14-year-old patient with Down syndrome presents with an abnormal gait, head tilted to the left, decreased sensation to the extremities, and urinary incontinence. The patient has no history of trauma. Which of the following diagnostics is the priority for this patient? - =Answer>> A.Lumbar spine magnetic resonance imaging B.Complete neurologic exam C.Urinalysis by straight catheterization D.Cervical spine radiographs A 13-year -old male presents to the triage desk complaining of nausea and vomiting. The patient looks distressed and pale. He complains of spasming pain in his right scrotum which has now become constant and more severe. Which of the following assessment findings would the nurse expect with this patient? - =Answer>> A.Foul smelling penile discharge B.Persistent penile erection C.Elevated right testicle D.Hematuria and pyuria Parents report their 3-year-old child has developed noisy breathing. On assessment, high-pitched wheezes are audible and auscultated on inspiration and expiration. What medication would be appropriate to administer first? - =Answer>> A.Humidified oxygen B.Inhaled beta-agonist C.Oral steroids D.Nebulized magnesium sulfate A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry mucous membranes. Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com the home are locked in a safe place with no access by the patient 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 assessment reveals a swollen scrotum. What is the priority intervention for this patient? - =Answer>> Preparing the patient for ultrasound Which of the following is a first-line treatment for atopic dermatitis? - =Answer>> Skin Hydration therapy page 202 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? - =Answer>> Audible wheeing and retractions page 118 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? - =Answer>> Purpuric rash 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. Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com Which of the following is the priority intervention for this child? - =Answer>> Prepare for immediate intubation 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? - =Answer>> Lumbar puncture 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? - =Answer>> Dedicating a healthcare team member witha qualified interpreter to be with the family 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? - =Answer>> Place in airborne percautions 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 shock. Based on these findings, what condition should the nurse suspect? - =Answer>> Necrotizing enterocolitis Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com A 3 year-old patient presents following frequent emesis and diarrhea over the past 12 hours. Which of the following assessment findings indicate that the patient' body is compensating for the fluid loss? - =Answer>> A.Increased diastolic blood pressure B.Bounding peripheral pulses C.Prolonged capillary refill D.Increased urine output You are discharging a patient home who has a history of depression. Discharge teaching should include which of the following? - =Answer>> A.Discussing the importance of stopping all current psychiatric medications. B.Providing the family a list of behavioral health facilities to call for follow-up. C.Explaining that the family should not call authorities for escalations in the patient's behavior. D.Ensuring all firearms in the home are locked up with no access available by the patient. A child with an electrical injury is seen 1 hour post event. Which of the following specimen samples would provide visual information regarding a potential complication of this injury? - =Answer>> A.Serum B.Urine C.Stool D.Sputum A 4-year-old patient is being assessed for a foreign body in the nose. The child is awake and alert and watching a video on the caregivers phone. Vitals include HR of 110 beats/minute, RR of 26 breaths per minute, BP of 138/90 mm Hg, and T of 37.3oC (99.3oF) orally. Which of the following interventions should the Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here: 📱 Hybridgrades101@gmail.com nurse perform next? - =Answer>> A.Check the size of the blood pressure cuff B.Recheck the temperature rectally C.Recheck the blood pressure on the other arm D.Place the patient on cardiac and respiratory monitors A 10-year-old playing baseball is hit in the chest with a ball. He immediately demonstrates loss of consciousness with no pulses. Which of the following is the priority intervention? - =Answer>> A.Utilize AED/defibrillator B.Prepare for needle decompression C.Administer intravenous epinephrine D.Intubate with endotracheal tube 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 assessment reveals a swollen scrotum. What is the priority intervention for this patient? - =Answer>> A.Obtaining a sterile urine sample B.Initiating intravenous access C.Preparing the patient for ultrasound D.Scanning the patient's bladder A caregiver reports their one-month-old has had a yellowish color to their eyes and skin over the last two weeks. If left untreated, which body system can this affect? - =Answer>> A.Integumentary B.Renal C.Gastrointestinal D.Neurological An infant presents to the emergency department with difficulty breathing. The patient is pale and respirations Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
