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ENPC EXAM 2023 PRACTICE QUESTIONS AND ANSWERS

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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 tac...

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  • April 9, 2023
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  • 2022/2023
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ENPC EXAM 2023 PRACTICE QUESTIONS AND ANSWERS


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

kid: 20ml/kg

normal vitals - Answer pg 52

blood glucose normal ages 5-11 - Answer 72-140

Cardiac Assessment - Answer Trend pulse and pulse pressure

palapate upper and lower extremity pulses

symptoms of CHF - Answer poor feeding, irritability, fatigue easily with rapid
resp rate, increased work of breathing

Ass and Interventions similar to adults

Myocarditis Assessment and treatment - Answer Assess: consider in anyone
with recent viral infection; SOB and crackles; dysrhthmias; heart failure;
syncope; elevated liver enzymes

Treat: diuretics; BP support; ECMO; transplant

Hypovolemic Shock - Answer Tachycardia, tacypnea; AMS; slight increaes in
diastolic pressure

Intervention: Stop bleed; give fluids and RBC; balanced therapy; offer pedialyte if
not NPO

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