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ENPC Questions and Correct Answers | Latest Update
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  • ENPC

Components in the prioritization of pediatric emergency care (4) → ::- PAT, Focused Assessment (objective information), Focused pediatric Hx(subjective information), assignment of an acuity rating decision Pediatric Assessment Triangle : (3) components → ::- Appearance. Work of Breathing. ...

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Document information

  • September 24, 2024
  • 39
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • enpc questions and correct answers latest updat
  • components in the prioritization of pediatric emer

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  • ENPC
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1 | P a g e | © copyright 2024/2025 | Grade A+




ENPC Questions and Correct
Answers | Latest Update
A 4-day-old who is brought to the emergency department with the parental

complaint of "not acting right" is found to be hypoglycemic. What is the

appropriate glucose concentration to administer to this neonate?

A.Dextrose 5%

B.Dextrose 10%

C.Dextrose 25%

D.Dextrose 50%


→ ::- B




Dextrose 10% is the preferred concentration for neonates with hypoglycemia

to protect their fragile vasculature while providing needed glucose. Dextrose

5% is not used to treat hypoglycemia in children. Dextrose 25% is used for

children above the age of 5 years. Dextrose 50% is not recommended for use

in pediatrics unless it is diluted.




Assessment of the fontanelle provides the most useful information for which

two components of the primary survey?

A.Circulation and disability

B.Breathing and circulation


Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


C.Disability and exposure

D.Circulation and exposure


→ ::- A




A sunken fontanelle is a red flag for circulation assessment in pediatric triage

and may indicate dehydration . A bulging fontanel is a red flag for disability

assessment in pediatric triage and can indicate increased intracranial

pressure.




Which of the following indicates the need for additional caregiver education

regarding a urinary tract infection?

A.I should encourage my child to drink extra fluids.

B.I need to make a follow-up appointment with child's physician.

C.My child will grow out of their frequent urinary tract infections.

D.My child should complete all of their antibiotic medication.


→ ::- C




A nurse providing trauma informed care to the family of a seriously ill child

should be doing which of the following?

A.Placing the family in a quiet, secluded room

B.Referring to their child as "the patient"



Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


C.Making sure the family does not stay at the bedside.

D.Appointing one staff member to stay with the family


→ ::- D




Caregivers experiencing the crisis of a critically ill child have low attentiveness

and increased stress so would benefit from having a member of the

healthcare team to stay with them as much as possible and communicate

updates on the plan of care. Caregivers should be allowed to stay with their

child as much as possible and not placed in a secluded room away for them.




The caregiver of a 7-year old reports witnessing a seizure at home, but no

seizure history. The patient is post-ictal with a heart rate of 142 beats per

minute, respiratory rate of 36 breaths per minute, and blood pressure of 86/72

mm Hg. Significant burns are noted to the patient's back and lower

extremities. The caregiver states the burns accidentally occurred three days

ago, but was afraid to bring the patient in due to an ongoing child welfare

investigation.Which of the following groups of interventions are the priority for

this patient?

A.Call police and child welfare authorities and have security detain the

caregiver

B.Administer intravenous analgesics and obtain a point of care glucose




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


C.Draw a metabolic panel, point of care glucose, and administer a fluid

bolus

D.Administer lorazepam and a fluid bolus and place on seizure precautions


→ ::- C




Burn injuries result in fluid and electrolyte shifts leading to hypovolemia and

electrolyte imbalances. Early identification and treatment of electrolyte

imbalances can help prevent further seizures. Contacting child protective

services and other authorities can wait. The patient is post-ictal so does not

require lorazepam medication at this time. Pain medication can and should

be considered with significant burns, but is not a priority.




What is the priority intervention for symptomatic bradycardia in a four-year-

old child?

A.Administer intravenous atropine

B.Administer intravenous epinephrine

C.Initiate bag-mask ventilation

D.Initiate transcutaneous pacing


→ ::- C

\




Master01 | September, 2024/2025 | Latest update

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