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ENPC 4th Edition: Practice Test Exam Questions And Answers
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ENPC 4th Edition: Practice Test ExamQuestions And Answers
1. A preschooler has a small laceration that requires 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?
A.) Preschoolers are magical thinkers and imagine bandages keep their
insides from coming out.
B.) Preschoolers fear physical disability and believe a bandage will
prevent disability.
C.) Preschoolers explore orally and will likely chew or suck on the
stitches if left uncovered.
D.) Preschoolers are concerned with body image and don't want to
appear different than peers. -
correct answer ✅A.) Preschoolers are magical thinkers and imagine
bandages keep their insides from coming out.
Rationale: Preschoolers are magical and illogical thinkers and have
difficulty distinguishing fantasy from reality. They have misconceptions
about illness, injury, and bodily functions. For example, they perceive
that if their skin is cut, they fear their insides will leak out. Covering a
wound with a bandage helps them with this fear.
2. 7-month-old presents to the emergency department with a
complaint of fever. Assessment reveals a patent airway and slight
cyanosis around his lips and nail beds. He is alert and interactive. His
vital signs are 38.5 C (101.3F), HR 134, RR 32, BP 78/54 mm Hg, and
,ENPC 4th Edition: Practice Test Exam
Questions And Answers
Spo2 84%. The nurse notes a healed surgical scar on his chest. Based on
this assessment, what is the nurse's priority?
A.) Administer ibuprofen to treat the fever.
B.) Begin oxygen via a nonrebreather mask.
C.) Obtain a surgical history.
D.) Ask if the Spo2 is normal for him. -
correct answer ✅D.) Ask if the Spo2 is normal for him.
Rationale: Children with special healthcare needs may present
differently than other children, but these differences may be normal.
The surgical scar on the chest is likely from a congenital heart defect
repair. The mother's chief complaint is the fever, not the color, pulse
oximetry, or the respiratory distress. This may be because these aspects
of his assessment are normal. The intact mental status is also a sign that
he has adapted to lowers oxygen saturation's. The child's baseline must
come from the caregiver before any intervention.
3. An 11-year-old presents to the emergency department with a
complaint of hitting his head while playing soccer. The nurse enters the
room and performs an across-the-room assessment. He is staring at the
wall. He has no increased work of breathing, and his color is pink. Using
the pediatric assessment triangle (PAT), what classification will the
nurse assign?
A.) Well
, ENPC 4th Edition: Practice Test Exam
Questions And Answers
Rationale: In using the PAT, there is not a Well category. A child may
appear well and without disruption in any of the three components of
the PAT but is still designated sick. All pediatric patients presenting to
the emergency department are considered sick simply based on the fact
that the caregiver was concerned enough to bring the child to the
emergency department (p. 54).
B.) Sick
Rationale: If there is no disruption in any of the three components of
the PAT, a pediatric patient is considered sick. This child has an
abnormality in one of the thre -
correct answer ✅C.) Sicker
Rationale: This child has a disruption in one of the three components of
the PAT. He is staring at the wall, which is a disruption in the general
appearance component. It may be that he is anxious and fearful about
the experience, but it could be a result of the head injury. More
assessment is required (p. 54).
4. The pediatric prioritization process components include the focused
assessment, focused history, acuity rating decision and:
A.) the pediatric assessment triangle (PAT).
Rationale: The four components of the pediatric prioritization process
include the pediatric assessment triangle (PAT), the focused assessment
(objective data), the focused history (subjective data), and the
assignment of the triage acuity rating. These components ensure
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