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ENA Emergency Nurses
Association
ENPC Emergency Nursing Pediatric Course
ENPC Certification Written Exam &
Pediatric Trauma Scenarios Assessment
Course Title and Number: ATLS Written Examination & Practical Skills Assessment Exam Title: ATLS Exam Exam Date: Exam 2025- 2026 Instructor: ____ [Insert Instructor’s Name] _______ Student Name: ___ [Insert Student’s Name] _____ Student ID: ____ [Insert Student ID] _____________
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ENPC Practical Exam ENPC Assessment
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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: - 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 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 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 O 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 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 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. fluid bolus formula - =Answer>> infant: 10ml/kg kid: 20ml/kg normal vitals - =Answer>> pg 52 blood glucose normal ages 5-11 - =Answer>> 72- 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 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 Pain Scale and appropriate ages of use - =Answer>> Numeric- 6-17 years Visual Analog: 5- Faces: 4- FLACC- nonverbal Evaluation of child maltreatment - =Answer>> ask open ended questions use direct quotes Sex trafficing risk factors - =Answer>> limited education runaway/homeless/foster care hx of abuse livining poverty family dysfunction disability substance abuse LBGT low self-esteem, depression, social isolation Human trafficang Assessment screening - =Answer>> hx: pt doesn;t have ID; doesn't know home address; vague hx of illness; person accompanying is unwilling to leave pt. persistent/untreated STI trauma to vagina/rectum jaw/neck pain hyper startle reflex expensive items, clothing, hotel keys Increased ICP triad - =Answer>> widening pulse pressure bradycardia bulging fontenel respiratory disress 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 Febrile seizure - =Answer>> Temp greater than 100. usually occurs after 24 hour onset if occurs after that 24 hr period consider meningitis give antipyretic to promote comfort and oral intake. Does not prevent seizures Avoid ice baths Seizure Inteventions - =Answer>> turn pt on side provide safe environment check bedside glucose manage fever as a cause or a result if seizure lasts longer than 5 minutes consider benzos give antiboitcs for infection hyponatremia =3% sodium chloride Seizure medication - =Answer>> 5 min: midazolam=intranasal, IM, IV 5-10 min: 2nd dose or phenytoin 15-30 min: phenobarbital, reassess airway, consider intubation When should the parent cal 911 in for a seizing child? - =Answer>> child stops breathing parent cannot feel a pulse seizure lasts more tahn 5 minutes child has more than 1 seizure before fully awake VP shunt issues assessment - =Answer>> changes in resp rate: apnea or irregular changes in BP: widening pulse pressure Changes in HR: bradycardia fever or signs of shock redness/edema 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 Neurogenic Shock - =Answer>> Injury above T results in bradycardia, hypotension, and vasodilation, thermoregulatory instability Spinal shock - =Answer>> flaccid muscle tone below thei njury and decreased sensation at and below the level of injury kids who do not need a spine board - =Answer>> compliant child absence of distracting injury absence of alcohol GCS 15 absence of spine tenderness/neurologic findings Orbital fracture interventions - =Answer>> topical vasoconstrictor to stop bloody nose avoid blowing nose analgesics ice elevate HOB LeFort I - =Answer>> Edema of maxillary area lip laceraiton or fractured teeth edema maloccluiosn Le Fort II - =Answer>> massive facisal edema nasal swelling with obvious fracture or deformity maloccluison CSF rhinorrhea Lefort III - =Answer>> massive facial edema ecchymosis mobility and depression of zygomatic bones diplopia from nerve entrapment 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 ma,occluison CSF rhinorrhea midface and nasal fracture interventions - =Answer>> maintain airway delay surgery until swelling decreases avoid straining bending over heavy lifting blowing nose sleep with head of bed elevated for 3 nights mandibular fracture test - =Answer>> have pt bite down on tongue blade attempt to pull tongue blade out if pt unable to continuously bite down --> could indicate mandibular fracture Hyphema interventiosn - =Answer>> pt on bed rest with HOB at 35-45 degrees cover eye with shield steroids and tranexamic acid Globe injuries - =Answer>> stabalize object with a shield assess for fluid leaks CT or MRI meds to prevent increase IOP --> prevent vomiting, agitation, pain, antibiotics Gastroenteritis Assessment and Interventions - =Answer>> Assessment: increased freqency of loose, fould smelling stools, vomiting, fever/headache/malaise; ab cramping 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 Rhabdomyolysis assessment and interventin - =Answer>> Classic triad: muscle pain, weakness, dark urine Peds: muscle pain, fever, and fivral prodrome usually caused by infection (under 9yo) Diagnose: CK> Aggressive hydration; treat problem hemolytic uremic syndrome Assessment - =Answer>> damage to kidenys so they can't filter usually form illness pallor/lethargy hypertension diarrhea (bloody); N/V edema oliguria/anuria w/ hematuria and proteinuria low hemoglobin adn hematocrit levles elevated BUN and creatinine bruising, purpura AMS/seizures HUS interventions - =Answer>> diagnosis made by triad of anemia, thrombocytopenia, and renal failure DONT give antibiotic IV hydration and electrolyte correction dialysis blood/platelet transfusion antihypertensives Long bone fracture assessment - =Answer>> pain reluctance to use extremity deformity/shortening/rotation bony crepitus 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 edema tenderness on palpation delayed cap refill, cool skin six Ps long bone fracture intervention - =Answer>> extenal hemorrhage control monitor for fat emboli splint deformities -- use temp first pain managment immobilize injured extremity and joints above and below circulation is impaired = impaired alignment prepare for possible closed reduction amputation interventions - =Answer>> use tourniquet for external hemorrhage if uncontrolled by direct pressure resus and stabilize consider splinting pain management antibiotic and tetnus care for amputated limb - =Answer>> avoid excessive handling gently rinse with steril saline to remove dirt wrap in moist gauze and place in plastic bag place bag on ice interventions for compartment syndrome - =Answer>> limb at level of heart loosen or remove any bandage or splints fasciotomy septic arthritis assessment - =Answer>> 1 joint less than 3 mo: irritability, poor feeding, cellulitis, discomfort with diaper change, pseudoparalysis/fever 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 tpoical antibiotic if skin breakdown wound care to open areas observation for return of circulation Burn intervetnions - =Answer>> Stop burning process- remove clots, jewelry, diapers; cover with dry sheet; cool burns with room0eimp water prevent exposure: done PPE; brush off as much powder as possible clean minor burns with soap and water wound care as indicated: leave blisters intact; pain meds before debridement fluid replacement: 3mlxkg/% burn; use LR pt wt less than 30kg get 5% dextrose with LR monitor I&O G-tube for ventilatory effor cardiac monitoring for electrical burns opiods circumferential burns = excharotomy and montior for compartment syndrome Verbal De0escalation Techniques - =Answer>> remain 2 arms lengths away keep hands visible and not clenched stand at angle to pt avoid folding arms across chest introduce self reassure pt you want to help them speak in simple, short sentences repeat expectations if needed 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 set clear limits on which behaviors will be tolerated offer strategies to help pt calm down- oral meds; meal/blanket choices when available Emergency interventions for eating disorders - =Answer>> rehydration correcting electrolyte and metabolic imbalances monitoring cardiac dysrhythmias and hypotension General psychosis interventions - =Answer>> No hx of mental health = rule out physical issues 1st bedside glucose CBC and blood culture to rule otu onfectin electrolytes ammonia level drug screen, urinalysis, and urine culture Depression interventions - =Answer>> ask direct questons about suicidal ideation thoughts about killing yourself compete physical exam further testing not indicated for kids with preexisting mental health issues, mornal physical and mental exam and normal vital signs obtain CBC and measure thyroid levles consult mental health professional Side effects of psych meds - =Answer>> wt gain type 2 diabetes increased sedationdry mouth dizziness and nausea Extrapyramidal symptoms: dystonia (distorted posture, excessive blinking) Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
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- acuity rating Steps in neonatal resuscitation - =Answer>> 1. warm the infant
- Maintian airway
- Maintain breathing
- adequate ciruclation
- vascular access
- administer meds
- intervene if positive pressure ventilation fails
- volume expansion and vasopressor supprot decominsated shock definition - =Answer>> When blood pressure drops Hypoglycemia levels and assessment ifndings - =Answer>> Less than 40 in a newborn Less than 60 in a child abnormal mental status irritability difficulty speaking ataxia paresthesia headache hypoglycemia interventions - =Answer>> Mild symptoms: give oral carbohydrates followed by protein/starch snack unconscious pt: 5-10mL/kg D10W or 2-4mL/kg D25W vomiting common following glucogon DkA diagnostic criteria - =Answer>> Blood glucose greater than 200 pH less than 7. 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 serum bicarb less than 15 ketonemia and ketonuria Assessment for DKA - =Answer>> polyphagia, polyuria, poydipsia, wt loss, fatigue N/V/anorexia abdominal pain signs of dehydration: tachycardia/dry AMS kussmaul repirations acetone or fruity odor to breath DKA focused interventin - =Answer>> vascular access bedside glucose labs + Blood cultures if signs of infection hemodynamically unstable = 10-20mL/kg fluid bolus hemodynamically stable: correct fluid over 24 hrs continuous infusion of insulin after initial fluid continue drip until pH greater than 7.3 or bicarb greater than 15 glucose less than 300, add 5%glucose to iV fluids anticipate hypokalemia, hyponatremia and hypophosphatemia Acetominophen overdose treatment - =Answer>> Charcoal if present within 1 hr of ingestion Acetylcysein given within 8 hrs of ingestion Alcohols overdose treatment - =Answer>> monitor blood glucose and treath hypoglycemia with dextrose IV hydration and alkalization hemodialysis folic acid some alcohols limit metabolism of other alcohol Cyanid poisoning - =Answer>> tissue hypoxia with high pulse O2 reading Need Writing 📱Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📱
