EMERGENCY MEDICAL CONSULTANTS INC.

Transcription

1 EMERGENCY MEDICAL CONSULTANTS INC. Florida s Premier Provider Of Quality Medical Training Programs Nationally Accredited and OSHA Programs CEU Provider Since 1988 ENPC Emergency Nursing Pediatric Course Preparation Packet and Pre-Test Please Note: This course is sanctioned and overseen by the ENA. Reviewing the textbook, completing the online lectures, and taking the pre-test in this packet are mandatory prior to entering the class. If you do not have the 4th edition textbook, you will not be allowed to attend the class. All information and directions are contained within this packet and the 4th edition text. We want your experience to be low stress and educational. We have found it takes most people several weeks to prepare prior to entering the course. Following lectures, practice, and skills stations-both written and scenario assessment are evaluated. Please note you must complete the online lectures and pre-test 2017B * Phone (772) * Fax (772) * info@medicaltraining.cc 597 SE Port St. Lucie Blvd * Port St Lucie, Florida Visit Our Website at EMCmedicaltraining.com

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3 To: 4th Edition ENPC Provider Course Participant ENPC is a two- day course consisting of lectures, practice stations and testing stations. In addition, each participant is encouraged to review certain lectures online prior to the course. Please see attached directions to access these lectures on the ENA website. In addition to viewing these lectures, it is imperative that you read and study your provider manual prior to the course. Pay particular attention to the chapter on the Management of the Critically Ill or Injured Pediatric Patient station, pages you will also find attached a practice test with answers. This test will give you an idea of the type of questions asked on the 50- question exam. Special Notes: Cancellation Policy: Due to the stringent ratios, once registered, cancellations greater than 5 business days are eligible for a refund minus a $ administrative fee. Cancellations within 3-5 business days of the course are eligible for a refund minus a 50% of course fee. If cancellation is received 2 business days before the course, entire fee is forfeited. Rescheduling Policy: Rescheduling between 3-5 business days prior to the course will incur a $ administrative fee. Rescheduling 2 business days before the course will incur a 50% fee of the course fee. Participants who are No Shows or those who call to cancel or change the night before or morning of a course will forfeit all registration fees. You will need to bring to class a copy of your nursing license and a copy of your ENA membership card if you are asking for an ENA membership discount. If you have any questions please call Emergency Medical Consultants at (772) or the ENA at

4 EMERG ENCY N U RSES ASSOC IATIO N S,\H P R ACT I CE, SMf- (AIU EMERGENCY NURSING PEOIATRIC COUP.SE An II IHJ"course To Access the 4th edition ENPC Provider Pre-Course Online Modules: 1. Go to ENA.org select the Education tab and click on ENA LEARN. Scroll down and select Find a Course. 2. Log in to the ENA website or create an account. 3. Select the category button named ENPC. Scroll down to find ENPC Provider Course Online Modules and add to your shopping cart. 4. Enter the discount code ENPCENA4 and click on apply. There will be no cost to you. The discount code will bring the cost to zero. Do not use a credit card for payment. Payments will not be credited or refunded. 5. DO NOT proceed until the discount code is applied. Click on the Check- Out button, and complete the checkout process. 6. To access your course, select the Go to Your Online Courses button at the bottom of the confirmation page. 7. Select Click here to Proceed to your Courses. 8. Under Online Courses, select ENPC Provider Course Modules. To Return to the Modules: You may log out of the online modules and return to them as often as necessary. Should you need to return to the modules again follow the steps below: 1. Go to ENA.org select the Education tab and click on Go to Your Online Courses. 2. Log in to the ENA website. 3. Select Click Here to Proceed to Your Courses. To record completion select the Submit Contact Hours button in the course profile. You will complete a course evaluation at this time. The certificate for contact hours will be provided to you by your Course Director. While not required, you may print a certificate of completion for your records. It is encouraged that all students complete the modules as well as read the provider manual. The online modules, in person class and the provider manual are meant to supplement each other to provide a more robust learning experience focused on retention and to provide for more hands- on skill training in the classroom setting. If you have questions or are experiencing technical difficulties please contact elearning@ena.org or the education department at Continued

5 EMERG ENCY N U RSES ASSOC IATIO N S,\H P R ACT I CE, SMf(AIU EMERGENCY NURSING PEOIATRIC COUP.SE An II IHJ"course To Return to the Modules again: Should you need to return to these modules again you can access the online modules from the same location on the ENA web site by following the steps below Visit and skip to #6 OR Go to the ena.org web site Click on the purple 'Education' tab to reveal the dropdown menu Click on ENPC/TNCC Click on the ENPC link towards the top of the center screen Click on the link towards the top of the ENPC page called 'Access ENPC Provider Course Online Modules' 7. Once you click on this link, you will be taken to a web site separate from the ENA web site to access the online modules: o Returning Users: Enter your Username and Password in the login area in the top center of the screen o Click on the Launch button to access any of the 4 online learning modules. To open any of the online modules, click on the module name. You can view the modules in any order. When finished watching each module, close out of the module window and click on Take Module Assessment located in the upper right corner, answer the question to verify completion of that individual module. Students can log out of the online modules and return to them as often as they need to. As a reminder: This is not the ENA web site that you are logging in to, so the username and password is relevant only for the ENPC online modules. There is not a contact hour certificate produced upon completion of the online modules. The contact hours associated with the online modules are to be included in the total contact hours given at the completion of the course. Please note: It is encouraged that all students complete the modules as well as read the provider manual. The online modules, in person class and the provider manual are meant to supplement each other to provide a more robust learning experience focused on retention and to provide for more hands-on skill training in the classroom setting. If you have any questions or issues with the login process, or technical difficulties with the online modules, please contact ENA Educational Services at

6 ENPC 4th Edition: Practice Test 1. A preschooler has a small laceration that required 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 2. A 7-month-old presents to the emergency department with a complaint of fever. Assessment reveals a pa tent airway and slight cyanosis around his lips and nail beds. He is alert and interactive. His vital signs are 38.5 C (101.3 F), HR 134, RR 32, BP 78/54 mm Hg, and Sp02 84%. The nurse notes a healed surgical scar on his chest. Based on this assessment, what is the nurse s priority? 2 a. Administer ibuprofen to treat the fever b. Begin oxygen via a nonrebreather mask c. Obtain a surgical history d. Ask if the Sp02 is normal for him 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 b. Sick c. Sicker d. Sickest 4. The pediatric prioritization process components include the focused assessment, focused history, acuity rating decision and: a. the pediatric assessment triangle (PAT). b. developmental characteristics. c. head-to-toe assessment. d. life-saving interventions. 5. A 2-yea r-old is brought to the emergency department by her father when he found her face down in the pool. She remains unresponsive and is breathing shallowly and slowly. Her color is pale. What is the priority? a. Administer 100% oxygen b. Immobilize the cervical spine c. Begin bag-mask ventilation d. Insert an oral airway 6. A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral spinal alignment, padding should be placed under which area? a. Shoulders b. Head c. Neck d. Waist Copyr ight 2014 Emergency Nursing Association Revised Apri l

7 ;)' ENPC 4th Edition: Practice Test 7. The nurse is preparing to administer a feeding through a nasogastric feeding tube. The tube position was verified by radiograph after insertion 2 hours ago. What is the best way to verify placement before feeding? a. Instill air and listen over the epigastrium b. Test the ph of the gastric contents c. Observe color of a gastric aspirate sample d. Repeat the radiograph 8. What is the best method to rapidly administer a 20 ml/kg bolus of 0.9% normal saline to a pediatric patient weighing 8 kg? a. A 20-mL syringe with a stopcock b. A syringe pump c. A rapid infuser d. A pressure bag 9. Immediately after intraosseous insertion the nurse assesses the infusion and notes that the fluid is not dripping. How should the nurse respond? a. Use an infusion pump to deliver the fluids b. Remove the device and insert in another site c. Advance the device and reassess the flow d. Attempt to aspirate bone marrow 10. A 13-month-old presents to the emergency department with a 2-day history of a low-grade fever, increased work of breathing, and tonight developed a barking cough and inspiratory stridor. What condition does the nurse suspect? a. Epiglottitis b. Foreign body aspiration c. Tracheomalacia d. Croup 11. In providing education to a family regarding obtaining baseline peak airway flow for a child with asthma, the nurse will recommend what time of day? a. At bedtime b. Before exercise c. In the morning d. After meals 12. The nurse is planning to begin oral rehydration therapy for a 9-month-old with mild dehydration. She provides the caregivers with a glucose and sodium solution and instructs them to administer small amounts: a. Every 2 to 5 minutes b. Every 10 to 12 minutes c. Every 15 minutes d. Every 30 minutes Copyr ight 2014 Emergency Nursing Association Revised Apri l

8 ENPC 4th Edition: Practice Test 13. Caregivers bring in their 3-week-old neonate and describe nonbilious vomiting after every feeding that is becoming more forceful over the past 24 hours. The last time he vomited the vomitus hit a chair 2 feet away. They say he cries, roots, and sucks vigorously on his pacifier right after vomiting as though still hu ngry. He is not experiencing any diarrhea. What condition is the most likely cause of these signs and symptoms? a. Intussusception b. Vol vulus c. Gastroenteritis d. Pyloric stenosis 14. A neonate is delivered in the emergency department and placed on a radiant warmer. There is no staining of the amniotic fluid. What is the first step in neonatal resuscitation? a.. Dry and warm the neonate b.. Suction the mouth and nose c. Assess for effective breathing d. Palpate a central pulse rate 15. I n discussing the legal care of the adolescent patient, what is a mature minor? a. A minor who lives independently and is legally able to make health decisions b. A minor who is able to make decisions regarding his or her own sexual or mental health c. A minor who is able to make decisions regarding healthcare as a parent of his or her own child d. A minor who lives with a parent or guardian but legally is able to make health decisions 16. Which of the following screening statements/questions is most appropriate in assessing an adolescent for dating violence? a. "Wbat triggers for violence have you experienced from your partner?" b. "Does your partner feel entitled to sex even if you say 'no'?" c. "Tell me about a time when you've felt unsafe in your relationship." d. "Do you feel if you tried harder to please, your partner will not become violent?" 17. Which sign distinguishes compensated shock from decompensated shock in the pediatric patient? a. b. c. d. Peripheral pulses Blood pressure Capillary refill Level of consciousness 18. A 5-year-old arrives to the emergency department unconscious with a heart rate of 32 beats/minute, weak, thready pulses, and pale, mottled skin. The team has begun bag-mask ventilation with 100% oxygen and chest compressions with no improvement in the heart rate. An intraosseous line is in place. Which of the following interventions is the priority? a. Administration of atropine b. Transcutaneous pacing c. Administration of epinephrine d. Attempt vagal stimulation Copyr ight 2014 Emergency Nursing Association Revised Apri l

9 ENPC 4th Edition: Practice Test 19. A 9-month-old infant pulled himself up onto the hearth of a fireplace. While doing so, he fell forward onto t hehot glass doors and sustained deep partial thickness burns to the bilateral palmar aspects of both hands. What is the approximate percentage of total body surface area burned? a. 1% b. 2% c. 4% d. 5% 20. An ambulance arrives with a 13-year-old pedestrian hit by a car. Identified injuries reported by paramedicsinclude multiple abrasions to the head and face, a large, actively bleeding laceration to the 2 forehead, hip pain with the leg externally rotated, and bruising across the chest and abdomen. The patient is in full spinal immobilization and has two intravenous catheters and a nonrebreather oxygen mask in place. Vital signs are BP 110/70 m m Hg, HR 118 beats/minute, RR 24 breaths/minute, and Sp02 96%. The Glasgow coma scale score is 15. What is the priority? a. Computed tomography b. Immobilize the femur c. A pressure dressing to the forehead d. Focused assessment with sonography for trauma (FAST) 21. A 15-year-old with a history of schizophrenia is taking risperidone (Risperdal) and lithiu m (Eskalith). She presents with dystonia, akinesia, a shuffling gait, muscle rigidity, and tremors. What does the nurse suspect is the cause of these signs and symptoms? a. Extrapyramida l symptoms b. Tardive dyskinesia c. Neuroleptic malignant syndrome d. Serotonin syndrome 22. Which of the following bu rn injury patterns and history indicates suspected child maltreatment? a. A 5-cm (2-inch) linear, superficial partial-thickness burn with irregular edges on the leg of a preschooler, reportedly from touching a curling iron left on a low table b. A deep partial-thickness, sharply demarcated bum on the buttocks of a toddler, reportedly from the child turning on the hot water while in the bath c. A 2-cm (0.75 inch) linear partial-thickness burn on the arm of toddler, reportedly from walking and bumping i n t o a lighted cigarette d. A partial-thickness bum with irregular edges and splash pattern on the chest and right hand of a 7-year-old reportedly spilling a bowl of soup from the microwave 23. A mother presents to the emergency department with a 6-week-old infant with no medical issues after a normal delivery, until yesterday. Mom states he has been eating poorly, vomiting, and that "he's ha rd to wake up." The infant is responsive only to painful stimuli. The anterior fontanel is bulging. He is mildly tachycardic, but otherwise vital signs are normal. What diagnostic evaluation will the nurse expect for this i n f a n t? a. Upper gastrointestinal (GI) series b. Skeletal survey c. Lumbar puncture d. Blood gas analysis Copyr ight 2014 Emergency Nursing Association Revised Apri l

10 ENPC 4th Edition: Practice Test 24. A malfunctioning oxygen tank explodes near a child's bed in the emergency department, resulting in an extensive burn injury to the child. Four nurses participate in the child's immediate care. Which nurse requires intervention after this critical incident? a. One who refuses to participate in critical incident stress debriefing b. One who readily talks about the incident and how he reacted c. One who admits experiencing burnout and asks for a week leave of absence d. One who is not sleeping because of dreams of the incident 25. Two ambulances collide in front of the hospital. The victims include three pediatric victims. Using the J umpstart triage system, which category assignment will the nurse give to a 2-yea r-old who is lying on the ground, alert and crying with spontaneous respirations of 36 breaths/minute and present peripheral pulses? a. Green b. Yellow c. Red d. Black Copyr ight 2014 Emergency Nursing Association Revised Apri l

11 ENPC 4th EDITION PRACTICE TEST ANSWER KEY 1.A 2.D 3.C 4.A 5.B 6.A 7.B 8.A 9.A 10.D 11.C 12.A 13.D 14. A 15.D 16.C 17.D 18.C 19.B 20.C 21.A 22.B 23.B 24.D 25.B