ENP-C - independent subject foundations cheat sheet
ENP-C - independent subject foundations · Keep the key ideas within reach.
Clinical and specialty nursing assessment
Assess trends and the actual patient, not isolated values.
Keep recognition, escalation and prescribing authority distinct.
Use individualized oxygen and fluid plans with reassessment.
Maternal and child observations need gestation, age and clinical context.
Surgical assessment, trauma and anatomical complications
Distinguish a stable diagnostic workup from urgent instability or source-control concerns.
Painful irreducibility and deterioration raise concern beyond an uncomplicated hernia.
A negative focused trauma ultrasound does not exclude every injury.
Palpable pulses do not rule out compartment syndrome.
Pediatric reasoning: development, illness severity and age-specific assessment
Use age, growth trajectory and more than one developmental domain.
Assess the full dehydration and danger-sign pattern.
A neonatal bilirubin value needs age-in-hours and risk context.
A simple febrile seizure differs from focal, prolonged or recurrent concerning events.
Airway assessment, respiratory mechanics and ventilation
Separate difficult laryngoscopy from inability to oxygenate.
Interpret peak and plateau pressures under the actual measurement conditions.
ARDS categorization requires more than an isolated oxygen ratio.
No liberation index independently guarantees successful extubation.
Hemodynamic monitoring, shock and circulation
Distinguish pressure, flow and tissue perfusion.
Check measurement-system behavior before treating an artifact.
Fluid responsiveness does not prove fluid tolerance or an automatic need.
Interpret lactate and venous saturation with their physiological alternatives.
Neurocritical, renal and acid-base reasoning
Calculate CPP from the supplied measured quantities and context.
A neurological score is not a brain-death determination.
AKI stage and urgent replacement-therapy indications are distinct.
Compare actual acid-base compensation with the expected range.
Sepsis, toxicity and systemic critical illness
Sepsis and qSOFA are related concepts with different diagnostic roles.
Use source, resistance, microbiology and response for antimicrobial decisions.
A prevention bundle needs current evidence and actual eligibility.
A reassuring pulse-oximeter value does not exclude carbon monoxide toxicity.
Focused skin, eye, ear and upper-airway assessment
Assess distribution, depth, function and systemic context rather than a label alone.
A painful red eye and sudden painless visual loss require different urgent differentials.
Avoid provoking a potentially threatened upper airway.
Clarify what dizziness means and assess associated hearing and neurological findings.