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ENPC 5th edition 50- Questions And Answers – Correct And Accurate
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ENPC 5th edition 50- Questions And Answers – Correct And Accurate
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ENPC 5th edition 50- Questions And Answers –Correct And Accurate
Ask about any new bed-wetting or sleep disturbances
Pediatric patients with anxiety and PTSD may present with physical
complaints. Assess for other behavioral symptoms to facilitate appropriate
care and follow-up. Correct ans - A 5 year-old with no health problems
presents to the Emergency Department with a sudden onset of chest pain
and shortness of breath. Parents state that the family was involved in a bad
car crash one week ago. A thorough assessment and workup has not
revealed any abnormalities. Which of the following steps is the best next
step to take?
Ensuring all firearms in the home are locked in a safe place with no access
by the patient.
Promoting injury prevention with caregivers of patients with a history of
depression or suicidal ideation by encouraging that all firearms and
medications are under lock to prevent overdoses or suicide attempt.
Correct ans - You are discharging a patient to home with a history of
depression. Discharge teaching should include which of the following?
Obtain vascular access for rapid fluid administration
Rapid vascular access and fluid administration are the priority interventions.
Correct ans - A 2-year old has uniformly demarcated burns to bilateral
lower extremities, approximately 30% of the childs total body surface area.
The father states he briefly left the room while the child was in the bath and
the child apparently played with the faucet. Which of the following
interventions has the highest priority?
Draw and send a metabolic panel and venous blood gas, administer a fluid
bolus, and obtain a point of care glucose
Electrolyte imbalances need to be identified and treated to prevent another
seizure. Correct ans - A 7-year-old arrives via ambulance. The
patient's mother reports witnessing a seizure at home. The patient has no
seizure history. Upon examination, 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 mother states the burns accidentally
occurred 3 days ago, but she was afraid to bring patient in due to an ongoing
child welfare investigation. Which of the following are the MOST appropriate
immediate interventions?
, ventilation to address hypoxia is the priority intervention. Correct ans -
What is the priority intervention for symptomatic bradycardia in a four-year-
old child?
Commotio cordis
Comotio Cordis "occurs when chest is struck during the refractory period of
the cardiac conduction cycle. This type of injury usually occurs in
recreational sports such as baseball or ice hockey." Correct ans - A
14-year-old high school student who was pitching for his baseball team was
hit in the chest by the ball and had a sudden cardiac arrest. Of the following,
which is the most likely cause of the cardiac arrest?
Focused Assessment: Vital Signs: "As the patient compensates for altered
tissue perfusion, the pulse pressure narrows and the heart rate increases" -
(need to rewrite either the question or the answers)
Widening Pulse pressure - not correct (suppose to be narrow pulse pressure)
Bradycardia - not correct
Decreasing diastolic blood pressure - late sign
Weak peripheral pulses - late sign Correct ans - A 5-year-old child
presents to the emergency department after being hit by a car. She
complains of left upper quadrant pain and the focused assessment with
sonography for trauma (FAST) exam shows fluid around her spleen. Which of
the following findings would be an early indication of ongoing blood loss?
Increasing heart rate
Pathophysiology: Cardiac Output. In pediatric patients, cardiac out is
primarily regulate by increasing heart rate Correct ans - A 5-year-old
patient presents to the emergency department with severe dehydration due
to viral gastroenteritis. He has signs of shock due to his hypovolemia. Which
of the following physiologic responses to shock has the greatest impact on
improving cardiac output in the pediatric patient?
Bruising to the left ear of a newborn from sleeping on his side
Pg 10- Any bruises in a non exploratory location (especially torso ears, neck)
in children younger than 4
Pg 11Any bruising in a child younger than 4 months. Correct ans -
Which of the following patient presentations should increase suspicion of
potential child maltreatment?
Fifth Disease at 6 months
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