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ENPC 6th Edition Course Exam Questions & Answers 2024(A+GRADED 100%VERIFIED)
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ENPC 6th Edition Course Exam Questions & Answers 2024(A+GRADED 100%VERIFIED)
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ENPC 6th Edition Course ExamParents report their 3-year-old child has developed noisy breathing. On
assessment, high-pitched wheezes are audible and auscultated on inspiration
and expiration. What medication would be appropriate to administer first? -
ANS Initial medication intervention includes an inhaled short-acting beta
agonist.
A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss,
and dry mucous membranes. Vital signs reveal deep respirations at 44 breaths
per minute, BP of 70/44 mm Hg, and HR of 144 beats per minute. Which of the
following laboratory values would be most expected in this child? - ANS
Expected laboratory values would reveal an acidotic state with a pH level
below 7.3, an elevated serum bIcarbonate level, and an elevated blood glucose
level > 200 mg.dL.
An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing
noted on auscultation in the right upper lobe of the lung field after a choking
event 4 days ago. The white blood cell count is elevated and the patient noted
to be tachypneic, tachycardic, agitated, and has an increased respiratory
effort. At the time of the event, the patient was started on antibiotics with
subsequent increasing manifestations instead of improvement. Which of the
following would be considered to be definitive treatment for the suspected
diagnosis? - ANS The definitive treatment would be a bronchoscopy in order
, to retrieve the suspected foreign body instead of diagnostic tests to locate the
foreign body itself.
A child in cardiopulmonary arrest is receiving chest compressions and manual
ventilations with a bag-mask device. Once return of spontaneous circulation
has been confirmed, which of the following would be the priority intervention?
- ANS Establishing a secure airway
A 6-week-old is brought to the emergency department by the caregivers for
poor feeding, listlessness, and fever. Assessment reveals a crying infant, HR
160 beats/minute, RR 52 breaths/minute, rectal temperature of 96.0 F (35.5 C),
and a bulging anterior fontanel. Capillary refill is 4 seconds. Based on these
findings what is the most likely diagnostic test the nurse should anticipate? -
ANS Lumbar puncture
A 12-year-old is being prepped for surgical intervention of acute appendicitis.
Which of the following intravenous medication orders should the nurse
question? - ANS Ketorolac is an appropriate medication for moderate to
severe pain, however, it should not be used pre-operatively due to its potential
to increase the bleeding risk.
A 17-year-old female arrives in the ED with her boyfriend who states she is
pregnant and having vaginal bleeding. The patient is unsure of the gestational
age and has not had any prenatal treatment. The patient is quiet and lets her
boyfriend answer most of the questions. Which of the following is the most
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