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ENPC 6th Edition Course Exam (Questions & Answers) With A Guaranteed 100% Pass!!
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ENPC 6th Edition Course Exam(Questions & Answers) With A
Guaranteed 100% Pass!!
Parents 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? Answer- 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? Answer- 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? Answer- 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? Answer-
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? Answer- 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? Answer-
, 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 appropriate action for the
nurse to take at this point? Answer- Have the boyfriend leave the room during the
pelvic exam.
A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately.
After several attempts, your team has been unsuccessful at establishing vascular
access. Of the following, which is the next best option for establishing access
quickly? Answer- Intraosseous in the patient's medial tibia.
A child with an electrical injury is seen 1 hour post event. Which of the following
types of specimen samples would provide visual information regarding a potential
complication of this injury? Answer- Electrical injuries, though they may appear to be
small, can produce large amounts of damage internally, including muscle damage.
Myoglobin is excreted in the urine and is evidenced by dark, red-tinged urine.
Parents with an infant requiring multiple laboratory tests, radiographic studies, and
invasive procedures appear to be distressed and withdrawn. Which of the following
interventions would best ensure a sense of comfort and control for these parents?
Answer- Providing frequent updates and re-educating them on the care that is being
provided
When taking vital signs on a stable infant, which of the following should be done
first? Answer- Respiratory rate
A laceration on a toddler's arm is prepared for suturing. Which of the following
preparations for topical anesthesia would be the best choice for this procedure?
Answer- LET (lidocaine/epinephrine/tetracaine)
Which of the following is appropriate administration of N-acetylcysteine (NAC) for an
acetaminophen overdose? Answer- A bolus infusion of 150 mg/kg NAC should be
administered.
A 10-year-old arrives at the ED post motor vehicle crash. The following assessment
is noted: hypotension, tachycardia, absent breath sounds from the left chest with an
increased respiratory rate, pain on palpation of the pelvis, tinge of blood noted at the
urinary meatus, moderate active bleeding from a laceration to left thigh, pulse
oximetry of 86% without supplemental oxygen, deformity to the left upper leg, and a
Glasgow Coma Score of 7. Which of the following orders will prompt the nurse to
have a discussion with the provider before initiating? Answer- Urinary catheters are
contraindicated for placement if pelvic injury is suspected or blood is noted at the
urinary meatus. Scrotal or perineal discolorations with edema to the areas is also a
contraindication for this adjunct.
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