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ENPC 6th Edition Course Exam 2024 Questions and Answers Latest (2024 / 2025) (Verified Answers by Expert)
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ENPC 6th Edition Course Exam 2024 Questions and Answers Latest (2024 / 2025) (Verified Answers by Expert)

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  • September 21, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • enpc
  • enpc 6th edition course exam

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  • ENPC
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ENPC 6th Edition Course Exam.pdf file:///C:/Users/HP/Desktop/New%20Conver/ENPC%206th%20Ed




ENPC 6th Edition Course Exam


1. A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and

dry mucous membranes. Vital signs reveal deep respirations at 44breaths 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 Hypoglycemia (wrong)


Remediation feedback:

Children can present with new onset diabetes in diabetic ketoacidosis. Manifesta- tions include

signs of dehydration ( dry mucous membranes, hypotension, tachycar-dia), incontinence

(polyuria), vomiting, abdominal pain, Kussmaul respirations (to counter the acidosis),

polydipsia, anorexia, and weight loss. Expected laboratory values would reveal an acidotic state

with a pH level below 7.3, an elevated serumbIcarbonate level, and an elevated blood glucose

level > 200 mg.dL.



2. An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezingnoted on

auscultation in the right upper lobe of the lung field after a chokingevent 4 days ago.The
1/8




1 of 22 9/18/2024, 11:01

,ENPC 6th Edition Course Exam.pdf file:///C:/Users/HP/Desktop/New%20Conver/ENPC%206th%20Ed




white blood cell count is elevated and the patient notedto 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 thefollowing would be considered to be definitive treatment for

the suspected diagnosis

ANS Computed tomography (wrong)


Remediation feedback:

Manifestations of a lower airway foreign body include a choking incident with subse-quent failure

to improve on antibiotics. Wheezing or decreased lung sounds in onearea of the pulmonary

system is a high indicator for a foreign body along with signsof hypoxia such as cyanosis,

tachypnea, tachycardia, increased respiratory effort, agitation or lethargy, and elevated white

blood cell counts indicating an infectious process. 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.



3. A child in cardiopulmonary arrest is receiving chest compressions and manual

ventilations with a bag-mask device. Once return of spontaneous circulation has been

2/8




2 of 22 9/18/2024, 11:01

,ENPC 6th Edition Course Exam.pdf file:///C:/Users/HP/Desktop/New%20Conver/ENPC%206th%20Ed




confirmed, which of the following would be the priorityintervention

ANS Establishing a secure airway



4. Parents report their 3-year-old child has developed noisy breathing. On assessment,

high-pitched wheezes are audible and auscultated on inspirationand expiration. What

medication would be appropriate to administer first

ANS - Humidified oxygen (wrong)




3/8




3 of 22 9/18/2024, 11:01

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