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ENP Board Review Exams Questions With Correct Answers.

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ENP Board Review Exams Questions With Correct Answers. Treatment of v-fib - answerD-Fib *Treatment of UNSTABLE SVT* - answer*Cardioversion* Psoas Abscess - answer Anchor Bias - answerCognitive bias for an individual to rely too heavily on an initial piece of information offered (known as the ...

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  • October 16, 2024
  • 74
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ENP
  • ENP
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sirjoel
©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM



ENP Board Review Exams Questions With
Correct Answers.


Treatment of v-fib - answer✔D-Fib


*Treatment of UNSTABLE SVT* - answer✔*Cardioversion*


Psoas Abscess - answer✔


Anchor Bias - answer✔Cognitive bias for an individual to rely too heavily on an initial piece of

information offered (known as the "anchor") when making decisions.

- Rely too heavily on the first piece of information seen


Septic Joints - answer✔


How to use a cast saw - answer✔- Cast saws have a sharp, small-toothed blade that rapidly

vibrates back and forth; it does not spin around like a circular saw. Against the firm surface of

the plaster or fiberglass, the cast saw will cut through the material. However, against your skin,

the cast saw simply moves the skin back and forth with the vibration, not cutting into the skin.

- Cuts should be made with the blade *perpendicular to the cast surface*, using your index finger

on the cast as a brace for your hand and the saw.

, ©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM


Cut two straight lines down either side of the cast moving the saw in and out with brisk

movements.

- When making a cut, apply pressure until you feel the release of the saw cutting through to the

other side.

- *Do NOT DRAG THE SAW* it will burn the patient

- Use an *up and down motion*

- Then use splitters to split the cast open and remove


Only time you treat a pedi pt with Aspirin? - answer✔Kawasaki Disease


*Parkland Formula* for Burns - answer✔*4 mL x kg x %BSA per day*


*** 1/2 of fluids given in the first 8 hours!




So get total, then divide by 2, then divide by 8 for hourly rate for 1st 8 hours!!!




Urine output should be > 1mL/kg/hr


C-Spine Clearance Tool - answer✔- NEXUS


- Canadian C-spine

- Imaging

, ©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM


NEXUS Criteria - answer✔1) No posterior midline c-spine tenderness


2) No intoxication

3) Normal level of alertness

4) No focal neuro deficit

5) No painful, distracting injuries


Canadian C-Spine - answer✔- Includes DANGEROUS mechanism of injury


C-spine imaging clearance requirement - answer✔*** MUST SEE THE C7-T1 Junction!!!!


*Tachycardia with a Pulse Tx*




(HR > 150) - answer✔*Unstable/Symptomatic only:*


- *Synchronized Cardioversion*

........ 50 - 100 Joules

*Wide QRS >0.12:*

1) *Vagal Maneuvers*

2) *Adenosine* IV (rhythm must be regular and monomorphic)

.........First dose 6 mg IV Push

, ©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM


......... Second dose 12 mg

Bradycardia Tx


(HR < 50) - answer✔*Atropine* 0.5 mg


Repeat q 3-5 min

Max 3 mg (6 doses)


Asystole / PEA - answer✔- CPR and Epi


- Epi dosing: 1 mg q 3 - 5 m


*V-fib/PULSELESS V-tach* - answer✔- *D-fib* and CPR


- Refractory VF/VT: *Amiodarone* 1st dose 300 mg, 2nd dose 150 mg


DOPE for Vent problems - answer✔- Displacement


- Obstruction

- Pneumothorax

- Equipment failure


Post Cardiac Arrest Care - answer✔- Maintain O2 sats > 94%, but don't over do it


- Don't hyperventilate; vent to 10-12 breaths p/m

- Target PETCO2: 35 - 40 mmhg

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