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Exam (elaborations)

ENPC Exam with complete solution 2024

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ENPC Exam with complete solution 2024

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  • October 24, 2024
  • 9
  • 2024/2025
  • Exam (elaborations)
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ENPC Exam with complete solution 2024
y y y y y




A yneonate ypresents yto ythe yemergency ydepartment ywith yirritability, yweak ycry,
yand yhypotonia. yWhich yof ythe yfollowing yis ya ypriority yintervention? y-
yANSWER✓✓-Serum yblood yglucose


Head ycomputerized ytomography yscan

Prostaglandin yinfusion

Toxin yScreening

Which yof ythe yfollowing ypathologic yprocesses ywould ymost ylikely ybe yattributed
yto ya yprimary ydiagnosis yof ycystic yfibrosis? y- yANSWER✓✓-Hypernatremia


*Constipation

Obesity

Epiglottitis

A ynurse ybegins ymaking ymultiple yerrors yin yclinical ydecisions yregarding ythe
ycare yof ypatients yin ythe ypediatric yemergency ydepartment. yThe ynurse yhas
yworked ymany yconsecutive yshifts ycaring yfor yseverely yill yand yinjured ychildren
yand ymentioned yto ya yco-worker ythat ythey yare ynot ysleeping yand yfeel yanxious
yabout ycoming yto ywork. yWhat ycondition ymay ythis ynurse ybe yexperiencing? y-
yANSWER✓✓-Nurse ytraumatization


Pediatric yTraumatization

Direct yTraumatization

*Vicarious yTraumatization

A y14-year-old ypatient ywith yDown ysyndrome ypresents ywith yan yabnormal ygait,
yhead ytilted yto ythe yleft, ydecreased ysensation yto ythe yextremities, yand yurinary
yincontinence. yThe ypatient yhas yno yhistory yof ytrauma. yWhich yof ythe yfollowing
ydiagnostics yis ythe ypriority yfor ythis ypatient? y- yANSWER✓✓-Lumbar ySpine
yMRI y

, Complete yNeurologic yExam

Urinalysis yby yStraight yCatheter y

*Cervical ySpine yRadiograph

The ycaregivers yof ya y6-year-old yreport ythe ychild ydeveloped ya ycough ywith
ynasal ycongestion yand y"pink-eye" ythat ystarted ytwo ydays yago. yToday ythey
ynoticed ya yraised, yred yrash yon ythe yface, yand ygrey ypapules yin ythe ymouth.
yWhich yof ythe yfollowing yis ythe ypriority yintervention yfor ythis ypatient? y-
yANSWER✓✓-Obtain ya ynasopharyngeal yswab


*Airborne yIsolation

Contact yIsolation y

Fingerstick yGlucose

A y12-year-old yis ybeing yprepped yfor ysurgical yintervention yof yacute
yappendicitis. yWhich yof ythe yfollowing yintravenous ymedication yorders yshould
ythe ynurse yquestion? y- yANSWER✓✓-Morphine y


Acetaminophen y

Hydromorphone y

*Ketorolac

A ychild ywith yan yinjury yto ythe ylower ycervical yspine ywith yspinal ycord
yinvolvment ywould ymost ylikely ydemonstrate ywhich yof ythe yfollowing yfindings
yduring yassessment? y- yANSWER✓✓-Increased yrectal ytone y


Increased yurinary youtcomes y

Decreased yend-tidal yCO2 y

*Decreased yRespiratory yeffort

An yadolescent yis yawaiting yICU yadmission yfor ypneumonia. yDuring
yreassessment, ywhich yof ythe yfollowing yfindings ywould ybe ymost yindicative
ythat yrespiratory yfailure yis ydeveloping? y- yANSWER✓✓-SpO2 yof y94 y% yon
yroom yair


Widened yPulse yPressure y

*Extreme yLethargy y

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