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ENPC 6TH EDITION COURSE EXAM QUIZZES AND ANSWERS
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ENPC 6TH EDITION COURSE EXAM QUIZZES AND ANSWERS
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ENPC 6TH EDITION COURSE EXAM QUIZZESAND ANSWERS 2024 - 2025
A,4-year-
old,presents,with,vomiting,,lethargy,,frequent,urination,,weight,loss,,and,dry,mucous,membranes.,Vital,si
gns,reveal,deep,respirations,at,44,breaths,per,minute,,BP,of,70/44,mm,Hg,,and,HR,of,144,beats,per,minut
e.,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.,Manifestations,include,signs,of,deh
ydration,(,dry,mucous,membranes,,hypotension,,tachycardia),,incontinence,(polyuria),,vomiting,,abdomi
nal,pain,,Kussmaul,respirations,(to,counter,the,acidosis),,polydipsia,,anorexia,,and,weight,loss.,Expected,l
aboratory,values,would,reveal,an,acidotic,state,with,a,pH,level,below,7.3,,an,elevated,serum,bIcarbonate,l
evel,,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,lob
e,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,e
vent,,the,patient,was,started,on,antibiotics,with,subsequent,increasing,manifestations,instead,of,improve
ment.,Which,of,the,following,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,subsequent,failure,to,impro
ve,on,antibiotics.,Wheezing,or,decreased,lung,sounds,in,one,area,of,the,pulmonary,system,is,a,high,indica
tor,for,a,foreign,body,along,with,signs,of,hypoxia,such,as,cyanosis,,tachypnea,,tachycardia,,increased,respi
ratory,effort,,agitation,or,lethargy,,and,elevated,white,blood,cell,counts,indicating,an,infectious,process.,T
he,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,b
e,the,priority,intervention?,,,ANS,-Establishing,a,secure,airway
, 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,ap
propriate,to,administer,first?,,,ANS,-Humidified,oxygen,(wrong)
Remediation,feedback:
Wheezing,is,most,often,identified,with,asthma,in,the,pediatric,population.,Initial,medication,intervention,
includes,an,inhaled,short-acting,beta,agonist.
A,6-week-
old,is,brought,to,the,emergency,department,by,the,caregivers,for,poor,feeding,,listlessness,,and,fever.,Ass
essment,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,m
ost,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,m
edication,orders,should,the,nurse,question?,,,ANS,-Hydromorphone,(wrong)
Remediation,feedback:
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.,Th
e,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?,,,ANS,-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,tea
m,has,been,unsuccessful,at,establishing,vascular,access.,Of,the,following,,which,is,the,next,best,option,for
,establishing,access,quickly?,,,ANS,-Intraosseous,in,the,patient's,medial,tibia.
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