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ENPC 6TH EDITION PRE EXAM QUIZZES WITH VERIFIED ANSWERS .
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ENPC 6TH EDITION PRE EXAM QUIZZES WITHVERIFIED ANSWERS .
A,14-year-
old,patient,sustained,a,displaced,fracture,of,the,radius,and,ulna,after,falling,from,a,bicycle.,Which,of,the,f
ollowing,pain,control,interventions,is,most,likely,to,result,in,improvement,in,symptoms,related,to,pain?,,,
ANS,-Applying,a,splint,to,the,affected,extremity
Rationale
Splinting,is,an,effective,non-
pharmacologic,intervention,to,reduce,pain,associated,with,fractures.,This,will,also,help,to,minimize,compl
ications.,Topical,creams,and,elevation,of,the,extremity,will,not,help,with,pain,control.,The,application,of,ic
e,in,an,appropriate,manner,can,help,,but,not,warmth,which,would,be,contraindicated,in,the,early,stages,o
f,the,injury.
Assessment,of,the,fontanelle,provides,the,most,useful,information,for,which,two,components,of,the,prim
ary,survey?,,,ANS,-Circulation,and,disability
Rationale
A,sunken,fontanelle,is,a,red,flag,for,circulation,assessment,in,pediatric,triage,and,may,indicate,dehydratio
n,.,A,bulging,fontanel,is,a,red,flag,for,disability,assessment,in,pediatric,triage,and,can,indicate,increased,in
tracranial,pressure.
A,6-month-
old,is,seen,for,a,recurrent,respiratory,infection.,During,the,assessment,,the,mother,adds,that,the,patient's
,stools,seem,to,be,fatty,or,"greasy".,Which,of,the,following,disease,processes,would,be,a,primary,concern,
for,this,child?,,,ANS,-Cystic,fibrosis
Rationale
In,patients,with,cystic,fibrosis,,thick,mucus,inhibits,the,release,of,pancreatic,enzymes,necessary,for,digesti
on.,This,results,in,impaired,absorption,and,the,inability,to,utilize,ingested,fats.,These,fats,are,excreted,in,t
he,stools,and,can,present,as,"fatty",or,"greasy".,Combined,with,the,recurrent,upper,respiratory,infections
,for,an,infant,,cystic,fibrosis,should,be,ruled,out.,The,other,three,disease,processes,frequently,present,wit
h,respiratory,issues,but,fatty,stools,would,not,normally,be,seen.
, A,4-day-
old,who,is,brought,to,the,emergency,department,with,the,parental,complaint,of,"not,acting,right",is,foun
d,to,be,hypoglycemic.,What,is,the,appropriate,glucose,concentration,to,administer,to,this,neonate?,,,ANS,
-Dextrose,10%
Rationale
Dextrose,10%,is,the,preferred,concentration,for,neonates,with,hypoglycemia,to,protect,their,fragile,vascu
lature,while,providing,needed,glucose.,Dextrose,5%,is,not,used,to,treat,hypoglycemia,in,children.,Dextros
e,25%,is,used,for,children,above,the,age,of,5,years.,Dextrose,50%,is,not,recommended,for,use,in,pediatric
s,unless,it,is,diluted.
Which,of,the,following,indicates,the,need,for,additional,caregiver,education,regarding,a,urinary,tract,infe
ction?,,,ANS,-My,child,will,grow,out,of,their,frequent,urinary,tract,infections.
Rationale
Urinary,tract,infections,are,not,a,normal,occurrence,in,children,and,are,not,something,children,will,"grow,
out,of.",Additional,investigation,and,follow-
up,are,needed,when,a,child,has,frequent,urinary,tract,infections.,Drinking,extra,fluids,should,be,encourag
ed.,Patients,should,always,finish,the,complete,course,of,antibiotics,to,eliminate,the,infection.,And,follow-
up,should,be,done,to,make,sure,the,infection,has,been,eliminated.
You,need,to,draw,blood,from,a,2-year-
old.,Which,of,the,following,is,the,best,approach,for,this,patient?,,,ANS,-
Have,them,watch,a,cartoon,on,an,I-pad,or,cell,phone
Rationale
The,best,approach,to,a,toddler,who,requires,interventions,is,to,provide,distractions,whenever,possible.,T
hey,are,in,the,cognitive,development,phase,of,"sensorimotor/preoperational",so,having,the,caregiver,pre
sent,is,helpful.,You,should,move,from,the,least,invasive,to,most,invasive,tasks,,and,don't,let,them,watch,y
ou,prepare,since,it,will,increase,anxiety.
The,caregiver,of,a,2-month-
old,infant,states,the,patient,has,had,trouble,breathing,for,the,past,two,days.,Pediatric,assessment,triangle
,(PAT),reveals,an,age-
appropriate,general,appearance,,rapid,breathing,with,mild,distress,,and,pink,skin.,Mucous,is,noted,in,bot
h,nares.,Which,of,the,following,is,the,best,next,step?,,,ANS,-Suction,nasal,passages,using,a,bulb,syringe
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