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ENPC 6TH EDITION PRE EXAM QUESTIONS AND ANSWERS.
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A 14-year-old patient sustained a displaced fracture of the radius and ulna after falling from a bicycle. Which of the following pain control interventions is most likely to result in improvement in symptoms related to pain? Applying a splint to the affected extremity Rationale Splinting is an...

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  • November 3, 2023
  • 7
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • enpc 6th edition pre exam

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  • ENPC
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ENPC 6TH EDITION PRE EXAM
QUESTIONS AND ANSWERS
A 14-year-old patient sustained a displaced fracture of the radius and ulna after falling from a
bicycle. Which of the following pain control interventions is most likely to result in improvement
in symptoms related to pain? - answer 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 complications. Topical creams and elevation of the
extremity will not help with pain control. The application of ice in an appropriate manner can
help, but not warmth which would be contraindicated in the early stages of the injury.


Assessment of the fontanelle provides the most useful information for which two components
of the primary survey? - answer Circulation and disability


Rationale
A sunken fontanelle is a red flag for circulation assessment in pediatric triage and may indicate
dehydration . A bulging fontanel is a red flag for disability assessment in pediatric triage and can
indicate increased intracranial 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? - answer Cystic fibrosis


Rationale
In patients with cystic fibrosis, thick mucus inhibits the release of pancreatic enzymes necessary
for digestion. This results in impaired absorption and the inability to utilize ingested fats. These
fats are excreted in the 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 with 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 found to be hypoglycemic. What is the appropriate glucose concentration to
administer to this neonate? - answer Dextrose 10%


Rationale
Dextrose 10% is the preferred concentration for neonates with hypoglycemia to protect their
fragile vasculature while providing needed glucose. Dextrose 5% is not used to treat
hypoglycemia in children. Dextrose 25% is used for children above the age of 5 years. Dextrose
50% is not recommended for use in pediatrics unless it is diluted.


Which of the following indicates the need for additional caregiver education regarding a urinary
tract infection? - answer 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 encouraged. 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? - answer 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. They are in the cognitive development phase of "sensorimotor/preoperational" so
having the caregiver present is helpful. You should move from the least invasive to most invasive
tasks, and don't let them watch you 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,

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