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ENPC Questions And Answers 2023
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ENPC Questions And Answers 2023
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ENPC Questions And Answers 2023A 3 year old is rescued after being submerged in a residential pool for
several minutes. On arrival at the ED he is responsive to painful stimuli, has
slow respirations with diminished breath sounds throughout, and has an
occasional cough. What is the initial management priority? ANS - ET
intubation with positive pressure ventilation
Which of the following patient presentations should increase suspicion of
potential child maltreatment? ANS - Bruising to the left ear of a newborn
from sleeping on his side
A 6 month old is brought to the ED for recurrent respiratory infections. When
gathering a history from the care giver, the emergency nurse learns that in
addition to respiratory symptoms, the infant has had fatty stools. The
emergency nurse should be concerned about which of the following disease
processes? ANS - Cystic fibrosis
A toddler has a chemical eye injury. Which of the following is a priority
intervention? ANS - Copious eye irrigation with an isotonic solution
Which of these is the priority intervention for a pediatric patient with DKA?
ANS - Insulin infusion
During the tertiary survey, the emergency nurse should continue to conduct
reevaluations of the Pediatric Assessment Triangle (PAT), abnormal findings,
and which of the following other assessment components? ANS - Primary
survey, vital signs, pain management, and effectiveness of therapeutic
interventions
Which of the following patients should be evaluated first? ANS - 18 month
old with bilious emesis
Which of the following describes a neonates normal position? ANS -
Flexion with extremities close to the body
You are discharging a patient home with a history of depression. Discharge
teaching should include which of the following? ANS - Ensuring all
firearms in the house are locked up in a safe place with no access by the
patient
An ambulance arrives with a 16 year old male who was involved in a dirt bike
crash who was intubated prior to arrival. Which of the following is the priority
assessment or intervention? ANS - Assess the ET tube placement and
patency
, All of the vaccine administrations are appropriate EXCEPT which of the
following? ANS - Fifth Disease at 6 months
A 4 day old who is brought to the ED with the parental complaint of "not
acting right' is found to be hypoglycemic. The appropriate glucose
concentration to administer to this neonate is which of the following? ANS -
D10
The neurosurgeon has decided to perform an invasive procedure in the
emergency department to monitor the ICP on a 5 year old pt. The family
does not speak English and has identified their religion as Muslim. Which of
the following interventions is most supportive of the family? ANS - A.
allowing caregivers to remain with the pediatric pt
B. allow the extended family members to serve as interpreters during the
procedure
c. dedicate a healthcare team member with a qualified interpreter to be with
the family during the procedure
d. provide access to a quiet area
IDK MAYBE A
A 16 year old is noted to have external rotation and shortening of the left
lower extremity and pain with palpation of the pelvis after being ejected
from a motorcycle. Which of the following assessment findings is most
concerning for a potentially life threatening condition? ANS - Bony
crepitus and instability with gentle anterior posterior compression
During the assessment of a 16 year old male patient the ED nurse identifies
him as a possible sex trafficking victim. The trauma informed approach to
care emphasizes certain principles in caring for these types of patients.
Which of the following care principles has the highest priority? ANS -
Physical and psychological safety
The emergency nurse is caring for a patient with significant facial trauma
and a suspected globe rupture. Which of the following medications would the
nurse question? ANS - Succinylcholine
Which of the following indicates the need for additional parent/guardian
education regarding UTI? ANS - "My child will grow out of their frequent
UTIs".
A 15 year old patient has attempted suicide by overdosing on amitriptyline.
The emergency nurse should expect which of the following symptoms? ANS
- Dysrhythmias
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