A caregiver presents to the emergency department with an 18-month-old and reports the child is not using their left arm after playing a game with an older sibling. The child is alert and curious, with regular, even respirations, and skin color is appropriate.
Sick
A 12-year-old restrained, ...
ENPC 6TH EDITION PROVIDER COURSE
EXAM REVIEW QUESTIONS AND
ANSWERS 2023
A caregiver presents to the emergency department with an 18-month-old and reports the child
is not using their left arm after playing a game with an older sibling. The child is alert and
curious, with regular, even respirations, and skin color is appropriate. - answer Sick
A 12-year-old restrained, back -seat passenger involved in a motor vehicle crash is noted to have
hypotension, tachycardia, and contusions and discoloration across the lap area. On exam a
splenic rupture is suspected. Which of the following diagnoses should be suspected as a
companion injury with these findings and associated mechanism of injury? - answer
Pneumothorax
4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry mucous
membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP of 70/44 mm Hg,
and HR of 144 beats per minute. Which of the following laboratory values would be most
expected in this child? - answer Low pH level
You are discharging a patient home who has a history of depression. Discharge teaching should
include which of the following? - answer Ensuring all firearms in the home are locked in a safe
place with no access by the patient
The triage nurse is assessing a 14 year old male who was brought in by ambulance. The patient
reports he was playing his video games at home when he had a sudden onset of groin pain that
was so severe he became nauseated and vomited. Further assessment reveals a swollen
scrotum. What is the priority intervention for this patient? - answer Preparing the patient for
ultrasound
Which of the following is a first-line treatment for atopic dermatitis? - answer Skin Hydration
therapy
, page 202
A 2-year-old child is seen with acute respiratory distress after playing alone. Caregiver
statements indicate the child was found playing with irregular, ½ - ¾ inch sized pieces of a game.
Which of the following assessment findings would most likely be expected for this situation? -
answer Audible wheeing and retractions
page 118
The nurse is triaging an infant brought to the emergency department by their caregiver. Which
finding by the nurse leads the infant to be placed in isolation? - answer Purpuric rash
A child was found unresponsive under the monkey bars during recess and arrives with the
following assessment: eyes open only with supraorbital pressure stimulus, no verbal response is
elicited, and withdraws arms and legs when a swab is inserted in the nose. Which of the
following is the priority intervention for this child? - answer Prepare for immediate intubation
A 6-week-old is brought to the emergency department by the caregivers for poor feeding,
listlessness, and fever. Assessment 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 most likely diagnostic test the nurse
should anticipate? - answer Lumbar puncture
The neurosurgeon has decided to perform an invasive procedure in the emergency department
to monitor the intracranial pressure on a 5-year-old patient. The family does not speak the local
language. Which of the following interventions is most supportive of the family during the
procedure? - answer Dedicating a healthcare team member witha qualified interpreter to be
with the family
The caregivers of a 6-year-old report the child developed a cough with nasal congestion and
"pink-eye" that started two days ago. Today they noticed a raised, red rash on the face, and grey
papules in the mouth. Which of the following is the priority intervention for this patient? -
answer Place in airborne percautions
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