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8/29/24, 3:26 AMENPC Exam Prep / Exam Questions
Jeremiah
Terms in this set (50)
Which of the following would be an Clear urine There is a decrease in urine output for patient's with glomerulonephritis.
abnormal finding in a patient with Urine would be concentrated and dark brown/tea-colored.
glomerulonephritis?
Clear urine There is a decrease in urine Administration of nebulized epinephrine Moderate to severe croup is treated with
output for patient's with glomerulonephritis. dexamethasone and nebulized epinephrine.
Urine would be concentrated and dark
brown/tea-colored.
The neurosurgeon has decided to perform Allow the extended to family members to serve as interpreters during the procedure.
an invasive procedure in the emergency
department to monitor the intracranial
pressure on a 5-year-old patient. The family
does not speak English and has identified
their religion as Muslim. Which of the
following interventions is most supportive of
the family?
Which of the following patient presentations Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-
should increase suspicion of potential child exploratory location in children younger than 4 years and any bruising in a child
maltreatment? younger than 4 months (TEN-4) are cause for suspicion of abuse
Bruising to the left ear of a newborn from Commotio cordis Commotio cordis occurs when the chest is struck during the
sleeping on his side Any bruise in a non- refractory period of the cardiac conduction cycle, resulting in a ventricular dysrhythmia
exploratory location in children younger or asystole. This type of injury usually occurs in recreational sports such as baseball or
than 4 years and any bruising in a child ice hockey
younger than 4 months (TEN-4) are cause
for suspicion of abuse
A 12-year-old who was recently started on Neuroleptic malignant syndrome These are classic symptoms of neuroleptic malignant
anti-psychotic medication for schizophrenia syndrome, which is a rare reaction to antipsychotic medications.
is brought to the emergency department
with severe muscle rigidity and
hyperthermia. These symptoms are most
likely caused by which of the following?
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, 8/29/24, 3:26 AM
Which of the following patients should be An 18-month-old with bilious emesis Bilious emesis in an 18-month-old is always
evaluated first considered an emergent symptom indicative of a life-threatening bowel obstruction.
1. Which of the following tasks can the nurse Obtain the patient's weight in kilograms This is the preferred measurement for
do to decrease adverse medication events? medication calculations for pediatric and adult patients
Acute chest syndrome, stroke, and splenic Sickle cell anemia These are all complications of sickle cell anemia.
sequestration are complications of which of
the following diseases?
During the assessment of a 16-year-old male Physical and psychological safety Create an environment where patients feel safe, both
patient, the ED nurse identifies him as a physically and psychologically. Increase awareness of the patient's interpersonal
potential sex trafficking victim. The trauma interactions with others to screen for risk of harm. Prioritize the patient being in a safe
informed approach to care emphasizes location
certain principles in caring for these types of
patients. Which of the following care
principles has the highest priority?
A 6-month-old is brought to the emergency Cystic Fibrosis Pancreatic insufficiency leads to fat malabsorption, which results in the
department for a recurrent respiratory fatty stools seen with cystic fibrosis.
infection. When gathering a history from the
caregiver, the emergency nurse learns that,
in addition to the respiratory symptoms, the
infant has had fatty stools. The emergency
nurse should be concerned about which of
the following disease processes?
The emergency nurse is caring for a patient Succinylcholine Succinylcholine may increase intraocular pressure and should be
with significant facial trauma and a avoided.
suspected globe rupture. Which of the
following medication orders would the nurse
question?
A 7-year-old arrives via ambulance. The Draw and send a metabolic panel, administer a fluid bolus, and obtain a point of care
patient's mother reports witnessing a seizure glucose Significant burns can cause electrolyte imbalances. Electrolyte imbalances
at home. The patient has no seizure history. may be the cause of the patient's seizure. Electrolyte imbalances need to be identified
Upon examination, the patient is post-ictal and treated.
with a heart rate of 142 beats per minute,
respiratory rate of 36 breaths per minute,
and blood pressure of 86/72 mm Hg.
Significant burns are noted to the patient's
back and lower extremities. The mother
states the burns accidentally occurred 3
days ago, but she was afraid to bring patient
in due to an ongoing child welfare
investigation. Which of the following are the
MOST appropriate immediate interventions?
In which of the following primary survey Circulation and disability A sunken fontanel may indicate dehydration; a bulging
components can assessment of the fontanel fontanel can indicate increased intracranial pressure.
provide the most useful information?
A 5-year-old patient presents to the Increasing heart rate In pediatric patients, tachycardia is the primary compensatory
emergency department with severe mechanism to increase cardiac output.
dehydration due to viral gastroenteritis. He
has signs of shock due to his hypovolemia.
Which of the following physiologic
responses to shock has the greatest impact
on improving cardiac output in the pediatric
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patient? Exam Prep / Exam Questions
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