ENPC 6th Edition Course EXAM WITH
COMPLETE QUESTIONS AND CORRECT
VERIFIED ANSWERS (DETAILED
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A 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✔✔-
>>>>>>>>Hypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic
ketoacidosis. Manifestations include signs of dehydration (
dry mucous membranes, hypotension, tachycardia),
incontinence (polyuria), vomiting, abdominal pain,
Kussmaul respirations (to counter the acidosis),
polydipsia, anorexia, and weight loss. Expected laboratory
values would reveal an acidotic state with a pH level below
7.3, an elevated serum bIcarbonate level, and an elevated
blood glucose level > 200 mg.dL.
An 18-month-old is seen for fever, slight circumoral
cyanosis, and wheezing noted on auscultation in the right
upper lobe of the lung field after a choking event 4 days
ago. The white blood cell count is elevated and the patient
noted to be tachypneic, tachycardic, agitated, and has an
increased respiratory effort. At the time of the event, the
patient was started on antibiotics with subsequent
increasing manifestations instead of improvement. Which
of the following would be considered to be definitive
treatment for the suspected diagnosis? -
✔✔ANSWER✔✔->>>>>>>>Computed tomography
(wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a
choking incident with subsequent failure to improve on
, antibiotics. Wheezing or decreased lung sounds in one
area of the pulmonary system is a high indicator for a
foreign body along with signs of hypoxia such as cyanosis,
tachypnea, tachycardia, increased respiratory effort,
agitation or lethargy, and elevated white blood cell counts
indicating an infectious process. The definitive treatment
would be a bronchoscopy in order to retrieve the
suspected foreign body instead of diagnostic tests to
locate the foreign body itself.
A 10-year-old arrives at the ED post motor vehicle crash.
The following assessment is noted: hypotension,
tachycardia, absent breath sounds from the left chest with
an increased respiratory rate, pain on palpation of the
pelvis, tinge of blood noted at the urinary meatus,
moderate active bleeding from a laceration to left thigh,
pulse oximetry of 86% without supplemental oxygen,
deformity to the left upper leg, and a Glasgow Coma
Score of 7. Which of the following orders will prompt the
nurse to have a discussion with the provider before
initiating? - ✔✔ANSWER✔✔->>>>>>>>Assist with chest
tube insertion (wrong)
Remediation feedback:
Urinary catheters are contraindicated for placement if
pelvic injury is suspected or blood is noted at the urinary
meatus. Scrotal or perineal discolorations with edema to
the areas is also a contraindication for this adjunct.
A 2-year-old is seen with a 3-day history of irritability,
vomiting, and the presence of foul-smelling urine. The
child is hypotensive and tachycardic. Which of the
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